10.1016/0277-9536(94)90247-X. Visualization, Williams B: Patient satisfaction: a valid concept?. For more information about PLOS Subject Areas, click Hall JA, Dornan MC: Patient sociodemographic characteristics as predictors of satisfaction with medical care: a meta-analysis. Their characteristics, functional health, and health care utilization. Within this platform, more than 4,000 Medicare-certified hospitals in the US are rated in terms of quality of care, making it easier to compare and contrast hospitals. After adjusting for patients' gender, age, frequency of attending a GP and self-rated health we confirmed findings from earlier studies that there is a positive association between patients' age and frequency of attendance and their assessment of their GP and a weak and inconsistent association with patients' gender. The authors declare that they have no competing interests. In addition, we will be able to calculate the variation attributable to GP factors. An analysis of 195 studies. In all dimensions but "medical care", crude PRs for positive evaluations tended to decline with a rising level of education, but this association was eliminated by adjusting. 1986, 146: 69-72. The latter questions have specific answers options regarding sources of information about hospital quality used by each subject. Selection bias would therefore seem to have a smaller impact than if we had studied actual levels of assessment. In all dimensions the scores increased statistically significantly with increasing patient age. Investigation, Routine patient care costs means Covered Medical Expenses which are typically provided absent a clinical trial and not otherwise excluded under the Policy. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Some factors that affect patient survey scores may not be directly related to hospital performance [5]. volume8, Articlenumber:178 (2008) We wish to thank all the GPs and patients whose evaluation provided this project with valuable data and Ms. Gitte Hove, cand. 10.1093/fampra/cmg601. 1983, 6: 185-210. The questionnaire contained the 23 items forming the EUROPEP instrument [16, 17]. BMJ. Perneger TV: Adjustment for patient characteristics in satisfaction surveys.
These considerations certainly deserve attention in future studies, especially given the current pandemic and the possibility that pandemics can recur. While many studies find no gender difference in the assessment of the GP, a few studies report women to be more satisfied with care than men [4, 10]. Patients undergoing education and patients who could not specify the length of their education formed a separate category. "Automatic Number Identification" or "ANI" is the Billing telephone number associated with the access line from which a call originates. A total of 365 GPs (1634% of all GPs in these counties) signed in. https://doi.org/10.1371/journal.pone.0258618.s001, https://doi.org/10.1371/journal.pone.0258618.s002. This may have resulted in the exclusion of some very ill patients with for instance cardiovascular disease in addition to diabetes thus tending to underestimate the significance of suffering from a chronic condition. The current list of accepted unique item identifier types is maintained at http://www.acq.osd.mil/dpap/pdi/uid/uii_types.html. 1992, 1: 247-251. Yet, adjustment may also blur the assessment of GPs' ability to meet the needs of the populations actually served [9, 11] and thus render quality improvement at a GP level difficult. However, unlike Hjortdahl and Laerum [32] we found no association with the duration of the relationship but a positive association with the intensity. We found consistent, statistically significantly decreasing scores with decreasing self-rated health in all dimensions which was even more pronounced after controlling for confounders. Similar results are reported regarding patients' socioeconomic status with a few studies reporting patients with a high socioeconomic status being a little more satisfied compared with less well off patients [6, 11]. Project administration, The authors would like to acknowledge Tara Brigham, Victoria Clifton, Zhuo Li, and Alison Dowdell, for their assistance in preparing this abstract. Patients reporting a chronic condition gave more positive assessments of their GP the most positive being the patients with "KRTC-conditions". PubMed Central Patients' assessment of specific aspects of care may be shaped by the context including the health care organisation which reduces the transferability of standards between organisations. Methodology, Hanne Nrgaard Heje. Variation in patient evaluations of general practice reflects differences between the evaluated general practitioners (GPs) and their practices, and between the patients themselves. Acquiring an infection while receiving health care is also known as health care-associated Infections (HAI) [13]. These questions covered specific aspects of general practice care and were grouped into five dimensions: doctor-patient relationship (6 questions), medical care (5 questions), information and support (4 questions), organisation of care (2 questions) and accessibility (6 questions). These aspects are also influenced by external factors such as family and friends, press and official (health) authorities and the cultural and historical setting at the time of the patient's life [6, 7]. They were informed that their replies were anonymous to the doctor. Continuity is one of the core qualities of the doctor-patient-relationship in a health care system where the GP is the patient's primary contact with the health care system [31].
1988, 25 (1): 25-36. Our adjusted PRs therefore capture a more "clean" effect on the assessment of being listed for years with the same GP and of the frequency of attending the GP. 1994, 39: 655-670. Correspondence to Prevalence ratios (PR) with 95%-confidence intervals (95% CI) were preferred to odds ratios (OR) which would tend to overestimate the associations because the prevalence of the variables was high [23, 24]. BMC Health Services Research 10.1037/0278-6133.17.1.70. However, the authors felt that what respondents felt were important to them would remain relatively constant compared to their actual ratings of their hospital stay. Pascoe GC: Patient satisfaction in primary health care: A literature review and analysis. Formal analysis, Patients older than 65 years (117; 69.23%) were more concerned if the doctors explained things in a way that they could understand than younger ones (51; 54.84%) (p = 0.02)Fig 3. Is the Subject Area "Nosocomial infections" applicable to this article? Unique entity identifier means a number or other identifier used to identify a specific commercial, nonprofit, or Government entity. Descriptive analysis of survey answers is reported as frequency and percentage. The most important concern reported was the risk of getting a hospital-acquired infection (67.18%), followed by understanding explanation from the doctors plans (64.12%) and doctors ability to listen carefully (58.78%). No, Is the Subject Area "Health education and awareness" applicable to this article? Data curation, Int J Qual Health Care. 1994, 38: 509-516. here. [39]. Partial results of this study were presented at the 17th Annual Southern Hospital Medicine Conference (October 2016). The following two most important concerns reported in this study were regarding the doctors ability to properly explain a therapeutic plan (64.12%) and to listen carefully to the patients (58.78%). Scores also tended to increase the longer time the patients had been listed with the GP, but not after adjusting for confounding patient characteristics. Barros AJ, Hirakata VN: Alternatives for logistic regression in cross-sectional studies: an empirical comparison of models that directly estimate the prevalence ratio.
Enterprise identifier means a code that is uniquely assigned to an enterprise by an issuing agency. Data curation,
Patients with chronic conditions were grouped according to the ICPC main category. broad scope, and wide readership a perfect fit for your research every time. [38] found an association between less positive assessments and poor self-rated health. Discover a faster, simpler path to publishing in a high-quality journal.
Both Hall et al. Wensing M, Mainz J, Grol R: A standardised instrument for patient evaluations of general practice care in Europe. [35] also used a mixed health indicator with a seeming emphasis on self rated health indicators and found that poor health was associated with dissatisfaction. Twenty-five patients chose more than one tool. The patients knew that aggregated and anonymised replies were fed back to the doctors. Standardized surveys are a great instrument to assess the hospital quality. Int J Qual Health Care. Sitzia J, Wood N: Patient satisfaction: a review of issues and concepts. Evaluation and program planning. Patient characteristics associated with differences in patients' evaluation of their general practitioner, http://www.biomedcentral.com/1472-6963/8/178/prepub, Additional file 1: The EUROPEP-questionnaire. 10.1023/A:1018405207552. Patient characteristics associated with differences in patients' evaluation of their general practitioner. 1997, 6: 293-299. These topics deserve further study as they have the potential to guide policies and care characteristics. CAS Crude analysis showed an expected negative association between educational level and assessment scores, which is in concordance with earlier findings [11]. Lewis JR: Patient views on quality care in general practice: literature review. In a paper by Rahmqvist [14] this was very well illustrated.
A survey with 807 patients and 700 orthopedic surgeons showed a discrepancy in the perception of a good communication as more doctors (75%) tended to be satisfied compared to patients (21%) [19]. California Privacy Statement, Med Care. Code 521.002(1). Therefore, aside from measures to overcome the barriers cited above, continuous and comprehensive communication training should also be established as studies showed that communication skills training increases the patients satisfaction [20, 21]. Consumer groups, health care providers, employers, and state and federal governments have made measuring and improving hospital quality of care top priorities [4]. Yes Knowledge of the extent to which patient characteristics are systematically associated with variation in patient evaluations will enable us to adjust for differences between practice populations and thereby compare GPs. Campbell JL, Ramsay J, Green J: Age, gender, socioeconomic, and ethnic differences in patients' assessments of primary health care. The finding may also be due to a general positivity of some may say more mellow way of judging by older people [29]. The survey was answered by 262 patients, comprised of 129 (49.24%) men and 133 (50.76%) women with a median age of 70 years, ranging from 20 to 95 years (mean 67.76 14.54). Manage cookies/Do not sell my data we use in the preference centre. Click through the PLOS taxonomy to find articles in your field. Methodology, Data curation, Every year, around 700 thousand falls occur in US hospitals [25], with falling reported as one of the most common complications in hospitals [26]. The surveys were completely anonymously with no patient identifiable details. 2004, 16: 433-435. PubMedGoogle Scholar. The answers were marked on a 5-point Likert scale ranging from "poor" to "excellent", with "acceptable" as the middle value. Writing original draft, The questionnaires were returned by the patients in prepaid envelopes to the project secretariat. The presentation of some data includes graphics and bar charts, which may make it more attractive or understandable to individuals with more years of education who prefer to view information in the form of line and bar charts, as showed by this study. (PDF 191 KB), http://creativecommons.org/licenses/by/2.0, bmchealthservicesresearch@biomedcentral.com. Patient characteristics have an effect on how hospital care is perceived. BMC Fam Pract. Survey domains included age, gender, educational level, factors considered important for the health care in a hospital setting and sources of information about hospital quality used by each subject. 10.2190/61EJ-LDYR-Q55N-UT6E. Int J Aging Hum Dev. Regardless of the characteristics of the population, the risk of getting an infection was the main concern overall, so it is important that hospitals promote actions to prevent it and share them with patients. We may have been demonstrating an effect of the clinical recommendations on the handling of different chronic diseases that have been implemented in Danish general practice through the past few years. Patient Data means any electronic data, information or material about a Patient entered into the Software. 1992, 304: 1287-1290. For example, respondents may rate their nursing care low or high depending on how they may recall their experience, but the level of importance they place on nursing care, per se, as part of hospitalization, should stay relatively the same. However, further investigation is needed to understand the patients concerns behind each response to these surveys. However, the considerable power of our analyses is accompanied by an almost negligent risk of overlooking associations (type II-error). A survey developed via literature review and specialist recommendations was applied in different departments of the tertiary care center where this study was done, during the year of 2016 [11, 12]. Positive identification means a method of identifying a person that does not rely on the use of a private personal identifier such as a password, but must use a secure means of identification that includes any of the following: Personal Identifying Information or PII means information that alone, or in conjunction with other information, identifies an individual, as defined at Tex. Writing original draft, Roles Formal analysis, 
unique patient characteristics
