Mature Adults at the GP: Length of Visit and Patient Satisfaction—Associations with Patient, Doctor, and Facility Characteristics

<i>Background and objectives</i>: The consultation time for more mature adults is often perceived as longer, increasing with the patient’s age and boosting their satisfaction with the visit. However, factors determining patient satisfaction (PS) or the consultation time (CT) in the popul...

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Main Authors: Marta Rzadkiewicz, Gorill Haugan, Dorota Włodarczyk
Format: Article
Language:English
Published: MDPI AG 2022-01-01
Series:Medicina
Subjects:
Online Access:https://www.mdpi.com/1648-9144/58/2/159
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author Marta Rzadkiewicz
Gorill Haugan
Dorota Włodarczyk
author_facet Marta Rzadkiewicz
Gorill Haugan
Dorota Włodarczyk
author_sort Marta Rzadkiewicz
collection DOAJ
description <i>Background and objectives</i>: The consultation time for more mature adults is often perceived as longer, increasing with the patient’s age and boosting their satisfaction with the visit. However, factors determining patient satisfaction (PS) or the consultation time (CT) in the population aged 50+ are not clearly identified. A cross-sectional design was used to identify factors specific to the facility (e.g., size, staff turnover), doctor (e.g., seniority, workload), and patient (e.g., self-rated health, impairment of activities) that are related to PS and the CT. Our secondary focus was on the relation of PS to the CT along with the role of the patient’s age and gender for both. <i>Materials and Methods</i>: Doctors (<i>n</i> = 178) and their 1708 patients (aged 50–97) from 77 primary care facilities participated in the study. The Patient Satisfaction with Visit Scale score and the CT were the outcome measures. <i>Results</i>: We identified associations with the CT in terms of the facility-related factors (number of GPs, time scheduling); doctors’ workload and health; and patients’ education, time attending GP, and impairments. PS was additionally governed by doctors’ perceived rate of patients aged 65+, as well as the patients’ hospitalization in the prior year, frequency of visits, and impairments. For adults aged 50+ the CT was unrelated to PS and both remained independent of patients’ age. <i>Conclusions</i>: Specific factors in terms of the facility, GP, and patient were identified as related to PS and the CT for participating adults in primary care. During visits of patients aged 50+ at their GP, there is scope for both time-savings and patient satisfaction improvements, when paying attention, e.g., to the time scheduled per visit, the number of doctors employed, and the patients’ impairments.
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spelling doaj.art-cddf2c5cf0ba4801bc9bc77ebb4ef7c32023-11-23T20:58:55ZengMDPI AGMedicina1010-660X1648-91442022-01-0158215910.3390/medicina58020159Mature Adults at the GP: Length of Visit and Patient Satisfaction—Associations with Patient, Doctor, and Facility CharacteristicsMarta Rzadkiewicz0Gorill Haugan1Dorota Włodarczyk2Department of Health Psychology, Medical University of Warsaw, Litewska 14/16, 00-575 Warsaw, PolandDepartment of Public Health and Nursing, Norwegian University of Science and Technology, P.O. Box 8905, 7491 Trondheim, NorwayDepartment of Health Psychology, Medical University of Warsaw, Litewska 14/16, 00-575 Warsaw, Poland<i>Background and objectives</i>: The consultation time for more mature adults is often perceived as longer, increasing with the patient’s age and boosting their satisfaction with the visit. However, factors determining patient satisfaction (PS) or the consultation time (CT) in the population aged 50+ are not clearly identified. A cross-sectional design was used to identify factors specific to the facility (e.g., size, staff turnover), doctor (e.g., seniority, workload), and patient (e.g., self-rated health, impairment of activities) that are related to PS and the CT. Our secondary focus was on the relation of PS to the CT along with the role of the patient’s age and gender for both. <i>Materials and Methods</i>: Doctors (<i>n</i> = 178) and their 1708 patients (aged 50–97) from 77 primary care facilities participated in the study. The Patient Satisfaction with Visit Scale score and the CT were the outcome measures. <i>Results</i>: We identified associations with the CT in terms of the facility-related factors (number of GPs, time scheduling); doctors’ workload and health; and patients’ education, time attending GP, and impairments. PS was additionally governed by doctors’ perceived rate of patients aged 65+, as well as the patients’ hospitalization in the prior year, frequency of visits, and impairments. For adults aged 50+ the CT was unrelated to PS and both remained independent of patients’ age. <i>Conclusions</i>: Specific factors in terms of the facility, GP, and patient were identified as related to PS and the CT for participating adults in primary care. During visits of patients aged 50+ at their GP, there is scope for both time-savings and patient satisfaction improvements, when paying attention, e.g., to the time scheduled per visit, the number of doctors employed, and the patients’ impairments.https://www.mdpi.com/1648-9144/58/2/159length of the visitpatient satisfactionhealth statusappointments and schedulesgeneral practiceadult
spellingShingle Marta Rzadkiewicz
Gorill Haugan
Dorota Włodarczyk
Mature Adults at the GP: Length of Visit and Patient Satisfaction—Associations with Patient, Doctor, and Facility Characteristics
Medicina
length of the visit
patient satisfaction
health status
appointments and schedules
general practice
adult
title Mature Adults at the GP: Length of Visit and Patient Satisfaction—Associations with Patient, Doctor, and Facility Characteristics
title_full Mature Adults at the GP: Length of Visit and Patient Satisfaction—Associations with Patient, Doctor, and Facility Characteristics
title_fullStr Mature Adults at the GP: Length of Visit and Patient Satisfaction—Associations with Patient, Doctor, and Facility Characteristics
title_full_unstemmed Mature Adults at the GP: Length of Visit and Patient Satisfaction—Associations with Patient, Doctor, and Facility Characteristics
title_short Mature Adults at the GP: Length of Visit and Patient Satisfaction—Associations with Patient, Doctor, and Facility Characteristics
title_sort mature adults at the gp length of visit and patient satisfaction associations with patient doctor and facility characteristics
topic length of the visit
patient satisfaction
health status
appointments and schedules
general practice
adult
url https://www.mdpi.com/1648-9144/58/2/159
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AT dorotawłodarczyk matureadultsatthegplengthofvisitandpatientsatisfactionassociationswithpatientdoctorandfacilitycharacteristics