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Patients' sense of responsibility to healthcare providers and its predictors: A national cross-sectional survey in China.


ABSTRACT:

Objectives

To evaluate patients' sense of responsibility to healthcare providers and to determine its predictors using on a national sample in China.

Methods

We conducted a national cross-sectional survey in China with a stratified cluster sample of patients treated in 77 hospitals between July 2014 and April 2015. Patients' sense of responsibility to healthcare providers was measured with four questions assessing patients' perceptions regarding their responsibilities to respect doctors, respect nurses, coordinate with health professionals, and comply with hospital rules. Predictors included patient sociodemographic characteristics and their past hospitalization experience.

Results

Small proportions of respondents reported that they perceived having no responsibility to respect doctors (8.9%), respect nurses (7.9%), comply with hospital rules (6.7%), or coordinate with health professionals (6.3%). Multivariate regression analyses showed that the strongest predictor of patients' sense of responsibility to healthcare providers was patinets' trust in health professionals, followed by patients' education level. Familiarity with healthcare professionals and past hospitalization frequency were inversely associated with patients' sense of responsibility to healthcare providers.

Conclusions

Although only a small proportion of the patients reported feeling no or low sense of responsibility to healthcare providers, the lack of respect and collaboration from these patients can negatively affect patient-provider relationships. Healthcare administrators need to communicate clearly with the patients and the public about the role of patients and the limitations of medicine in order to instill a sense of patients' responsibility.

SUBMITTER: Ye B 

PROVIDER: S-EPMC6281211 | biostudies-literature | 2018

REPOSITORIES: biostudies-literature

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Publications

Patients' sense of responsibility to healthcare providers and its predictors: A national cross-sectional survey in China.

Ye Beizhu B   Wang Xinzi X   Wang Fang F   Zhang Ping P   Cheng Yao Y   Sun Yi Y   Jiang Hongwei H   Qin Hua H   Liu Aiguo A   Liu Yang Y   Zhu Xi X   Zhang Naixing N   Liang Yuan Y  

PloS one 20181205 12


<h4>Objectives</h4>To evaluate patients' sense of responsibility to healthcare providers and to determine its predictors using on a national sample in China.<h4>Methods</h4>We conducted a national cross-sectional survey in China with a stratified cluster sample of patients treated in 77 hospitals between July 2014 and April 2015. Patients' sense of responsibility to healthcare providers was measured with four questions assessing patients' perceptions regarding their responsibilities to respect d  ...[more]

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