IDEAS home Printed from https://ideas.repec.org/a/plo/pone00/0181396.html
   My bibliography  Save this article

Impact of organizational and individual factors on patient-provider relationships: A national survey of doctors, nurses and patients in China

Author

Listed:
  • Ping Zhang
  • Fang Wang
  • Yao Cheng
  • Liu yi Zhang
  • Bei zhu Ye
  • Hong wei Jiang
  • Yi Sun
  • Xi Zhu
  • Yuan Liang

Abstract

Objectives: To provide an empirical examination of patient–provider relationships (PPR) and its association with organizational and individual factors. Methods: A 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. Results: 54.6% 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). Conclusions: Although 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.

Suggested Citation

  • Ping Zhang & Fang Wang & Yao Cheng & Liu yi Zhang & Bei zhu Ye & Hong wei Jiang & Yi Sun & Xi Zhu & Yuan Liang, 2017. "Impact of organizational and individual factors on patient-provider relationships: A national survey of doctors, nurses and patients in China," PLOS ONE, Public Library of Science, vol. 12(7), pages 1-17, July.
    • Handle: RePEc:plo:pone00:0181396
    DOI: 10.1371/journal.pone.0181396
    as

    Download full text from publisher

    File URL: https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0181396
    Download Restriction: no
    File URL: https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0181396&type=printable
    Download Restriction: no
    File URL: https://libkey.io/10.1371/journal.pone.0181396?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. Xianchai Lin & Mei Wang & Yajing Zuo & Mingge Li & Xiaofeng Lin & Siping Zhu & Yongxin Zheng & Minbin Yu & Ecosse L Lamoureux, 2014. "Health Literacy, Computer Skills and Quality of Patient-Physician Communication in Chinese Patients with Cataract," PLOS ONE, Public Library of Science, vol. 9(9), pages 1-5, September.
    2. Linghan Shan & Ye Li & Ding Ding & Qunhong Wu & Chaojie Liu & Mingli Jiao & Yanhua Hao & Yuzhen Han & Lijun Gao & Jiejing Hao & Lan Wang & Weilan Xu & Jiaojiao Ren, 2016. "Patient Satisfaction with Hospital Inpatient Care: Effects of Trust, Medical Insurance and Perceived Quality of Care," PLOS ONE, Public Library of Science, vol. 11(10), pages 1-18, October.
    3. Jae-Young Lim & Hyun-Hoon Lee & Yeon-Hee Hwang, 2011. "Trust on doctor, social capital and medical care use of the elderly," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 12(2), pages 175-188, April.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Ying Mao & Wei Ning & Ning Zhang & Tao Xie & Jinnan Liu & Yongbo Lu & Bin Zhu, 2021. "The Therapeutic Relationship in China: A Systematic Review and Meta-Analysis," IJERPH, MDPI, vol. 18(7), pages 1-19, March.
    2. Nannan Liu & Yimei Zhu & Xiaoyu Wang & Hongwei Jiang & Yuan Liang, 2021. "Association of Organizational Behavior with Work Engagement and Work-Home Conflicts of Physician in China," IJERPH, MDPI, vol. 18(10), pages 1-13, May.
    3. Xuan Zhou & Dong‐Mei Ma & Fang Wang & Yanping Tian & Xinfen Xu, 2019. "'Hands‐off/poised' or 'Hands‐on' method among Chinese midwives: A cross‐sectional survey," Journal of Clinical Nursing, John Wiley & Sons, vol. 28(15-16), pages 2889-2898, August.

    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. Wenxin & W. & Bentum-Micah & G. & Zhiqiang & M. & Bing & L. & Asabea Addo & A. & Boadi & B.E. & Atuahene & A.S. & Bondzie-Micah & V., 2020. "The Influence of Encounter Service Quality on Patient Satisfaction: An Empirical Study in Chinese Public Hospitals," International Journal of Economics & Business Administration (IJEBA), International Journal of Economics & Business Administration (IJEBA), vol. 0(3), pages 461-477.
    2. Qian Long & Weixi Jiang & Di Dong & Jiaying Chen & Li Xiang & Qiang Li & Fei Huang & Henry Lucas & Shenglan Tang, 2020. "A New Financing Model for Tuberculosis (TB) Care in China: Challenges of Policy Development and Lessons Learned from the Implementation," IJERPH, MDPI, vol. 17(4), pages 1-11, February.
    3. Runtang Meng & Jingjing Li & Yunquan Zhang & Yong Yu & Yi Luo & Xiaohan Liu & Yanxia Zhao & Yuantao Hao & Ying Hu & Chuanhua Yu, 2018. "Evaluation of Patient and Medical Staff Satisfaction regarding Healthcare Services in Wuhan Public Hospitals," IJERPH, MDPI, vol. 15(4), pages 1-17, April.
    4. Mijal Michał & Winter Małgorzata, 2017. "Factors Influencing Teamwork in Health Care," Engineering Management in Production and Services, Sciendo, vol. 9(2), pages 90-96, June.
    5. Xiaojing Fan & Min Su & Yaxin Zhao & Duolao Wang, 2021. "Dissatisfaction with Local Medical Services for Middle-Aged and Elderly in China: What Is Relevant?," IJERPH, MDPI, vol. 18(8), pages 1-12, April.
    6. Jongnam Hwang & Giang Thu Vu & Bach Xuan Tran & Thu Hong Thi Nguyen & Bang Van Nguyen & Long Hoang Nguyen & Huong Lan Thi Nguyen & Carl A Latkin & Cyrus S H Ho & Roger C M Ho, 2020. "Measuring satisfaction with health care services for Vietnamese patients with cardiovascular diseases," PLOS ONE, Public Library of Science, vol. 15(6), pages 1-15, June.
    7. Alibrandi, Angela & Gitto, Lara & Limosani, Michele & Mustica, Paolo Fabrizio, 2023. "Patient satisfaction and quality of hospital care," Evaluation and Program Planning, Elsevier, vol. 97(C).
    8. Wenxin & W. & Bentum-Micah & G. & Zhiqiang & M. & Bing & L. & Asabea Addo & A. & Boadi & B.E. & Atuahene & A.S. & Bondzie-Micah & V., 2020. "The Influence of Encounter Service Quality on Patient Satisfaction: An Empirical Study in Chinese Public Hospitals," International Journal of Economics & Business Administration (IJEBA), International Journal of Economics & Business Administration (IJEBA), vol. 0(3), pages 466-482.
    9. Indah Puspasari Kiay Demak & Diah Mutiarasari & Elli Yane Bangkele, 2019. "Does the Payment Method Affect Patient Satisfaction? An Analytical Study in 10 Hospitals in Central Sulawesi," Global Journal of Health Science, Canadian Center of Science and Education, vol. 11(5), pages 123-123, May.
    10. Alibrandi, Angela & Gitto, Lara & Limosani, Michele & Mustica, Paolo, 2020. "Improving health performances: To what extent patient satisfaction may influence quality?," MPRA Paper 105393, University Library of Munich, Germany.
    11. Silvia Gonella & Cristina Delfino & Monica Rolfo & Alessio Rizzo & Valeria Esposito & Paola Berchialla & Sara Campagna, 2021. "Effects of a Video-Based Preoperative Educational Intervention Plus Nurse-Led Reinforcement Discussion on Knowledge, Self-Efficacy, and Resilience in Patients Undergoing Major Surgery," Clinical Nursing Research, , vol. 30(6), pages 753-761, July.
    12. Jinlin Liu & Ying Mao, 2019. "Patient Satisfaction with Rural Medical Services: A Cross-Sectional Survey in 11 Western Provinces in China," IJERPH, MDPI, vol. 16(20), pages 1-15, October.
    13. Petro G. Nzowa & Felix A. Nandonde & Somo M. L. Seimu, 2023. "Mediation effect of trust on willingness to pay for health insurance among co-operative members in Tanzania," Future Business Journal, Springer, vol. 9(1), pages 1-15, December.
    14. Wenhua Wang & Ekaterina (Katya) Loban & Emilie Dionne, 2019. "Public Hospitals in China: Is There a Variation in Patient Experience with Inpatient Care," IJERPH, MDPI, vol. 16(2), pages 1-12, January.
    15. Jack Pun & Ching Man Tsang & Jolly Wong & Brandon Chee Kin Kong, 2023. "Experience of Patients With Rheumatoid Arthritis: A Qualitative Study of a Nurse-Led Clinic," Clinical Nursing Research, , vol. 32(4), pages 840-849, May.
    16. Brian Nkwinda & Wanda Jacobs & Charlene Downing, 2019. "Patient Satisfaction With Caring at a District Hospital in Malawi," Global Journal of Health Science, Canadian Center of Science and Education, vol. 11(1), pages 1-15, January.
    17. Vladimir Bulatnikov & Cristinel Petrișor Constantin, 2023. "Assessing Customer Satisfaction to Support Future Improvement Strategies of Healthcare Systems: Evidences from Russia and Romania," Sustainability, MDPI, vol. 15(19), pages 1-17, October.
    18. Mei Wang & Yajing Zuo & Xianhua Lin & Yunlan Ling & Xiaofeng Lin & Mingge Li & Ecosse Lamoureux & Yingfeng Zheng, 2015. "Willingness to Pay for Cataract Surgery Provided by a Senior Surgeon in Urban Southern China," PLOS ONE, Public Library of Science, vol. 10(11), pages 1-9, November.

    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:plo:pone00:0181396. 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: plosone (email available below). General contact details of provider: https://journals.plos.org/plosone/ .

    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.