Human involvement in the service situation with emotions approaching love for the patient and positive patient outcomes such as pain relief, life saving and dealing with anger or disappointment with life after medical interventions (Bowers et al., 1994) are also included in the literature. Woodside et al. (1989) identified other primary patient satisfaction determinants:
• admissions;
• discharge;
• nursing care;
• food;
• housekeeping; and
• technical services.
Patients' perceptions, notably about physician communication skills are also significant satisfaction determinants. Two dimensions inButler et al.'s (1996) study explained 66 percent of the variance in patients' service quality perceptions:
1. facility quality; and
2. staff performance.