RESUMO
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.
Assuntos
Atitude do Pessoal de Saúde , Comunicação , Morte , Modelos Psicológicos , Doadores de Tecidos/psicologia , Obtenção de Tecidos e Órgãos , Morte Encefálica , Família/psicologia , Conhecimentos, Atitudes e Prática em Saúde , Humanos , Relações Profissional-Família , Inquéritos e Questionários , Fatores de TempoRESUMO
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.
Assuntos
Trabalho de Parto/psicologia , Obstetrícia/normas , Satisfação do Paciente/estatística & dados numéricos , Relações Médico-Paciente , Cuidado Pós-Natal/normas , Feminino , Hospitais Urbanos , Humanos , Marketing de Serviços de Saúde , Relações Enfermeiro-Paciente , Gravidez , Cuidado Pré-Natal/normas , Qualidade da Assistência à Saúde , Inquéritos e Questionários , Estados Unidos , Recursos HumanosRESUMO
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.
