Background: Few studies have addressed quality of care in pay-for-performance (P4P) diabetes programs from the perspective of patients' perceptions. This study aimed to explore the relevance among interaction, trust, co-decision-making, information disclosure, medical satisfaction and value co-creation.
A large-scale survey of P4P diabetes patients was conducted from April to June in 2014. The total number of qualified outpatients was 313 and the return rate was 50.2%.
Significant impacts were observed after the implementation of the P4P programs for diabetic patients. Interaction (?=0.155, p<0.01) and information disclosure (?=0.698, p<0.001) had a significant positive effect on medical satisfaction, Interaction (?=0.134, p<0.01) and information disclosure (?=0.563, p<0.001) had a significant positive effect on value co-creation.
A good patient-physician relationship can be established through information disclosure and effective communication by both parties. Fluent communication between patient and physician helps improve satisfaction with medical service and facilitate the creation of higher value. Health authorities could develop policies to increase participation in P4P programs and encourage continued improvement in health care outcomes.