Willing to wait?: The influence of patient wait time on satisfaction with primary care

Anderson, Roger T.; Camacho, Fabian; Balkrishnan, Rajesh

doi:10.1186/1472-6963-7-31

Cited by 316 publications

(290 citation statements)

References 9 publications

Supporting

Mentioning

249

Contrasting

Unclassified

Order By: Relevance

“…Our finding that time spent with the hand surgeon did not correlate with patient satisfaction is consistent with findings in emergency care [26] but inconsistent with findings in primary care [3]. It is unclear why time with the physician and satisfaction vary among medical specialties.…”

Section: Discussioncontrasting

confidence: 69%

“…The relationship between longer waiting time and decreased satisfaction for specialty outpatient office visits [8,15,30], emergency medicine [26,27], and primary care is consistent across studies [3,6,14,23]. One study of surgery outpatients found that patients remained ''reasonably satisfied'' after up to 37 minutes of waiting time [15].…”

Section: Discussionmentioning

confidence: 80%

“…This means that we would detect time spent with the physician as a significant factor if it accounted for 7% or more of the variability in satisfaction, and based on previous studies, we assume our complete model would account for 34% of the variability [3,8].…”

Section: Discussionmentioning

confidence: 99%

“…Previous studies, predominantly in the primary care setting, identified time spent with the physician as an important predictor of patient satisfaction [3,8,12,26]. Most of the studies on time spent in the office uses a cross-sectional survey design in which patients are asked-at a time remote from the visit-about their satisfaction and their perceived waiting time and time with the physician [3,8,14,15,27,30].…”

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Time Seeing a Hand Surgeon Is Not Associated With Patient Satisfaction

Teunis

Thornton

Jayakumar

et al. 2015

Clinical Orthopaedics &Amp; Related Research

View full text Add to dashboard Cite

Background Previous studies, predominantly in the primary care setting, identified time spent with the physician as an important predictor of satisfaction. It is unknown if the same holds true in hand surgery. Questions/purposes Is patient satisfaction measured immediately after an office visit associated with the duration of time spent with the hand surgeon? What other factors are associated with satisfaction directly after the visits and 2 weeks after the appointment?Methods We prospectively enrolled 81 patients visiting our hand and upper extremity surgery outpatient clinic. We recorded their demographics and measured physical function, pain behavior, symptoms of depression, time spent in the waiting room, time spent with the physician, and patient satisfaction. Office times were measured using our patient ambulatory tracking system and by a research assistant outside the clinic room. To assess satisfaction we used items from the Consumer Assessment of Healthcare Providers and Systems survey (a federally developed standardized survey instrument) relevant to our study. Two weeks later, 51 (64%) patients were available for telephone followup and the same measures were completed. Mean time spent with the hand surgeon was 8 ± 5 minutes and mean in-office wait time to see the hand surgeon was 32 ± 18 minutes. A priori power analyses indicated that 77 patients would provide 80% power to detect an effect size f 2 = 0.18 for a regression with five predictors. This means that we would detect time spent with the physician as a significant factor if it accounted for 7% or more of the variability in satisfaction. Results Time spent with the hand surgeon was not associated with patient satisfaction measured directly after the visit (r = -0.023; p = 0.84). Longer time waiting to see the physician correlated with decreased patient satisfaction (r = -0.30; p = 0.0057). The final multivariable model for increased satisfaction directly after the office visit included shorter waiting time (regression coefficient [b] -0.0014; partial R 2 0.094; 95% confidence interval [CI], -0.0024 to -0.00042; p = 0.006) and being married/living with a partner (b 0.057; partial R 2 0.11; 95% CI, 0.021-0.093; p = 0.002 [adjusted R 2 0.18; p \ 0.001]). Similarly, multivariable analysis found higher patient satisfaction 2 weeks after the visit to be independently associated with shorter waiting time (b -0.0037; partial R 2 0.10; 95% CI, One of the authors (DR) certifies that he, or a member of his immediate family, has or may receive payments or benefits, during the study period, from Wright Medical (Memphis, TN, USA) of less than USD 10,000; Skeletal Dynamics (Miami, FL, USA) of less than USD 10,000; Biomet (Warsaw, IN, USA) of less than USD 10,000; AO North America (Paoli, PA, USA) of less than USD 10,000; and AO International (Dubendorf, Switzerland) of less than USD 10,000. All ICMJE Conflict of Interest Forms for authors and Clinical Orthopaedics and Related Research 1 editors and board members are on file with the publication and can...

show abstract

Section: Discussioncontrasting

confidence: 69%

Section: Discussionmentioning

confidence: 80%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Time Seeing a Hand Surgeon Is Not Associated With Patient Satisfaction

Teunis

Thornton

Jayakumar

et al. 2015

Clinical Orthopaedics &Amp; Related Research

View full text Add to dashboard Cite

show abstract

“…Previous studies in the primary care environment [1][2][3]6] have suggested that patient satisfaction is directly related to the amount of time spent with the physician. For the current study by Teunis and colleagues, the amount of time the patient spent with a hand surgeon was not associated with patient satisfaction; rather, longer wait times were associated with relative dissatisfaction as measured immediately after the visit and reassessed 2 weeks later.…”

mentioning

confidence: 99%

CORR Insights®: Time Seeing a Hand Surgeon Is Not Associated With Patient Satisfaction

Attarian

2015

Clinical Orthopaedics &Amp; Related Research

View full text Add to dashboard Cite

Improving Quality and Patient Satisfaction in Dermatology Office Practice

Poulos¹,

Mostow²

2008

Arch Dermatol

View full text Add to dashboard Cite

M any dermatologists are under pressure to improve the efficiency and effectiveness of their clinical care in an era of stagnant reimbursement and higher office expenses. In addition, dermatologists in the United States are under increased scrutiny from payers, regulators, and patients who expect uniformly high-quality service from their physicians. The presence of increasing numbers of nondermatologist health care providers marketing themselves as skincare specialists also places increased pressure on dermatologists to demonstrate the value of their services. Patient perceptions of quality health care are important to the physician. Patient satisfaction affects clinical outcomes, patient retention, and medical malpractice claims. 1 Highly satisfied patients have improved outcomes in the management of chronic disease vs those less satisfied. 1,2 This reflects increased compliance among satisfied patients. Furthermore, dissatisfied patients are 4 times more likely to seek care elsewhere within 6 months. 1,3 Finally, an inverse correlation has been reported for patient satisfaction rates and medical malpractice claims. 1,4 Quality improvement (QI) systems analyze processes to improve the quality of care, productivity, and efficiency. 5 Hospitals and long-term care centers have had QI committees in place for years as a requirement for accreditation. Despite the advantages of self-assessment, many dermatologists in private practice have not implemented a system to analyze and evaluate quality of care rendered in their practice. Such a system could include quarterly meetings attended by not only the physician but also by representatives from the nursing, technical, and administrative staff. Establishing a small QI committee can also stimulate useful QI initiatives. Implementing QI systems based on information from a sampling of patients has been difficult because of their cost and inconvenience. An Internet-based system offers dermatologists a convenient and inexpensive method to obtain patient satisfaction information. The DrScore Web site (http://www.DrScore.com; Medical Quality Enhancement Corporation, Winton-Salem, North Carolina) provides an online patient satisfaction survey designed to respond to the QI needs of dermatologists by providing data to individual dermatologists to help them improve quality of care and patient perceptions of physician quality. A dermatologist could use these

show abstract

Willing to wait?: The influence of patient wait time on satisfaction with primary care

Abstract: Background: This study examined the relationship between patient waiting time and willingness to return for care and patient satisfaction ratings with primary care physicians.

Cited by 316 publications

References 9 publications

Time Seeing a Hand Surgeon Is Not Associated With Patient Satisfaction

Time Seeing a Hand Surgeon Is Not Associated With Patient Satisfaction

CORR Insights®: Time Seeing a Hand Surgeon Is Not Associated With Patient Satisfaction

Improving Quality and Patient Satisfaction in Dermatology Office Practice

Contact Info

Product

Resources

About