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

Abstract

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.

Violence against healthcare workers and other serious responses to medical disputes in China: surveys of patients at 12 public hospitals

“…This study adds a critical assessment, to the insufficiently studied existing literature, of factors associated with hospital violence and other extreme responses related to medical disputes. Further, we provide a unique patient perspective from a low-to-middle income country experiencing major policy-related changes within the health care system in recent years, namely health care financing reform [26,29,30]. Apart from the influence of trust of physicians and perceived healthcare quality in bivariate analysis, we were able to find associations between sociodemographic characteristics and more extreme responses related to medical disputes, including violence.…”

“…The independent variables were patients' opinions on healthcare quality, patient-provider interpersonal trust, and general life attitudes. This survey used the existing composite measures adapted from the Interpersonal Trust Scale (ITS) [23], Wake Forest Physician Trust Scale (WFPTS) [24] and SERVQUAL (Service Quality Scale) [25], to evaluate the quality of care [26] and patient-physician trust [27,28]. We also developed specific questions on participants' attitudes towards their life and health.…”

Patient-provider relationships in China: A qualitative study on the perspectives of healthcare students and junior professionals

“…While some socioeconomically-advantaged individuals viewed themselves as entitled and thus being arrogant and not trusting their physicians [23]. In some scenarios, their lack of trust in providers could be addressed by improving the patient-perceived quality of care [24]. On the provider side, healthcare professionals and hospitals have become profit-driven after the health reform [15], and industry payments and monetary gifts from patients have accounted for a considerable portion of Chinese providers' salaries [25].…”

The Influence of Encounter Service Quality on Patient Satisfaction: An Empirical Study in Chinese Public Hospitals

“…A falling apart healthcare delivery system has gotten a critical attention as a public well-being issue in the Chinese health care framework driven by a rise in a vicious wave of violence against medical practitioners (Lee et al, 2018;Zhou, Zhao, Campy, and Wang, 2017). Violence within this setting has often than not, believed to have originated from medical disputes (which include civil, administrative or even criminal liability) and the widely failed patient-physician relationship (Yang, Zhang, Shen, Li, and Wu, 2013).…”

“…Violence within this setting has often than not, believed to have originated from medical disputes (which include civil, administrative or even criminal liability) and the widely failed patient-physician relationship (Yang, Zhang, Shen, Li, and Wu, 2013). Whilst poor patient-provider effects have been considered to be an indicator for this rising severity and predominance of savagery against health care providers in China (Lee et al, 2018;Liu, Vortherms, and Hong, 2017b;Zhou et al, 2017), the challenge of this connection has been addressed as been closely related with providers' practices (He, 2014;, as well as patients' lack of adherence to treatment. A publication within the Lancet expressed that "patient dissatisfaction in China," which may well be a close correlate of patient-provider relationship (Sun et al, 2017), "should be considered not just as the cause of brutishness against specialists or consultants, but as a side effect of an imperfect system that victimizes both patients and specialists alike" (Lancet, 2014).…”