Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress 2023 EHA Congress 2023 ASCO Annual Meeting
Clinical Collections
Advances in Alzheimer’s

At a glance: The ONWARDS insulin icodec trials

A round-up of the ONWARDS phase 3 clinical trials evaluating the novel weekly insulin icodec in people with diabetes.
ADVANCED SEARCH
Log in
Top
BMC Public Health
Published in: BMC Public Health 1/2011

Open Access 01-12-2011 | Research article

The influences of patient's trust in medical service and attitude towards health policy on patient's overall satisfaction with medical service and sub satisfaction in China

Author: Liyang Tang

Published in: BMC Public Health | Issue 1/2011

Login to get access

Abstract

Background

It is widely accepted that patient generates overall satisfaction with medical service and sub satisfaction on the basis of response to patient's trust in medical service and response to patient's attitude towards health policy in China. This study aimed to investigate the correlations between patient's trust in medical service/patient's attitude towards health policy and patient's overall satisfaction with medical service/sub satisfaction in current medical experience and find inspiration for future reform of China's health delivery system on improving patient's overall satisfaction with medical service and sub satisfaction in considering patient's trust in medical service and patient's attitude towards health policy.

Methods

This study collaborated with the National Bureau of Statistics to collect a sample of 3,424 residents from 17 provinces and municipalities in a 2008 China household survey on patient's trust in medical service, patient's attitude towards health policy, patient's overall satisfaction and sub satisfaction in current medical experience.

Results

Patient's overall satisfaction with medical service and most kinds of sub satisfaction in current medical experience were significantly influenced by both patient's trust in medical service and patient's attitude towards health policy; among all kinds of sub satisfaction in current medical experience, patient's trust in medical service/patient's attitude towards health policy had the largest influence on patient's satisfaction with medical costs, the influences of patient's trust in medical service/patient's attitude towards health policy on patient's satisfaction with doctor-patient interaction and satisfaction with treatment process were at medium-level, patient's trust in medical service/patient's attitude towards health policy had the smallest influence on patient's satisfaction with medical facilities and hospital environment, while patient's satisfaction with waiting time in hospital was not influenced by patient's trust in medical service/patient's attitude towards health policy.

Conclusion

In order to improve patient's overall satisfaction with medical service and sub satisfaction in considering patient's trust in medical service and patient's attitude towards health policy, both improving patient's interpersonal trust in medical service from individual's own medical experience/public trust in medical service and improving patient's attitude towards health policy were indirect but effective ways.
Appendix
Available only for authorised users
Literature
1.
Ware JE, Davies-Avery A, Stewart AL: The Measurement and Meaning of Patient Satisfaction. Health Med Care Serv Rev. 1978, 1 (1): 3-15.
2.
Pascoe GC: Patient satisfaction in primary health care: A literature review and analysis. Eval Program Plann. 1983, 6 (3-4): 185-210. 10.1016/0149-7189(83)90002-2.CrossRefPubMed
3.
Sitzia J, Wood N: Patient satisfaction: A review of issues and concepts. Soc Sci Med. 1997, 45 (12): 1829-1843. 10.1016/S0277-9536(97)00128-7.CrossRefPubMed
4.
Coulter A: Evaluating the outcomes of health care. The Sociology of the Health Service. Edited by: Gabe J, Calnan M, Bury M. 1991, London: Routledge, 113-139.
5.
Kane RL, Maciejewski M, Finch M: The relationship of patient satisfaction with care and clinical outcomes. Med Care. 1997, 35: 714-730. 10.1097/00005650-199707000-00005.CrossRefPubMed
6.
Waitzkin H: The Politics of Medical Encounters: How Doctors and Patients Deal with Social Problems. 1991, New Haven: Yale University Press
7.
Carr-Hill RA: The measurement of patient satisfaction. J Public Health-UK. 1992, 14: 236-249.
8.
Oliver RL: Cognitive, Affective and Attribute Bases of the Satisfaction Response. J Consum Res. 1993, 20: 418-430. 10.1086/209358.CrossRef
9.
Phillips DM, Baumgartner H: The Role of Consumption Emotions in the Satisfaction Response. J Consum Psychol. 2002, 12 (3): 243-252. 10.1207/S15327663JCP1203_06.CrossRef
10.
Mechanic D: Changing Medical Organization and the Erosion of Trust. Milbank Q. 1996, 74: 171-189. 10.2307/3350245.CrossRefPubMed
11.
Pellegrino ED, Veatch RM, Langan JP: Ethics, Trust, and the Professions: Philosophical and Cultural Aspects. 1991, Washington DC: Georgetown University Press
12.
Parsons T: The Social System. 1951, Glencoe Ill: Free Press
13.
14.
Hall MA, Dugan E, Zheng B, Mishra AK: Trust in Physicians and Medical Institutions: What Is It, Can It Be Measured, and Does It Matter?. Milbank Q. 2001, 79 (4): 613-639. 10.1111/1468-0009.00223.CrossRefPubMedPubMedCentral
15.
Newcomer LN: Measures of Trust in Health Care. Health Affair. 1997, 16 (1): 50-51. 10.1377/hlthaff.16.1.50.CrossRef
16.
Schee EV, Braun B, Calnan M, Schnee M, Groenewegen PP: Public trust in health care: A comparison of Germany, The Netherlands, and England and Wales. Health Policy. 2007, 81: 56-67. 10.1016/j.healthpol.2006.04.004.CrossRefPubMed
17.
Shen Q, Tang L: Patient Preferences, Concerns, and Satisfaction with Providers before the Chinese Urban Health System Reform: A Social Groups Analysis. 2010, Working paper #17, Asia-Pacific Research Center, Stanford University
18.
Shen Q, Tang L, Feng Y, Tang J: The Imbalance between Patient Needs and the Limited Competence of Top-Level Health Providers in Urban China: An Empirical Study Based on a 2008 National Household Survey. 2010, Working paper #19, Asia-Pacific Research Center, Stanford University
19.
Vanhoof K, Pauwels P, Dombi J, Brijs T, Wets G: Penalty-reward analysis with uninorms: A study of customer (dis)satisfaction. Intell Data Min. 2005, 5: 237-252.
20.
Diener E, Suh EM, Lucas RE, Smith HL: Subjective well-being: three decades of progress. Psychol Bull. 1999, 125: 276-302.CrossRef
21.
Linder-Pelz S: Social psychological determinants of patient satisfaction: a test of five hypotheses. Soc Sci Med. 1982, 16: 583-589. 10.1016/0277-9536(82)90312-4.CrossRefPubMed
22.
Linder-Pelz S: Toward a theory of patient satisfaction. Soc Sci Med. 1982, 16: 577-582. 10.1016/0277-9536(82)90311-2.CrossRefPubMed
23.
Young GJ, Meterko M, Desai KR: Patient satisfaction with hospital care: effects of demographic and institutional characteristics. Med Care. 2000, 38: 325-334. 10.1097/00005650-200003000-00009.CrossRefPubMed
24.
Wang Y, Eggleston K, Yu Z, Zhang Q: Contracting with Private Providers for Primary Care Services: Evidence from Urban China. 2010, Working paper, Asia-Pacific Research Center, Stanford University
25.
Eggleston K, Ling L, Meng Q, Lindelow M, Wagstaff A: Health Service Delivery in China: A Literature Review. Health Econ. 2008, 17: 149-165. 10.1002/hec.1306.CrossRefPubMed
26.
Liu Y, Hsiao WC, Eggleston K: Equity in health and health care: the Chinese experience. Soc Sci Med. 1999, 49: 1349-1356. 10.1016/S0277-9536(99)00207-5.CrossRefPubMed
27.
Liu GG, Zhao Z, Cai R, Yamada T, Yamada T: Equity in health care access to: assessing the urban health insurance reform in China. Soc Sci Med. 2002, 55: 1779-1794. 10.1016/S0277-9536(01)00306-9.CrossRefPubMed
28.
Xu L, Wang Y, Collins CD, Tang S: Urban health insurance reform and coverage in China using data from National Health Services Surveys in 1998 and 2003. BMC Health Serv Res. 2007, 7: 37-10.1186/1472-6963-7-37.CrossRefPubMedPubMedCentral
29.
Wooldridge JM: Econometric Analysis of Cross Section and Panel Data. 1995, MA: Blackwell Publishers
30.
Liu GG, Zhao Z: Urban employee health insurance reform and the impact on out-of-pocket payment in China. Int J Health Plann Manage. 2006, 21: 211-228. 10.1002/hpm.846.CrossRefPubMed
31.
Hu S, Tang S, Liu Y, Zhao Y, Escobar ML, Ferranti DD: Reform of how health care is paid for in China: challenges and opportunities. Lancet. 2010, 372: 1846-1853.CrossRef
32.
Tang S, Meng Q, Chen L, Bekedam H, Evans T, Whitehead M: Tackling the challenges to health equity in China. Lancet. 2008, 372: 1493-1501. 10.1016/S0140-6736(08)61364-1.CrossRefPubMed
Metadata
Title
The influences of patient's trust in medical service and attitude towards health policy on patient's overall satisfaction with medical service and sub satisfaction in China
Author
Liyang Tang
Publication date
01-12-2011
Publisher
BioMed Central
Published in
BMC Public Health / Issue 1/2011
Electronic ISSN: 1471-2458
DOI
https://doi.org/10.1186/1471-2458-11-472

Other articles of this Issue 1/2011

BMC Public Health 1/2011 Go to the issue

Research article

Burden of disease in Thailand: changes in health gap between 1999 and 2004

Research article

Health problems account for a small part of the association between socioeconomic status and disability pension award. Results from the Hordaland Health Study

Research article

Prospective association between self-reported life satisfaction and mortality: Results from the MONICA/KORA Augsburg S3 survey cohort study

Research article

Reliability and validity of the Adolescent Stress Questionnaire in a sample of European adolescents - the HELENA study

Research article

Analysis of changes in the association of income and the utilization of curative health services in Mexico between 2000 and 2006

Study protocol

Age-disparity, sexual connectedness and HIV infection in disadvantaged communities around Cape Town, South Africa: a study protocol