Functional status and patient satisfaction - A comparison of ischemic heart disease, obstructive lung disease, and diabetes mellitus
Functional status and patient satisfaction - A comparison of ischemic heart disease, obstructive lung disease, and diabetes mellitus
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DOI：
10.1111/j.1525-1497.2005.40057.x
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发表时间：
2005-05-01
影响因子：
5.7
通讯作者：
Fihn, SD
中科院分区：
文献类型：
--
作者：
Fan, VS;Reiber, GE;Fihn, SD
目的：确定慢性疾病和疾病严重程度影响患者对普通内科诊所初级保健提供者的满意度的程度。设计：横断面邮寄问卷调查研究。地点：7个退伍军人事务部医疗中心的初级保健诊所。患者/参与者：在62，487名参与门诊护理质量改善项目的患者中，35，383名（57%）返回了初始筛选问卷，随后发送了满意度问卷。患者返回西雅图门诊患者满意度调查（SOSQ）的21，689名患者（N= 21，689; 61%）被纳入最终分析，占原始样本的34%。SOSQ的组织评分衡量了内科诊所对卫生保健服务的满意度，人文量表测量患者对初级保健医生的沟通技巧和人文素质的满意度。对于缺血性心脏病（IHD）、慢性阻塞性肺疾病（COPD）和糖尿病，患者科普疾病的能力与患者满意度的相关性大于疾病严重程度。在IHD患者中，心绞痛情绪科普能力的改善与较高的SOSQ组织评分相关（标准化β =0.18; P
OBJECTIVE: To determine the extent to which chronic illness and disease severity affect patient satisfaction with their primary care provider in general internal medicine clinics.DESIGN: Cross-sectional mailed questionnaire study.SETTING: Primary care clinics at 7 Veterans Affairs medical centers.PATIENTS/PARTICIPANTS: Of 62,487 patients participating in the Ambulatory Care Quality Improvement Project, 35,383 (57%) returned an initial screening questionnaire and were subsequently sent a satisfaction questionnaire. Patients (N=21,689; 61%) who returned the Seattle Outpatient Satisfaction Survey (SOSQ) were included in the final analysis, representing 34% of the original sample.MEASUREMENTS AND MAIN RESULTS: The organizational score of the SOSQ measures satisfaction with health care services in the internal medicine clinic, and the humanistic scale measures patient satisfaction with the communication skills and humanistic qualities of the primary care physician. For ischemic heart disease (IHD), chronic obstructive pulmonary disease (COPD), and diabetes, patient ability to cope with their disease was more strongly associated with patient satisfaction than disease severity. Among IHD patients, improvement in ability to cope emotionally with their angina was associated with higher SOSQ organizational scores (standardized beta=0.18; P