Abstract:
BACKGROUND:Although the extant literature on patient safety is rich, few studies have specifically examined safety from the patient perspective. In addition, little is known about how patients decide whether they are safe or satisfied with their care. From a foundation of attribution theory, we suggest that patients may interpret service quality lapses as risks to their safety, and this will influence their evaluations of their care. PURPOSE:The aim of this study was to examine the relationships among service quality, patient safety perceptions, and patient satisfaction by testing a model that hypothesized a mediating role for patient safety perceptions. METHODOLOGY:Acute care patients with recent inpatient visits at three hospitals were surveyed (Hospital 1, n = 486; Hospital 2, n = 279; Hospital 3, n = 231) to examine the relationships among service quality, safety, and satisfaction. FINDINGS:Analysis found that patient safety perceptions partially mediated the relationship between service quality and satisfaction in Hospital 1 and fully mediated the relationship in the Hospitals 2 and 3. Thus, patient safety perceptions explained the relationship between service quality and satisfaction. Consistent with previous research, patients who reported service quality problems perceived risks to their safety. PRACTICE IMPLICATIONS:Although practitioners focus heavily on the technical aspects of care, this study suggests that it would be worthwhile to pay closer attention to how patients evaluate processes of care, in particular, the processes they may use to infer their safety in the hospital.
journal_name
Health Care Manage Revjournal_title
Health care management reviewauthors
Rathert C,May DR,Williams ESdoi
10.1097/HMR.0b013e318219cda1subject
Has Abstractpub_date
2011-10-01 00:00:00pages
359-68issue
4eissn
0361-6274issn
1550-5030journal_volume
36pub_type
杂志文章abstract:BACKGROUND:How some organizations improve while others remain stagnant is a key question in health care research. Studies identifying how organizations can implement improvement despite barriers are needed, particularly in primary care. PURPOSES:This inductive qualitative study examines primary care clinics implementi...
journal_title:Health care management review
pub_type: 杂志文章
doi:10.1097/HMR.0000000000000114
更新日期:2017-07-01 00:00:00
abstract:BACKGROUND:Numerous studies have identified disparities in nursing home quality of care. Although previous studies have found the overlap among Medicaid census, nursing home characteristics, and negative quality of care outcomes, few studies have examined how the psychosocial well-being of nursing home residents is ass...
journal_title:Health care management review
pub_type: 杂志文章
doi:10.1097/HMR.0b013e3181f8a864
更新日期:2011-01-01 00:00:00
abstract::In the 1990s, acute care hospitals in the United States encountered an unstable operating environment created by a series of transformations in the health care delivery system and long-term-care market. Confronted with an array of economic pressures and demographic changes, hospitals were motivated to engage in long-t...
journal_title:Health care management review
pub_type: 杂志文章
doi:10.1097/00004010-200107000-00009
更新日期:2001-07-01 00:00:00
abstract:BACKGROUND:In 2014, Maryland established a global budget policy for all hospitals in the state. Under this policy, hospitals are incentivized to not only provide clinical care services to individual patients but also address the health needs of their broader patient population through prevention efforts and investment ...
journal_title:Health care management review
pub_type: 杂志文章
doi:10.1097/HMR.0000000000000305
更新日期:2021-01-26 00:00:00
abstract::A social network analysis of eighty-nine midlevel health care professionals showed that middle managers' strategic knowledge is positively associated with championing alternative ideas and synthesizing new information for upper management. In addition, the relationship between knowledge and middle management strategic...
journal_title:Health care management review
pub_type: 杂志文章,多中心研究
doi:10.1097/00004010-200401000-00003
更新日期:2004-01-01 00:00:00
abstract::In the absence of developing a relationship between price paid and cost expended, health care management has no basis for setting financial objectives much less subsequent evaluation. Departmental P&Ls bring the cost-price relationship into perspective. ...
journal_title:Health care management review
pub_type: 杂志文章
doi:
更新日期:1989-01-01 00:00:00
abstract:BACKGROUND:Many observers have alleged that "fads," "fashions," and "bandwagons" (imitation strategies) are prominent feature of the health care organizational strategy landscape. "Imitation behavior" may fulfill symbolic functions such as signaling innovativeness but results in the adoption of strategies that are effe...
journal_title:Health care management review
pub_type: 杂志文章
doi:10.1097/01.HMR.0000304498.97308.40
更新日期:2008-04-01 00:00:00
abstract:BACKGROUND:The resource-based view of the firm suggests that organizations must obtain valuable resources from external sources to obtain lasting benefits. Professional associations today exist in every industry and offer resources to assist their affiliates' organizations and individual members. Today, there are more ...
journal_title:Health care management review
pub_type: 杂志文章
doi:10.1097/HMR.0b013e31822aa40c
更新日期:2012-04-01 00:00:00
abstract:BACKGROUND:Cultural competency or the ongoing capacity of health care systems to provide for high-quality care to diverse patient populations (National Quality Forum, 2008) has been proposed as an organizational strategy to address disparities in quality of care, patient experience, and workforce representation. But fa...
journal_title:Health care management review
pub_type: 杂志文章
doi:10.1097/HMR.0000000000000128
更新日期:2018-01-01 00:00:00
abstract::This article reports on observations of the implementation of a patient-centered care (PCC) work reorganization model in a community hospital setting. Analysis of videotape, direct observation, and interviews with key informants demonstrated the similarities between organizations and families in times of change. We pr...
journal_title:Health care management review
pub_type: 杂志文章
doi:10.1097/00004010-199901000-00007
更新日期:1999-01-01 00:00:00
abstract::Agency theory explains the results of conflicts of incentive between principals and their agents. Health care organizations offer many examples of agency problems, among which are conflicts between patients and physicians and between administrators and investors. ...
journal_title:Health care management review
pub_type: 杂志文章,评审
doi:
更新日期:1989-01-01 00:00:00
abstract::This research compares the mean severity level, length of stay, and cost of Medicare health maintenance organization (HMO) and Medicare fee-for-service (FFS) inpatients. The results suggest Medicare HMOs have healthier inpatients and shorter lengths of stay, but more costly per-day utilization. These findings are cont...
journal_title:Health care management review
pub_type: 杂志文章
doi:10.1097/00004010-200410000-00008
更新日期:2004-10-01 00:00:00
abstract::To prepare for managed competition, many hospitals now focus on service quality as a means to improve their competitive position. To aid in decisions about where best to direct limited resources, managers need physician feedback about how the hospital's services compare with its competitors' services (competitive adva...
journal_title:Health care management review
pub_type: 杂志文章
doi:
更新日期:1994-04-01 00:00:00
abstract:BACKGROUND:The implementation science literature has contributed important insights regarding the influence of formal policies and practices on health care innovation implementation, whereas informal implementation policies and practices have garnered little attention. The broader literature suggests that informal impl...
journal_title:Health care management review
pub_type: 杂志文章
doi:10.1097/HMR.0000000000000193
更新日期:2018-07-01 00:00:00
abstract::Team level tacit knowledge is related to the collective knowledge of the team members. It is the shared experience that results in the ability to successfully anticipate the reactions of teammates in typical and nontypical situations. This study evaluates how tacit knowledge and related team characteristics influence ...
journal_title:Health care management review
pub_type: 杂志文章
doi:10.1097/00004010-200607000-00008
更新日期:2006-07-01 00:00:00
abstract:BACKGROUND:Previous empirical and managerial studies have ignored the effectiveness of integrated health networks. It has been argued that the varying definitions and strategic imperatives of integrated organizations may have complicated the assessment of the outcomes/performance of varying models, particularly when th...
journal_title:Health care management review
pub_type: 杂志文章
doi:10.1097/HMR.0b013e3181d5b0f5
更新日期:2010-07-01 00:00:00
abstract::A systematic, continuous approach to the problem of rising medical care costs and the need for improved resource management clearly require some level of input from physicians. ...
journal_title:Health care management review
pub_type: 杂志文章
doi:
更新日期:1980-01-01 00:00:00
abstract::Stringent rules apply to the kinds of things hospitals can say about themselves and their services, over and above the ethics that apply to all advertising. Yet it seems clear from the levels of interest in advertising among hospitals and the growth in the use of this marketing technique in recent years that persuasio...
journal_title:Health care management review
pub_type: 杂志文章
doi:10.1097/00004010-198400920-00009
更新日期:1984-04-01 00:00:00
abstract::The movement away from cost-based reimbursement by Medicare and other third party payers has prompted an increasing number of hospitals to implement more advanced costing techniques in their operations. Findings from a recent survey of hospital executives regarding cost accounting methods shed light on the extent of t...
journal_title:Health care management review
pub_type: 杂志文章
doi:10.1097/00004010-199001540-00009
更新日期:1990-10-01 00:00:00
abstract::Specialty care institutions will face many concerns during the remainder of this decade. Increased intermediary and community education, establishing reliable benchmarks, understanding and dealing with a competitive marketplace, and establishing improved professional productivity are some of the major challenges. ...
journal_title:Health care management review
pub_type: 杂志文章
doi:10.1097/00004010-198300810-00002
更新日期:1983-01-01 00:00:00
abstract::Hospitals are using several methods to establish a budget for advertising. The Strategic Planning Institute of Cambridge, Massachusetts, has developed a study of advertising practices on nearly 200 corporations and over 1,000 individual businesses. Decision rules, developed in the study, are used to show how hospitals...
journal_title:Health care management review
pub_type: 杂志文章
doi:
更新日期:1987-01-01 00:00:00
abstract::Patient management teams are able to diagnose and begin to solve their own problems with the help of a self-instructional health team development (HTD) program. In this case, the focus is on those task-related issues which limit team effectiveness. ...
journal_title:Health care management review
pub_type: 杂志文章
doi:
更新日期:1976-07-01 00:00:00
abstract:BACKGROUND:For almost a decade, public and private organizations have pressured hospitals to improve their patient safety records. Since 2008, the Centers for Medicare & Medicaid Services has no longer been reimbursing hospitals for secondary diagnoses not reported during the point of admission. This ruling has motivat...
journal_title:Health care management review
pub_type: 杂志文章
doi:10.1097/HMR.0b013e318225998b
更新日期:2011-10-01 00:00:00
abstract:AIM:The aim of this study was to examine the relationship between organizational, supervisor, and coworker support, as perceived by registered nurses and their boundary-spanning behaviors. Furthermore, this article examines the mediating role of the affective organizational commitment of nurses in these relationships. ...
journal_title:Health care management review
pub_type: 杂志文章
doi:10.1097/HMR.0000000000000210
更新日期:2020-04-01 00:00:00
abstract:BACKGROUND:Public health institutions are making a great effort to develop patient-targeted online services in an attempt to enhance their effectiveness and reduce expenses. However, if patients do not use those services regularly, public health institutions will have wasted their limited resources. Hence, patients' el...
journal_title:Health care management review
pub_type: 杂志文章
doi:10.1097/HMR.0b013e31824b1c6b
更新日期:2013-01-01 00:00:00
abstract:BACKGROUND:As safety net providers, public hospitals operate in more challenging environments than private hospitals. Such environments put public hospitals at greater risk of financial distress, which may result in privatization and deterioration of the safety net. PURPOSE:The purpose of this study was to investigate...
journal_title:Health care management review
pub_type: 杂志文章
doi:10.1097/HMR.0000000000000032
更新日期:2015-10-01 00:00:00
abstract::After this year, Medicare will no longer reimburse capital-related expenses. Instead, a new approach may be implemented. Should the new capital payment scheme be prospective? Should Medicare continue to recognize return on equity? What will be the relationship between Medicare payment and health care planning? These a...
journal_title:Health care management review
pub_type: 杂志文章
doi:10.1097/00004010-198601120-00004
更新日期:1986-04-01 00:00:00
abstract:INTRODUCTION:In spite of significant investment in quality programs and activities, there is a persistent struggle to achieve quality outcomes and performance improvements within the constraints and support of sociopolitical parsimonies. Equally, such constraints have intensified the need to better understand the best ...
journal_title:Health care management review
pub_type: 杂志文章
doi:10.1097/HMR.0000000000000023
更新日期:2015-07-01 00:00:00
abstract:BACKGROUND:Patient-centered innovation is spreading at the federal and state levels. A conceptual framework can help frame real-world examples and extract systematic learning from an array of innovative applications currently underway. The statutory, economic, and political environment in Washington State offers a spec...
journal_title:Health care management review
pub_type: 杂志文章
doi:10.1097/HMR.0b013e31825e718a
更新日期:2013-04-01 00:00:00
abstract::Examination of price trends from 1935-1966 shows that medical care prices in the United States have not always been disproportionately high. With the enactment of Medicare and Medicaid, however, many health care costs became overpriced. ...
journal_title:Health care management review
pub_type: 杂志文章
doi:
更新日期:1979-04-01 00:00:00