Assessment of patient experience profiles and satisfaction with expectations of treatment effects by using latent class analysis based on a national patient experience survey in Taiwan

Chiou, Shang-Jyh; Lee, Pei Chen; Chang, Ya Hui; Huang, Pei Shan; Lee, Li Hui; Lin, Kuan Chia

doi:10.1136/bmjopen-2018-023045

Cited by 9 publications

(7 citation statements)

References 37 publications

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“…A Swiss study in TCM provided empirical evidence that better patient-physician communication is associated with better patient experiences, and that more positive patient-physician interactions are associated with longer durations of consultation [21]. Patients' expectations with TCM did not appear to be so different from western medicine (all focus on accessibilities, interpersonal communication, and reduced barriers), which is in line with the findings of previous studies [33,34]. However, we can not ignore the predominant factor (such as age, and sex) and patients seeking TCM as a form of complementary and alternative medicine in this study.…”

Section: Discussionsupporting

confidence: 80%

The importance of patient's experience and its impact on healthcare system for people received Chinese medicine

Chiou¹,

P²,

L³

et al. 2019

Preprint

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Background Health system responsiveness is a complicated issue that guides researchers in determining an efficient methodology to enhance understanding of healthcare systems’ perspectives. Latent class analysis (LCA) helps healthcare professionals to understand discrepancies in patient experience profiles in traditional Chinese medicine (TCM) and maintain measurability in observational settings. This study examined the relationship between patients’ experience profiles and their satisfaction with medical outcomes.Methods The study focused on an annual National Health Insurance survey examining patients’ experiences with medical services in TCM in 2015. We used 11 items from the LCA to develop patients’ experience profiles. A logistic regression model was developed to explore differences in patients’ satisfaction with their treatment outcome across 4 groups identified via the LCA, with adjustment for demographic factors.Results Participants (N=2012) were divided into four groups. Regardless of gender and age, Group 2 (nall) held the lowest satisfaction with treatment outcome relative to those reported by the other 3 groups (odds ratios with p-value: Group 1 (pall): 7.40, Group 3 (nComm): 1.37, Group 4 (Skip): 2.20, p<0.001). Respondents with a more favorable patient experience reported higher satisfaction with treatment outcome.Conclusions More satisfied patients are more likely to engage in healthy behaviors by complying with treatment recommendations and thus produce better outcomes. The World Health Organization (WHO) emphasizes that traditional medicine integrated with Western medicine (WM) can play an important role in achieving the goal of “Health for All.” Health authorities should develop strategies aimed at enhancing patients’ experiences in TCM to contribute to a positive care process.

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Section: Discussionsupporting

confidence: 80%

The importance of patient's experience and its impact on healthcare system for people received Chinese medicine

Chiou¹,

P²,

L³

et al. 2019

Preprint

Self Cite

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“…In this respect, our findings overlap with Ferlie and Shortell’s model of the health system, which includes 4 distinct components: the patient, care team, local organization, and larger system/environment (38). Additionally, it is known that system factors such as accessibility and cost of health care can influence patient perceptions (39). For example, in the 2003 World Health Survey, individuals who received care from a private health-care facility were less likely to report high levels of satisfaction than those receiving care from a public provider (40).…”

Section: Discussionmentioning

confidence: 99%

Understanding Patient Expectations of Health Care: A Qualitative Study

El-Haddad

Hegazi

2020

Journal of Patient Experience

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Understanding and measuring patient expectations of health care is central to improving patient satisfaction and delivering patient-centered care. However, most empiric research in this field has focused on measuring patient expectations for specific diseases only. Patient expectations common to a variety of settings and clinical contexts need to be better understood to design measures with wider utility. We aimed to understand how patients express and conceptualize their expectations of health care across a range of clinical contexts and conditions. Semi-structured interviews were conducted with patients presenting to a major metropolitan hospital, informed by interpretive phenomenological analysis. Sampling continued until thematic saturation. Interview topics explored the illness experience, interactions with clinicians, how patients communicated and conceptualized their expectations of health care, and the nature of these expectations. The 26 participants conceptualized and described their expectations in 3 distinct domains: (1) health outcomes, (2) individual clinicians, and (3) the health-care system. Importantly, these domains were consistent across a variety of clinical contexts, participant demographics, and medical conditions. Despite variation in expectations due to individual patient circumstances, we identified 3 conceptual domains within which expectations consistently lie. When designing measurement tools for patient expectations, we suggest incorporating questions specifically addressing the 3 domains we have identified. With such measures, clinicians and health-care providers can be empowered to provide and monitor patient-centered care with outcomes tailored to what patients desire.

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“…Understanding factors and mechanisms responsible for patients' satisfaction allows providers to tailor targeted interventions [7] and helps health practitioners to improve their approach [8][9][10]. A prevalent research area is assessing patients' satisfaction with separate categories of practitioners: doctors [11,12], nurses [13], and doctors and nurses [14], as well as with various categories of services or healthcare centers [15].…”

Section: Introductionmentioning

confidence: 99%

Combining Direct and Indirect Measurements to Assess Patients’ Satisfaction with the Quality of Public Health Services in Romania: Uncovering Structural Mechanisms and Their Implications

Druică

Mihăilă

Burcea

et al. 2019

IJERPH

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Introduction: Patients’ satisfaction was extensively researched over the last decades, given its role in building loyalty, compliance to treatment, prevention, and eventually higher levels of wellbeing and improved health status. Patients’ feedback on the perceived quality of health services can be incorporated into practice; therefore, understanding factors and mechanisms responsible for patients’ satisfaction allows providers to tailor targeted interventions. Method: A questionnaire assessing patients’ perception of the quality of health services was administered to a country-representative sample of 1500 Romanian patients. Using a partial least squares—path modeling approach (PLS-PM), with cross-sectional data, we developed a variance-based structural model, emphasizing the mediating role of trust and satisfaction with various categories of health services. Results: We confirmed the mediating role of trust in shaping the relationship between the procedural accuracy of health professionals, along with the perceived intensity of their interaction with patients, and patients’ experienced quality of the health services. We confirmed the mediating role of satisfaction by the categories of services in the relationship between waiting time on the premises, attention received, and the perceived reliability of the information received, as predictors, and the experienced quality of the health services. In addition, indirect assessment of patients’ satisfaction is a good predictor for direct assessment, thereby affirming the idea that the results of the two types of evaluations converge. Discussions: One of the most efficient solutions to increase both patients’ satisfaction and their compliance is to empower the communication dimension between patients and health practitioners. Given the non-linear relationships among variables, we advocate that, unless the nature of the relationships between satisfaction and its predictors is understood, practical interventions could fail. The most relevant variable for intervention is the degree of attention patients perceive they received. We suggest three methods to turn waiting time into attention given to patients.

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Assessment of patient experience profiles and satisfaction with expectations of treatment effects by using latent class analysis based on a national patient experience survey in Taiwan

Cited by 9 publications

References 37 publications

The importance of patient's experience and its impact on healthcare system for people received Chinese medicine

The importance of patient's experience and its impact on healthcare system for people received Chinese medicine

Understanding Patient Expectations of Health Care: A Qualitative Study

Combining Direct and Indirect Measurements to Assess Patients’ Satisfaction with the Quality of Public Health Services in Romania: Uncovering Structural Mechanisms and Their Implications

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