Instituto Universitário de Lisboa (ISCTE-IUL), CIS-IUL, Av. das Forças Armadas, 1649-026 Lisboa, Portugal.
Health Place. 2013 May;21:122-32. doi: 10.1016/j.healthplace.2013.01.013. Epub 2013 Feb 11.
This study analyses the processes through which the physical environment of health care settings impacts on patients' well-being. Specifically, we investigate the mediating role of perceptions of the physical and social environments, and if this process is moderated by patients' status, that is, if the objective physical environment impacts inpatients' and outpatients' satisfaction by different social-psychological processes. Patients (N=206) evaluated the physical and social environments of the care unit where they were receiving treatment, and its objective physical conditions were independently evaluated by two architects. Results showed that the objective environmental quality affects satisfaction through perceptions of environmental quality, and that patients' status moderates this relationship. For inpatients, it is the perception of quality of the social environment that mediates the relationship between objective environmental quality and satisfaction, whereas for outpatients it is the perception of quality of the physical environment. This moderated mediation is discussed in terms of differences on patients' experiences of health care environments.
本研究分析了医疗环境的物理环境影响患者健康的过程。具体来说，我们研究了对物理环境和社会环境的感知的中介作用，以及这个过程是否受到患者状况的调节，即客观物理环境是否通过不同的社会心理过程影响住院患者和门诊患者的满意度。患者（N=206）评估了他们接受治疗的护理单元的物理和社会环境，两名建筑师独立评估了其客观物理条件。结果表明，客观环境质量通过对环境质量的感知来影响满意度，而患者的状况调节了这种关系。对于住院患者，是对社会环境质量的感知在客观环境质量和满意度之间起中介作用，而对于门诊患者，则是对物理环境质量的感知。根据患者对医疗环境体验的差异，对这种调节中介作用进行了讨论。
