Toward Continuous Primary Care in the United States
Background : As stated by Donabedian, the father of quality assurance, satisfaction is an integral component of quality in medical care. Patient satisfaction is an important predictor of health-related behaviors, use of medical services, and health outcomes. Impressive literature exists in examining...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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SAGE Publishing
2011-04-01
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| Series: | Journal of Primary Care & Community Health |
| Online Access: | https://doi.org/10.1177/2150131910393252 |
| _version_ | 1818252199165165568 |
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| author | Ala I. Iaconi MS Jongwha Chang MA, MS Steve Feldman MD, PhD Rajesh Balkrishnan PhD |
| author_facet | Ala I. Iaconi MS Jongwha Chang MA, MS Steve Feldman MD, PhD Rajesh Balkrishnan PhD |
| author_sort | Ala I. Iaconi MS |
| collection | DOAJ |
| description | Background : As stated by Donabedian, the father of quality assurance, satisfaction is an integral component of quality in medical care. Patient satisfaction is an important predictor of health-related behaviors, use of medical services, and health outcomes. Impressive literature exists in examining various aspects of patient satisfaction, however, no study thus far has examined differences in patient satisfaction between first and return visits to primary care physicians. Objective : Our interest is to determine whether there are differences in patient satisfaction between first and return visits to primary care physicians, with the hypothesis that patients returning for their visits have a higher satisfaction level compared to their first initial visit. Methods : The authors conducted a cross-sectional analysis of the national Web-based survey DrScore. Via DrScore, patients anonymously rated their physician on the basis of treatment satisfaction received from their most recent outpatient visit. The association between physician satisfaction and total care patient ratings of first and return visits was assessed via regression analysis. Results : In total, 15,341 patients were included in this study. Our findings indicate that for a 1-unit change from first visit to return visits, the coefficient of patient satisfaction for the return visits is approximately 10 times higher compared to that of the first visit. Furthermore, the mean satisfaction score for the return visit group is higher than that for the first visit group, 80.28 versus 64.48, respectively ( P < .05). Conclusion : Return visits to primary care physicians are associated with higher patient satisfaction compared to the first initial visit. |
| first_indexed | 2024-12-12T16:20:23Z |
| format | Article |
| id | doaj.art-089a23e7e3814ebb9738d1ec3b42647a |
| institution | Directory Open Access Journal |
| issn | 2150-1319 2150-1327 |
| language | English |
| last_indexed | 2024-12-12T16:20:23Z |
| publishDate | 2011-04-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Journal of Primary Care & Community Health |
| spelling | doaj.art-089a23e7e3814ebb9738d1ec3b42647a2022-12-22T00:19:00ZengSAGE PublishingJournal of Primary Care & Community Health2150-13192150-13272011-04-01210.1177/2150131910393252Toward Continuous Primary Care in the United StatesAla I. Iaconi MS0Jongwha Chang MA, MS1Steve Feldman MD, PhD2Rajesh Balkrishnan PhD3 Center for Global Health, University of Michigan, Ann Arbor, MI, USA Center for Global Health, University of Michigan, Ann Arbor, MI, USA Wake Forest University, School of Medicine, Winston Salem, NC, USA Center for Global Health, University of Michigan, Ann Arbor, MI, USABackground : As stated by Donabedian, the father of quality assurance, satisfaction is an integral component of quality in medical care. Patient satisfaction is an important predictor of health-related behaviors, use of medical services, and health outcomes. Impressive literature exists in examining various aspects of patient satisfaction, however, no study thus far has examined differences in patient satisfaction between first and return visits to primary care physicians. Objective : Our interest is to determine whether there are differences in patient satisfaction between first and return visits to primary care physicians, with the hypothesis that patients returning for their visits have a higher satisfaction level compared to their first initial visit. Methods : The authors conducted a cross-sectional analysis of the national Web-based survey DrScore. Via DrScore, patients anonymously rated their physician on the basis of treatment satisfaction received from their most recent outpatient visit. The association between physician satisfaction and total care patient ratings of first and return visits was assessed via regression analysis. Results : In total, 15,341 patients were included in this study. Our findings indicate that for a 1-unit change from first visit to return visits, the coefficient of patient satisfaction for the return visits is approximately 10 times higher compared to that of the first visit. Furthermore, the mean satisfaction score for the return visit group is higher than that for the first visit group, 80.28 versus 64.48, respectively ( P < .05). Conclusion : Return visits to primary care physicians are associated with higher patient satisfaction compared to the first initial visit.https://doi.org/10.1177/2150131910393252 |
| spellingShingle | Ala I. Iaconi MS Jongwha Chang MA, MS Steve Feldman MD, PhD Rajesh Balkrishnan PhD Toward Continuous Primary Care in the United States Journal of Primary Care & Community Health |
| title | Toward Continuous Primary Care in the United States |
| title_full | Toward Continuous Primary Care in the United States |
| title_fullStr | Toward Continuous Primary Care in the United States |
| title_full_unstemmed | Toward Continuous Primary Care in the United States |
| title_short | Toward Continuous Primary Care in the United States |
| title_sort | toward continuous primary care in the united states |
| url | https://doi.org/10.1177/2150131910393252 |
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