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Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care
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Inpatient Culture and Satisfaction With Care: A Novel Perspective.

Henry S Perkins1, Alisa A Freed2, Josie D Cortez3

  • 1Department of Medicine, The University of Texas Health Science Center, San Antonio, Texas; Ecumenical Center for Religion and Health, San Antonio, Texas; Ecumenical Center for Religion and Health, Cincinnati, Ohio.

The American Journal of the Medical Sciences
|October 24, 2020
PubMed
Summary

Patient satisfaction in hospitals is influenced by a shared inpatient culture, not just ethnicity or gender. Addressing universal patient fears and distrust, alongside targeted communication, can improve care experiences.

Keywords:
Cross-cultural comparisonsPhysician-patient relationsSatisfaction with inpatient care

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Area of Science:

  • Healthcare Management
  • Sociology of Health
  • Patient Experience Research

Background:

  • Patient satisfaction is crucial for healthcare quality.
  • Traditional demographic research often neglects cultural influences on patient satisfaction.
  • Understanding patient perspectives beyond demographics is essential.

Purpose of the Study:

  • To explore patient satisfaction with hospital care.
  • To examine cultural attitudes related to ethnicity and gender among inpatients.
  • To identify factors influencing patient perceptions of care.

Main Methods:

  • Surveyed 58 inpatients in San Antonio, Texas.
  • Analyzed patient responses for attitudes across ethnic (Mexican-American, Euro-American, African-American) and gender groups.
  • Assessed satisfaction levels and specific concerns regarding care.

Main Results:

  • Most patients expected faithful attention, honest information, and prioritized wishes from doctors.
  • Widespread trust in doctors' character and service ethic was noted, alongside fears of hospital treatments.
  • Few attitudes varied significantly by ethnicity or gender, though some groups expressed specific dissatisfactions (e.g., care coordination, distrust in doctors).

Conclusions:

  • A common inpatient culture shapes patient experiences, often overriding ethnic or gender differences.
  • Hospital professionals should implement universal strategies for patient fears and distrust.
  • Targeted communication strategies for specific ethnic-gender groups may further enhance patient satisfaction.