沟通和关系:患者如何感知信息和互动的组织正义可以改善以患者为中心的护理,一项针对西班牙和美国样本的研究表明
Diana Pérez-Arechaederra1, Elena Briones2, Luis García-Ortiz3,4,5
1ESCP Business School, Madrid Campus, c/ Arroyofresno, 1, Madrid, 28035, Spain. dianaperez@escp.eu.
BMC health services research
|March 6, 2025
概括
患者对医疗保健公平性的看法显著影响了患者对咨询和服务忠诚度的坚持. 将公平纳入以患者为中心的护理,可以增强信任,满意度和健康结果.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 组织行为 组织行为
- 患者体验 患者体验
背景情况:
- 感知到的组织正义会影响患者的行为,但在了解它在以患者为中心的护理有效性中的作用方面存在差距.
- 这项研究探讨了患者的态度和组织的看法如何提高以患者为中心的护理质量.
- 检查西班牙和美国的医疗保健系统为关键患者的认知提供了跨语境的见解.
研究的目的:
- 调查组织正义对患者坚持和忠诚的影响.
- 探索患者与医疗保健提供者关系中信任和满意度的调解作用.
- 为医疗保健管理策略提供信息,以提高以患者为中心的护理质量.
主要方法:
- 使用西班牙 (n=473) 和美国 (n=406) 的样本进行横截面调查研究.
- 评估感知到的交互和信息组织正义,遵守建议和服务忠诚度.
- 分析了对医疗保健提供者的信任和对服务的满意度的调解效应.
主要成果:
- 在两个国家的正义维度和患者的坚持和忠诚度之间发现了显著的正相关性.
- 信息正义直接预测了坚持,而互动正义与坚持的关系是由信任和满意度调解的.
- 信任和满意度部分调解了正义维度和患者忠诚度之间的关系.
结论:
- 对互动和信息正义的感知对于患者的坚持,忠诚,信任和满意度至关重要.
- 沟通和建立关系中的公平考虑对于提高以患者为中心的护理结果至关重要.
- 将正义感知纳入以患者为中心的护理策略可以提高医疗保健质量和患者体验.
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