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Determinants of Overall Satisfaction with Public Clinics in Rural China: Interpersonal Care Quality and Treatment Outcome

Author

Listed:
  • Wenhua Wang

    (Department of Family Medicine, McGill University, Montreal, QC H3T 1M5, Canada)

  • Elizabeth Maitland

    (University of Liverpool Management School, University of Liverpool, Liverpool L697ZH, UK)

  • Stephen Nicholas

    (School of Management and School of Commerce, Tianjin Normal University, Tianjin 300074, China
    Guangdong Research Institute for International Strategies, Guangdong University of Foreign Studies, Guangzhou 510420, China
    TOP Education Institute, Sydney, NSW 2015, Australia
    University of Newcastle Business School, Newcastle, NSW 2308, Australia)

  • Jeannie Haggerty

    (Department of Family Medicine, McGill University, Montreal, QC H3T 1M5, Canada)

Abstract

The primary health care quality factors determining patient satisfaction will shape patient-centered health reform in China. While rural public clinics performed better than hospitals and private clinics in terms of patient perceived quality of primary care in China, there is little information about which quality care aspects drove patients’ satisfaction. Using a World Health Organization database on 1014 rural public clinic users from eight provinces in China, our multiple linear regression model estimated the association between patient perceived quality aspects, one treatment outcome, and overall primary health care satisfaction. Our results show that treatment outcome was the strongest predictor of overall satisfaction (β = 0.338 (95% CI: 0.284 to 0.392); p < 0.001), followed by two interpersonal care quality aspects, Dignity (being treated respectfully) (β = 0.219 (95% CI: 0.117 to 0.320); p < 0.001) and Communication (clear explanation by the physician) (β = 0.103 (95% CI: 0.003 to 0.203); p = 0.043). Prompt attention (waiting time before seeing the doctor) and Confidentiality (talking privately to the provider) were not correlated with overall satisfaction. The treatment outcome focus, and weak interpersonal primary care aspects, in overall patient satisfaction, pose barriers towards a patient-centered transformation of China’s primary care rural clinics, but support the focus of improving the clinical competency of rural primary care workers.

Suggested Citation

  • Wenhua Wang & Elizabeth Maitland & Stephen Nicholas & Jeannie Haggerty, 2019. "Determinants of Overall Satisfaction with Public Clinics in Rural China: Interpersonal Care Quality and Treatment Outcome," IJERPH, MDPI, vol. 16(5), pages 1-12, February.
  • Handle: RePEc:gam:jijerp:v:16:y:2019:i:5:p:697-:d:209357
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    References listed on IDEAS

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    2. Nguyen, Tuan D. & Attkisson, C. Clifford & Stegner, Bruce L., 1983. "Assessment of patient satisfaction: Development and refinement of a Service Evaluation Questionnaire," Evaluation and Program Planning, Elsevier, vol. 6(3-4), pages 299-313, January.
    3. Wensing, Michel & Jung, Hans Peter & Mainz, Jan & Olesen, Frede & Grol, Richard, 1998. "A systematic review of the literature on patient priorities for general practice care. Part 1: Description of the research domain," Social Science & Medicine, Elsevier, vol. 47(10), pages 1573-1588, November.
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    Cited by:

    1. Ángel Fernández-Pérez & Ángeles Sánchez, 2019. "Improving People’s Self-Reported Experience with the Health Services: The Role of Non-Clinical Factors," IJERPH, MDPI, vol. 17(1), pages 1-12, December.
    2. White-Means, Shelley & Gaskin, Darrell J. & Osmani, Ahmad Reshad, 2019. "Intervention and Public Policy Pathways to Achieve Health Care Equity," EconStor Open Access Articles and Book Chapters, ZBW - Leibniz Information Centre for Economics, vol. 16(14), pages 1-11.

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