ArticlePloS one2017
Impact of organizational and individual factors on patient-provider relationships: A national survey of doctors, nurses and patients in China.
Article in PloS one, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.
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10 citing papers in PubMed, 1 synthesis or guideline pooled it.
- The Therapeutic Relationship in China: A Systematic Review and Meta-Analysis.International journal of environmental research and public health · 2021Pooled it
- Association of Hospital Characteristics and Previous Hospitalization-Related Experiences with Patients' Perceptions of Hospital Care in China.International journal of environmental research and public health · 2022Article
- Association of off-the-job training with work performance and work-family conflict among physicians: a cross-sectional study in China.BMJ open · 2022Article
- Association of organizational and patient behaviors with physician well-being: A national survey in China.PloS one · 2022Article
- Does Environmental Information Disclosure Improve the Health Level of Middle-Aged and Old Residents? Evidence From China.Frontiers in public health · 2022Article
- Association of Organizational Behavior with Work Engagement and Work-Home Conflicts of Physician in China.International journal of environmental research and public health · 2021Article
- Status, causes and consequences of physicians' self-perceived professional reputation damage in China: a cross-sectional survey.BMC health services research · 2021Article
- On the move: exploring Inuit and non-Inuit health service providers' perspectives about youth, family and community participation in care in Nunavik.BMC health services research · 2021Article
- A mixed method analysis of patients' complaints: Underpinnings of theory-guided strategies to improve quality of care.International journal of nursing sciences · 2018Article
- Patients' sense of responsibility to healthcare providers and its predictors: A national cross-sectional survey in China.PloS one · 2018Article
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9 authors.
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Abstract
objectivesTo provide an empirical examination of patient-provider relationships (PPR) and its association with organizational and individual factors.
methodsA national cross-sectional survey was conducted by stratified cluster sampling in 77 hospitals across seven provinces in China between July 2014 and April 2015, involving 3621 doctors, 5561 nurses, and 8022 patients with response rates of 62.93%, 61.16%, and 33.08%, respectively. Self-perceived PPR was the outcome variable. Organizational factors included hospital type (western medicine [WM] and traditional Chinese medicine [TCM] hospital); hospital level (tertiary and secondary hospital); area of specialization (internal medicine and surgery); ratio of doctors (nurses) to ward beds; doctors/nurses' concerns about performance assessment; and patients' perceptions of healthcare cost. Individual factors included consultation, listening to patients and socio-demographic factors.
results54.6% of doctors, 36.6% of nurses, and 10.2% of patients perceived PPR as poor. Organizational factors independently associated with providers' perception of poor PPR included hospital type (WM vs TCM: OR = 1.25 [95% CI: 1.06-1.47]) and concerns about performance assessment (high vs low levels: OR = 1.40 [95% CI: 1.14-1.72]) for doctors, and concerns about performance assessment (average vs low levels: OR = 0.79 [95% CI: 0.67-0.93]) for nurses. Those associated with patients' perception of poor PPR included hospital type (WM vs TCM: OR = 0.63 [95% CI: 0.53-0.74]) and hospital level (tertiary vs secondary: OR = 0.65 [95% CI: 0.51-0.82]). Doctors and nurses reporting listening to patients "frequently" had better perceptions of PPR (OR = 0.46 [95%CI: 0.38-0.56] and 0.49 [95% CI: 0.41-0.59] for doctors and nurses, respectively), as did their patients (OR = 0.24 [95% CI: 0.18-0.31] and 0.54 [95% CI: 0.35-0.84] for doctors and nurses, respectively).
conclusionsAlthough our findings require validation in different organizational settings given the likely variability of these associations across systems, our results suggest that implementing moderate levels promoting the level of medical treatment, and broadening doctors/nurses training regarding listening to patients, may benefit to enhance PPR.
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