{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,14]],"date-time":"2025-05-14T00:07:24Z","timestamp":1747181244917,"version":"3.40.5"},"reference-count":44,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"23","license":[{"start":{"date-parts":[[2024,6,7]],"date-time":"2024-06-07T00:00:00Z","timestamp":1717718400000},"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":[[2024,6,7]]},"abstract":"<jats:p>The aim of this research is to identify the main factors associated with patients\u2019 payment perception and the effects of these factors on payment perception. Patients admitted between January and December 2016 at an emergency department of a public hospital in Lisbon, Portugal, 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 the data were collected between May and November 2017. To test the mediation models, stepwise multiple linear regression analysis was used. The effect of doctors on payment perception through satisfaction and through perceived quality of healthcare (PQHC) is explained by 3% and 4% of the variation, respectively, with statistically significant results (<jats:italic toggle=\"yes\">P<\/jats:italic>\u2005&lt;\u2005.01). Moreover, the effect of privacy and meeting expectations on payment perception through PQHC is explained by 4% and 4% of the variation, with statistically significant results (<jats:italic toggle=\"yes\">P<\/jats:italic>\u2005&lt;\u2005.01). Doctors play a crucial role in understanding the patients\u2019 payment perception (with direct and indirect effects). Mediators, in turn, strengthen this effect, in which the contribution of PQHC is more significant than that of satisfaction.<\/jats:p>","DOI":"10.1097\/md.0000000000038527","type":"journal-article","created":{"date-parts":[[2024,6,7]],"date-time":"2024-06-07T14:15:57Z","timestamp":1717769757000},"page":"e38527","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":1,"title":["Payment perception in the emergency department: The mediating role of perceived quality of healthcare and patient satisfaction"],"prefix":"10.1097","volume":"103","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2058-0922","authenticated-orcid":false,"given":"Alina","family":"Abidova","sequence":"first","affiliation":[{"name":"NOVA University of Lisbon, National School of Public Health, Lisbon, Portugal"}]},{"given":"Pedro","family":"Alc\u00e2ntara da Silva","sequence":"additional","affiliation":[{"name":"University of Lisbon, Institute of Social Sciences, Lisbon, Portugal"}]},{"given":"S\u00e9rgio","family":"Moreira","sequence":"additional","affiliation":[{"name":"University of Lisbon, Faculty of Psychology, Lisbon, Portugal."}]}],"member":"276","reference":[{"key":"R1-20250503","doi-asserted-by":"crossref","first-page":"247","DOI":"10.1097\/HMR.0000000000000105","article-title":"Patient experience and hospital profitability: is there a link?","volume":"42","author":"Richter","year":"2017","journal-title":"Health Care Manage Rev"},{"key":"R2-20250503","doi-asserted-by":"crossref","first-page":"94","DOI":"10.1186\/s12913-016-1327-4","article-title":"Patient satisfaction with the healthcare system: assessing the impact of socio-economic and healthcare provision factors.","volume":"16","author":"Xesfingi","year":"2016","journal-title":"BMC Health Serv Res"},{"key":"R4-20250503","doi-asserted-by":"crossref","first-page":"255","DOI":"10.1016\/j.jen.2015.02.007","article-title":"The Portuguese emergency medical system.","volume":"41","author":"Padilha","year":"2015","journal-title":"J Emerg Nurs"},{"key":"R5-20250503","doi-asserted-by":"crossref","first-page":"8","DOI":"10.1186\/s12245-017-0136-9","article-title":"Dedication increases productivity: an analysis of the implementation of a dedicated medical team in the emergency department.","volume":"10","author":"Ramos","year":"2017","journal-title":"Int J Emerg Med"},{"key":"R7-20250503","doi-asserted-by":"crossref","first-page":"977","DOI":"10.1002\/hec.1311","article-title":"Hospital financial condition and the quality of patient care.","volume":"17","author":"Bazzoli","year":"2008","journal-title":"Health Econ"},{"key":"R8-20250503","doi-asserted-by":"crossref","first-page":"e0219124","DOI":"10.1371\/journal.pone.0219124","article-title":"Correlation between hospital finances and quality and safety of patient care.","volume":"14","author":"Akinleye","year":"2019","journal-title":"PLoS One"},{"key":"R9-20250503","doi-asserted-by":"crossref","first-page":"221","DOI":"10.1186\/s13643-021-01778-3","article-title":"The association between hospital financial performance and the quality of care \u2013 a scoping review protocol.","volume":"10","author":"Dubas-Jak\u00f3bczyk","year":"2021","journal-title":"Syst Rev"},{"key":"R10-20250503","doi-asserted-by":"crossref","first-page":"27","DOI":"10.7326\/0003-4819-158-1-201301010-00006","article-title":"The association between health care quality and cost: a systematic review.","volume":"158","author":"Hussey","year":"2013","journal-title":"Ann Intern Med"},{"key":"R11-20250503","doi-asserted-by":"crossref","first-page":"253","DOI":"10.1007\/s40092-019-00335-x","article-title":"Emergency department resource optimisation for improved performance: a review.","volume":"15","author":"Ahsan","year":"2019","journal-title":"J Ind Eng Int"},{"key":"R12-20250503","doi-asserted-by":"crossref","first-page":"906","DOI":"10.1016\/j.ajem.2017.03.025","article-title":"How alternative payment models in emergency medicine can benefit physicians, payers, and patients.","volume":"35","author":"Harish","year":"2017","journal-title":"Am J Emerg Med"},{"key":"R13-20250503","doi-asserted-by":"crossref","first-page":"A13","DOI":"10.1016\/j.annemergmed.2014.05.016","article-title":"Price transparency in the emergency department; 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