title: Improving healthcare practice behaviors: an exploratory study identifying effective and ineffective behaviors in healthcare.
abstract: OBJECTIVE
  The purpose of this paper is to present the results of exploratory research designed to develop an awareness of healthcare behaviors, with a view toward improving the customer satisfaction with healthcare services. It examines the relationship between healthcare providers and their consumers/patients/clients.
  
  
  METHODS
  The study uses a critical incident methodology, with both effective and ineffective behavioral specimens examined across different provider groups.
  
  
  RESULTS
  The effects of these different behaviors on what Berry (1999) identified as the common core values of service organizations are examined, as those values are required to build a lasting service relationship. Also examined are categories of healthcare practice based on the National Quality Strategy priorities.
  
  
  CONCLUSIONS
  The most obvious is the retrospective nature of the method used. How accurate are patient or consumer memories? Are they capable of making valid judgments of healthcare experiences (Berry and Bendapudi, 2003)? While an obvious limitation, such recollections are clearly important as they may be paramount in following the healthcare practitioners' instructions, loyalty for repeat business, making recommendations to others and the like. Further, studies have shown retrospective reports to be accurate and useful (Miller et al., 1997).
  
  
  CONCLUSIONS
  With this information, healthcare educators should be in a better position to improve the training offered in their programs and practitioners to better serve their customers.
  
  
  CONCLUSIONS
  The findings would indicate that the human values of excellence, innovation, joy, respect and integrity play a significant role in building a strong service relationship between consumer and healthcare provider.
  
  
  CONCLUSIONS
  Berry (1999) has argued that the overriding importance in building a lasting service business is human values. This exploratory study has shown how critical incident analysis can be used to determine both effective and ineffective practices of different medical providers. It also provides guidelines as to what are effective and ineffective behaviors in healthcare.
authors.affiliation: Arizona State University, Mesa, Arizona, USA.
authors.forename: David D
authors.initials: DD
authors.lastname: Van Fleet
authors.forename: Tim O
authors.initials: TO
authors.lastname: Peterson
mesh_terms: D001291:Attitude of Health Personnel; D003695:Delivery of Health Care / Q000379:methods; D005260:Female; D006282:Health Personnel / Q000523:psychology*; D006801:Humans; D008297:Male; D009723:Nurse-Patient Relations; D017060:Patient Satisfaction / Q000706:statistics & numerical data*; D010817:Physician-Patient Relations; D036301:Qualitative Research; D011787:Quality of Health Care; D012189:Retrospective Studies; D018570:Risk Assessment; D011795:Surveys and Questionnaires; D014481:United States
keywords: Education; Patient centredness; Patient perception; Quality healthcare; Service quality; User involvement