Aragon Stephen, Vereen Sabrina S, Slazyk Deborah E, Hooker Tyrel J, McGuinn Laura J, Gesell Sabina B
School of Business and Economics, Department of Healthcare Management, Winston-Salem State University, Winston-Salem, North Carolina.
College of Health Professions, Medical University of South Carolina, Charleston, South Carolina.
J Best Pract Health Prof Divers. 2012 Spring;5(1):725-738.
This study examined the influence of physicians' and nurses' patient-centeredness on the satisfaction of African American female Medicaid patients. A multigroup structural equation modeling design was used to test the hypothesized model and its stability across national random test (Nt=98) and cross-validation (Ncv=296) samples. The model fit well. Physician and nurse patient-centeredness significantly and consistently influenced patient satisfaction, explaining 73% of its variance. One standardized deviation increase in physician patient-centeredness increased patient satisfaction, likelihood to recommend, and ratings of care by .698, .665, and .644 deviations. The corresponding effects for nursing were .643, .613, and .594. These effects were consistent across national random samples. The study offers an evidenced-based model that sheds light on provider patient-centered-ness' influence on African American female Medicaid patient satisfaction.
本研究考察了医生和护士以患者为中心的程度对非裔美国女性医疗补助患者满意度的影响。采用多组结构方程建模设计来检验假设模型及其在全国随机测试样本(Nt = 98)和交叉验证样本(Ncv = 296)中的稳定性。该模型拟合良好。医生和护士以患者为中心的程度对患者满意度有显著且一致的影响,解释了其73%的方差变异。医生以患者为中心程度每增加一个标准差,患者满意度、推荐可能性和护理评分分别提高0.698、0.665和0.644个标准差。护理方面的相应影响分别为0.643、0.613和0.594。这些影响在全国随机样本中是一致的。该研究提供了一个基于证据的模型,揭示了医疗服务提供者以患者为中心的程度对非裔美国女性医疗补助患者满意度的影响。