Patient satisfaction with time spent with their physician.
ABSTRACT 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.
- SourceAvailable from: Karen K Anderson[Show abstract] [Hide abstract]
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 · 2.60 Impact Factor
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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 · 2.49 Impact Factor
Conference Paper: Patient Perceptions of Electronic Medical Records[Show abstract] [Hide abstract]
ABSTRACT: Background: Physicians are adopting electronic medical records in much greater numbers today and are escalating the rate of adoption. The American Recovery and Reinvestment Act of 2009 provides incentives for physicians to adopt this technology. Objectives: Determine whether patient satisfaction is affected by computer use in the exam room and whether patients who have experienced computers in the exam room perceive differences in the utility of electronic medical records. Results: Physicians received higher overall satisfaction scores when a computer was used to retrieve patient information. Physicians received similar satisfaction scores when a computer was used to enter patient information. Patients who have experienced electronic medical records perceive benefits such as increased portability of the record but do not believe that physicians who use electronic medical records produce better health outcomes. Patients who have experienced electronic medical records do not desire more control over their record than those who have traditional medical records.System Sciences (HICSS), 2010 43rd Hawaii International Conference on; 02/2010