Doctors' views of patient expectations of medical care in Zhejiang Province, China.
Int J Qual Health Care
; 29(6): 867-873, 2017 Oct 01.
Article
em En
| MEDLINE
| ID: mdl-29025020
ABSTRACT
OBJECTIVE:
Physicians' prescribing patterns may be influenced by how they perceive their patients' expectations of medical care. This study explored doctors' perceptions of patient expectations of medical care.DESIGN:
Qualitative interviews and a cross-sectional survey (September 2014-September 2015).SETTING:
Primary- and tertiary-care facilities in Zhejiang province, China.PARTICIPANTS:
Primary care practitioners (PCPs) and hospital specialists. MAINOUTCOMES:
Perceived patients' expectations.RESULTS:
Seven focus groups and 21 individuals were interviewed. Questionnaires were completed by 460 PCPs and 651 specialists (response rate 78%). About 36.8% of doctors reported generating profit for the facility at which they practiced as a foremost consideration. Participants perceived patients as holding high expectations of clinical performance and use of medical products. Respondents perceived that their patients expected either drug prescriptions (48.2%) or intravenous (IV) therapy (45.2%). Perceived patient expectations of an arrangement of tests and consultation fee refunds if no prescriptions were made were reported by 29.7 and 22.7%, respectively. Doctors reported feeling undervalued and disrespected when patients requested consultation fee refunds. Compared to those who did not report a need for profit-making, doctors who did were significantly more likely to perceive that their patients expected medication-based treatments (AOR = 1.62, P < 0.001), IV therapy (AOR = 1.32, P = 0.037), the arrangement of tests (AOR = 2.06, P < 0.001), and consultation fee refunds when no prescriptions were made (AOR = 1.92, P < 0.001).CONCLUSIONS:
Most doctors believed that patients had high expectations. Workplace profit-orientation demonstrated a strong association with doctors' perceptions.Palavras-chave
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Médicos
/
Padrões de Prática Médica
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Atitude do Pessoal de Saúde
/
Preferência do Paciente
Tipo de estudo:
Health_economic_evaluation
/
Observational_studies
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Prevalence_studies
/
Qualitative_research
/
Risk_factors_studies
Limite:
Adult
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Female
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Humans
/
Male
País como assunto:
Asia
Idioma:
En
Ano de publicação:
2017
Tipo de documento:
Article