Wang Zhan-You, Zhang Xin, Ma Liang
Management Science and Engineering, Shandong University of Finance and Economics, Jinan 250014, China.
School of Labor and Employment Relation, Shandong Management University, Jinan 250014, China.
J Healthc Eng. 2022 Jul 5;2022:8251220. doi: 10.1155/2022/8251220. eCollection 2022.
It is important to identify means of improving and maintaining a sustainable doctor-patient relationship to address current healthcare issues. Although many studies have made outstanding contributions to the healthcare doctor-patient relationship literature, little work has been done to explore the influencing elements of the doctor-patient relationship in relation to expectation confirmation theory. To fill this gap, this study produced a theoretical framework model of the influencing factors of the doctor-patient relationship according to the expectation confirmation theory. Data from 335 Chinese patients were analyzed using a structural equation modeling method, and the results showed that patient satisfaction and patient trust are the most important factors in building a good relationship between doctor and patient. Furthermore, three components of postdiagnosis patient's perception, namely, perceived service quality, perceived communication quality, and perceived service attitude, are examined. These have a significant impact on patient confirmation. These three components ultimately affect the doctor-patient relationship. This study will be helpful for doctors to understand patients' service demands and their future diagnosis behavior. The proposals of this study may lead to optimization of the process of diagnosis and improvements in the quality of clinic services.
识别改善和维持可持续医患关系的方法对于解决当前的医疗保健问题至关重要。尽管许多研究对医疗保健医患关系文献做出了杰出贡献，但在探索与期望确认理论相关的医患关系影响因素方面，所做的工作很少。为了填补这一空白，本研究根据期望确认理论构建了医患关系影响因素的理论框架模型。使用结构方程建模方法对335名中国患者的数据进行了分析，结果表明患者满意度和患者信任是建立良好医患关系的最重要因素。此外，还考察了诊断后患者感知的三个组成部分，即感知服务质量、感知沟通质量和感知服务态度。这些对患者确认有显著影响。这三个组成部分最终影响医患关系。本研究将有助于医生了解患者的服务需求及其未来的诊断行为。本研究的建议可能会导致诊断过程的优化和临床服务质量的提高。
