Patient Satisfaction with Time Spent with Their Physician

Department of Epidemiology and Biostatistics, Case Western Reserve University, Cleveland, Ohio, USA.
The Journal of family practice (Impact Factor: 0.89). 09/1998; 47(2):133-7.
Source: PubMed


We examined the variables related to patient satisfaction with the time spent with their family physician during the office visit.
Research nurses directly observed consecutive patient visits to 138 family physicians in 84 practices. Analyses examined sequential models of the association of patient and physician characteristics, visit type and length, and time use during visits, with patients' satisfaction with the amount of time spent with their physician.
Among 2315 visit by adult patients returning questionnaires, patient satisfaction with the time spent with their physician was high and strongly linked to longer visits (P < 001). After controlling for visit duration, greater patient satisfaction with time spent was associated with older patient age, white race, better perceived health status, visits for well care, and visits with a greater proportion of the visit spent chatting. The physician's discussion of test results or findings from the physical examination was associated with greater satisfaction with time spent for visits longer than 15 minutes, but with less satisfaction with time spent for shorter visits.
Physicians can enhance patient satisfaction with the amount of time spent during an office visit by spending a small proportion of time chatting about nonmedical topics, and by allowing sufficient time for exchange with the patient is feedback is necessary.

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    • "Part of observed differences in satisfaction rates can be ascribed to patients’ demographic characteristics such as diversity of their cultural backgrounds, and the expectations among different social strata.[10] The differences in the quality of health care reflected in patient satisfaction due to cultural diversity also emerge within the same health care system.[11–15] "
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    ABSTRACT: BACKGROUND: Evaluation of outcomes can help improve the quality of provision of services within a healthcare setting. There is limited report on patient satisfaction in private-sector in India although they provide three-quarters of healthcare services. AIM: The study was designed to report the level of satisfaction among inpatients of a private tertiary care hospital in India. MATERIALS AND METHODS: A total of 102 participants were recruited and their socio-demographic, health-seeking behavior, and satisfaction rating on various aspects of healthcare were elicited. A five item Likert scale was used to obtain the satisfaction rating. Data analysis was done with the help of Stata version-9. Proportions for the discrete variables and means with Standard Deviation for the continuous variables were obtained. RESULTS: All the participants were urban and from upper-middle or upper socio-economic strata. The participants reported a high level of overall satisfaction (93%) as well as high satisfaction with physicians (95%), the doctor's interpersonal skills (99%), nursing-care (93%), general services (94%), and pharmacy (88.1%). CONCLUSION: There was a high level of satisfaction reported by the participants at this tertiary level hospital. This might reflect the actual good quality services being provided by the provider or the nonannoying response, which cannot be ruled out.
    North American Journal of Medical Sciences 09/2012; 4(9-4):405-10. DOI:10.4103/1947-2714.100991
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    • "By examining patients' perceptions of provider time at bedside compared to the actual provider time at bedside, we may then further generalize to other health care settings and improve patient perceptions of the provider–patient interaction. These patient perceptions are a component of patient satisfaction [2] [3] [4], which is associated with decreased litigation, decreased cost, increased referrals, improved compliance, and improved clinical outcomes [2,3,5–7]. "
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    ABSTRACT: Patients commonly perceive that a provider has spent more time at their bedside when the provider sits rather than stands. This study provides empirical evidence for this perception. We conducted a prospective, randomized, controlled study with 120 adult post-operative inpatients admitted for elective spine surgery. The actual lengths of the interactions were compared to patients' estimations of the time of those interactions. Patients perceived the provider as present at their bedside longer when he sat, even though the actual time the physician spent at the bedside did not change significantly whether he sat or stood. Patients with whom the physician sat reported a more positive interaction and a better understanding of their condition. Simply sitting instead of standing at a patient's bedside can have a significant impact on patient satisfaction, patient compliance, and provider-patient rapport, all of which are known factors in decreased litigation, decreased lengths of stay, decreased costs, and improved clinical outcomes. Any healthcare provider may have a positive effect on doctor-patient interaction by sitting as opposed to standing during a hospital follow-up visit.
    Patient Education and Counseling 06/2011; 86(2):166-71. DOI:10.1016/j.pec.2011.05.024 · 2.20 Impact Factor
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    • "Among these five dimensions, failure to listen to parents or spend enough time with the child may be especially consequential. This finding is consistent with studies that have shown that patient satisfaction is higher when the patient perceives longer visit duration (Gross et al. 1998; Lin et al. 2001; Kong et al. 2007), and it conflicts with current pressures that physicians feel to reduce visit length and increase efficiency (Grumbach et al. 1998; Blendon et al. 2001). Previous studies have demonstrated that ''chatting'' or spending time on nonmedical talk (Kikano, Gross, and Stange 1999), providing patients with feedback (Kikano, Gross, and Stange 1999), avoiding the appearance of being rushed (Hardee and Kasper 2008), maintaining eye contact (Hardee and Kasper 2008), and sitting for the visit ( Johnson et al. 2007; Hardee and Kasper 2008) all provide patients with an increased perception of time spent and could be used to address this dimension of the communication composite. "
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    ABSTRACT: To examine the association between care experiences and parent ratings of care within racial/ethnic/language subgroups. National Consumer Assessment of Healthcare Providers and Systems Benchmarking Database 3.0 (2003-2006). Sample Characteristics. 111,139 parents of minor Medicaid managed care enrollees. Cross-sectional observational study predicting "poor" (0-5 on 0-10 scale) parent ratings of personal doctor, specialist, health care, and health plan from care experiences for different parent race/ethnicity/language subgroups (Latino/Spanish, Latino/English, white, and black). Care experiences had similar associations with the probability of poor parent ratings of care across the four racial/ethnic/language subgroups (p>.20). A one standard deviation improvement in the doctor communication care experience was associated with about half the frequency of poor ratings of care for personal doctor and health care in all subgroups (p<.05). Sensitivity analysis of individual communication items found that failure to provide explanations to children predicted poor ratings of care only among whites, who also weighed the length of physician interaction more heavily than other subgroups. Communication-based interventions may improve experiences and ratings of care for all subgroups, although implementation of these interventions may need to consider preferences associated with race, ethnicity, and language.
    Health Services Research 06/2011; 46(3):821-39. DOI:10.1111/j.1475-6773.2010.01234.x · 2.78 Impact Factor
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