A brief instrument to measure patients’ overall satisfaction with primary care physicians (original) (raw)
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Patient Satisfaction With Primary Care
Medical Care, 2004
Objective: The objective of this study was to evaluate the association of patient satisfaction with type of practitioner attending visits in the primary care practice of a managed care organization (MCO). Study Design: We conducted a retrospective observational study of 41,209 patient satisfaction surveys randomly sampled from visits provided by the pediatrics and adult medicine departments from 1997 to 2000. Logistic regression, with practitioner and practice fixed effects, of patient satisfaction versus dissatisfaction was estimated for each of 3 scales: practitioner interaction, care access, and overall experience. Models were estimated separately by department. Independent variables were type of practitioner attending the visit and other patient and visit characteristics. Results: Adjusted for patient and visit characteristics, patients were significantly more likely to be satisfied with practitioner interaction on visits attended by physician assistant/nurse practitioners (PA/ NPs) than visits attended by MDs in both the adult medicine and pediatrics practices. Patient satisfaction with care access or overall experience did not significantly differ by practitioner type. In adult medicine, patients were more satisfied on diabetes visits provided by MDs than by PA/NPs. Otherwise, patient satisfaction for the combined effects of practitioner type and specific presenting condition did not differ. Conclusions: Averaged over many primary care visits provided by many physicians and midlevel practitioners, patients in this MCO were as satisfied with care provided by PA/NPs as with care provided by MDs.
2013
AIM To examine patients' satisfaction with health care services in primary care, and to determine a difference of attitudes towards the work of general and family medicine offices. METHODS This descriptive analytical study was conducted among patients of the Primary Health Care Zenica, who had had recent experience with the work of family or general medicine. The questionnaire for the evaluation of general and family medicine by patients was made on the basis of standardized European Project on Patient Evaluation of General Practice Care questionnaires (EUROPEP). Random sampling was used, and the patient population was divided into two clusters: patients treated in general and family practice. Respondents in the offices were selected by simple random sampling. RESULTS The study included 100 subjects, 50 for general and 50 for family medicine. There were 56 (56.0%) males, and the most common age group was 41-60 years with 42 (42.0%) subjects. Differences in patient satisfaction i...
The British journal of general practice : the journal of the Royal College of General Practitioners, 1995
Background. It is now a requirement that patients' satisfaction with the services obtained from their general practitioner should be surveyed. Aim. The aim of the study was to produce a reliable and valid multidimensional patient satisfaction questionnaire that could be used in general practice. Method. Items were originally derived from patients' responses to open-ended questions. The resulting 148-item Likert-scale questionnaire was completed by 1193 patients. General satisfaction items were removed from the set, and responses to remaining items underwent factor analysis. Subscales were produced from items representing each factor. Reliability and validity of each subscale were examined. Results. Five subscales with a total of 40 items resulted from the factor analysis: doctors, access, nurses, appointments and facilities. Each subscale was internally reliable (Cronbach's alpha coefficient between 0.73 and 0.95), and initial tests of validity suggested that all subscales were valid. Conclusion. The study has resulted in a 40-item scale that has been found to be reliable and valid after initial tests. Further work to test the reliability and validity of the final version of the patient satisfaction questionnaire is described.
The development and validation of the primary care satisfaction survey for women
Women's Health Issues, 2004
Assessing patient satisfaction with health care is becoming an integral component of quality monitoring in health care systems, but existing tools typically were developed to minimize differences related to gender. This paper reports the development and psychometric properties of a new survey instrument to measure women's satisfaction with their primary care. A multisite, cross-sectional validation survey of 1,202 women receiving care in primary care settings in Michigan, North Carolina, and Pennsylvania was conducted. Item response theory (IRT) and factor analysis methods were used to identify three scales in the Primary Care
Validation of a patient satisfaction questionnaire in primary health care
Public Health, 2012
Background: Improvement in patient satisfaction with healthcare services can be evaluated by satisfaction questionnaires of high construct validity. Objectives: To establish the dimensions and construct validity of a 20-item patient satisfaction questionnaire to assess satisfaction with general practice services. Subjects: In total, 1314 adult patients of both genders, who were users of healthcare services at the General Medicine Department of Health Centre Valjevo in Serbia for two consecutive years, were included in the study. Methods: Multidimensional scaling (MDS) was employed to identify similarities and dissimilarities among items comprising the satisfaction questionnaire. Patient satisfaction dimensions were estimated by principal component analysis for categorical data (CATAPCA). Results: The MDS model configuration derived two dimensions: (1) patient satisfaction with the timeliness of healthcare service provision; and (2) patient centredness related to doctors' and nurses' commitment towards their health. In the CATAPCA model, two dimensions of patient satisfaction were found: the first dimension patient satisfaction with medical staff and the second dimension was indicative of contextual patient dissatisfaction. Conclusions: This study shows that the applied patient satisfaction questionnaire has high validity and reliability. It also has high sensitivity for longitudinal measurements, as well as good discriminatory power in measuring the different levels of patient satisfaction.
International Journal of Medical Education, 2010
Objectives: This study was designed to investigate psychometric properties of the Jefferson Scale of Patient Perceptions of Physician Empathy (JSPPPE), and to examine correlations between its scores and measures of overall satisfaction with physicians, personal trust, and indicators of patient compliance. Methods: Research participants included 535 out-patients (between 18-75 years old, 66% female). A survey was mailed to participants which included the JSPPPE (5-item), a scale for measuring overall satisfaction with the primary care physician (10-item), and demographic questions. Patients were also asked about compliance with their physician's recommendation for preventive tests (colonoscopy, mammogram, and PSA for age and gender appropriate patients). Results: Factor analysis of the JSPPPE resulted in one prominent component. Corrected item-total score correlations ranged from .88 to .94. Correlation between scores of the JSPPPE and scores on the patient satisfaction scale was 0.93. Scores of the JSPPPE were highly correlated with measures of physician-patient trust (r >.73). Higher scores of the JSPPPE were significantly associated with physicians' recommendations for preventive tests (colonoscopy, mammogram, and PSA) and with compliance rates which were > .80). Cronbach's coefficient alpha for the JSPPPE ranged from .97 to .99 for the total sample and for patients in different gender and age groups. Conclusions: Empirical evidence supported the psychometrics of the JSPPPE, and confirmed significant links with patients' satisfaction with their physicians, interpersonal trust, and compliance with physicians' recommendations. Availability of this psychometrically sound instrument will facilitate empirical research on empathy in patient care in different countries.
What do measures of patient satisfaction with the doctor tell us?
Patient Education and Counseling, 2015
Patient satisfaction measures vary greatly in their psychometrics and domains covered. Assessment goals will determine the particular patient satisfaction measure to use. A multi-dimensional measure is needed, guided by a theoretical framework. Five major domains underlie the construct of patient satisfaction with the doctor. These domains point to key areas of physician training and quality assessment.
Factors associated with professional satisfaction in primary care: Results from EUprimecare project
European Journal of General Practice
A survey among primary care physicians conducted in seven European countries found that some organizational characteristics could explain professional satisfaction. Systems based on an integrated network and having direct access to specialists are factors associated with professional perception. Being a public sector employee presented a negative association with professional satisfaction.