This study aimed to examine the health service environment, patient experience, and responses to health services in private general medicine (GP) clinics, specifically focusing on Plastic Surgery in Fort Worth TX. Self-administered questionnaires were used to collect data from 367 respondents with previous experience in general medicine clinics in Malaysia. The SmartPLS statistical tool was used to test the underlying hypotheses. The results revealed that the environment, service provision, interior decoration and cleanliness had a significant influence on patient trust and satisfaction, while exterior design is not associated with satisfaction or trust. Patient satisfaction and trust had a more significant effect on their intention to sponsor, their willingness to pay for a first-rate health service, and their participation in mouth-to-mouth health services.
In practice, GPs could optimize both service delivery and the environmental characteristics of the health service environment. This research provides important information from a patient perspective about the healthcare environment of primary care physicians. All of these findings suggest that women who have had a previous experience with the ANC because of their age, a previous pregnancy, or a previous consultation at the beginning of their current pregnancy are less likely to be satisfied than women who had little or no experience with the ANC before this visit. In addition, women with a higher education level may know what to expect from the ANC and are therefore more difficult to satisfy.
Physical and mental well-being can also influence the level of satisfaction of pregnant women, although more research is needed to explore the association between general health status and patient satisfaction. Therefore, patient satisfaction seems to be heavily influenced by patient characteristics and perceptions and expectations about the healthcare experience. Researchers and providers must consider a wide range of patient characteristics when evaluating and interpreting satisfaction scores. Of course, the outstanding fact that patient satisfaction and quality of health are not linearly related, and that the patient cannot always adequately evaluate the provider's performance, is a limitation that any study based on satisfaction faces. In summary, there is limited research on the determinants of patient satisfaction in the context of ANC in SSA, variability in survey questionnaires affects comparability, and few studies have used a comprehensive conceptualization of patient satisfaction that incorporates both patient characteristics and aspects of care.
In this context, Akmaz and Çadirci (201) examined the satisfaction of outpatient hospital health services. After carrying out a bibliometric study with a cocitation analysis and bibliographic coupling, it is possible to evaluate the changes and constants in studies on patient satisfaction over the years and in the most influential articles, authors and journals in the field. These findings are similar to those of Lee (201), who evaluated patients' satisfaction with the physical environment of the outpatient clinic and discovered that the clinic's signage had a positive relationship with patient satisfaction. These factors are what most researchers use to study patient satisfaction and may not correspond to the most important and influential factors of patient satisfaction.
Table 4 shows that sponsorship intention (0.390), patient trust (0.41), word of mouth (0.420), patient satisfaction (0.22) and willingness to pay a premium (0.21) have a small or medium level of predictive relevance (Hair et al. This study aims to identify the determinants of satisfaction in three sub-Saharan African countries (Kenya, Tanzania and Malawi) with similar geopolitical contexts, sociocultural norms and epidemiological traits. Medical care, communication with the patient and waiting time, patient age, perceived health status, and patient education are the factors that most influence patient satisfaction. Therefore, this analysis aims to evaluate the different aspects of patient satisfaction in a global healthcare context, together with the identification of the main countries, institutions, documents, authors and journals in this area of research, through citation networks and bibliographic coupling. However, some aspects of the structure and process, such as management authority, the training of ANC providers and waiting times, had a more consistent relationship with satisfaction in all three countries.
Aspects of the structure and process were more uniformly associated with satisfaction in all three countries, such as the management authority of the facilities (public versus private), the level of training of suppliers and the reduction of waiting times. Internal and external factors related to health services, such as the availability of resources for health services, the cooperation of doctors and nurses, patient cooperation, and collaboration between health service providers, affect the quality of health care services and patient outcomes. With the exception of “exterior design”, other factors of the service environment, namely the environment, interior decoration, cleanliness and service delivery, influence the WOM, the willingness to pay more and the intention to sponsor when satisfaction and trust are guaranteed. Although it is difficult for patients to evaluate the technical aspects of health services, Sahoo and Ghosh (201) pointed out that the service environment is a fundamental determinant of the satisfaction and trust of patients patients.
