Bowers Michael R. Ph.D.; Swan, John E. D.B.A.; Koehler, William F. Ph.D.Health Care Management Review: October 1994 Original Article: PDF Only Buy Abstract Patient-based determinants of quality and satisfaction play an important role in choosing a health care provider. This study identifies five attributes of health care delivery that define patients' perceptions of quality and satisfaction. Managerial implications for diagnosing quality concerns of patients are discuss. © 1994 Aspen Publishers, Inc.