Evaluating perceived value and expected value gaps based on patient experience during outpatient encounters: An empirical study in China
Sha Liu,
Yinhuan Hu,
Holger Pfaff,
Xiandong Feng,
Jinzhu Xie,
Zemiao Zhang,
Dehe Li
Affiliations
Sha Liu
School of Medicine and Health Management, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China; Major Disciplinary Platform under Double First-Class Initiative for Liberal Arts at Huazhong University of Science and Technology (Research Center for High-Quality Development of Hospitals) , China
Yinhuan Hu
School of Medicine and Health Management, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China; Major Disciplinary Platform under Double First-Class Initiative for Liberal Arts at Huazhong University of Science and Technology (Research Center for High-Quality Development of Hospitals) , China; Corresponding author. School of Medicine and Health Management, Tongji Medical College, Huazhong University of Science and Technology, No.13 Hangkong Road, Qiaokou District, Wuhan, 430030, China.
Holger Pfaff
Institute of Medical Sociology, Health Services Research, and Rehabilitation Science, Faculty of Human Sciences & Faculty of Medicine, University of Cologne, 50933 Koln, Germany
Xiandong Feng
School of Medicine and Health Management, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China; Major Disciplinary Platform under Double First-Class Initiative for Liberal Arts at Huazhong University of Science and Technology (Research Center for High-Quality Development of Hospitals) , China
Jinzhu Xie
Hubei No. 3 People's Hospital, Wuhan, Hubei, China
Zemiao Zhang
School of Medicine and Health Management, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China; Major Disciplinary Platform under Double First-Class Initiative for Liberal Arts at Huazhong University of Science and Technology (Research Center for High-Quality Development of Hospitals) , China
Dehe Li
School of Medicine and Health Management, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China; Major Disciplinary Platform under Double First-Class Initiative for Liberal Arts at Huazhong University of Science and Technology (Research Center for High-Quality Development of Hospitals) , China
Background: Improving the quality of care relies on understanding patients' perceptions and expectations based on their experiences. The study aimed to determine the gaps between patients’ perceived value and expected value, and to identify critical areas for outpatient service improvement. Method: This cross-sectional study was conducted in China from November 2020 to February 2021. A sample of 572 outpatients, randomly selected from a comprehensive tertiary public hospital, was surveyed using a validated patient perceived value questionnaire. Importance-performance analysis was used to evaluate the differences between patients' perceived and expected value. Results: The scores of patients’ expected value for outpatient services were significantly higher than their perceived value in all 29 items and 8 dimensions. The items with the highest and lowest gaps were “short waiting time” (−1.52) and “hospital reputation and popularity” (−0.24) respectively, and the dimensions of price and efficiency (functional value) were located in the quadrant of high expectation and low perception. Conclusion: Our findings are useful for hospital administrators and policymakers to identify strategic focus areas and allocate resources rationally and effectively. We suggest healthcare providers should take measures to narrow the gaps, especially in terms of service efficiency and price.
