Patient satisfaction is strongly associated with patient outcomes. Satisfied patients are more likely to follow up with physicians and comply with treatment plans, resulting in shorter hospital stays, fewer complications and readmissions, and reduced costs. Although the relationship between patient satisfaction and outcomes is clear, what remains unclear is the role of the patient identity and other identities on patient satisfaction. Thus, this study investigates the role that the patient identity and other identities play in the patient experience through the lens of identity theory. We predict patient satisfaction using patient identity prominence and salience as key independent variables from a sample of people hospitalized in the past 2 years. Extending recent research, we test two measures of patient identity salience, with and without supplementary contextual information. Findings show that patient identity prominence is strongly and positively associated with patient satisfaction. Institutionalized processes such as wearing a gown, undergoing tests, and food restrictions further enhance patient identity prominence, increasing patient satisfaction. Patient identity salience is also strongly and positively associated with patient satisfaction, more so for measures including additional context. We conclude with directions for future research and call for additional methodological work on the contextualization of identity salience measures.

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Prominence and Salience of the Patient Identity and Other Identities as Predictors of Patient Satisfaction during and after Hospitalization

  • Tracy L. Reed,
  • Philip S. Brenner

摘要

Patient satisfaction is strongly associated with patient outcomes. Satisfied patients are more likely to follow up with physicians and comply with treatment plans, resulting in shorter hospital stays, fewer complications and readmissions, and reduced costs. Although the relationship between patient satisfaction and outcomes is clear, what remains unclear is the role of the patient identity and other identities on patient satisfaction. Thus, this study investigates the role that the patient identity and other identities play in the patient experience through the lens of identity theory. We predict patient satisfaction using patient identity prominence and salience as key independent variables from a sample of people hospitalized in the past 2 years. Extending recent research, we test two measures of patient identity salience, with and without supplementary contextual information. Findings show that patient identity prominence is strongly and positively associated with patient satisfaction. Institutionalized processes such as wearing a gown, undergoing tests, and food restrictions further enhance patient identity prominence, increasing patient satisfaction. Patient identity salience is also strongly and positively associated with patient satisfaction, more so for measures including additional context. We conclude with directions for future research and call for additional methodological work on the contextualization of identity salience measures.