IDEAS home Printed from https://ideas.repec.org/a/bla/ijhplm/v36y2021i3p847-865.html
   My bibliography  Save this article

Limited knowledge and distrust are important social factors of out‐patient’ s ‘inappropriate diagnosed seeking behaviour’: a qualitative research in Shanghai

Author

Listed:
  • Yuhui Ruan
  • Chenyang Zhuang
  • Weisin Chen
  • Jinyu Xie
  • Yaodong Zhao
  • Lufa Zhang
  • Hong Lin

Abstract

Aims This study is designed to present out‐patient's ‘inappropriate diagnosed seeking behaviour’ in tertiary hospitals and interpret its association with some potential social factors. Methods A qualitative study based on grounded theory was designed in this paper. The participates were recruited by a two‐stage process. The field observation and in‐depth interview were adopted for data collection. Multi‐round (five rounds) sampling and continuing data analysis were adopted as well. Results Totally 26 out‐patients from three tertiary hospitals in Shanghai were involved. Four focused codes, including ‘limited policy‐related knowledge’, ‘limited health‐related knowledge’, ‘distrust on related policy’ and ‘distrust on medical networks’, were identified. Then, a theoretical model about the association of out‐patient's ‘limited knowledge’ with ‘distrust’ and its relationship with ‘inappropriate first‐diagnosed seeking behaviour’ in tertiary hospitals was developed. Conclusion ‘Inappropriate first‐diagnosed seeking behaviour’ of the out‐patients in tertiary hospitals is closely associated with their limited knowledge and related distrust. Great effort on improving publics' knowledge and rebuilding a benign trust relationship with out‐patients and the medical networks is found to be essential for guiding publics' appropriate first‐diagnosed health behaviour in various levels of medical institutions.

Suggested Citation

  • Yuhui Ruan & Chenyang Zhuang & Weisin Chen & Jinyu Xie & Yaodong Zhao & Lufa Zhang & Hong Lin, 2021. "Limited knowledge and distrust are important social factors of out‐patient’ s ‘inappropriate diagnosed seeking behaviour’: a qualitative research in Shanghai," International Journal of Health Planning and Management, Wiley Blackwell, vol. 36(3), pages 847-865, May.
    • Handle: RePEc:bla:ijhplm:v:36:y:2021:i:3:p:847-865
    DOI: 10.1002/hpm.3134
    as

    Download full text from publisher

    File URL: https://doi.org/10.1002/hpm.3134
    Download Restriction: no
    File URL: https://libkey.io/10.1002/hpm.3134?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    References listed on IDEAS

    as
    1. Ariel Malka & Jon A. Krosnick & Gary Langer, 2009. "The Association of Knowledge with Concern About Global Warming: Trusted Information Sources Shape Public Thinking," Risk Analysis, John Wiley & Sons, vol. 29(5), pages 633-647, May.
    2. De Rosis, Sabina & Barsanti, Sara, 2016. "Patient satisfaction, e-health and the evolution of the patient–general practitioner relationship: Evidence from an Italian survey," Health Policy, Elsevier, vol. 120(11), pages 1279-1292.
    3. Bonsón Ponte, Enrique & Carvajal-Trujillo, Elena & Escobar-Rodríguez, Tomás, 2015. "Influence of trust and perceived value on the intention to purchase travel online: Integrating the effects of assurance on trust antecedents," Tourism Management, Elsevier, vol. 47(C), pages 286-302.
    4. Ge Bai & Yinan Zhou & Li Luo & Zhaoxin Wang, 2019. "Resource allocation for chronic diseases based on a patient willingness survey," International Journal of Health Planning and Management, Wiley Blackwell, vol. 34(3), pages 926-934, July.
    5. Lu, Chen & Zhang, Zixiao & Lan, Xiuting, 2019. "Impact of China's referral reform on the equity and spatial accessibility of healthcare resources: A case study of Beijing," Social Science & Medicine, Elsevier, vol. 235(C), pages 1-1.
    6. Ramesh, M. & Wu, Xun, 2009. "Health policy reform in China: Lessons from Asia," Social Science & Medicine, Elsevier, vol. 68(12), pages 2256-2262, June.
    7. Hu, Hsin-Hui & Qi, Qinghui & Yang, Chih-Hai, 2012. "Analysis of hospital technical efficiency in China: Effect of health insurance reform," China Economic Review, Elsevier, vol. 23(4), pages 865-877.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Schmidt, Henrike & Wild, Eva-Maria & Schreyögg, Jonas, 2021. "Explaining variation in health information seeking behaviour – Insights from a multilingual survey," Health Policy, Elsevier, vol. 125(5), pages 618-626.
    2. Wang, Lu-Yao & Hu, Hai-Hua & Wang, Le & Qin, Jian-Qun, 2022. "Privacy assurances and social sharing in social commerce: The mediating role of threat-coping appraisals," Journal of Retailing and Consumer Services, Elsevier, vol. 67(C).
    3. Rize Jing & Tingting Xu & Xiaozhen Lai & Elham Mahmoudi & Hai Fang, 2019. "Technical Efficiency of Public and Private Hospitals in Beijing, China: A Comparative Study," IJERPH, MDPI, vol. 17(1), pages 1-18, December.
    4. Khalfallah, Fatma & Necib, Adel, 2020. "Bank credit risk and performance: the case of Tunisian banks during the period 2005 – 2015," MPRA Paper 109506, University Library of Munich, Germany.
    5. Li, Chuanyao & Wang, Junren, 2022. "A hierarchical two-step floating catchment area analysis for high-tier hospital accessibility in an urban agglomeration region," Journal of Transport Geography, Elsevier, vol. 102(C).
    6. Jorge Vieira & Rui Frade & Raquel Ascenso & Inês Prates & Filipa Martinho, 2020. "Generation Z and Key-Factors on E-Commerce: A Study on the Portuguese Tourism Sector," Administrative Sciences, MDPI, vol. 10(4), pages 1-17, December.
    7. Abid Hussain & Muhammad Bilal & Sana Rashid, 2021. "An Empirical Investigation Of Information Quality And Usage Of Mobile Banking In Predicting Adaptive Performance: A Serial Mediation Model," Bulletin of Business and Economics (BBE), Research Foundation for Humanity (RFH), vol. 10(1), pages 134-147, March.
    8. Zhou, Zhongliang & Zhao, Yaxin & Shen, Chi & Lai, Sha & Nawaz, Rashed & Gao, Jianmin, 2021. "Evaluating the effect of hierarchical medical system on health seeking behavior: A difference-in-differences analysis in China," Social Science & Medicine, Elsevier, vol. 268(C).
    9. Xiaoting Chi & Seul Ki Lee & Young-joo Ahn & Kiattipoom Kiatkawsin, 2020. "Tourist-Perceived Quality and Loyalty Intentions towards Rural Tourism in China," Sustainability, MDPI, vol. 12(9), pages 1-18, April.
    10. Kuzmina Jekaterina, 2017. "Measuring Patients′ Satisfaction in For-Profit Orthopedic Hospital," Acta Universitatis Sapientiae, Economics and Business, Sciendo, vol. 30(1), pages 16-26, November.
    11. Carmen Berne-Manero & Maria Gómez-Campillo & Mercedes Marzo-Navarro & Marta Pedraja-Iglesias, 2018. "Reviewing the Online Tourism Value Chain," Administrative Sciences, MDPI, vol. 8(3), pages 1-18, August.
    12. Barsanti, Sara & Walker, Kevin & Seghieri, Chiara & Rosa, Antonella & Wodchis, Walter P., 2017. "Consistency of priorities for quality improvement for nursing homes in Italy and Canada: A comparison of optimization models of resident satisfaction," Health Policy, Elsevier, vol. 121(8), pages 862-869.
    13. Donatella Baiardi, 2021. "What do you think about climate change?," Working Papers 477, University of Milano-Bicocca, Department of Economics, revised Aug 2021.
    14. José Alberto Martínez-González & Eduardo Parra-López & Almudena Barrientos-Báez, 2021. "Young Consumers’ Intention to Participate in the Sharing Economy: An Integrated Model," Sustainability, MDPI, vol. 13(1), pages 1-21, January.
    15. Ert, Eyal & Fleischer, Aliza & Magen, Nathan, 2016. "Trust and reputation in the sharing economy: The role of personal photos in Airbnb," Tourism Management, Elsevier, vol. 55(C), pages 62-73.
    16. Say Keat Ooi & Chai Aun Ooi & Jasmine A. L. Yeap & Tok Hao Goh, 2021. "Embracing Bitcoin: users’ perceived security and trust," Quality & Quantity: International Journal of Methodology, Springer, vol. 55(4), pages 1219-1237, August.
    17. Letizia Lo Presti & Mario Testa & Vittoria Marino & Pierpaolo Singer, 2019. "Engagement in Healthcare Systems: Adopting Digital Tools for a Sustainable Approach," Sustainability, MDPI, vol. 11(1), pages 1-15, January.
    18. Bernardi, Roberta & Wu, Philip F., 2022. "Online health communities and the patient-doctor relationship: An institutional logics perspective," Social Science & Medicine, Elsevier, vol. 314(C).
    19. Jun Hwan Kim & Hyun Cheol Lee, 2019. "Understanding the Repurchase Intention of Premium Economy Passengers Using an Extended Theory of Planned Behavior," Sustainability, MDPI, vol. 11(11), pages 1-19, June.
    20. Christel W. van Eck & Bob C. Mulder & Sander van der Linden, 2020. "Climate Change Risk Perceptions of Audiences in the Climate Change Blogosphere," Sustainability, MDPI, vol. 12(19), pages 1-17, September.

    More about this item

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:bla:ijhplm:v:36:y:2021:i:3:p:847-865. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Wiley Content Delivery (email available below). General contact details of provider: http://www.blackwellpublishing.com/journal.asp?ref=0749-6753 .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.