PATIENT SATISFACTION AND CHANGE IN MEDICAL-CARE PROVIDER - A LONGITUDINAL-STUDY
PATIENT SATISFACTION AND CHANGE IN MEDICAL-CARE PROVIDER - A LONGITUDINAL-STUDY
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DOI：
10.1097/00005650-198308000-00006
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发表时间：
1983-01-01
期刊：
影响因子：
3
通讯作者：
WARE, JE
中科院分区：
文献类型：
--
作者：
MARQUIS, MS;DAVIES, AR;WARE, JE
来自兰德公司健康保险实验的纵向数据被用来检验提供者连续性可以被建模为患者满意度的一种行为后果的假设。双变量和多变量分析（控制社会人口特征、先前使用服务、健康状况和健康保险计划）支持我们的假设。多元线性概率函数表明，总体满意度每降低1分，更换供应商的概率就会增加3.4个百分点。在接下来的一年里，满意度得分与连续性之间的关系似乎大致是线性的；我们没有观察到“阈值”满意度水平，在此水平上提供者更换的可能性显着增加。我们讨论了在测量提供者连续性方面需要改进的地方，以及进一步研究患者满意度的其他行为后果的需要。
Longitudinal data from The Rand Corporation's Health Insurance Experiment were used to test the hypothesis that provider continuity can be modeled as one behavioral consequence of patient satisfaction. Bivariate and multivariate analyses (controlling for sociodemographic characteristics, prior use of services, health status, and health insurance plan) supported our hypotheses. A multivariate linear probability function indicated that a 1-point decrease on a general satisfaction scale was associated with a 3.4 percentage-point increase in the probability of provider change. The relationship between satisfaction scores and continuity during the following year appears to be roughly linear; we observed no “threshold” satisfaction level at which the probability of provider change increased markedly. We discuss needed improvements in the measurement of provider continuity and the need for further study of other behavioral consequences of patient satisfaction.