The influence of cost containment strategies and physicians' financial arrangements on patients' trust and satisfaction.
The influence of cost containment strategies and physicians' financial arrangements on patients' trust and satisfaction.
复制标题
成本控制策略和医生的财务安排对患者信任和满意度的影响。
DOI：
10.1097/01.jac.0000264597.27253.a2
复制
发表时间：
2007
期刊：
影响因子：
--
通讯作者：
Guadagnoli,Edward
中科院分区：
文献类型：
--
作者：
Keating,NancyL;Landrum,MaryBeth;Landon,BruceE;Ayanian,JohnZ;Borbas,Catherine;Guadagnoli,Edward
人们对健康计划的成本控制战略可能对医患关系产生负面影响表示关切。我们调查了明尼苏达州患有糖尿病或高血压的患者（N= 595）和他们的医生（N= 389），以评估守门、利用概况和财务安排与患者对医生的信任和满意度之间的关系。我们发现，与其他患者相比，接受各种成本控制策略的医生的患者通常不会更少地信任或更少地满意他们的医生。这些结果表明，医生可能已经管理潜在的冲突，以避免损害医患关系。
Concerns have been raised about the potential for negative effects of health plans' cost containment strategies on the patient-physician relationship. We surveyed Minnesota patients with diabetes or hypertension (N= 595) and their physicians (N= 389) to assess the associations of gatekeeping, utilization profiling, and financial arrangements with patients' trust in and satisfaction with their physician. We found that patients of physicians exposed to various cost containment strategies were generally not less trusting in or less satisfied with their physicians than other patients. These results suggest that physicians may have managed potential conflicts to avoid compromising the patient-physician relationship.