Back to Journals » Patient Preference and Adherence » Volume 10

Factors influencing the perception of medical staff and outpatients of dual practice in Shanghai, People’s Republic of China

Authors Chen HP, Li MN, Dai ZX, Deng QY, Zhang LL

Received 7 April 2016

Accepted for publication 27 June 2016

Published 29 August 2016 Volume 2016:10 Pages 1667—1678

DOI https://doi.org/10.2147/PPA.S110091

Checked for plagiarism Yes

Review by Single-blind

Peer reviewers approved by Dr Doris Leung

Peer reviewer comments 3

Editor who approved publication: Dr Naifeng Liu

Haiping Chen, Meina Li,* Zhixin Dai,* Qiangyu Deng, Lulu Zhang

Department of Military Health Management, College of Health Service, Second Military Medical University, Shanghai, People’s Republic of China

*These authors contributed equally to this work

Objective:
Dual practice is defined as a physician’s performance of medical activities in different health care institutions (two or more) simultaneously. This study aimed to examine the perception and acceptance of medical staff and outpatients of dual practice and explore the possible factors affecting people’s perception.
Methods: A cross-sectional study was conducted in 13 public hospitals in Shanghai. Participants included medical staff and outpatients. We distributed 1,000 questionnaires to each participant group, and the response rates were 66.7% and 69.4%, respectively. Statistical differences in variables were tested, and multinomial logistic regression methods were employed for statistical analysis.
Results: The study included two parts: medical staff survey and outpatient survey. The results of medical staff survey showed that 63.0% of the respondents supported dual practice. Medical staff who belonged to the surgical department or held positive belief of dual practice were more willing to participate in dual practice. Moreover, the publicity activities of dual practice and hospitals’ human resource management system were important factors affecting the willingness of the medical staff. The results of outpatient survey showed that 44.5% of respondents believed that dual practice could reduce difficulty in consulting a doctor. Regarding the perceived benefits of dual practice, the proportion of outpatients who believed that dual practice could meet the demand for health convenience, minor illness, and chronic disease were 45.4%, 42.4%, and 53.7%, respectively. Additionally, demographic characteristics significantly influenced the perception of outpatients.
Conclusion: This study confirmed that both medical staff and outpatients generally held positive attitudes toward dual practice. Medical staff who belonged to the surgical department or held positive belief of dual practice were more willing to participate in dual practice. Moreover, the existence of publicity activities and more flexible management system of hospitals’ human resource would promote physicians’ willingness to participate in dual practice. In addition, perception of outpatients of dual practice was affected by demographic characteristics.

Keywords: dual practice, perception of medical staff, outpatients’ perception, influential factors, labor supply

Creative Commons License This work is published and licensed by Dove Medical Press Limited. The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution - Non Commercial (unported, v3.0) License. By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms.

Download Article [PDF]  View Full Text [HTML][Machine readable]

 

Other articles by this author:

Determinants and influencing mechanism of outpatient satisfaction: a survey on tertiary hospitals in the People’s Republic of China

Yu W, Li M, Xue C, Wang J, Liu J, Chen H, Zhang L

Patient Preference and Adherence 2016, 10:601-612

Published Date: 21 April 2016

Factors influencing inpatients’ satisfaction with hospitalization service in public hospitals in Shanghai, People’s Republic of China

Chen H, Li M, Wang J, Xue C, Ding T, Nong X, Liu Y, Zhang L

Patient Preference and Adherence 2016, 10:469-477

Published Date: 4 April 2016