Research Article
BibTex RIS Cite

THE RELATIONSHIP BETWEEN PATIENT-CENTERED COMMUNICATION AND SERVICE QUALITY: THE MEDIATOR EFFECT OF TRUST IN THE SERVICE PROVIDER

Year 2022, Volume: 12 Issue: 23, 93 - 108, 28.05.2022
https://doi.org/10.53092/duiibfd.1031256

Abstract

Patient-centered communication is an important concept underlying patient-centered care. Patient-centered communication is a vital communication style that aims to enable the physician to understand the patients' needs, provide sufficient information to the patients, and build trust between the patients and the physician. It has been revealed that patient-centered communication positively affects patient satisfaction, patient perception of quality, patient participation in treatment, establishing trust between patient and physician, and clinical outcomes. This study examined the mediating role of trust examined between patient-centered communication and perception of service quality. Accordingly, 261 patients' data were analyzed. The hierarchical regression was used in the analysis of the data. According to the results obtained, patient-centered communication positively affects the trust and service quality of the provider. In addition, it has been determined that there is a partial mediating role of trust in the service provider between the relationship between patient-centered communication and service quality.

References

  • Alrubaiee, L., & Alkaa'ida, F. (2011). The mediating effect of patient satisfaction in the patients' perceptions of healthcare quality-patient trust relationship. International Journal of Marketing Studies, 3(1), 103.
  • Balkrishnan, R., Dugan, E., Camacho, F. T., & Hall, M. A. (2003). Trust and satisfaction with physicians, insurers, and the medical profession. Medical care, 1058-1064.
  • Baron, R. M., & Kenny, D. A. (1986). The moderator–mediator variable distinction in social psychological research: Conceptual, strategic, and statistical considerations. Journal of personality and social psychology, 51(6), 1173.
  • Bellet, P. S., & Maloney, M. J. (1991). The importance of empathy as an interviewing skill in medicine. Journal of the American Medical Association, 266, 1831–1832. Retrieved from http://www.ncbi.nlm.nih. gov/pubmed/1909761
  • Chang, C. S., Chen, S. Y., & Lan, Y. T. (2013). Service quality, trust, and patient satisfaction in interpersonal-based medical service encounters. BMC Health Services Research, 13, 22. doi:10.1186/1472-6963-13-438
  • Clever, S. L., Ford, D. E., Rubenstein, L. V., Rost, K. M., Meredith, L. S., Sherbourne, C. D., … Cooper, L. A. (2006). Primary care patients’ involvement in decision-making is associated with improvement in depression. Medical Care, 44, 398–405. doi:10.1097/01. mlr.0000208117.15531.da
  • Dang, B. N., Westbrook, R. A., Njue, S. M., & Giordano, T. P. (2017). Building trust and rapport early in the new doctor-patient relationship: a longitudinal qualitative study. BMC Medical Education, 17(1), 1-10.
  • Eiriz, V., & Figueiredo, J. A. (2005). Quality evaluation in health care services based on customer‐provider relationships. International journal of health care quality assurance.
  • Eisingerich, A. B., & Bell, S. J. (2007). Maintaining customer relationships in high credence services. Journal of Services Marketing.
  • Epstein RM, Street RL Jr. (2007). Patient-Centered Communication in Cancer Care: Promoting Healing and Reducing Suffering. Bethesda, MD: National Cancer Institute; National Institutes of Health Publication 07-6225.
  • Epstein, R. M., Franks, P., Fiscella, K., Shields, C. G., Meldrum, S. C., Kravitz, R. L., & Duberstein, P. R. (2005). Measuring patient-centered communication in patient–physician consultations: theoretical and practical issues. Social science & medicine, 61(7), 1516-1528.
  • Fiscella, K., Meldrum, S., Franks, P., Shields, C. G., Duberstein, P., McDaniel, S. H., & Epstein, R. M. (2004). Patient trust: is it related to patient-centered behavior of primary care physicians?. Medical care, 1049-1055.
  • Grassi, L., Caruso, R., & Costantini, A. (2015). Communication with patients suffering from serious physical illness. Clinical Challenges in the Biopsychosocial Interface, 34, 10-23.
  • Hall, M. A., Zheng, B., Dugan, E., Camacho, F., Kidd, K. E., Mishra, A., & Balkrishnan, R. (2002). Measuring patients’ trust in their primary care providers. Medical care research and review, 59(3), 293-318.
  • Hashim, M. J. (2017). Patient-centered communication: basic skills. American family physician, 95(1), 29-34.
  • HINTS. (2021). https://hints.cancer.gov/ (Erişim Tarihi: 1.11.2021).
  • Hong, H., & Oh, H. J. (2020). The effects of patient-centered communication: exploring the mediating role of trust in healthcare providers. Health communication, 35(4), 502-511.
  • Institute of Medicine. Committee on Quality of Health Care in America (2001). Crossing the Quality Chasm: A New Health System for the 21st Century. Washington, DC: National Academies Press; 2001.
  • Kao, A. C., Green, D. C., Davis, N. A., Koplan, J. P., & Cleary, P. D. (1998). Patients’ trust in their physicians: effects of choice, continuity, and payment method. Journal of general internal medicine, 13(10), 681-686.
  • Kaplan, S. H., Greenfield, S., & Ware Jr, J. E. (1989). Assessing the effects of physician-patient interactions on the outcomes of chronic disease. Medical care, S110-S127.
  • King, A., & Hoppe, R. B. (2013). “Best practice” for patient-centered communication: a narrative review. Journal of graduate medical education, 5(3), 385-393.
  • Lee, C. (2021). Patient loyalty to health services: the role of communication skills and cognitive trust. International Journal of Healthcare Management, 14(4), 1254-1264.
  • Levinson, W., Lesser, C. S., & Epstein, R. M. (2010). Developing physician communication skills for patient-centered care. Health Affairs, 29, 1310e1318. http:// dx.doi.org/10.1377/hlthaff.2009.0450
  • Levinson, W., Roter, D. L., Mullooly, J. P., Dull, V. T., & Frankel, R. M. (1997). Physician-patient communication: the relationship with malpractice claims among primary care physicians and surgeons. Jama, 277(7), 553-559.
  • Maatouk-Bürmann, B., Ringel, N., Spang, J., Weiss, C., Möltner, A., Riemann, U., ... & Jünger, J. (2016). Improving patient-centered communication: results of a randomized controlled trial. Patient education and counseling, 99(1), 117-124.
  • McWhinney, I. R. (1993). Why we need a new clinical method. Scandinavian Journal of Primary Health Care, 11, 3–7. doi:10.3109/ 02813439308994894
  • Mead, N., & Bower, P. (2000). Patient-centredness: a conceptual framework and review of the empirical literature. Social science & medicine, 51(7), 1087-1110.
  • Moore, P. J., Sickel, A. E., Malat, J., Williams, D., Jackson, J., & Adler, N. (2004). Psychosocial factors in medical and psychological treatment avoidance: The role of the doctor-patient relationship. Journal of Health Psychology, 9, 421–433. doi:10.1177/1359105304042351.
  • O'Keeffe, M., Cullinane, P., Hurley, J., Leahy, I., Bunzli, S., O'Sullivan, P. B., & O'Sullivan, K. (2016). What influences patient-therapist interactions in musculoskeletal physical therapy? Qualitative systematic review and meta-synthesis. Physical therapy, 96(5), 609-622.
  • Ong, L. M., De Haes, J. C., Hoos, A. M., & Lammes, F. B. (1995). Doctor-patient communication: a review of the literature. Social science & medicine, 40(7), 903-918.
  • Pearson, S., & Raeke, L. (2000). Patients’ trust in physicians: Many theories, few measures, and little data. Journal of General Internal Medicine, 15, 509–513. doi:10.1046/j.1525-1497.2000.11002.x
  • Reynolds, A. (2009). Patient-centered care. Radiologic Technology, 81(2), 133-147.
  • Rice, B. (1996). Are patient-satisfaction surveys fair to doctors? Medical Economics, 73, 55–68.
  • Rosenberg, E. E. (1997). Lessons for Clinicians From Physician-Patient. Arch Fam Med, 6, 279-283.
  • Stewart, M. A. (1984). What is a successful doctor-patient interview? A study of interactions and outcomes. Social science & medicine, 19(2), 167-175.
  • Stewart, M. (1995). Effective physician-patient communication and health outcomes: A review. Canadian Medical Association Journal, 152, 1423–1433.
  • Stewart, M. (2001). Towards a global definition of patient centered care: The patient should be the judge of patient centered care. British Medical Journal, 322, 444–445.
  • Swenson, S. L., Buell, S., Zettler, P., White, M., Ruston, D. C., & Lo, B. (2004). Patient-centered communication. Journal of general internal medicine, 19(11), 1069-1079.
  • Wanzer, M. B., Booth-Butterfield, M., & Gruber, K. (2004). Perceptions of health care providers’ communication: Relationships between patient-centered communication and satisfaction. Health Communication, 16, 363–384. doi:10.1207/S15327027HC1603_
  • Williams, S., Weinman, J., & Dale, J. (1998). Doctor-patient communication and patient satisfaction: a review. Family practice, 15(5), 480-492.v
  • Yoo, J. W., Kim, C. A., & Choi, M. I. (2010). A study on how patients' perceptions of the communication style of their doctors affect the patients' intent to revisit them with an emphasis on the intermediary effects of the patients' therapeutic satisfaction and of their loyalty to their doctors. Korean J Advert Public Relat, 12(3), 77-101.

HASTA MERKEZLİ İLETİŞİM VE HİZMET KALİTESİ İLİŞKİSİ: HİZMET SUNUCUYA GÜVENİN ARACI ETKİSİ

Year 2022, Volume: 12 Issue: 23, 93 - 108, 28.05.2022
https://doi.org/10.53092/duiibfd.1031256

Abstract

Hasta merkezli iletişim, hasta merkezli bakımın temelinde yer alan önemli bir kavramdır. Hasta merkezli iletişim, hekimin hastaların ihtiyaçlarını anlamasını, hastalara yeterli bilgi vermeyi ve hastalar ile hekim arasında güven oluşturmayı amaçlayan önemli bir iletişim tarzıdır. Hasta merkezli iletişimin; hasta memnuniyeti, hastanın kalite algısı, hastanın tedaviye katılımı, hasta ve hekim arasında güvenin tesis edilmesi ve klinik sonuçlar üzerinde olumlu etkilerinin olduğu ortaya koyulmuştur. Bu çalışmada, hasta merkezli iletişim ve hizmet kalitesi algısı arasındaki ilişkide sağlık hizmet sunucusuna olan güvenin aracı rolü incelenmiştir. Bu doğrultuda 261 hastadan elde edilen veriler değerlendirilmiştir. Verilerin analizinde hiyerarşik regresyon analizi yöntemi kullanılmıştır. Elde edilen sonuçlara göre hasta merkezli iletişim hekime güven ve hizmet kalitesini olumlu yönde etkilemektedir. Ayrıca hasta merkezli iletişim ve hizmet kalitesi ilişkisinde hizmet sunucuya olan güvenin kısmi aracı rolünün olduğu tespit edilmiştir.

References

  • Alrubaiee, L., & Alkaa'ida, F. (2011). The mediating effect of patient satisfaction in the patients' perceptions of healthcare quality-patient trust relationship. International Journal of Marketing Studies, 3(1), 103.
  • Balkrishnan, R., Dugan, E., Camacho, F. T., & Hall, M. A. (2003). Trust and satisfaction with physicians, insurers, and the medical profession. Medical care, 1058-1064.
  • Baron, R. M., & Kenny, D. A. (1986). The moderator–mediator variable distinction in social psychological research: Conceptual, strategic, and statistical considerations. Journal of personality and social psychology, 51(6), 1173.
  • Bellet, P. S., & Maloney, M. J. (1991). The importance of empathy as an interviewing skill in medicine. Journal of the American Medical Association, 266, 1831–1832. Retrieved from http://www.ncbi.nlm.nih. gov/pubmed/1909761
  • Chang, C. S., Chen, S. Y., & Lan, Y. T. (2013). Service quality, trust, and patient satisfaction in interpersonal-based medical service encounters. BMC Health Services Research, 13, 22. doi:10.1186/1472-6963-13-438
  • Clever, S. L., Ford, D. E., Rubenstein, L. V., Rost, K. M., Meredith, L. S., Sherbourne, C. D., … Cooper, L. A. (2006). Primary care patients’ involvement in decision-making is associated with improvement in depression. Medical Care, 44, 398–405. doi:10.1097/01. mlr.0000208117.15531.da
  • Dang, B. N., Westbrook, R. A., Njue, S. M., & Giordano, T. P. (2017). Building trust and rapport early in the new doctor-patient relationship: a longitudinal qualitative study. BMC Medical Education, 17(1), 1-10.
  • Eiriz, V., & Figueiredo, J. A. (2005). Quality evaluation in health care services based on customer‐provider relationships. International journal of health care quality assurance.
  • Eisingerich, A. B., & Bell, S. J. (2007). Maintaining customer relationships in high credence services. Journal of Services Marketing.
  • Epstein RM, Street RL Jr. (2007). Patient-Centered Communication in Cancer Care: Promoting Healing and Reducing Suffering. Bethesda, MD: National Cancer Institute; National Institutes of Health Publication 07-6225.
  • Epstein, R. M., Franks, P., Fiscella, K., Shields, C. G., Meldrum, S. C., Kravitz, R. L., & Duberstein, P. R. (2005). Measuring patient-centered communication in patient–physician consultations: theoretical and practical issues. Social science & medicine, 61(7), 1516-1528.
  • Fiscella, K., Meldrum, S., Franks, P., Shields, C. G., Duberstein, P., McDaniel, S. H., & Epstein, R. M. (2004). Patient trust: is it related to patient-centered behavior of primary care physicians?. Medical care, 1049-1055.
  • Grassi, L., Caruso, R., & Costantini, A. (2015). Communication with patients suffering from serious physical illness. Clinical Challenges in the Biopsychosocial Interface, 34, 10-23.
  • Hall, M. A., Zheng, B., Dugan, E., Camacho, F., Kidd, K. E., Mishra, A., & Balkrishnan, R. (2002). Measuring patients’ trust in their primary care providers. Medical care research and review, 59(3), 293-318.
  • Hashim, M. J. (2017). Patient-centered communication: basic skills. American family physician, 95(1), 29-34.
  • HINTS. (2021). https://hints.cancer.gov/ (Erişim Tarihi: 1.11.2021).
  • Hong, H., & Oh, H. J. (2020). The effects of patient-centered communication: exploring the mediating role of trust in healthcare providers. Health communication, 35(4), 502-511.
  • Institute of Medicine. Committee on Quality of Health Care in America (2001). Crossing the Quality Chasm: A New Health System for the 21st Century. Washington, DC: National Academies Press; 2001.
  • Kao, A. C., Green, D. C., Davis, N. A., Koplan, J. P., & Cleary, P. D. (1998). Patients’ trust in their physicians: effects of choice, continuity, and payment method. Journal of general internal medicine, 13(10), 681-686.
  • Kaplan, S. H., Greenfield, S., & Ware Jr, J. E. (1989). Assessing the effects of physician-patient interactions on the outcomes of chronic disease. Medical care, S110-S127.
  • King, A., & Hoppe, R. B. (2013). “Best practice” for patient-centered communication: a narrative review. Journal of graduate medical education, 5(3), 385-393.
  • Lee, C. (2021). Patient loyalty to health services: the role of communication skills and cognitive trust. International Journal of Healthcare Management, 14(4), 1254-1264.
  • Levinson, W., Lesser, C. S., & Epstein, R. M. (2010). Developing physician communication skills for patient-centered care. Health Affairs, 29, 1310e1318. http:// dx.doi.org/10.1377/hlthaff.2009.0450
  • Levinson, W., Roter, D. L., Mullooly, J. P., Dull, V. T., & Frankel, R. M. (1997). Physician-patient communication: the relationship with malpractice claims among primary care physicians and surgeons. Jama, 277(7), 553-559.
  • Maatouk-Bürmann, B., Ringel, N., Spang, J., Weiss, C., Möltner, A., Riemann, U., ... & Jünger, J. (2016). Improving patient-centered communication: results of a randomized controlled trial. Patient education and counseling, 99(1), 117-124.
  • McWhinney, I. R. (1993). Why we need a new clinical method. Scandinavian Journal of Primary Health Care, 11, 3–7. doi:10.3109/ 02813439308994894
  • Mead, N., & Bower, P. (2000). Patient-centredness: a conceptual framework and review of the empirical literature. Social science & medicine, 51(7), 1087-1110.
  • Moore, P. J., Sickel, A. E., Malat, J., Williams, D., Jackson, J., & Adler, N. (2004). Psychosocial factors in medical and psychological treatment avoidance: The role of the doctor-patient relationship. Journal of Health Psychology, 9, 421–433. doi:10.1177/1359105304042351.
  • O'Keeffe, M., Cullinane, P., Hurley, J., Leahy, I., Bunzli, S., O'Sullivan, P. B., & O'Sullivan, K. (2016). What influences patient-therapist interactions in musculoskeletal physical therapy? Qualitative systematic review and meta-synthesis. Physical therapy, 96(5), 609-622.
  • Ong, L. M., De Haes, J. C., Hoos, A. M., & Lammes, F. B. (1995). Doctor-patient communication: a review of the literature. Social science & medicine, 40(7), 903-918.
  • Pearson, S., & Raeke, L. (2000). Patients’ trust in physicians: Many theories, few measures, and little data. Journal of General Internal Medicine, 15, 509–513. doi:10.1046/j.1525-1497.2000.11002.x
  • Reynolds, A. (2009). Patient-centered care. Radiologic Technology, 81(2), 133-147.
  • Rice, B. (1996). Are patient-satisfaction surveys fair to doctors? Medical Economics, 73, 55–68.
  • Rosenberg, E. E. (1997). Lessons for Clinicians From Physician-Patient. Arch Fam Med, 6, 279-283.
  • Stewart, M. A. (1984). What is a successful doctor-patient interview? A study of interactions and outcomes. Social science & medicine, 19(2), 167-175.
  • Stewart, M. (1995). Effective physician-patient communication and health outcomes: A review. Canadian Medical Association Journal, 152, 1423–1433.
  • Stewart, M. (2001). Towards a global definition of patient centered care: The patient should be the judge of patient centered care. British Medical Journal, 322, 444–445.
  • Swenson, S. L., Buell, S., Zettler, P., White, M., Ruston, D. C., & Lo, B. (2004). Patient-centered communication. Journal of general internal medicine, 19(11), 1069-1079.
  • Wanzer, M. B., Booth-Butterfield, M., & Gruber, K. (2004). Perceptions of health care providers’ communication: Relationships between patient-centered communication and satisfaction. Health Communication, 16, 363–384. doi:10.1207/S15327027HC1603_
  • Williams, S., Weinman, J., & Dale, J. (1998). Doctor-patient communication and patient satisfaction: a review. Family practice, 15(5), 480-492.v
  • Yoo, J. W., Kim, C. A., & Choi, M. I. (2010). A study on how patients' perceptions of the communication style of their doctors affect the patients' intent to revisit them with an emphasis on the intermediary effects of the patients' therapeutic satisfaction and of their loyalty to their doctors. Korean J Advert Public Relat, 12(3), 77-101.
There are 41 citations in total.

Details

Primary Language Turkish
Subjects Economics
Journal Section Research Article
Authors

Cuma Çakmak 0000-0002-4409-9669

Özgür Uğurluoğlu 0000-0002-9453-9925

Publication Date May 28, 2022
Submission Date December 1, 2021
Acceptance Date December 23, 2021
Published in Issue Year 2022 Volume: 12 Issue: 23

Cite

APA Çakmak, C., & Uğurluoğlu, Ö. (2022). HASTA MERKEZLİ İLETİŞİM VE HİZMET KALİTESİ İLİŞKİSİ: HİZMET SUNUCUYA GÜVENİN ARACI ETKİSİ. Dicle Üniversitesi İktisadi Ve İdari Bilimler Fakültesi Dergisi, 12(23), 93-108. https://doi.org/10.53092/duiibfd.1031256
AMA Çakmak C, Uğurluoğlu Ö. HASTA MERKEZLİ İLETİŞİM VE HİZMET KALİTESİ İLİŞKİSİ: HİZMET SUNUCUYA GÜVENİN ARACI ETKİSİ. Dicle Üniversitesi İktisadi ve İdari Bilimler Fakültesi Dergisi. May 2022;12(23):93-108. doi:10.53092/duiibfd.1031256
Chicago Çakmak, Cuma, and Özgür Uğurluoğlu. “HASTA MERKEZLİ İLETİŞİM VE HİZMET KALİTESİ İLİŞKİSİ: HİZMET SUNUCUYA GÜVENİN ARACI ETKİSİ”. Dicle Üniversitesi İktisadi Ve İdari Bilimler Fakültesi Dergisi 12, no. 23 (May 2022): 93-108. https://doi.org/10.53092/duiibfd.1031256.
EndNote Çakmak C, Uğurluoğlu Ö (May 1, 2022) HASTA MERKEZLİ İLETİŞİM VE HİZMET KALİTESİ İLİŞKİSİ: HİZMET SUNUCUYA GÜVENİN ARACI ETKİSİ. Dicle Üniversitesi İktisadi ve İdari Bilimler Fakültesi Dergisi 12 23 93–108.
IEEE C. Çakmak and Ö. Uğurluoğlu, “HASTA MERKEZLİ İLETİŞİM VE HİZMET KALİTESİ İLİŞKİSİ: HİZMET SUNUCUYA GÜVENİN ARACI ETKİSİ”, Dicle Üniversitesi İktisadi ve İdari Bilimler Fakültesi Dergisi, vol. 12, no. 23, pp. 93–108, 2022, doi: 10.53092/duiibfd.1031256.
ISNAD Çakmak, Cuma - Uğurluoğlu, Özgür. “HASTA MERKEZLİ İLETİŞİM VE HİZMET KALİTESİ İLİŞKİSİ: HİZMET SUNUCUYA GÜVENİN ARACI ETKİSİ”. Dicle Üniversitesi İktisadi ve İdari Bilimler Fakültesi Dergisi 12/23 (May 2022), 93-108. https://doi.org/10.53092/duiibfd.1031256.
JAMA Çakmak C, Uğurluoğlu Ö. HASTA MERKEZLİ İLETİŞİM VE HİZMET KALİTESİ İLİŞKİSİ: HİZMET SUNUCUYA GÜVENİN ARACI ETKİSİ. Dicle Üniversitesi İktisadi ve İdari Bilimler Fakültesi Dergisi. 2022;12:93–108.
MLA Çakmak, Cuma and Özgür Uğurluoğlu. “HASTA MERKEZLİ İLETİŞİM VE HİZMET KALİTESİ İLİŞKİSİ: HİZMET SUNUCUYA GÜVENİN ARACI ETKİSİ”. Dicle Üniversitesi İktisadi Ve İdari Bilimler Fakültesi Dergisi, vol. 12, no. 23, 2022, pp. 93-108, doi:10.53092/duiibfd.1031256.
Vancouver Çakmak C, Uğurluoğlu Ö. HASTA MERKEZLİ İLETİŞİM VE HİZMET KALİTESİ İLİŞKİSİ: HİZMET SUNUCUYA GÜVENİN ARACI ETKİSİ. Dicle Üniversitesi İktisadi ve İdari Bilimler Fakültesi Dergisi. 2022;12(23):93-108.

                                                                                                                                                           32482   32483

All works published in this journal are licensed under the Creative Commons Attribution-NonCommercial 4.0 International (CC BY-NC 4.0) License.