NOVA University of Lisbon, National School of Public Health, Lisbon, Portugal.
University of Lisbon, Institute of Social Sciences, Lisbon, Portugal.
Medicine (Baltimore). 2024 Jun 7;103(23):e38527. doi: 10.1097/MD.0000000000038527.
The aim of this research is to identify the main factors associated with patients' payment perception and the effects of these factors on payment perception. Patients admitted between January and December 2016 at an emergency department of a public hospital in Lisbon, Portugal, were included in this study, with a representative sample size of 382 patients. A 5% margin of error and a 95% confidence interval were used, and all the data were collected between May and November 2017. To test the mediation models, stepwise multiple linear regression analysis was used. The effect of doctors on payment perception through satisfaction and through perceived quality of healthcare (PQHC) is explained by 3% and 4% of the variation, respectively, with statistically significant results (P < .01). Moreover, the effect of privacy and meeting expectations on payment perception through PQHC is explained by 4% and 4% of the variation, with statistically significant results (P < .01). Doctors play a crucial role in understanding the patients' payment perception (with direct and indirect effects). Mediators, in turn, strengthen this effect, in which the contribution of PQHC is more significant than that of satisfaction.
本研究旨在确定与患者支付感知相关的主要因素，以及这些因素对支付感知的影响。该研究纳入了 2016 年 1 月至 12 月期间在葡萄牙里斯本一家公立医院急诊科就诊的患者，样本量为 382 例，具有代表性。使用了 5%的误差幅度和 95%的置信区间，所有数据均于 2017 年 5 月至 11 月期间收集。为了检验中介模型，采用逐步多元线性回归分析。医生通过满意度和通过感知医疗质量（PQHC）对支付感知的影响分别解释了 3%和 4%的变异，结果具有统计学意义（P<0.01）。此外，隐私和满足期望通过 PQHC 对支付感知的影响分别解释了 4%和 4%的变异，结果具有统计学意义（P<0.01）。医生在理解患者的支付感知方面（直接和间接影响）发挥着关键作用。而中介因素则加强了这种影响，其中 PQHC 的贡献比满意度更为显著。
