Comparing physician and patient perceptions of quality in ambulatory care

Abstract

Increased clinician awareness of the behaviors that patients believe are the drivers of a quality office visit can help clinicians improve patients' experience of care and experience-based measures of quality.

Provider communication quality: Influence of patients’ weight and race

“…MEPS only provided patient-reported perceptions of communication quality, and we could not include provider perceptions or independent assessments of communication quality. Prior research has indicated that providers and patients may differ in their perception and definition of quality health care, including communication [53]. Finally, we ultimately consider the analyses presented to be exploratory in nature.…”

Satisfaction measurement instruments for healthcare service users: a systematic review

“…It must be understood that the concept of satisfaction can change across many cultures, and different variables may be related depending on patient profile or service 57,59,60 . Almost all clinicians and patients agree that clinical skill, rapport and health-related communication behavior are key elements for quality and satisfaction 58,60 . However, our findings demonstrated that all multidimensional instruments utilized sub-scales that were linked with these key elements.…”

What is Good Quality of Health Care?

“…They might also be more concerned about sustainability regarding research, education and economy than other groups. Physicians, nurses and other professional groups might have other priorities than individual patients, whereas patients are more likely to emphasize the importance of sufficient time in consultations than physicians (Levine et al, 2012).…”

“…Consequently, the European and Norwegian studies show that there is no universal definition of quality criteria, even from the patient or population perspective. Other stakeholders with other perspectives, such as managers and professionals, may have other expectations and requirements (Jung, Wensing, Olesen, & Grol, 2002;Levine et al, 2012). A study comparing physician and patient perceptions of quality found both similarities and differences regarding the quality concept in ambulatory care (Levine et al, 2012), as both groups highly valued clinical skills, rapport and health-related communication, but varied in sub-categories within these topics and on other major topics.…”

“…Other stakeholders with other perspectives, such as managers and professionals, may have other expectations and requirements (Jung, Wensing, Olesen, & Grol, 2002;Levine et al, 2012). A study comparing physician and patient perceptions of quality found both similarities and differences regarding the quality concept in ambulatory care (Levine et al, 2012), as both groups highly valued clinical skills, rapport and health-related communication, but varied in sub-categories within these topics and on other major topics. The bottom line is that quality is a relative concept according to the ISO definition, and that health-care service quality cannot be judged without linking it to the requirements of patients or other stakeholders.…”