Linghan Shan|Ye Li|Ding Ding|Qunhong Wu|George Liu|Mingli Jiao|Yanhua Hao|Han Yu-zhen|Lijun Gao|Jiejing Hao|Lan Wang|Weilan Xu|Jiaojiao Ren
Patient Satisfaction with Hospital Inpatient Care: Effects of Trust, Medical Insurance and Perceived Quality of Care
Harbin Medical University|Harbin Medical University|Harbin Medical University|Harbin Medical University|La Trobe University|Harbin Medical University|Harbin Medical University|Harbin Medical University|Harbin Medical University|Harbin Medical University|Harbin Medical University|Harbin Medical University|Harbin Medical University
deteriorations patientprovider relationship china attracted increasing attention international community study aims explore role trust patient satisfaction hospital inpatient care patientprovider trust shaped perspectives patients providerswe adopted mixed methods approach comprising multivariate logistic regression model using secondary data 1200 people inpatient experiences past year fifth national health service survey nhss 2013 heilongjiang province determine associations patient satisfaction trust financial burden perceived quality care followed indepth interviews 62 conveniently selected key informants 27 health 35 nonhealth sectors thematic analysis established conceptual framework explain deteriorating patientprovider relationshipsabout 24 respondents reported dissatisfied hospital inpatient care logistic regression model indicated patient satisfaction positively associated higher level trust 14995 lower levels hospital medical expenditure 57361829 compared highest quintile hospital expenditure good staff attitude 3155 well good ward environment 2361 patient satisfaction negatively associated medical insurance urban residents insurance status 02150357 compared medical insurance urban employees qualitative analysis showed patient trustthe significant predictor patient satisfactionis shaped perceived high quality service delivery empathic caring interpersonal interactions better designed medical insurance provides stronger financial protection enables equitable access health careat core high levels patient dissatisfaction hospital care lack trust current health care system reform china yet address fundamental problems embedded system caused distrust singular focus doctorpatient interpersonal interactions offer successful solution deteriorated patientprovider relationships unless systems approach accountability put place involving stakeholders