ABSTRACT
Using structural equation modeling, the direct and indirect impact of five variables on the support of donation after cardiac death from the perspective of health care professionals were investigated: knowledge, trust in the transplant team, whether patients are in a state of irreversibility, whether health care professionals participate in a patient's death, and perceptions about the brain death versus cardiac death donation process. In total, 10/15 relationships posited in the model had significant pathways. The results provide insight into sequential communication strategies for generating support for donations after cardiac death.
Subject(s)
Attitude of Health Personnel , Communication , Death , Models, Psychological , Tissue Donors/psychology , Tissue and Organ Procurement , Brain Death , Family/psychology , Health Knowledge, Attitudes, Practice , Humans , Professional-Family Relations , Surveys and Questionnaires , Time FactorsABSTRACT
The second of a series, this study examines the effect of physician service performance on women's perceptions of physician quality before, during, and after delivery. We also examine changing physician-patient relationships throughout the birthing experience and compare our findings to those reported in a previous study that focused on nurse-patient relationships. Our findings show that physicians can have a profound impact on patient quality assessments and that these perceptions are prone to change as patients progress through the three birthing stages.
Subject(s)
Labor, Obstetric/psychology , Obstetrics/standards , Patient Satisfaction/statistics & numerical data , Physician-Patient Relations , Postnatal Care/standards , Female , Hospitals, Urban , Humans , Marketing of Health Services , Nurse-Patient Relations , Pregnancy , Prenatal Care/standards , Quality of Health Care , Surveys and Questionnaires , United States , WorkforceABSTRACT
The relationships between service quality and satisfaction is a function of multiple service encounters across a wide variety of exchange partners within a health care organization. Studying the patient provider relationship leads to improved service quality. The authors report their findings from a study that tests a relationship-building framework that integrates service quality issues across multiple internal health care publics. Strategies for developing a strong patient-provider relationship bond are also discussed.
