Patient sociodemographic characteristics as predictors of satisfaction with medical care: A meta-analysis

Hall, Judith A.; Dornan, Michael C.

doi:10.1016/0277-9536(90)90205-7

Cited by 745 publications

(603 citation statements)

References 19 publications

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“…Higher age and lower education have consistently been found to predict higher patient satisfaction, however, gender results are equivocal. 6 It has been proposed that the generational difference in satisfaction levels may result from older patients having more exposure to the health system and therefore having more pragmatic expectations of their care, or expecting a paternalistic model of care, in contrast to younger patients who expect to be included in the decisionmaking process. 11 Previous studies have also reported that hospital size has an influence on patient satisfaction, 9 however, this variable is not usually assessed in conjunction with demographic variables.…”

Section: Discussionmentioning

confidence: 99%

“…Research on socio-demographic characteristics has shown that most are generally considered to be poor predictors of inpatient satisfaction. 6,7 However, the strongest and most consistent finding is for age, with a positive relationship between increasing age and higher levels of satisfaction. 1,[6][7][8][9][10] Lower educational level is also linked to higher satisfaction levels, however this relationship is weaker.…”

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confidence: 95%

“…6,7 However, the strongest and most consistent finding is for age, with a positive relationship between increasing age and higher levels of satisfaction. 1,[6][7][8][9][10] Lower educational level is also linked to higher satisfaction levels, however this relationship is weaker. 1,7 Results for other demographic variables such as sex, income, marital status, and race tend to be inconsistent.…”

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confidence: 95%

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Assessing patient satisfaction: implications for South Australian public hospitals

Hordacre

Taylor

Pirone

et al. 2005

Aust. Health Review

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This paper reports on the results from 2620 South Australians who participated in the 2003 Patient Evaluation of Hospital Services. Patients were found to be generally satisfied with the care, services and amenities provided, with a statewide overall score of 86.3. Satisfaction was lowest in the patients' assessment of their involvement in their own care and treatment. Three demographic factors (younger age, female sex or tertiary education) predicted lower levels of satisfaction in the multivariate analysis, whereas living with others, non-emergency admission or admission to smaller hospitals were found to predict higher satisfaction. Despite administrative and organisational difficulties, and limited current evidence of increased quality or satisfaction, it is considered important to continue satisfaction research with the goal of encouraging the development of action plans for improvement of care, services and amenities.

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Section: Discussionmentioning

confidence: 99%

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confidence: 95%

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confidence: 95%

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Assessing patient satisfaction: implications for South Australian public hospitals

Hordacre

Taylor

Pirone

et al. 2005

Aust. Health Review

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“…Uit een meta-analyse blijkt echter dat socio-demografische kenmerken een minimale invloed hebben op de tevredenheid met gezondheidszorg. 12 Daarnaast is het niet waarschijnlijk dat de organisatie waarin de screening plaatsvond de gevonden verschillen kan verklaren, aangezien zij de screening volgens een strikt protocol hebben uitgevoerd en ouders daarom dezelfde zorg hebben ontvangen. We verwachten dan ook dat de kans dat de gevonden verschillen in tevredenheid verklaard worden door andere kenmerken minimaal is en dat zij voornamelijk terug te voeren zijn op de procedure van doorverwijzing.…”

Section: Evaluatie Verwijstrajectunclassified

Rechtstreeks verwijzen door de jeugdarts bij verdenking op heupdysplasie: het perspectief van ouders

Witting

Boere-Boonekamp

Fleuren³

et al. 2011

TSG

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“…Studies have shown that part-time physicians experience higher work satisfaction and less burnout than full-time physicians, 19,20 which may be attributed to an increased sense of control in setting one's schedule, 19 feeling less time pressure with patients, 21 or better work-life balance. 22,23 There is a well-established association between patient and physician satisfaction, 21 perhaps because more satisfied physicians may communicate better, 24 be more empathetic, 24 and better address their patients' concerns. 25 Finally, longer clinical FTEs may contribute to job-related stress and exhaustion, which has been associated with lower quality communication in non-medical settings.…”

Section: Introductionmentioning

confidence: 99%

Patients Report Better Satisfaction with Part-Time Primary Care Physicians, Despite Less Continuity of Care and Access

et al. 2014

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BACKGROUND:The growing number of primary care physicians (PCPs) reducing their clinical work hours has raised concerns about meeting the future demand for services and fulfilling the continuity and access mandates for patient-centered care. However, the patient's experience of care with part-time physicians is relatively unknown, and may be mediated by continuity and access to care outcomes. OBJECTIVE: We aimed to examine the relationships between a physicians' clinical full-time equivalent (FTE), continuity of care, access to care, and patient satisfaction with the physician. DESIGN: We used a multi-level structural equation estimation, with continuity and access modeled as mediators, for a cross-section in 2010. PARTICIPANTS: The study included family medicine (n=104) and internal medicine (n=101) physicians in a multi-specialty group practice, along with their patient satisfaction survey responses (n=12,688). MAIN MEASURES: Physician level FTE, continuity of care received by patients, continuity of care provided by physician, and a Press Ganey patient satisfaction with the physician score, on a 0-100 % scale, were measured. Access to care was measured as days to the third nextavailable appointment. KEY RESULTS: Physician FTE was directly associated with better continuity of care received (0.172 % per FTE, p<0.001), better continuity of care provided (0.108 % per FTE, p<0.001), and better access to care (−0.033 days per FTE, p<0.01), but worse patient satisfaction scores (−0.080 % per FTE, p=0.03). The continuity of care provided was a significant mediator (0.016 % per FTE, p<0.01) of the relationship between FTE and patient satisfaction; but overall, reduced clinical work hours were associated with better patient satisfaction (−0.053 % per FTE, p=0.03). CONCLUSIONS: These results suggest that PCPs who choose to work fewer clinical hours may have worse continuity and access, but they may provide a better patient experience. Physician workforce planning should consider these care attributes when considering the role of parttime PCPs in practice redesign efforts and initiatives to meet the demand for primary care services.KEY WORDS: part-time work; continuity of care; access to care; patient satisfaction.

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Patient sociodemographic characteristics as predictors of satisfaction with medical care: A meta-analysis

Cited by 745 publications

References 19 publications

Assessing patient satisfaction: implications for South Australian public hospitals

Assessing patient satisfaction: implications for South Australian public hospitals

Rechtstreeks verwijzen door de jeugdarts bij verdenking op heupdysplasie: het perspectief van ouders

Patients Report Better Satisfaction with Part-Time Primary Care Physicians, Despite Less Continuity of Care and Access

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