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Patient centred consultation,satisfaction and young patients: A cross-country analysis
Authors:AA Conti  GM Humphris
Institution:1. University of St Andrews, School of Medicine, United Kingdom;2. Western General Hospital, NHS Lothian, Edinburgh, United Kingdom
Abstract:

Objectives

The aim of this study was to investigate the link between perceived dimensions of patient centred care and the satisfaction of adolescents and young adults within the UK, USA, Australian, Italian, and Chinese healthcare systems.

Methods

One thousand and thirty-four participants (212 from China,206 from Australia,208 from UK, 202 from USA, and 206 from Italy) answered a self-report questionnaire assessing the perceived dimensions of patient centred care. Factor analysis (PFA) was conducted on the data to identify relevant dimensions. One-way ANOVAs were run to identify differences between country samples related to perceived dimensions of patient centredness, and a multi-level multiple regression model was computed to assess the link between satisfaction and dimensions of patient centred care.

Results

Countries’ mean scores on ‘Satisfaction with Care’ (PF1) and on ‘Psychosocial Context’ (PF2) were statistically significant by inspecting the ANOVAs (p?<?.05). Satisfaction with care was predicted by PF2 and clinical utilization.

Conclusion

An online survey collected meaningful data on perceptions of healthcare received by respondents from five countries. This initial international study highlights important associations worthy of closer investigation.

Practice implications

Healthcare providers should assess comprehensively the psychosocial context of young patients during consultations.
Keywords:OECD  Organization for Economic Co-operation and Development  WHO  World Health Organization  PCA  Principal Component Analysis  PC1  Principal Component 1  PC2  Prinicpal Component 2  PC3  Principal Component 3 PDRQ-9 Patient-Doctor Relationship Questionnaire  PCMH  Patient Centred Medical Home Survey  UK  United Kingdom  USA  United States of America  AU  Australia  SPSS  Statistical Package for Social Science  ANOVA  Analysis of Variance  Patient centred care  Adolescents  Communication  Satisfaction  International
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