Satisfaction with Primary Care Providers and Health Care Services Among Patients with Chronic Pain: a Mixed-Methods Study

Gruß, Inga; Firemark, Alison; McMullen, Carmit K.; Mayhew, Meghan; DeBar, Lynn

doi:10.1007/s11606-019-05339-2

Cited by 15 publications

(14 citation statements)

References 41 publications

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“…These feelings certainly contributed to a poor overall rating of confidence and trust for some participants. Patients value having their symptoms taken seriously [ 1 ], and want to feel that their GP understands their symptoms from their perspective [ 22 – 24 ]. This is especially important for patients disclosing often embarrassing CRC symptoms, and for Māori patients in particular, where revealing symptoms to an (often) non-Māori practitioner may be particularly difficult [ 25 ] - especially in the light of current inequities, where Māori have a lower incidence [ 26 ] but worse CRC outcomes [ 27 , 28 ], and less access to chemotherapy [ 29 ] and colonoscopy [ 30 ].…”

Section: Discussionmentioning

confidence: 99%

How do colorectal cancer patients rate their GP: a mixed methods study

et al. 2021

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Background New Zealand (NZ) has a high incidence of colorectal cancer (CRC) and low rates of early diagnosis. With screening not yet nationwide, the majority of CRC is diagnosed through general practice. A good patient-general practitioner (GP) relationship can facilitate prompt diagnosis, but when there is a breakdown in this relationship, delays can occur. Delayed diagnosis of CRC in NZ receives a disproportionally high number of complaints directed against GPs, suggesting deficits in the patient-GP connection. We aimed to investigate patient-reported confidence and ratings of their GP following the diagnostic process. Methods This study is a mixed methods analysis of responses to a structured questionnaire and free text comments from patients newly diagnosed with CRC in the Midland region of NZ. A total of 195 patients responded to the structured questionnaire, and 113 patients provided additional free text comments. Descriptive statistics were used to describe the study population and chi square analysis determined the statistical significance of factors possibly linked to delay. Free text comments were analysed using a thematic framework. Results Most participants rated their GP as ‘Very good/Good’ at communication with patients about their health conditions and involving them in decisions about their care, and 6.7% of participants rated their overall level of confidence and trust in their GP as ‘Not at all’. Age, gender, ethnicity and a longer diagnostic interval were associated with lower confidence and trust. Free text comments were grouped in to three themes: 1. GP Interpersonal skills; (communication, listening, taking patient symptoms seriously), 2. Technical competence; (speed of referral, misdiagnoses, lack of physical examination), and 3. Organisation of general practice care; (appointment length, getting an appointment, continuity of care). Conclusions Māori, females, and younger participants were more likely to report low confidence and trust in their GP. Participants associate a poor diagnostic experience with deficits in the interpersonal and technical skills of their GP, and health system factors within general practice. Short appointment times, access to appointments and poor GP continuity are important components of how patients assess their experience and are particularly important to ensure equal access for Māori patients.

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Section: Discussionmentioning

confidence: 99%

How do colorectal cancer patients rate their GP: a mixed methods study

et al. 2021

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“…In this research, and considering the context of the study, we have decided to include the global satisfaction of the patients, as because they are regular users of the health system, their perception of satisfaction will be determined by the perennial contact with it (Naidu, 2009;Gruß et al, 2019).…”

Section: Satisfactionmentioning

confidence: 99%

Companion cocreation: improving health service encounters of the elderly

Suárez‐Álvarez

Vázquez

Río-Lanza

2020

JSM

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Purpose The increase of life expectancy leads to the elderly living with one or more chronic illnesses. Communication between the elderly and the health-care professional is fundamental but can be difficult. For that reason, it is common to find the patient with an accompanying family member in the doctor’s surgery. The purpose of this paper is to analyze one of the possible actions of the companion during the provision of the medical service: the co-creation of value (through its two dimensions: coproduction and value-in-use) and its effects on the satisfaction of both the companion and the elderly patient. Design/methodology/approach A model has been tested through a system of structural equations using the statistical package EQS 6.2. The sample used is made up of 1,814 informants (907 companions and 907 patients). Findings The importance of coproduction between the accompanying person and the health-care professional is shown, to obtain greater levels of satisfaction (of the companion and the patient), whereas a negative role is conferred to the dimension value-in-use. This paper shows a positive impact of the satisfaction of the companion on that of the patient. Practical implications It is necessary to have health-care professionals who play a proactive role when facilitating the participation in the appointment with the doctor so as not to leave the initiative of participation in the hands of the companions. Originality/value Chronic illnesses are an important focal point of medical attention. Good management of the relations between those involved is fundamental for the diagnosis and adherence to treatment.

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“…5,7,8 Among patients with CNCP, pain treatment satisfaction is a common indicator for quality of care for public health systems and can affect patient adherence to treatment. [9][10][11] Pain treatment satisfaction can be affected by multiple factors, including patient views of care providers, experiences and expectations with pain management, and pain outcomes. 12 Satisfaction is higher when patients are treated as informed partners in their pain treatment plans.…”

Section: Introductionmentioning

confidence: 99%

“…5,9,14 In safety-net populations, patients dissatisfied with their pain treatment have lower care retention, lower adherence and engagement with treatment plans, and worse health outcomes. 9,11 Opioids were previously considered a mainstay of CNCP treatment. 15,16 However, implementation of opioid-limiting policies has led prescriptions to decline nationally since 2012.…”

Section: Introductionmentioning

confidence: 99%