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Patients' sense of responsibility to healthcare providers and its predictors: A national cross-sectional survey in China
Journal article   Open access   Peer reviewed

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

Beizhu Ye, Xinzi Wang, Fang Wang, Ping Zhang, Yao Cheng, Yi Sun, Hongwei Jiang, Hua Qin, Aiguo Liu, Yang Liu, …
PloS one, Vol.13(12), pp.e0207361-e0207361
2018
DOI: 10.1371/journal.pone.0207361
PMCID: PMC6281211
PMID: 30517118
url
https://doi.org/10.1371/journal.pone.0207361View
Published (Version of record) Open Access

Abstract

To evaluate patients' sense of responsibility to healthcare providers and to determine its predictors using on a national sample in China. 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. 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. 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.
Adult Aged Aged, 80 and over Attitude of Health Personnel China Cross-Sectional Studies Female Forecasting - methods Health Knowledge, Attitudes, Practice - ethnology Health Personnel - psychology Hospitals Humans Male Middle Aged Physician-Patient Relations - ethics Physicians Surveys and Questionnaires

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