{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,14]],"date-time":"2025-05-14T00:06:16Z","timestamp":1747181176085,"version":"3.40.5"},"reference-count":35,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"37","license":[{"start":{"date-parts":[[2023,9,15]],"date-time":"2023-09-15T00:00:00Z","timestamp":1694736000000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2023,9,15]]},"abstract":"<jats:p>The aim of this study is to identify the main moderators in the relationship between antecedents\/predictors (doctors, privacy, accessibility, and availability, perceived waiting time to be called back by the doctor after the examinations and\/or tests) and the perceived quality of healthcare (PQHC) in the emergency department (ED). Patients admitted to the ED of a public hospital in Lisbon, Portugal, between January and December 2016 were included in this study, with a representative sample size of 382 patients. A 5% margin of error and a 95% confidence interval were used, and all data were collected between May and November 2017. We used a stepwise multiple linear regression analysis to test the moderation models. We identified 3 main moderators with different moderating roles between the antecedents (predictors) and PQHC: level of life satisfaction, level of happiness, and frequency of ED experiences. Overall satisfaction with doctors is more likely to influence the PQHC among patients with lower levels of life satisfaction. Moreover, privacy and perceived waiting time to be called back by the doctor after an examination and\/or test are more likely to influence the PQHC among patients with lower levels of life satisfaction and happiness. Finally, accessibility and availability are more likely to influence the PQHC among patients with more frequent ED experiences. Thus, knowing the moderating effects of psychological factors and the frequency of ED experiences may help to better understand the relationship between PQHC and certain predictors.<\/jats:p>","DOI":"10.1097\/md.0000000000035134","type":"journal-article","created":{"date-parts":[[2023,9,16]],"date-time":"2023-09-16T01:24:15Z","timestamp":1694827455000},"page":"e35134","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Moderating effects of psychological factors and frequency of experiences in the emergency department: The role of perceived quality of healthcare"],"prefix":"10.1097","volume":"102","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2058-0922","authenticated-orcid":false,"given":"Alina","family":"Abidova","sequence":"first","affiliation":[{"name":"National School of Public Health, NOVA University of Lisbon, Lisbon, Portugal"}]},{"given":"Pedro","family":"Alc\u00e2ntara da Silva","sequence":"additional","affiliation":[{"name":"Institute of Social Sciences, University of Lisbon, Lisbon, Portugal"}]},{"given":"S\u00e9rgio","family":"Moreira","sequence":"additional","affiliation":[{"name":"Faculty of Psychology, University of Lisbon, Lisbon, Portugal."}]}],"member":"276","reference":[{"key":"R1-20250504","doi-asserted-by":"crossref","first-page":"186","DOI":"10.5539\/gjhs.v5n6p186","article-title":"Role of socio-psychological factors in perceived quality of care rendered by traditional medical practitioners in Ibadan, Nigeria.","volume":"5","author":"Adejumo","year":"2013","journal-title":"Glob J Health Sci"},{"key":"R2-20250504","doi-asserted-by":"crossref","first-page":"13","DOI":"10.1111\/j.1475-6773.2004.00213.x","article-title":"The impact of visit frequency on the relationship between service quality and outpatient satisfaction: a South Korean study.","volume":"39","author":"Cho","year":"2004","journal-title":"Health Serv Res"},{"key":"R3-20250504","doi-asserted-by":"crossref","first-page":"913","DOI":"10.1016\/S0148-2963(02)00293-X","article-title":"The relationships among quality, value, satisfaction and behavioral intention in health care provider choice: a South Korean study.","volume":"57","author":"Choi","year":"2004","journal-title":"J Bus Res"},{"key":"R4-20250504","doi-asserted-by":"crossref","first-page":"124","DOI":"10.1093\/geront\/24.2.124","article-title":"Life satisfaction, happiness, and morale: two problems with the use of subjective well-being indicators.","volume":"24","author":"Horley","year":"1984","journal-title":"Gerontologist"},{"key":"R5-20250504","doi-asserted-by":"crossref","first-page":"48","DOI":"10.1186\/s12875-017-0621-5","article-title":"Association of general psychological factors with frequent attendance in primary care: a population-based cross-sectional observational study.","volume":"18","author":"Hajek","year":"2017","journal-title":"BMC Fam Pract"},{"key":"R6-20250504","doi-asserted-by":"crossref","first-page":"1712","DOI":"10.1186\/s12889-019-8029-x","article-title":"Psychological well-being as part of the public health debate? 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