Satisfaction with general practice care in German patients with multimorbidity: a cross-sectional study

Mortsiefer, Achim; Altiner, Attila; Ernst, Andrej; Kadusziewicz, Hanna; Krahe, Alice; Mellert, Christine; Schäfer, Ingmar; Stolzenbach, Carl-Otto; Wiese, Birgitt; Löffler, Christin

doi:10.1093/fampra/cmw141

Cited by 9 publications

(14 citation statements)

References 14 publications

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“…People with MM had trouble when there were delays in accessing healthcare, whether from their PC team or from other healthcare providers 27,33,37,41,43,44 . One recurring issue in the literature was having to wait for appointments; people with MM reported having to wait longer than they needed or wanted to see their PCP 35,43,49,51–53 . The literature also noted people with MM experienced unacceptable delays in accessing other healthcare services that were coordinated by their PC teams, such as specialist services and consultations 31,34,36,38,39,49 .…”

Section: Resultsmentioning

confidence: 99%

Patient perspectives on primary care for multimorbidity: An integrative review

Moody

Martin‐Misener

Baxter

et al. 2022

Health Expectations

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Introduction Improving healthcare for people with multiple chronic or ongoing conditions is receiving increased attention, particularly due to the growing number of people experiencing multimorbidity (MM) and concerns about the sustainability of the healthcare system. Primary care has been promoted as an important resource for supporting people with MM to live well with their conditions and to prevent unnecessary use of health care services. However, traditional primary care has been criticized for not centring the needs and preferences of people with MM themselves. Our aim was to conduct a review that centred on the perspective of people with MM in multiple ways, including having patient partners co‐lead the design, conduct and reporting of findings, and focusing on literature that reported the perspective of people with MM, irrespective of it being experimental or nonexperimental. Methods We searched for published literature in CINAHL with Full Text (EBSCOhost) and MEDLINE All (Ovid). Findings from experimental and nonexperimental studies were integrated into collaboration with patient partners. Results Twenty‐nine articles were included in the review. Findings are described in five categories: (1) Care that is tailored to my unique situation; (2) meaningful inclusion in the team; (3) a healthcare team that is ready and able to address my complex needs; (4) supportive relationships and (5) access when and where I need it. Conclusion This review supports a reorientation of primary care systems to better reflect the experiences and perspectives of people with MM. This can be accomplished by involving patient partners in the design and evaluation of primary care services and incentivizing collaboration among health and social supports and services for people with MM. Patient or Public Contribution Patient partners were involved in the design and conduct of this review, and in the preparation of the manuscript. Their involvement is further elucidated in the manuscript text.

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Section: Resultsmentioning

confidence: 99%

Patient perspectives on primary care for multimorbidity: An integrative review

Moody

Martin‐Misener

Baxter

et al. 2022

Health Expectations

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“…[22][23][24] Identifying a sample of general practitioners' patients who are dissatisfied with their care is not easy 10 because patients indicate high levels of satisfaction with PHC. [25][26][27][28] The method used in this study provides a picture of patients who decided to leave their family physician in a public PHC organization and enrolled in a private PHC organization. The sample identified here might be considered to include the most dissatisfied patients.…”

Section: Discussionmentioning

confidence: 99%

Patients’ Shift from Public to Private Primary Health Care Providers in Lithuania: Analysis of the Main Reasons

Žvinakis

Kalibataitė

Kalibatas

2021

INQUIRY

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Aims Lithuania is one of the countries where public and private primary health care (PHC) providers compete for patients. Patients continuously shift from public to PHC providers, but an analysis of the main reasons was never performed. This study aimed to analyze the reasons why patients shift from public to private PHC providers and identify the associations between the reasons and demographic characteristics of the patients. Methods A cross-sectional study based on a phone questionnaire was conducted among patients who shifted from public to private primary health care (PHC) providers. A total of 810 phone calls were made, and 572 telephone surveys were completed. The response rate was 70.49%. The difference between the proportions was assessed using the Z-test. The association between categorical variables was assessed using the chi-square test. Results The study identified the following main reasons: long queues to obtain family physician appointments (23.6%), inconvenient location of public’s institution department (20.1%), patients relocating (19.2%), enrolment at a former family physician who transitioned from a public to private PHC institution (10.5%), and long waiting time at the family physician’s office for the appointment (9.4%). Some statistically significant correlations were found between the specific reasons for shifting from public to private PHC organizations and patients' demographic characteristics. Conclusions Personal reasons are the most common reasons for shifting from public to private PHC providers (43.36% of the respondents), following the reasons related exclusively to the family physician (25.17%) and related PHC institutions only (24.9%).

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“…The European Task Force for Patient Evaluation of General Practice (EUROPEP) is a multi-dimensional scale containing 23 items that evaluates patient satisfaction with health services. [59][60][61] We used the adapted and validated Chinese version of the EUROPEP to analyse patients' satisfaction with primary care. The five dimensions are relation and communication; medical care; information and support; continuity and cooperation; facilities, availability, and accessibility.…”

Section: | Patient Satisfactionmentioning

confidence: 99%

The effect of patient perceived involvement on patient loyalty in primary care: The mediating role of patient satisfaction and the moderating role of the family doctor contract service

Zhang

et al. 2021

Health Planning & Management

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Background:The Chinese government has taken many incentives to promote the implementation of the family doctor (FD) contract service; however, whether primary health care providers establishing a strong relationship with patients that shapes their loyalty is still unknown. Under this circumstance, drawing the public attention to patient loyalty in primary care and clarifying the underlying mechanism of loyalty is imperative to the development of primary care.Objective: To analyse the effect of patient perceived involvement on patient loyalty in primary care, investigate the mediating role of patient satisfaction, and explore the moderating role of the FD contract service on the relationship between patient perceived involvement and patient loyalty.Methods: A cross-sectional questionnaire survey of patients in primary health facilities was conducted in Jilin province of China. Participants comprised 1334 patients selected via a multi-stage sampling method.Results: Patient perceived involvement not only had a direct positive impact on patient loyalty but also had an indirect effect on patient loyalty via patient satisfaction. Furthermore, for patients who contracted with FDs, patient perceived involvement had a higher direct effect and indirect effect on patient loyalty when compared with patients who did not contract with FDs.

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Satisfaction with general practice care in German patients with multimorbidity: a cross-sectional study

Cited by 9 publications

References 14 publications

Patient perspectives on primary care for multimorbidity: An integrative review

Patient perspectives on primary care for multimorbidity: An integrative review

Patients’ Shift from Public to Private Primary Health Care Providers in Lithuania: Analysis of the Main Reasons

The effect of patient perceived involvement on patient loyalty in primary care: The mediating role of patient satisfaction and the moderating role of the family doctor contract service

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