Patient education – A route to improved patient experience in Chinese hospitals?

Hu, Yinhuan; Zhang, Zixia

doi:10.1016/j.pec.2015.06.015

Cited by 26 publications

(24 citation statements)

References 7 publications

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“…Similarly, Schneider et al in 2004 found that higher level of the physician-patient adherence dialogue about chronic disease treatment, evaluated as the ability to understand problems, the quality of physician's information-sharing methods, and suggest help with medications, described the main variance between medication adherence and perceived quality of the physicianpatient communication [33]. Furthermore, we found that patients with higher education were significantly associated with a high level of HL and better medication adherence, which is in contrast with recent studies in hypertensive patients [29,30]. These studies indicated that usually patients with lower educational qualifications observed to be less knowledge about medical care, less healthy, to have lower HL skills and more difficulties to understand and read health care information [11,34,35].…”

Section: Discussioncontrasting

confidence: 98%

“…Our findings showed that physician communication training may directly impact hypertensive outcomes (DBP and SBP), and more often it had an indirect effect on hypertensive outcomes through its influence on intervening variables (e.g., patients self-efficacy, patients' HL skills, and adherence to treatment). As matter of fact, health providers communication skills intervention may do so directly by activating patients to talk about their problem (medication, side effects, social and financial and problem), which prompts the physitions to improve their communication skills, counseling behaviors, clinical support and change medication, which leads to better blood pressure control among patients [29,30]. This result is in agreement with recent studies that found effective physician-patient communication is the heart of medicine in the delivery of health care [9,11,31].…”

Section: Discussionmentioning

confidence: 99%

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Communication skills training for physicians improves health literacy and medical outcomes among patients with hypertension: a randomized controlled trial

Sany

Behzhad

Ferns

et al. 2020

BMC Health Serv Res

129

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Background: Improving the training of physicians about communication skills and patient health literacy (HL) is a major priority that remains an open question. We aimed to examine the effectiveness of communication skills training for physicians on the hypertension outcomes and the health literacy skills, self-efficacy and medication adherence in patients with uncontrolled blood pressure (BP). Methods: A randomized, controlled trial method was conducted on 240 hypertensive patients and 35 physicians presenting to healthcare clinics in the Mashhad, Iran, from 2013 to 2014. Using stratified blocking with block sizes of 4 and 6, eligible patients with uncontrolled blood pressure were randomly allocated to the intervention and control groups. Physicians in the intervention group received educational training over 3 sessions of Focus-Group Discussion and 2 workshops. The control group received the routine care. The primary outcome was a reduction in systolic and diastolic BP from baseline to 6 months. The secondary outcome was promoting HL skills in hypertensive patients. Data were analyzed using the regression model and bivariate tests. Results: After the physician communication training, there was a significant improvement in physicians-patient communication skills, hypertension outcomes, medication adherence, and self-efficacy among the patients being managed by the physicians receiving training, compared to the control group. Conclusion: The educational intervention leads to better BP control; it may have been sufficient training of physicians change to impact counseling, HL and self-efficacy and adherence. The quality of physician-patient communication is an important modifiable element of medical communication that may influences health outcomes in hypertensive Iranian patients. Trial registration: Iranian Registry of Clinical Trials (IRCT), IRCT20160710028863N24. Registered April 4, 2018 [retrospectively registered].

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Section: Discussioncontrasting

confidence: 98%

Section: Discussionmentioning

confidence: 99%

Communication skills training for physicians improves health literacy and medical outcomes among patients with hypertension: a randomized controlled trial

Sany

Behzhad

Ferns

et al. 2020

BMC Health Serv Res

129

View full text Add to dashboard Cite

show abstract

“…Furthermore, we found that patients with higher education were significantly associated with a high level of HL and better medication adherence, which is in contrast with recent studies in hypertensive patients [29,30]. These studies indicated that usually patients with lower educational qualifications observed to be less knowledge about medical care, less healthy, to have lower HL skills and more difficulties to understand and read health care information [11,34,35].…”

Section: Discussioncontrasting

confidence: 91%

Communication Skills Training for Physicians Improves Health Literacy and Medical Outcomes among Patients with Hypertension: A Randomized Controlled Trial

Sany

Behzhad

Ferns

et al. 2020

Preprint

View full text Add to dashboard Cite

Background: Improving the training of physicians about communication skills and patient health literacy (HL) is a major priority that remains an open question. We aimed to examine the effectiveness of communication skills training for physicians on the hypertension outcomes and the health literacy skills, self-efficacy and medication adherence in patients with uncontrolled blood pressure (BP). Methods: A randomized, controlled trial method was conducted on 240 hypertensive patients and 35 physicians presenting to healthcare clinics in the Mashhad, Iran, from 2013 to 2014. Using stratified blocking with block sizes of 4 and 6, eligible patients with uncontrolled blood pressure were randomly allocated to the intervention and control groups. Physicians in the intervention group received educational training over 3 sessions of Focus –Group Discussion and 2 workshops. The control group received the routine care. The primary outcome was a reduction in systolic and diastolic BP from baseline to 6 months. The secondary outcome was promoting HL skills in hypertensive patients. Data were analyzed using the regression model and bivariate tests. Results: After the physician communication training, there was a significant improvement in physicians-patient communication skills, hypertension outcomes, medication adherence, and self-efficacy among the patients being managed by the physicians receiving training, compared to the control group. Conclusion: The educational intervention leads to better BP control; it may have been sufficient training of physicians change to impact counseling, HL and self-efficacy and adherence. The quality of physician-patient communication is an important modifiable element of medical communication that may influences health outcomes in hypertensive Iranian patients. Trial registration: Iranian Registry of Clinical Trials (IRCT), IRCT20160710028863N24. Registered April 4, 2018 [retrospectively registered].

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“…Firstly, doctors and patients were unsatisfied with the conditions of current practice [20]. Referral system remains absent in China [21], doctors in large-scale hospitals suffered from work overload and personal assaults [22,23]. Approximately 95.66% of doctors were reported to consider that a mismatch exists between efforts and salaries [24].…”

Section: Critical Challenges In Chmmentioning

confidence: 99%

Evaluating the Intention and Behaviour of Private Sector Participation in Healthcare Service Delivery via Public-Private Partnership: Evidence from China

Yang

Song

Yao

et al. 2020

Journal of Healthcare Engineering

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Private sector participation in the healthcare market via public-private partnership (PPP) could be considered an available approach to narrow down the medical resource gap and improve the operational efficiency of healthcare facilities. Accordingly, this study aims to examine the influence and relative importance among critical factors for the intention and behaviour of the private sector towards participation in Chinese healthcare market (CHM) via PPP. We defined five hypotheses from previous literature and built a theoretical model based on modified theory of planned behaviour. Then, covariance-based structural equation modelling was applied to analyse the questionnaires provided by 248 respondents from construction companies, real estate developers, pharmaceutical companies, private hospitals, asset management companies, and medical industry property investment companies in China. Results indicated that attitude towards behaviour (β = 0.466, P<0.001), subjective norm (β = 0.167, P<0.05), perceived behavioural control (β = 0.231, P<0.01), and facilitating conditions (β = 0.305, P<0.001) are positively significant to behavioural intention; behavioural intention also shows a strong linkage with behaviour (β = 0.931, P<0.001). Findings provide reference for governments and public authorities to exert additional efforts in implementing appropriate measures that will stimulate the private sector’s motivation to participate in CHM via PPP.

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Patient education – A route to improved patient experience in Chinese hospitals?

Cited by 26 publications

References 7 publications

Communication skills training for physicians improves health literacy and medical outcomes among patients with hypertension: a randomized controlled trial

Communication skills training for physicians improves health literacy and medical outcomes among patients with hypertension: a randomized controlled trial

Communication Skills Training for Physicians Improves Health Literacy and Medical Outcomes among Patients with Hypertension: A Randomized Controlled Trial

Evaluating the Intention and Behaviour of Private Sector Participation in Healthcare Service Delivery via Public-Private Partnership: Evidence from China

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