63 research outputs found
Effects of Brand Local and Nonlocal Origin on Consumer Attitudes in Developing Countries
Peer Reviewedhttps://deepblue.lib.umich.edu/bitstream/2027.42/142164/1/jcpy83.pd
Evaluation strategies of American and Thai consumers
ABSTRACT The effects of two factors (congruity of product information with consumer expectations and perceived risk associated with the product) on strategies used by consumers to evaluate products are tested in the United States and Thailand. When product information does not match expectations, consumers in both cultures increase evaluation effort and shift from using summary representations stored in memory to evaluation based on actual product attributes. Perceived risk also enhances evaluation effort in both cultures, but does not result in a similar shift from category-based to attributebased processing
What is a good medical decision? A research agenda guided by perspectives from multiple stakeholders
Informed and shared decision making are critical aspects of patient-centered care, which has contributed to an emphasis on decision support interventions to promote good medical decision making. However, researchers and healthcare providers have not reached a consensus on what defines a good decision, nor how to evaluate it. This position paper, informed by conference sessions featuring diverse stakeholders held at the 2015 Society of Behavioral Medicine and Society for Medical Decision Making annual meetings, describes key concepts that influence the decision making process itself and that may change what it means to make a good decision: interpersonal factors, structural constraints, affective influences, and values clarification methods. This paper also proposes specific research questions within each of these priority areas, with the goal of moving medical decision making research to a more comprehensive definition of a good medical decision, and enhancing the ability to measure and improve the decision making process
Who decides: me or we? family involvement in medical decision making in eastern and western countries
Background: Research suggests that desired family involvement (FI) in medical decision making may depend on cultural values. Unfortunately, the field lacks cross-cultural studies that test this assumption. As a result, providers may be guided by incomplete information or cultural biases rather than patient preferences.
Methods: Researchers developed 6 culturally relevant disease scenarios varying from low to high medical seriousness. Quota samples of approximately 290 middle-aged urban residents in Australia, China, Malaysia, India, South Korea, Thailand, and the USA completed an online survey that examined desired levels of FI and identified individual difference predictors in each country. All reliability coefficients were acceptable. Regression models met standard assumptions.
Results: The strongest finding across all 7 countries was that those who desired higher self-involvement (SI) in medical decision making also wanted lower FI. On the other hand, respondents who valued relational-interdependence tended to want their families involved – a key finding in 5 of 7 countries. In addition, in 4 of 7 countries, respondents who valued social hierarchy desired higher FI. Other antecedents were less consistent.
Conclusion: These results suggest that it is important for health providers to avoid East–West cultural stereotypes. There are meaningful numbers of patients in all 7 countries who want to be individually involved and those individuals tend to prefer lower FI. On the other hand, more interdependent patients are likely to want families involved in many of the countries studied. Thus, individual differences within culture appear to be important in predicting whether a patient desires FI. For this reason, avoiding culture-based assumptions about desired FI during medical decision making is central to providing more effective patient centered care
Bystanders Don'T Just Stand By: the Influence of Social Presence on Service Experience
Continuous improvement in customer relationship management is a necessity for companies wishing to remain competitive in today's service industry. The two studies presented herein respond to this need by testing a new nomological net that features social presence and its moderators as antecedents to service satisfaction and behavioral intentions. Study 1 discovers that when service encounters are positive, social presence enhances satisfaction and behavioral intentions. However, when the service encounter is negative, the impact of social presence is more complex. Study 2 examines this complexity and uncovers that social presence effects are outcome attribution-dependent and cultural orientation-contingent
ANTIBIOTICS AND UPPER RESPIRATORY INFECTIONS: THE IMPACT OF ASIAN AND PACIFIC ISLAND ETHNICITY ON KNOWLEDGE, PERCEIVED NEED, AND USE
The threat of microbial resistance to antibiotics grows increasingly serious each year. Despite the severity of the problem, little is known about ways that ethnicity and culture influence antibiotic knowledge, attitudes, and use. Based on a random sample of residents from a multicultural metropolitan county in the western United States, this study finds that Filipinos have lower levels of antibiotic knowledge, express higher perceived need, and report more frequent use. Whites in this sample are at the opposite end on all of these measures; other Asian Americans and Hawaiians/ Pacific Islanders are in between. The results also suggest that preference for a ‘‘paternalistic’’ interaction/decision-making style between Filipino patients and their physicians may increase the challenge of designing an effective intervention promoting appropriate antibiotic use; a social marketing approach may be one possible alternative. Implications and future research directions are discussed for other multicultural urban environments that experience inappropriate use of antibiotics
Service recommendations and customer evaluations in the international marketplace: Cultural and situational contingencies
As the international service market continues its phenomenal growth, understanding the nature of effective interpersonal interactions between service providers and their customers is increasingly important. However, cross-national theory and research on this topic remain limited. In response, the following study employs data from China and the United States to test whether the cultural congruency of benefits emphasized by the service provider interacts with the customer's value orientation and/or consumption objective to affect evaluations of service quality. Results indicate that the cultural congruency of provider recommendations affects evaluations. Preliminary evidence also suggests that this effect is moderated by consumption objective.Service Culture Consumption objectives Satisfaction
Client satisfaction with reproductive health-care quality: integrating business approaches to modeling and measurement
Health-care managers are increasingly interested in client perceptions of clinic service quality and satisfaction. While tremendous progress has occurred, additional perspectives on the conceptualization, modeling and measurement of these constructs may further assist health-care managers seeking to provide high-quality care. To that end, this study draws on theories from business and health to develop an integrated model featuring antecedents to and consequences of reproductive health-care client satisfaction. In addition to developing a new model, this study contributes by testing how well Western-based theories of client satisfaction hold in a developing, Asian country. Applied to urban, reproductive health clinic users in Hanoi, Vietnam, test results suggest that hypothesized antecedents such as pre-visit expectations, perceived clinic performance and how much performance exceeds expectations impact client satisfaction. However, the relative importance of these predictors appears to vary depending on a client's level of service-related experience. Finally, higher levels of client satisfaction are positively related to future clinic use intentions. This study demonstrates the value of: (1) incorporating theoretical perspectives from multiple disciplines to model processes underlying health-care satisfaction and (2) field testing those models before implementation. It also furthers research designed to provide health-care managers with actionable measures of the complex processes related to their clients' satisfaction.Reproductive health Satisfaction Quality Clinic management Vietnam
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