Changing of China׳s health policy and Doctor–Patient relationship: 1949–2016

Min, Zhou; Zhao, Lindu; Campy, Kathryn S.; Wang, Song

doi:10.1016/j.hlpt.2017.05.002

Cited by 50 publications

(51 citation statements)

References 34 publications

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“…Hao and Zhang [7] found that 12% of users made negative comments on the treatment effect, and 9% made negative comments on the service attitude of doctors on a Chinese mobile consultation platform. Poor DPR not only impairs users' health conditions at the individual level [8] but also causes serious social problems at the society level [9]. Table 1.…”

Section: Introductionmentioning

confidence: 99%

The Antecedents of Poor Doctor-Patient Relationship in Mobile Consultation: A Perspective from Computer-Mediated Communication

Yan

Tan

Jia

et al. 2020

IJERPH

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This study aims to understand the underlying reasons for poor doctor-patient relationships (DPR). While extant studies on antecedents of poor DPR mainly focus on the offline context and often adopt the patients' perspective, this work focuses on the mobile context and take both doctors' and mobile consultation users' perspectives into consideration. To fulfill this purpose, we first construct a theoretical framework based on the Computer-Mediated Communication (CMC) literature. Then we coded 592 doctor-user communication records to validate and elaborate the proposed theoretical model. This work reveals that characteristics of mobile technologies pose potential challenges on both doctors' and patients' information providing, informative interpreting, and relationship maintaining behaviors, resulting in 10 and 6 types of inappropriate behaviors of doctors and users, respectively, that trigger poor DPR in the mobile context. The findings enrich the research on online DPR and provide insights for improving DPR in the mobile context. Extant research on mobile healthcare service is emerging, but studies that aim at uncovering the underlying reasons for poor DPRs in the mobile context are still lacking. The majority of previous research tends to focus on the positive experience brought about by mobile healthcare services, such as user satisfaction [10] and the adoption or continuous usage of mobile technology [3,11]. However, the experience of dissatisfied participants is largely ignored. The negative experience is also worth noting because understanding the complaints guide practitioners to improve service quality [8]. Although a few studies have paid attention to the dissatisfying experience of mobile healthcare services, they tend to interpret the experience only from the perspective of users [8,12]. While these studies are insightful, a single perspective from users is not adequate, because they missed the perception of doctors which is considered quite different from that of users [13,14].These two literature gaps (namely lacking studies on dissatisfying experience of mobile healthcare services and lacking dual perspectives from both users and doctors) might partly be attributed to the mainstream research method in the healthcare field. Most studies rely on questionnaires and interviews to collect subjective ratings about mobile healthcare services, such as Akter et al. (2013) [15], Deng et al. (2015) [16], and Wu et al. (2018) [17]. The collected responses are usually inaccurate since respondents are rating events that happened at an earlier time. Besides, it is difficult to match responses from doctors and patients via questionnaires.This work aims to uncover the underlying reasons for poor DPR from dual perspectives of both doctors and users in mobile medical consultation service. To achieve our goals, we first reviewed the literature on Computer-Mediated Communication (hereafter, CMC) in search of theoretical accounts for the poor DPR in the mobile context. The CMC literature focuses on the influence of the fe...

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Section: Introductionmentioning

confidence: 99%

The Antecedents of Poor Doctor-Patient Relationship in Mobile Consultation: A Perspective from Computer-Mediated Communication

Yan

Tan

Jia

et al. 2020

IJERPH

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“…3 In addition, the vaccination plan was developed by Advisory Committee on Immunization Practices (ACIP) and Centers for Disease Control and Prevention (CDC) in the United States, the Joint Committee of Vaccination and Immunization has established in UK to enhance Vaccination rate. 1,4,5 Despite that child immunization is cheap and easily accessible to many families in China, there is still a sizeable portion of the child population not receiving necessary vaccines. Central to the success on full coverage of immunization is rooted at modifying how their parents think about the efficacy of the vaccines and the need for immunization, i.e., parental behavior intention.…”

Section: Introductionmentioning

confidence: 99%

Predicting behavioral intentions to children vaccination among Chinese parents: an extended TPB model

Min

Zhao

Kong

et al. 2018

Human Vaccines & Immunotherapeutics

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Parental behavioral intentions play a key role in children vaccination. The present study looks at how parental expectations for the vaccination influence their attitudes and behavioral intentions toward children's immunization. The theoretical model is developed on TPB model and empirically tested with sample data from 380 children aged 0-7 years in mainland China. The structural equation modeling and multi-group analysis were used in the model to demonstrate the impact of the vaccination services quality, vaccination promotions and public opinions on attitudes and vaccination behavioral intention. Results support the study's hypotheses and indicate that Vaccination Services Quality (VSQ), Vaccination Promotions (VAP) and Public Opinions (PUO) have positive effects on Attitudes (ATT) and Vaccination Behavioral Intention (VAI), VSQ has the strongest standardized path (.594) while PUO has the least influence (.131), and Attitude is complete mediation in all paths. Attitude is key factor that determine the parental behavioral intentions, and the internal perception comes from the vaccination services quality and the external influence comes from the social environment affect the parental attitude. Governments should implement effective policies and improve vaccination services quantity to eliminate parental misunderstandings.

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Section: Introductionmentioning

confidence: 99%

“…A deteriorating patient‐provider relationship has received a significant attention as a public health issue in the Chinese health care system . Poor patient‐provider relationships are considered to be a predictor for the rising severity and prevalence of violence against health care providers in China . Suboptimal patient‐provider relationships were also found to be associated with providers' practices (eg, defensive medicine), as well as patients' lack of adherence to treatment .…”

Section: Introductionmentioning

confidence: 99%

Effect of the treatment‐before‐deposit policy on trust in physicians and perceived service quality among patients in 12 hospitals in China

Lee

Wang

Washburn

et al. 2018

Health Planning & Management

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This study examined effects of the treatment-before-deposit policy on Chinese patients' trust in physicians and perceived service quality. This study included 3313 patients recruited from 12 hospitals in China. The research team used cross-sectional survey to examine Chinese patients' experience with the treatment-before-deposit policy, perceived service quality, and trust in their physicians. Using mediation analysis, we estimated direct and indirect effects of the treatment-before-deposit policy on patients' perceived service quality and trust in their physicians. Patients who benefitted from the treatment-before-deposit policy reported greater service quality and higher trust in their physicians. The impacts of whether patients benefitted from the policy on trust in physicians were fully mediated by perceived service quality with statistically significant indirect effect. The results support the hypothesis that the treatment-before-deposit policy improves patients' perceived service quality and trust in physicians.

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Changing of China׳s health policy and Doctor–Patient relationship: 1949–2016

Cited by 50 publications

References 34 publications

The Antecedents of Poor Doctor-Patient Relationship in Mobile Consultation: A Perspective from Computer-Mediated Communication

The Antecedents of Poor Doctor-Patient Relationship in Mobile Consultation: A Perspective from Computer-Mediated Communication

Predicting behavioral intentions to children vaccination among Chinese parents: an extended TPB model

Effect of the treatment‐before‐deposit policy on trust in physicians and perceived service quality among patients in 12 hospitals in China

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