title: Inpatients' and outpatients' satisfaction: the mediating role of perceived quality of physical and social environment.
abstract: This study analyses the processes through which the physical environment of health care settings impacts on patients' well-being. Specifically, we investigate the mediating role of perceptions of the physical and social environments, and if this process is moderated by patients' status, that is, if the objective physical environment impacts inpatients' and outpatients' satisfaction by different social-psychological processes. Patients (N=206) evaluated the physical and social environments of the care unit where they were receiving treatment, and its objective physical conditions were independently evaluated by two architects. Results showed that the objective environmental quality affects satisfaction through perceptions of environmental quality, and that patients' status moderates this relationship. For inpatients, it is the perception of quality of the social environment that mediates the relationship between objective environmental quality and satisfaction, whereas for outpatients it is the perception of quality of the physical environment. This moderated mediation is discussed in terms of differences on patients' experiences of health care environments.
authors: Instituto Universitário de Lisboa (ISCTE-IUL), CIS-IUL, Av. das Forças Armadas, 1649-026 Lisboa, Portugal. claudiarcandrade@gmail.com
authors: Cláudia
authors: C
authors: Campos Andrade
authors: Maria Luísa
authors: ML
authors: Lima
authors: Cícero Roberto
authors: CR
authors: Pereira
authors: Ferdinando
authors: F
authors: Fornara
authors: Marino
authors: M
authors: Bonaiuto
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D006749:Hospital Design and Construction / Q000592:standards* / Q000706:statistics & numerical data; D006801:Humans; D007297:Inpatients / Q000523:psychology* / Q000706:statistics & numerical data; D008297:Male; D008875:Middle Aged; D010045:Outpatients / Q000523:psychology* / Q000706:statistics & numerical data; D017060:Patient Satisfaction / Q000706:statistics & numerical data*; D011787:Quality of Health Care / Q000592:standards / Q000706:statistics & numerical data; D012931:Social Environment; D011795:Surveys and Questionnaires; D055815:Young Adult