Patient preference for forms of address and other behaviors of dentists.
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To examine potential predictors of cancer patient satisfaction with physician behavior, 366 cases were studied. Physician behavior was measured on morning rounds using the Physician Behavior Check List (PBCL). Patient satisfaction and perceptions were assessed after the visit. Patient characteristics were obtained from the chart and the physician. Results showed wide variation in physician behavior; no "standard" set of behaviors was seen in all interactions. Patient satisfaction was high (mean = 87.8 mm on a 100-mm scale). Path analysis showed four variables predicted 62% of the variance in patient satisfaction. The strongest predictor was the patient perception item, "perception of needs addressed that day." Other predictors were perception of emotional support provided by the physician, age (older), and one physician behavior, "discusses treatment." Patient perceptions of needs met or emotional support provided were predicted by perceptions of the occurrence of physician behaviors involving information such as the diagnosis and tests and treatment. Overall, patient perceptions of physician behaviors were stronger predictors of patient satisfaction than the actual occurrence or absence of those behaviors.
A unique insight into characteristics, motivation, and behavior of problem complete denture patients is colorfully presented.
BACKGROUND: Improvement of clinical care requires measurement of key dimensions of health care quality and action based on these measurements. Families, data analysts, clinicians, and administrators all have important roles to play. OBJECTIVE: To outline an approach to the measurement and utilization of family satisfaction data so that these data can be translated into health care quality improvement initiatives. DESIGN: Using a synthesis of existing knowledge about translation of satisfaction data into improvement strategies, this approach starts with selecting and implementing a satisfaction survey that reflects the key processes, providers, and places for the delivery of critical care. The survey results can be expressed in a way that prioritizes the opportunities for improvement. A comparison of results across sites, or use of a performance-importance grid, can assist in this prioritization process. High-priority items can then be addressed by the multidisciplinary intensive care unit team using a systematic, evidence-based approach to improvement that includes implementation strategies that have been proven to effectively change clinician behavior.
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Although the theory of planned behaviour (TPB) has been applied successfully in the area of food choice, it has been criticized for its pure utilitarian approach to the factors determining behaviour. Despite the increase in predictive power of the model with added components such as affective attitude and moral and ethical concerns, in most studies the elicitation process still only addresses people's utilitarian beliefs about the behaviour with little attention paid to other aspects. This study compares the traditional method of elicitation of advantages and disadvantages with two other methods (word association and open-ended) in the elicitations of beliefs, attitudes and moral concerns in relation to the consumption of organic foods. Results show the traditional method to be best for eliciting cognitive beliefs, open-ended emotion task for eliciting emotional beliefs and open-ended beliefs task best for moral concerns. The advantages and disadvantages of each method are discussed.
Trauma treatment training programs were conducted in the former Yugoslavia for Bosnian and Croatian mental health workers. A method was developed for measuring and evaluating compassion fatigue and burnout among the trainees, and an efficient system of international supervision and consultation was implemented. Plans for development of this system to support future training and consultation programs are discussed.
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What impact does the involvement of community residents in developing prevention programs have on the residents themselves, the programs they help to create, and the communities in which they live? The research literature suggests that resident involvement in program decision making can enhance residents' sense of control or empowerment, improve programs and services, and provide a better match between the needs of the community and the kinds of services provided. Much of this literature, however, has focused on relatively few of the benefits and costs that residents can experience as a result of their involvement. The investigation reported in this paper utilized a qualitative research methodology to discover the outcomes, both positive and negative, that residents derive from their involvement. Prevention programs operating in seven Ontario communities under the auspices of the Better Beginnings, Better Futures primary prevention initiative are featured in the discussion.
This article examines the use of action research strategies over a four-year period in developing and evaluating a prevention program for children and their families. This research has taken place in a low-income multi-cultural neighbourhood in Sudbury. Strategies to foster participation and the practical relevance of findings are described, both for the initial proposal development stage, and for the period after a local program was funded as part of a multi-site evaluation project. After reviewing the challenges inherent in doing action research within a multicultural neighbourhood, and within a multi-site design, we discuss which strategies have worked, and what remains to be resolved.
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In 1975 a national sample of consumers was questioned about their knowledge of nutrition, beliefs about food, and their shopping behavior. Findings indicate a particular need for education related to facts about iron, thiamin, riboflavin, and vitamins A and D. Consumers with low knowledge tended to have less education, lower income, and less prestigious occupations. Of these variables, educational achievement level had the strongest association to low nutrition knowledge. Using an index based on the three socioeconomic variables, low knowledge was more often present among the male and older shoppers, with age having the stronger association. Association of the three indices of nutrition knowledge, food beliefs, and reported shopping behavior were found to be positive and linear.
Longitudinal data from The Rand Corporation's Health Insurance Experiment were used to test the hypothesis that provider continuity can be modeled as one behavioral consequence of patient satisfaction. Bivariate and multivariate analyses (controlling for sociodemographic characteristics, prior use of services, health status, and health insurance plan) supported our hypotheses. A multivariate linear probability function indicated that a 1-point decrease on a general satisfaction scale was associated with a 3.4 percentage-point increase in the probability of provider change. The relationship between satisfaction scores and continuity during the following year appears to be roughly linear; we observed no "threshold" satisfaction level at which the probability of provider change increased markedly. We discuss needed improvements in the measurement of provider continuity and the need for further study of other behavioral consequences of patient satisfaction.
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OBJECTIVE: To examine the relationship between fruit and vegetable intake and weight control behaviors among youth. METHODS: Data (N = 16,262) were derived from the 1997 national school-based Youth Risk Behavior Survey (YRBS). RESULTS: Results indicated that adolescents in this study, especially females, were at risk for inadequate fruit and vegetable intake. Weight-control behaviors were high especially among females. CONCLUSION: Although some weight-control behaviors may be hazardous, adolescents who were practicing weight-control behaviors engaged in the positive dietary behavior of consuming more servings of fruits and vegetables.