scholarly journals Modeling the communication-satisfaction relationship in hospital patients

2019 ◽  
Vol 7 ◽  
pp. 205031211984792 ◽  
Author(s):  
Daniel Pelletier ◽  
Isabelle Green-Demers ◽  
Pierre Collerette ◽  
Michael Heberer
Keyword(s):  
Patient Satisfaction ◽  
Patient Experience ◽  
Structural Equation ◽  
Strong Relationship ◽  
Patient Characteristics ◽  
Integrated Approach ◽  
Communication Satisfaction ◽  
The Other ◽  
University Hospital ◽  
Equation Modeling

Objectives: Although it has long been known that communication with medical professionals presents a strong relationship with patient satisfaction, research on this topic has been hindered by conceptual and methodological issues (e.g. single-item measures, inclusion of idiosyncratic patient characteristics, etc.). Using a more comprehensive and integrated approach, this study had two objectives: to document the multidimensional structure of the Picker Patient Experience–15, and to test a patient communication/satisfaction model that organizes its dimensions in a conceptually logical array of relationships. First, the factorial structure of the Picker Patient Experience–15 was hypothesized to comprise five dimensions: communication with patient, with family, addressing fears/concerns, preparation for discharge, and patient satisfaction. Second, the hypothesized model included positive relationships between all four communications dimensions, on the one hand, and patient satisfaction, on the other. Within communication dimensions, communication with patient was hypothesized to be the incipient factor for other dimensions, and thus to be positively associated with the other three forms of communication. Methods: This research is based on a single time point design, which relied on administrative and questionnaire data. The study was conducted at a large University Hospital in Switzerland. The sample included 54,686 patients who received inpatient treatment, excluding those who were cared for in the intensive and intermediate care units. Patients filled out, over a 5-year period, the Picker Patient Experience questionnaire (PPE-15) after discharge (overall response rate of 41%). Results: The proposed five-factor structure of the Picker Patient Experience–15 was successfully supported by the results of a confirmatory factor analysis. Moreover, the hypothesized network of associations between communication and satisfaction latent constructs was substantiated using structural equation modeling. With the exception of the association between preparation for discharge and patient satisfaction, the hypothesized model was fully corroborated. Conclusion: A more in-depth understanding of patient satisfaction can be achieved when it is studied as a multifaceted phenomenon.

Impulsivity and Aggression: A Meta-analysis Using the UPPS Model of Impulsivity

2019 ◽  
Author(s):  
Konrad Bresin
Keyword(s):  
Structural Equation Modeling ◽  
Sensation Seeking ◽  
Structural Equation ◽  
Meta Analysis ◽  
The Other ◽  
Equation Modeling ◽  
Negative Urgency ◽  
Two Stage ◽  
Trait Impulsivity

Trait impulsivity has long been proposed to play a role in aggression, but the results across studies have been mixed. One possible explanation for the mixed results is that impulsivity is a multifaceted construct and some, but not all, facets are related to aggression. The goal of the current meta-analysis was to determine the relation between the different facets of impulsivity (i.e., negative urgency, positive urgency, lack of premeditation, lack of perseverance, and sensation seeking) and aggression. The results from 93 papers with 105 unique samples (N = 36, 215) showed significant and small-to-medium correlations between each facet of impulsivity and aggression across several different forms of aggression, with more impulsivity being associated with more aggression. Moreover, negative urgency (r = .24, 95% [.18, .29]), positive urgency (r = .34, 95% [.19, .44]), and lack of premeditation (r = .23, 95% [.20, .26]) had significantly stronger associations with aggression than the other scales (rs < .18). Two-stage meta-analytic structural equation modeling showed that these effects were not due to overlap among facets of impulsivity. These results help advance the field of aggression research by clarifying the role of impulsivity and may be of interest to researchers and practitioners in several disciplines.

scholarly journals Perceived discrimination and psychological distress among immigrants to Canada: The mediating role of bicultural identity orientations

2021 ◽  
pp. 136843022199008
Author(s):  
Mustafa Firat ◽  
Kimberly A. Noels
Keyword(s):  
Psychological Distress ◽  
Undergraduate Students ◽  
Structural Equation ◽  
Perceived Discrimination ◽  
The Other ◽  
Equation Modeling ◽  
Bicultural Identity ◽  
Cross Sectional ◽  
Mediating Role ◽  
The Relationship

Bicultural identity orientations have rarely been examined in relation to both perceived discrimination and psychological distress. Furthermore, these constructs have usually been studied in isolation, but their intersection is essential for understanding intercultural relations in multicultural societies. Using cross-sectional data from 1,143 Canadian undergraduate students from immigrant families, this study explored the relationship between perceived discrimination and psychological distress, and how bicultural identity orientations might mediate this relationship. The structural equation modeling results indicated that perceived discrimination was associated with higher levels of psychological distress and hybrid, monocultural, alternating, and conflicted orientations, but lower levels of complementary orientation. Alternating and conflicted orientations were related to higher psychological distress, whereas the other orientations were not. Alternating and conflicted orientations mediated the relationship between perceived discrimination and psychological distress, whereas the other orientations did not. The findings are discussed in light of theories on identity integration, rejection–identification, and acculturation.

scholarly journals Response shift after coronary revascularization

2021 ◽  
Author(s):  
Tom H. Oreel ◽  
Pythia T. Nieuwkerk ◽  
Iris D. Hartog ◽  
Justine E. Netjes ◽  
Alexander B. A. Vonk ◽  
...  
Keyword(s):  
New York ◽  
Structural Equation ◽  
Life Story ◽  
Coronary Revascularization ◽  
Heart Association ◽  
Response Shift ◽  
Patient Characteristics ◽  
Equation Modeling ◽  
Sf 36 ◽  
New York Heart Association

Abstract Purpose The aims of this study were to investigate (1) the extent to which response shift occurs among patients with coronary artery disease (CAD) after coronary revascularization, (2) whether the assessment of changes in health-related quality of life (HRQoL), controlled for response shift, yield more valid estimates of changes in HRQoL, as indicated by stronger associations with criterion measures of change, than without controlling for response shift, and (3) if occurrences of response shift are related to patient characteristics. Methods Patients with CAD completed the SF-36 and the Seattle Angina Questionnaire (SAQ7) at baseline and 3 months after coronary revascularization. Sociodemographic, clinical and psychosocial variables were measured with the patient version of the New York Heart Association-class, Subjective Significance Questionnaire, Reconstruction of Life Events Questionnaire (RE-LIFE), and HEXACO personality inventory. Oort’s Structural Equation Modeling (SEM) approach was used to investigate response shift. Results 191 patient completed questionnaires at baseline and at 3 months after treatment. The SF-36 showed recalibration and reprioritization response shift and the SAQ7 reconceptualization response shift. Controlling for these response shift effects did not result in more valid estimates of change. One significant association was found between reprioritization response shift and complete integration of having CAD into their life story, as indicated by the RE-LIFE. Conclusion Results indicate response shift in HRQoL following coronary revascularization. While we did not find an impact of response shift on the estimates of change, the SEM approach provides a more comprehensive insight into the different types of change in HRQoL following coronary revascularization.

Patient Satisfaction and Short-Term Outcome in Elective Cranial Neurosurgery

Neurosurgery ◽  
2015 ◽  
Vol 77 (5) ◽  
pp. 769-776 ◽  
Author(s):  
Elina Reponen ◽  
Hanna Tuominen ◽  
Juha Hernesniemi ◽  
Miikka Korja
Keyword(s):  
Patient Satisfaction ◽  
Quality Of Care ◽  
Health Status ◽  
Patient Experience ◽  
University Hospital ◽  
Term Outcome ◽  
Major Morbidity ◽  
Patient Reported ◽  
Relationship Of

Abstract BACKGROUND: Patient-reported experience is often used as a measure for quality of care, but no reports on patient satisfaction after cranial neurosurgery exist. OBJECTIVE: To study the association of overall patient satisfaction and surgical outcome and to evaluate the applicability of overall patient satisfaction as a proxy for quality of care in elective cranial neurosurgery. METHODS: We conducted an observational study on the relationship of overall patient satisfaction at 30 postoperative days with surgical and functional outcome (modified Rankin Scale [mRS] score) in a prospective, consecutive, and unselected cohort of 418 adult elective craniotomy patients enrolled between December 2011 and December 2012 at Helsinki University Hospital, Helsinki, Finland. RESULTS: Postoperative overall (subjective and objective) morbidity was present in 194 (46.4%) patients; yet almost 94% of all study patients reported high overall satisfaction. Low overall patient satisfaction at 30 days was not associated with postoperative major morbidity in elective cranial neurosurgery. Dependent functional status (mRS score ≥3) at 30 days, minor infections, poor postoperative subjective overall health status, and patient-reported severe symptoms (double vision, poor balance) may contribute to unsatisfactory patient experience. CONCLUSION: Overall patient satisfaction with elective cranial neurosurgery is high. Even 9 of 10 patients with postoperative major morbidity rated high overall patient satisfaction at 30 days. Overall patient satisfaction may merely reflect patient experience and subjective postoperative health status, and therefore it is a poor proxy for quality of care in elective cranial neurosurgery.

EFFECTS OF INTERPERSONAL TRUST AMONG USERS OF ONLINE HEALTH COMMUNITIES ON PATIENT TRUST IN AND SATISFACTION WITH THEIR PHYSICIAN

2018 ◽  
Vol 34 (1) ◽  
pp. 56-62 ◽  
Author(s):  
Anne-Françoise Audrain-Pontevia ◽  
Loick Menvielle
Keyword(s):  
Patient Satisfaction ◽  
Structural Equation ◽  
Medical Information ◽  
Interpersonal Trust ◽  
Positive Influence ◽  
Equation Modeling ◽  
Patient Trust ◽  
Online Health Communities ◽  
Health Communities ◽  
The Impact

Objectives:Online Health Communities (OHCs) are increasingly being used by patients in the Web 2.0 era. Today's patients have instant access to a great deal of medical information and contacts. Despite the considerable development of OHCs, little is known regarding the impact on the patient–physician relationship. This research aims at filling this gap and examines how interpersonal trust on peer-to-peer OHCs influences two key relational variables, namely patient trust in the physician and patient satisfaction with the physician. It also investigates their influences on the patient's attitude toward the physician.Methods:Drawing on both the relational and medical literatures, we propose a research model that brings out the relationships between interpersonal trust in OHCs, and patients’ trust, satisfaction and attitude toward the physician. We then conduct a quantitative survey of 512 OHC users in France, using structural equation modeling to test our hypotheses.Results:Our findings indicate that interpersonal trust in OHCs exerts a positive influence on both patients’ trust in and satisfaction with their physician. It also highlights that these two relational variables have a positive influence on patient attitude toward the physician. Our findings also indicate that patient trust influences patient satisfaction with the physician.Conclusions:This research highlights the importance of OHCs, which can be seen as valuable instruments for enhancing patient–physician relationships. It shows that healthcare managers should seek to enhance interpersonal trust among OHC users, because this trust has a positive influence on patient satisfaction with, trust in and attitude toward the physician.

The Impact of Performance Variables on Industry in K-Economy

2013 ◽  
Vol 64 (2) ◽  
Author(s):  
Muhammad Jawad Iqbal ◽  
Ibn-e- Hassan
Keyword(s):  
Knowledge Economy ◽  
Structural Equation ◽  
Strong Relationship ◽  
Equation Modeling ◽  
Survey Questionnaire ◽  
Performance Variables ◽  
Complementary Resources ◽  
The Impact ◽  
Associated Variables

In the knowledge economy, companies are thought to be the experts who develop innovative product or service as per demand and then market it to generate the revenue. The role of industry in a knowledge economy is to search and to promote inter-organizational collaborations for learning and to search linkages to arrange for complementary resources. These interactions improve the performance of industry in the knowledge economy. This research has been conducted to find out the impact of industry associated variables that significantly influence the performance of knowledge economy. Important attributes have therefore, been identified from the studies conducted in the field of knowledge economy. Influence of identified attributes on industry has been measured using structural equation modeling (SEM) technique. Data has been collected using survey questionnaire. Findings of the study confirm that there exist a strong relationship among the industry and it’s identified variables that collectively influence the performance of industry in the knowledge economy.

scholarly journals PATIENT CENTEREDNESS IN HEALTH CARE: PERSPECTIVES FROM AN EMPIRICAL INVESTIGATION

2018 ◽  
Vol 11 (8) ◽  
pp. 450
Author(s):  
Rejikumar G ◽  
Archana Ks
Keyword(s):  
Health Care ◽  
Patient Satisfaction ◽  
Service Quality ◽  
Structural Equation ◽  
Partial Least Square ◽  
Least Square ◽  
Equation Modeling ◽  
Patient Centeredness ◽  
Personalized Health

Objectives: The objective of this study was to examine the formation of wellness perceptions and satisfaction from antecedents that explain various attributes regarding service quality perceptions about doctors by patients. The topic is of contemporary relevance as health-care firms are reengineering their competencies to deliver personalized health services to for unmatched experience to develop long-term relationships with patients.Methods: Responses from 280 patients about service quality attributes of doctors, wellness perceptions, and their satisfaction are collected using a structured questionnaire. An exploratory factor analysis was performed using SPSS. 20 to identify significant dimensions of doctor’s service quality. The theoretical model developed with these dimensions, wellness perceptions, and patient satisfaction was estimated using partial least square-based structural equation modeling approach to test hypotheses about linkages among these constructs.Results: The dimension structure of doctor’s service quality contained constructs such as “price affordability of medicines,” “quality of diagnosis,” “interaction quality of doctor,” “appropriateness of tests prescribed,” and “quality of usage prescriptions.” These service quality dimensions of doctor significantly develop wellness perceptions and satisfaction among patients. Wellness perceptions act as a mediator in satisfaction development.Conclusions: Patient satisfaction and wellness perceptions are of primary importance in improving service quality in health care and to remain competitive. The health-care firms should train their professionals to interact with the patients more efficiently by adhering to the philosophy of patient centeredness in their service process.

scholarly journals Assessment of Patient Satisfaction with Generic Medication in Emerging Economy Using the Treatment Satisfaction Questionnaire for Medication

2021 ◽  
Vol 8 ◽  
pp. 237437352110607
Author(s):  
Ajitabh Dash
Keyword(s):  
Patient Satisfaction ◽  
Treatment Satisfaction ◽  
Structural Equation ◽  
Sampling Method ◽  
High Reliability ◽  
Primary Data ◽  
Equation Modeling ◽  
Satisfaction Questionnaire ◽  
Generic Medication ◽  
Relationship Of

The purpose of this study was to explore the factors influencing patient satisfaction with generic medication in India using the treatment satisfaction questionnaire for medication (TSQM) scale. This study proposed a set of hypotheses that were tested using structural equation modeling (SEM). This study was based on primary data collected from 542 sample respondents using the judgmental sampling method. The findings of this study revealed an affirmative relationship of effectiveness and convenience with patient satisfaction with generic medication. The study's findings demonstrated that the TSQM is a psychometrically sound tool with high reliability and construct validity. Path analysis revealed that the effectiveness and convenience of generic medication contributed significantly to patient satisfaction, with standardized coefficients of 0.254 and 0.237, respectively.

scholarly journals A model-based method for detecting persistent cultural change using panel data

2020 ◽  
Author(s):  
Stephen Vaisey ◽  
Kevin Kiley
Keyword(s):  
Panel Data ◽  
Cultural Change ◽  
Structural Equation ◽  
Cultural Beliefs ◽  
Local Environment ◽  
Theoretical Models ◽  
The Other ◽  
Equation Modeling ◽  
Survey Responses ◽  
Close Fit

Kiley and Vaisey (2020) recently published a method for assessing whether survey respondents appear to be changing their beliefs between waves or whether they instead appear to be repeating fixed responses with temporary local influences. This question is important because these processes reflect very different theoretical models of the evolution of “personal culture.” That is, if cultural beliefs are primarily public and responsive to external discourse, we should observe more updating as people respond to changes in their local environment. On the other hand, if cultural beliefs are primarily something learned early, then “settled dispositions” should be relatively resilient to change. In this paper, we build on Kiley and Vaisey (2020) and introduce an alternative method for distinguishing between cases where respondents appear be actively updating their responses and situations where respondents’ responses appear to be settled. This method, based on structural equation modeling, provides a close fit to the theoretical models outlined in Kiley and Vaisey (2020) and provides even stronger support for their claim that most survey responses reflect settled dispositions developed prior to adulthood.

scholarly journals Exploring the association of hospice care on patient experience and outcomes of care

2016 ◽  
Vol 9 (1) ◽  
pp. e13-e13 ◽  
Author(s):  
Ruth Kleinpell ◽  
Eduard E Vasilevskis ◽  
Louis Fogg ◽  
E Wesley Ely
Keyword(s):  
Patient Satisfaction ◽  
Hospital Mortality ◽  
Patient Experience ◽  
Pain Control ◽  
Structural Equation ◽  
Hospice Care ◽  
American Hospital ◽  
American Hospital Association ◽  
Outcomes Of Care ◽  
Hospital Deaths

ObjectiveTo examine the association of the use of hospice care on patient experience and outcomes of care. Promoting high-value, safe and effective care is an international healthcare imperative. However, the extent to which hospice care may improve the value of care is not well characterised.MethodsA secondary analysis of variations in care was conducted using the Dartmouth Atlas Report, matched to the American Hospital Association Annual Survey Database to abstract organisational characteristics for 236 US hospitals to examine the relationship between hospice usage and a number of variables that represent care value, including hospital care intensity index, hospital deaths, intensive care unit (ICU) deaths, patient satisfaction and a number of patient quality indicators. Structural equation modelling was used to demonstrate the effect of hospice use on patient experience, clinical and efficiency outcomes.ResultsHospice admissions in the last 6 months of life were correlated with a number of variables, including increases in patient satisfaction ratings (r=0.448, p=0.01) and better pain control (r=0.491, p=0.01), and reductions in hospital days (r=−0.517, p=0.01), fewer hospital deaths (r=−0.842, p=0.01) and fewer deaths occurring with an ICU admission during hospitalisation (r=−0.358, p=0.01). The structural equation model identified that use of hospice care was inversely related to hospital mortality (−0.885) and ICU mortality (−0.457).ConclusionsThe results of this investigation demonstrate that greater use of hospice care during the last 6 months of life is associated with improved patient experience, including satisfaction and pain control, as well as clinical outcomes of care, including decreased ICU and hospital mortality.

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