The impact of patient-centered care on physician job satisfaction and patient satisfaction: the influence of physician and patient characteristics

This dissertation examines the relationship between patient-centered care initiative (PCC) and physician job satisfaction and patient satisfaction by focusing on physician professional culture and patient culture. The research questions were drawn by the fact that PCC has widely been adopted in western hospitals and has recently been emphasized by healthcare researchers and how this adoption affects employee attitude and behaviors. This study was conducted in eight private hospitals located in Bangkok, Thailand. Physicians play an important role in PCC implementation. Their communication with patients allows them to exchange information, to nurture the relationship and to make shared decisions. Their consultation quality and services will depend on job satisfaction which can affect the level of patient satisfaction. This study examines the compatibility between PCC, physician characteristics and patient characteristics in explaining physician job satisfaction and patient satisfaction. In this study, the surveys were collected from 292 physicians and 1,027 patients in 66 hospital units from eight private and hospitals. For physician study, the results from multilevel analyses indicate that unit-level PCC (U-PCC) is not related to physician job satisfaction. Only physician collaboration and prior-PCC experience were positively related to job satisfaction. U-PCC did not have any effect on the relationship between physician characteristics and job satisfaction. For patient study, U-PCC is positively related patient satisfaction. Patient characteristics including patient involvement, existential value and functional value were positively related to patient satisfaction. U-PCC did not moderate the relationship between patient characteristics and patient satisfaction. This study has both research and practical implications. For research, the study provides a better understanding of the effect of PCC on physician job satisfaction and patient satisfaction. For practice, collaboration and prior-PCC experience were found to enhance physician job satisfaction. Physician collaboration, physician competency and physician-patient relationship are needed to be emphasized in the hospitals with patient-centered care initiatives.

Name thesis:degree_name

Ph.D.

Level thesis:degree_level

Dissertation

Discipline thesis:degree_discipline

Human Res & Industrial Rels

Grantor

University of Illinois at Urbana-Champaign

Year dc:date

2016

Author dc:creator

• Prasittisuk, Saengdow

Contributors dc:contributor

• Lawler, John
• Cutcher-Gershenfeld, Joel
• Chen, Ying
• Shin, Taekjin

• Patient-centered care
• person-culture fit

Statement dc:rights

• Copyright 2016 Saengdow Prasittisuk

Language dc:language

en

Handle dc:identifier

http://hdl.handle.net/2142/90887

OAI identifier oai:identifier

oai:www.ideals.illinois.edu:2142/90887