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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    • "The item scores were used to operationalize six dimensions of patient satisfaction, termed interpersonal, technical, communication, accessibility, availability and overall. Each of these dimensions has been correlated with patient satisfaction in previous studies (Al-Faris et al., 1996; Harrison, 1996; Makhdoom et al., 1997; Gross et al., 1998; Saeed et al., 2001; Albalushi et al., 2012). "
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    ABSTRACT: The objectives of this study were to explore the factors contributing to patient Satisfaction in Primary Healthcare Centers (PHCCs) in Hail city, Saudi Arabia. A cross-sectional quantitative survey was conducted using an instrument with valid and reliable properties. Six dimensions of patient satisfaction were identified by factor analysis, with adequate to high levels of internal consistency reliability (Cronbach's alpha = 0.645 to 0.857). The questionnaire was completed by 453 patients attending six PHCCs in June 2013 with an 83.8% response rate. The overall level of patient satisfaction on a scale from 1 to 5 was indicated by a mean score of 3.60 (95% CI = 3.53, 3.67) comparable with a previous survey of patient satisfaction in Hail city, conducted in 1999. The respondents reported their highest level of satisfaction for the quality of the services provided by the doctors and staff. The lowest level of satisfaction was for access to medical care and the availability of doctors. Different sectors of the population city were not equally satisfied with all aspects of the healthcare services they received. Older patients, especially those in the middle income category, were more satisfied with relationships with doctors and staff. The ease of seeing doctors was perceived to be the highest by the older patients, especially those in the lowest income category. Female patients with limited education perceived they received the highest levels of treatment, diagnosis and outcomes. Patients in the lower income categories perceived they had better access to medical care than patients in the highest income category. These relationships may help healthcare providers to meet the different needs of patients based on their gender, age and socio-economic status.
    Preview · Article · Aug 2014 · American Journal of Applied Sciences
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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.
    Full-text · Article · Sep 2012 · North American Journal of Medical Sciences
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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.
    Full-text · Article · Jun 2011 · Patient Education and Counseling
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