Is patients' perception of time spent with the physician a determinant of ambulatory patient satisfaction?
Is patients' perception of time spent with the physician a determinant of ambulatory patient satisfaction?
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DOI：
10.1001/archinte.161.11.1437
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发表时间：
2001-06-11
影响因子：
--
通讯作者：
Anderson, RJ
中科院分区：
文献类型：
--
作者：
Lin, CT;Albertson, GA;Anderson, RJ
背景：门诊患者访视的时间管理越来越重要。那些认为看内科医生的时间更长的患者是否会报告满意度增加？研究方法：前瞻性调查的1486连续遇到门诊访问16初级保健医生（PCP）在学术初级保健诊所。询问患者的人口统计学、健康状况、对门诊访视前后所用时间的感知、医生是否显得匆忙以及访视满意度。询问医生花费的时间，估计病人的满意度，以及他们是否觉得rushed.Results：在69%的1486连续访问，病人previsit期望的访问持续时间为20分钟或更少。那些估计他们花了比预期更多的时间与PCP的患者显着更满意的访问。当患者访视后估计花费的时间小于previsit预期时，访视满意度显着降低，与花费的时间无关。患者对健康的担忧和较低的自我感知的健康状况与患者期望更长的访问显着相关。初级保健医生在10%的遭遇中感到匆忙。虽然PCP估计病人的满意度显着降低时，他们感到匆忙，病人的满意度是相同的，当PCP没有感到匆忙。患者表示，PCPs出现在3%的遭遇，但这种看法并没有影响患者satisfactions.Conclusion：感知门诊就诊时间和会议或超过患者期望的时间需要花在医生的门诊内科实践中的患者满意度的决定因素。
Background: Time management in ambulatory patient visits is increasingly critical. Do patients who perceive a longer visit with internists report increased satisfaction?Methods: Prospective survey of 1486 consecutively encountered ambulatory visits to 16 primary care physicians (PCPs) in an academic primary care clinic. Patients were queried regarding demographics, health status, perception of time spent before and after ambulatory visits, whether the physician appeared rushed, and visit satisfaction. Physicians were queried regarding time spent, estimated patient satisfaction, and whether they felt rushed.Results: In 69% of 1486 consecutive visits, patient previsit expectation of visit duration was 20 minutes or less. Patient and PCP postvisit estimates of time spent significantly exceeded patient previsit time expectation. Patients who estimated that they spent more time than expected with the PCP were significantly more satisfied with the visit. When patient postvisit estimate of time spent was less than the previsit expectation, visit satisfaction was significantly lower independent of time spent. Patient worry about health and lower self-perceived health status were significantly associated with patient expectation for longer visits. Primary care physicians felt rushed in 10% of encounters. Although PCPs estimated patient satisfaction was significantly lower when they felt rushed, patient satisfaction was identical when PCPs did and did not feel rushed. Patients indicated that PCPs appeared rushed in 3% of encounters, but this perception did not affect patient satisfaction.Conclusion: Perceived ambulatory visit duration and meeting or exceeding patient expectation of time needed to be spent with the physician are determinants of patient satisfaction in an ambulatory internal medicine practice.