Quality of care and patient satisfaction: a new theoretical and methodological approach

Larsson, Gerry; Wilde‐Larsson, Bodil

doi:10.1108/09526861011017120

Cited by 53 publications

(78 citation statements)

References 35 publications

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“…4 One way of assessing quality of health care is through patients’ satisfaction with the services they receive. 5, 6 An important aspect of health care services that influences health outcomes is the patient–clinician interaction in the medical consultation. 1, 7–9 There is documented evidence of a positive relationship between a patient’s consultation experience and his/her actual health outcomes.…”

Section: Introductionmentioning

confidence: 99%

Patient satisfaction with medical consultations among adults attending Mulago hospital assessment centre

Kabatooro

Ndoboli

Namatovu

2016

South African Family Practice

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Background Patient satisfaction is known to positively influence patients’ compliance with medical advice. In Africa, and specifically Uganda, this interaction has rarely been put to scientific inquiry. This study aimed to determine the level of patient satisfaction and identify factors influencing satisfaction with medical consultations among adults attending Mulago Assessment Centre. Methods This was a quantitative descriptive cross-sectional study where 384 respondents were interviewed using a structured questionnaire adapted from the Medical Interview Satisfaction Scale (MISS-21) with a four-point Likert scale. Patient satisfaction was measured using four dimensions namely: information provision, clinicians’ communication skills, perceived consulting time and patient’s confidence in the clinician. Respondents’ mean scores were categorised as satisfied or dissatisfied. Multivariate linear regression analysis assessed the effect of independent variables on the regression factor score of the dependent variable. Significance level was set at p < 0.05. Final data analysis was done using STATA version 11.0. Results Of the sample, 53.9% were satisfied with the medical consultation. Patients’ average scores showed lowest satisfaction for information provision (2.7 points) compared with communication skills (3.22 points), patient confidence in the clinicians (3.22 points) and consultation time (3.05 points). Being older, employed, living further away from the health centre and frequently visiting the centre were positively associated with patient satisfaction. Conclusions Patient satisfaction was largely affected by interpersonal factors. This highlights the need for training of clinicians on the importance of adequate information provision, good communication skills and technical competences like thorough examination of patients and relieving worries about illness during the consultation.

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Section: Introductionmentioning

confidence: 99%

Patient satisfaction with medical consultations among adults attending Mulago hospital assessment centre

Kabatooro

Ndoboli

Namatovu

2016

South African Family Practice

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“…Moreover the only kindness is permitted in emergency situations, where life is in imminent danger. Consequently, large numbers of women avoid seeking medical attention for gynecologic conditions for fear of being examined by male physicians this inconsistent with Hilden et al, and Amir et al, [8][9][10][11][12][13][14][15][16][17][18][19][20][21][22][23][24][25][26][27]. This was reflected upon their disagreed attitude.…”

Section: Discussionmentioning

confidence: 99%

“…It was adapted from Larsson and Wilde, [19] to assess women's reaction during all gynecological examination. It was modified as categories into positive and negative nonverbal emotional stress reaction, also excluded 4 items for giving the similarity of meaning, in addition excluded 4 items which are not appropriate and added another 7 items such as feeling of embarrassment, cry, afraid, irritable and changing her position, closed & tight her thighs during Gyne Ex, closed her eyes during Gyne Ex and attentive and cooperative to be appropriate for assessing women's reaction during all gynecological examination and for cultural religious aspect.…”

Section: Tool 2 the Emotional Stress Reaction Questionnairementioning

confidence: 99%

Investigate Young Female Reaction Concerning Their Gynecological Examination

Hassan¹,

Aboud²,

Elkayal³

2018

AJNR

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The aim of this study was to investigate young female reaction concerning their gynecological examination. Design: descriptive study. Setting: This study was conducted at obstetrics and gynecology outpatient clinic at Mansoura university hospital, Egypt. Subjects: two hundred and three young female. Sample type: purposive sample. Tools: An interviewing questionnaire schedule, emotional stress reaction questionnaire, visual analogue scale and immediately post gynecological examination assessment. Results: The present study results had revealed that, majority among young female had incorrect knowledge. Also, 90.1% of young female complain from pain during bimanual examination &insertion of instrument, It was observed that majority among young female had totally correspond negative nonverbal reaction during (Gyne Ex) were feeling of embarrassment (92.1%), while (84.2%) closed& tight her thighs during (Gyne Ex). In addition negative verbal emotional stressful reaction during (Gyne Ex) was no clinic discharge information from health team (88.7%). Moreover most of young female were disagreed about technique, pre-preparation (Gyne Ex). Furthermore 71.4% refused to repeated future (Gyne Ex). Additionally the main barriers by self reported by young female were stressful event (88.2%), lack of communication with health team (85.2%) & taking long time for waiting (79.3%). Conclusion: the present study concluded that the majority of the young female had incorrect knowledge. Also, most of them corresponding with negatively verbal and nonverbal emotional reaction as well as the majority were embarrassment and (Gyne Ex) hurted the dignity, Recommendation: design purshor, guideline and poster concerning the importance & technique of female gynecological examination to enhance young female emotional verbal and non verbal reaction towards their regular Gyne Ex).

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“…A widely accepted conceptual defi nition of satisfaction with hospital care has not been established 4 . Th ere are, however, diff erent ways of looking at the concept of satisfaction, e.g., the discrepancy theory, the fulfi llment theory, the equity theory 5 , the value-expectancy model 6 , and a tentative model developed by Wilde et al 7 and further developed by Larsson and Wilde-Larsson 8 viewing patient satisfaction as an emotion. Th e way a person appraises and copes with a situation causally contributes to his/her emotional reaction.…”

Section: Satisfaction With Hospital Carementioning

confidence: 99%

“…Cancer patients are at a high risk of a variety of emotional disorders including anxiety, traumatic stress, and depression [11][12][13] . Consequently, demands on health care providers to satisfy the complex care needs of cancer patients are manifold increased 8 . For example, younger depressed patients who wanted as much information as possible were less likely to be satisfi ed, even though they received more information than others had 14 .…”

Section: Psychological Factorsmentioning

confidence: 99%

Psychosocial Determinants of Satisfaction with Hospital Care in Adult Patients Suffering from Advanced Cancer

Miljanović¹,

Sindik

Milunović

et al. 2017

acc

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SUMMARY -In this observational study, direct and indirect (moderator and mediator) relationships between sociodemographic (age, gender, life partner, education level, income and length of treatment) and psychological (Hospital Anxiety and Depression Scale, HADS) variables and satisfaction with hospital care (EORTC INPATSAT32) in adult (advanced cancer) patients were investigated. Study sample consisted of 75 hospitalized advanced cancer patients recruited at the Zagreb University Hospital Centre and Sestre milosrdnice University Hospital Centre in 2015. Statistically significant negative correlations were found between HADS and elementary school education level, as well as with all satisfaction variables (satisfaction with physicians, nurses and organization). Moderate to high and statistically signifi cant positive correlations were found between elementary school level and all satisfaction variables. Gender and level of education appeared as signifi cant moderator variables in the relationship between HADS and satisfaction with nurse care. Th ere were no signifi cant mediator eff ects of sociodemographic variables on the correlation between HADS and satisfaction with care. Male participants who were more disturbed emotionally were more satisfi ed with nurses. Participants with elementary and high school levels of education and lower scores on HADS were more satisfi ed with nurses, while participants with university level of education had higher HADS scores and lower level of satisfaction with nurses.

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Quality of care and patient satisfaction: a new theoretical and methodological approach

Abstract: The suggested theoretical model of the relationship between quality of care from a patient perspective and patient satisfaction is new, as is the emotion-oriented approach to assessing patient satisfaction.

Cited by 53 publications

References 35 publications

Patient satisfaction with medical consultations among adults attending Mulago hospital assessment centre

Patient satisfaction with medical consultations among adults attending Mulago hospital assessment centre

Investigate Young Female Reaction Concerning Their Gynecological Examination

Psychosocial Determinants of Satisfaction with Hospital Care in Adult Patients Suffering from Advanced Cancer

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