Population-level Preferences for Primary Care Physicians' Characteristics in Japan: A Structural Equation Modeling

Takahashi, Osamu; Ohde, Sachiko; Jacobs, Joshua L.; Tokuda, Yasuharu; Yanai, Haruo; Okubo, Tomoya; Shimbo, Takuro; Fukuhara, Shunichi; Hinohara, Shigeaki; Fukui, Tsuguya

doi:10.2169/internalmedicine.49.2572

Cited by 6 publications

(5 citation statements)

References 13 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Primary care practices are not well established in Japan (Otaki ; Takahashi et al. ). In general, when the children get sick, guardians immediately consult pediatricians without referral.…”

Section: Methodsmentioning

confidence: 99%

The Impact of Pediatrician Supply on Child Health Outcomes: Longitudinal Evidence from Japan

Sakai

Fink

Kumamaru

et al. 2015

Health Services Research

View full text Add to dashboard Cite

show abstract

“…Primary care practices are not well established in Japan (Otaki ; Takahashi et al. ). In general, when the children get sick, guardians immediately consult pediatricians without referral.…”

Section: Methodsmentioning

confidence: 99%

The Impact of Pediatrician Supply on Child Health Outcomes: Longitudinal Evidence from Japan

Sakai

Fink

Kumamaru

et al. 2015

Health Services Research

View full text Add to dashboard Cite

show abstract

“…Results may differ if photographs of doctors of different ages are employed. Third, outpatients' preferences regarding hypothetical settings might differ from real ones, as not all respondents actually had a primary care physician or psychiatrist (16). Finally, because of the cross-sectional study design, it is unknown whether wearing a white coat can proactively increase outpatients' confidence in their physicians.…”

Section: F I G U R E 3 E F F E C T O F Do C T O R S 'mentioning

confidence: 99%

Patients' Preferences for Doctors' Attire in Japan

et al. 2010

Self Cite

View full text Add to dashboard Cite

Objective Physicians' attire is one important factor to enhance the physician-patient relationship. However, there are few studies that examine patients' preferences for physicians' attire in Japan. We sought to assess patients' preference regarding doctors' attire and to assess the influence of doctors' attire on patients' confidence in their physician. Furthermore, we examined whether patients' preferences would change among various clinical situations. Methods Employing a cross-sectional design, Japanese outpatients chosen over one week in October 2008 from waiting rooms in various outpatient departments at St. Luke's International Hospital, Tokyo, were given a 10-item questionnaire. A 5-point Likert scale was used to estimate patient preference for four types of attire in both male and female physicians, including semi-formal attire, white coat, surgical scrubs, and casual wear. In addition, a 4-point Likert Scale was used to measure the influence of doctors' attire on patient confidence. Patients Japanese outpatients consecutively chosen from waiting rooms at St. Luke's International Hospital in Tokyo for one week in October 2008. Results Of 2,272 outpatients enrolled, 1483 (67.1%) of respondents were women. Mean age of subjects was 53.8 years (SD 16.2 years). Respondents most preferred the white coat (mean rank: 4.18, SD: 0.75) and preferred casual attire the least (mean rank: 2.32, SD: 0.81). For female physicians, 1.4% of respondents ranked the white coat little/least preferred while 64.7% of respondents ranked casual wear little/least preferred. Among respondents who most preferred the white coat for physician attire, perceived hygiene (62.7%) and inspiring confidence (59.3%) were important factors for doctor's attire. Around 70% of all respondents reported that physicians' attire has an influence on their confidence in their physician. Conclusion This study confirms that Japanese outpatients prefer a white coat. Furthermore, this study strongly suggests that wearing a white coat could favorably influence patients' confidence in the relationship with their physician in all types of practice.

show abstract

“…There have been many quantitative and qualitative studies in order to reveal the factors that influence patients’ preferences in choosing a physician. Some quantitative researches, such as surveys often used in cross sectional studies, weighting distributions, randomized controlled trials with regression analysis, discrete choice experiments, and structural equation models have also been implemented [ 9 , 10 , 13 , 14 ]. These studies were mostly trying to describe patients’ decision making but not help them to give a tool they need.…”

Section: Introductionmentioning

confidence: 99%

Which family physician should I choose? The analytic hierarchy process approach for ranking of criteria in the selection of a family physician

Kuruoğlu

Güldal

Mevsim

et al. 2015

BMC Med Inform Decis Mak

View full text Add to dashboard Cite

BackgroundChoosing the most appropriate family physician (FP) for the individual, plays a fundamental role in primary care. The aim of this study is to determine the selection criteria for the patients in choosing their family doctors and priority ranking of these criteria by using the multi-criteria decision-making method of the Analytic Hierarchy Process (AHP) model.MethodsThe study was planned and conducted in two phases. In the first phase, factors affecting the patients’ decisions were revealed with a qualitative research. In the next phase, the priorities of FP selection criteria were determined by using AHP model. Criteria were compared in pairs. 96 patient were asked to fill the information forms which contains comparison scores in the Family Health Centres.ResultsAccording to the analysis of focus group discussions FP selection criteria were congregated in to five groups: Individual Characteristics, Patient-Doctor relationship, Professional characteristics, the Setting, and Ethical Characteristics.For each of the 96 participants, comparison matrixes were formed based on the scores of their information forms. Of these, models of only 5 (5.2 %) of the participants were consistent, in other words, they have been able to score consistent ranking. The consistency ratios (CR) were found to be smaller than 0.10. Therefore the comparison matrix of this new model, which was formed based on the medians of scores only given by these 5 participants, was consistent (CR = 0.06 < 0.10).According to comparison results; with a 0.467 value-weight, the most important criterion for choosing a family physician is his/her ‘Professional characteristics’.ConclusionsSelection criteria for choosing a FP were put in a priority order by using AHP model. These criteria can be used as measures for selecting alternative FPs in further researches.

show abstract

Population-level Preferences for Primary Care Physicians' Characteristics in Japan: A Structural Equation Modeling

Cited by 6 publications

References 13 publications

The Impact of Pediatrician Supply on Child Health Outcomes: Longitudinal Evidence from Japan

The Impact of Pediatrician Supply on Child Health Outcomes: Longitudinal Evidence from Japan

Patients' Preferences for Doctors' Attire in Japan

Which family physician should I choose? The analytic hierarchy process approach for ranking of criteria in the selection of a family physician

Contact Info

Product

Resources

About