Exploring the Effect of Doctor-Nurse Collaboration on Overall Satisfaction Among the Older Patients: A Moderated Mediation Model of Responsiveness and Environment

Huilin Wang,1,2 Hao Wang,1 Si nan Guan,2 Jing Li1 1Outpatient Department of Peking University First Hospital, Beijing, People’s Republic of China; 2School of Nursing, Peking University, Beijing, People’s Republic of ChinaCorrespondence: Jing Li, Outpatient Department of Peking University First Hospital, Xishiku Road, Xicheng District, Beijing, 100034, People’s Republic of China, Tel/Fax +86 010-83572020, Email [email protected]: Older patients often encounter challenges during outpatient visits that adversely affect their overall satisfaction. This study tested a moderated mediation model to examine how doctor-nurse collaboration influences satisfaction through responsiveness to patient needs, and how the outpatient environment moderates this process within geriatric care settings.Methods: An online cross-sectional survey utilizing a 5-point Likert scale was conducted to assess patient satisfaction by recruiting 9133 older patients (51.6% male). Descriptive statistics were used to analyze the factors associated with satisfaction. After controlling for confounders such as title of registered doctor, gender, and educational status, a moderated mediation analysis was performed using Stata 18.0.Results: Both dimensions of doctor-nurse collaboration, interprofessional collaboration (X1) and attitudinal alignment (X2), directly enhanced patient satisfaction (β = 0.065, p < 0.001). Responsiveness to patient needs mediated this relationship (β = 0.253, p