Volume 11, Issue 1 (2023)
Health Educ Health Promot 2023, 11(1): 133-139 |
Back to browse issues page
Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
Martono S, Yulianto A, Wijaya A, Aziz A, Abdullah M, Abu Karim R, et al . Factors Influencing the Decision-making Deferral of Patients to Choose the Appropriate Hospital. Health Educ Health Promot 2023; 11 (1) :133-139
URL: http://hehp.modares.ac.ir/article-5-67222-en.html
URL: http://hehp.modares.ac.ir/article-5-67222-en.html
S. Martono * 
1, A. Yulianto1, A.P. Wijaya1, A.B. Aziz2, M.S.B. Abdullah2, R.B. Abu Karim2, M.S.B. Abdul Kadir2, Z.B.M. Hanapiyah2, I. Najihah2
1, A. Yulianto1, A.P. Wijaya1, A.B. Aziz2, M.S.B. Abdullah2, R.B. Abu Karim2, M.S.B. Abdul Kadir2, Z.B.M. Hanapiyah2, I. Najihah2
1- Department of Management, Faculty of Economics, Universitas Negeri Semarang, Semarang, Indonesia
2- Department of Management, Faculty of Business and Management, Universiti Teknologi Mara (UiTM), Selangor, Malaysia
2- Department of Management, Faculty of Business and Management, Universiti Teknologi Mara (UiTM), Selangor, Malaysia
Abstract: (1070 Views)
Aims: The patient decision-making process can become lengthy and overwhelming. Procrastination in visiting a hospital can have adverse effects on a patient's health. This study aimed to investigate how attitudinal ambivalence affects psychological discomfort and choice deferral in hospital selection. Additionally, the study explores the role of information novelty in reducing choice deferral and accelerating patient decision-making.
Instruments & Methods: This research employed a quantitative approach using a causal study to examine the relationships among variables. The purposive sampling method was used to obtain data based on certain criteria. Data were collected through a questionnaire distributed to patients. The research sample consisted of 385 respondents from private hospitals in Indonesia. Hayes PROCESS Macro software was used to investigate the relationships between variables.
Findings: The attitudinal ambivalence affected psychological discomfort (t=2.737; p=0.0001) and choice deferral (t=4.295; p=0.0001). The psychological discomfort influenced choice deferral (t=3.109; p=0.0001). The psychological discomfort had a mediation role in the effect of attitudinal ambivalence on choice deferral (t=10.678; p=0.0001). Information novelty reduced the effect of attitudinal ambivalence on psychological discomfort (t=2.653; p=0.003) and choice deferral (t=2.243; p=0.013). Finally, Information novelty weakened the effect of psychological discomfort on choice deferral (t=2.876; p=0.011).
Conclusion: Limited information can lead to information asymmetry, which can encourage attitudinal ambivalence and psychological discomfort. Providing comprehensive information to patients through digital media can help reduce anxiety and enhance their treatment experience in the hospital.
Instruments & Methods: This research employed a quantitative approach using a causal study to examine the relationships among variables. The purposive sampling method was used to obtain data based on certain criteria. Data were collected through a questionnaire distributed to patients. The research sample consisted of 385 respondents from private hospitals in Indonesia. Hayes PROCESS Macro software was used to investigate the relationships between variables.
Findings: The attitudinal ambivalence affected psychological discomfort (t=2.737; p=0.0001) and choice deferral (t=4.295; p=0.0001). The psychological discomfort influenced choice deferral (t=3.109; p=0.0001). The psychological discomfort had a mediation role in the effect of attitudinal ambivalence on choice deferral (t=10.678; p=0.0001). Information novelty reduced the effect of attitudinal ambivalence on psychological discomfort (t=2.653; p=0.003) and choice deferral (t=2.243; p=0.013). Finally, Information novelty weakened the effect of psychological discomfort on choice deferral (t=2.876; p=0.011).
Conclusion: Limited information can lead to information asymmetry, which can encourage attitudinal ambivalence and psychological discomfort. Providing comprehensive information to patients through digital media can help reduce anxiety and enhance their treatment experience in the hospital.
Keywords: Attitudinal Ambivalence [MeSH], Psychological Discomfort [MeSH], Choice Deferral [MeSH], Information Novelty [MeSH]
Article Type: Original Research |
Subject:
Health Communication
Received: 2022/12/22 | Accepted: 2023/03/7 | Published: 2023/03/17
Received: 2022/12/22 | Accepted: 2023/03/7 | Published: 2023/03/17
References
1. Davies AR, Chitnis X, Bardsley M. Hospital activity and cost incurred because of unregistered patients in England: Considerations for current and new commissioners. J Public Heal (United Kingdom). 2013;35(4):590-7. [Link] [DOI:10.1093/pubmed/fds098]
2. Nguyen TLH, Nagase K. The influence of total quality management on customer satisfaction. Int J Healthc Manag. 2019;12(4):277-85. [Link] [DOI:10.1080/20479700.2019.1647378]
3. Weheba G, Cure L, Toy S. Perceived dimensions of healthcare quality in published research. Int J Healthc Manag. 2020;13(1):357-64. [Link] [DOI:10.1080/20479700.2018.1548156]
4. Humphries N, McDermott AM, Creese J, Matthews A, Conway E, Byrne JP. Hospital doctors in Ireland and the struggle for work-life balance. Eur J Public Health. 2020;30(Suppl 4):iv32-5. [Link] [DOI:10.1093/eurpub/ckaa130]
5. Woo S, Choi M. Medical service quality, patient satisfaction and intent to revisit: Case study of public hub hospitals in the Republic of Korea. PLoS One. 2021;16(6):e0252241. [Link] [DOI:10.1371/journal.pone.0252241]
6. Yoo B, Thelen ST, Harrison K. Patient consideration of local hospital, center of excellence, and medical tourism options for surgery. Health Mark Q. 2021. [Link] [DOI:10.1080/07359683.2021.1994171]
7. Pillay DIMS, Ghazali RJDM, Abd Manaf NH, Asaari Abdullah AH, Abu Bakar A, Salikin F, et al. Hospital waiting time: The forgotten premise of healthcare service delivery? Int J Health Care Qual Assur. 2011;24(7):506-22. [Link] [DOI:10.1108/09526861111160553]
8. Wattanapisit A, Saengow U. Patients' perspectives regarding hospital visits in the universal health coverage system of Thailand: A qualitative study. Asia Pacific Fam Med. 2018;17:9. [Link] [DOI:10.1186/s12930-018-0046-x]
9. Collinsworth AW, Brown RM, Sjames C, stanford RH, Alemayehu D, Priest EL. The impact of patient education and shared decision making on hospital readmissions for COPD. Int J Chron Obstruct Pulmon Dis. 2018;13:1325-32. [Link] [DOI:10.2147/COPD.S154414]
10. Bui M, Droms CM, Craciun G. The impact of attitudinal ambivalence on weight loss decisions: Consequences and mitigating factors. J Consum Behav. 2014;13(4):303-15. [Link] [DOI:10.1002/cb.1475]
11. Pang J, Keh HT, Li X, Maheswaran D. "Every coin has two sides": The effects of dialectical thinking and attitudinal ambivalence on psychological discomfort and consumer choice. J Consum Psychol. 2017;27(2):218-30. [Link] [DOI:10.1016/j.jcps.2016.10.001]
12. Cox JC, Leeds IL, Sadiraj V, Schnier KE, Sweeney JF. Effects of patients' hospital discharge preferences on uptake of clinical decision support. PLoS One. 2021;16(3):e0247270. [Link] [DOI:10.1371/journal.pone.0247270]
13. Annu, Dhanda B. Cognitive dissonance, attitude change and ways to reduce cognitive dissonance: a review study. J Educ Soc Behav Sci. 2020;33(6):48-54. [Link] [DOI:10.9734/jesbs/2020/v33i630236]
14. Akhtar N, Siddiqi UI, Akhtar MN, Usman M, Ahmad W. Modeling attitude ambivalence and behavioral outcomes from hotel reviews. Int J Contemp Hosp Manag. 2020;32(9):2831-55. [Link] [DOI:10.1108/IJCHM-11-2019-0962]
15. Bardin B, Vidal P, Facca L, Dumas R, Perrissol S. The effect of information quality evaluation on selective exposure in informational cognitive dissonance: The role of information novelty. Int Rev Soc Psychol. 2020;31(1):21. [Link] [DOI:10.5334/irsp.173]
16. Rolón ÁJC, Cadavid LR. Hospital selection in emergency medical service systems: A literature review. Revista Gerencia y Politicas de Salud. 2021;20:1-25. [Link] [DOI:10.11144/Javeriana.rgps20-40.hsem]
17. Aiken LH, Sermeus W, Van Den Heede K, Sloane DM, Busse R, McKee M, et al. Patient safety, satisfaction, and quality of hospital care: Cross sectional surveys of nurses and patients in 12 countries in Europe and the United States. BMJ. 2012;344:e1717. [Link] [DOI:10.1136/bmj.e1717]
18. Garcia S, Carmen M, Flores S, Francisca M. Reduction of preoperative anxiety in children using non-pharmacological measures. J Nurs Care. 2015;s1(S1):004. [Link] [DOI:10.4172/2167-1168.S1-004]
19. Itzchakov G, Van Harreveld F. Feeling torn and fearing rue: Attitude ambivalence and anticipated regret as antecedents of biased information seeking. J Exp Soc Psychol. 2018;75:19-26. [Link] [DOI:10.1016/j.jesp.2017.11.003]
20. Ng KYB, Lynch S, Kelly J, Mba O. Medical students' experiences of the benefits and influences regarding a placement mentoring programme preparing them for future practice as junior doctors: A qualitative study. BMJ Open. 2020;10(1):e032643. [Link] [DOI:10.1136/bmjopen-2019-032643]
21. LI X-M, XIE J. The influence mechanism of incidental emotions on choice deferral. Acta Psychol Sin. 2013;44(12):1641-50. [Link] [DOI:10.3724/SP.J.1041.2012.01641]
22. van Harreveld F, Schneider IK, Nohlen H, van der Pligt J. The dynamics of ambivalence: Evaluative conflict in attitudes and decision making. In: Gawronski B, Strack F, editors. Cognitive consistency: A fundamental principle in social cognition. The Guilford Press; 2012. pp. 267-84 [Link]
23. Huang M-X, Xie T-T, Feng X-L. How do ambivalent consumers interpret diversified word-of-mouth information? Acta Psychol Sin. 2011;42(10):998-1010. [Link] [DOI:10.3724/SP.J.1041.2010.00998]
24. Huang M, Wang W. Does mobile shopping make fast decisions? The role of contextual factors and thinking style. Acta Psychol Sin. 2019;51(5):612-24. [Link] [DOI:10.3724/SP.J.1041.2019.00612]
25. Chen Y, Ma X, Pethtel O. Age differences in trade-off decisions: Older adults prefer choice deferral. Psychol Aging. 2011;26(2):269-73. [Link] [DOI:10.1037/a0021582]
26. Coleman NV, Williams P, Morales AC, White AE. Attention, attitudes, and action: When and why incidental fear increases consumer choice. J Consum Res. 2017;44(2):283-312. [Link] [DOI:10.1093/jcr/ucx036]
27. Lachin JM. Power and sample size evaluation for the Cochran-Mantel-Haenszel mean score (Wilcoxon rank sum) test and the Cochran-Armitage test for trend. Stat Med. 2011;30(25):3057-66. [Link] [DOI:10.1002/sim.4330]
28. Armitage CJ, Conner M. Attitudinal ambivalence: a test of three key hypotheses. Persona Soc Psychol Bull. 2000;26(11):1421-32. [Link] [DOI:10.1177/0146167200263009]
29. Tokunaga RS. Engagement with novel virtual environments: the role of perceived novelty and flow in the development of the deficient self-regulation of internet use and media habits. Hum Commun Res. 2013;39(3):365-93. [Link] [DOI:10.1111/hcre.12008]
30. Etkin J, Ghosh AP. When being in a positive mood increases choice deferral. J Consum Res. 2018;45(1):208-25. [Link] [DOI:10.1093/jcr/ucx121]
31. Koskas P, Pons-Peyneau C, Romdhani M, Houenou-Quenum N, Galleron S, Drunat O. Hospital discharge decisions concerning older patients: Understanding the underlying process. Can J Aging. 2019;38(1):90-9. [Link] [DOI:10.1017/S0714980818000442]
32. Nilsson G, Mooe T, Söderström L, Samuelsson E. Pre-hospital delay in patients with first time myocardial infarction: An observational study in a northern Swedish population. BMC Cardiovasc Disord. 2016;16(1):93. [Link] [DOI:10.1186/s12872-016-0271-x]
33. Sobral S, Taveira I, Seixas R, Vicente AC, Duarte J, Goes AT, et al. Late hospital arrival for thrombolysis after stroke in southern portugal: Who is at risk? J Stroke Cerebrovasc Dis. 2019;28(4):900-5. [Link] [DOI:10.1016/j.jstrokecerebrovasdis.2018.12.009]
34. Arrebola-Moreno M, Petrova D, Garrido D, Ramírez-Hernández JA, Catena A, Garcia-Retamero R. Psychosocial markers of pre-hospital decision delay and psychological distress in acute coronary syndrome patients. Br J Health Psychol. 2020;25(2):305-23. [Link] [DOI:10.1111/bjhp.12408]
| Rights and permissions | |
 |
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |