Is the professional satisfaction of general internists associated with patient satisfaction?
Is the professional satisfaction of general internists associated with patient satisfaction?
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DOI：
10.1046/j.1525-1497.2000.02219.x
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发表时间：
2000-02-01
影响因子：
5.7
通讯作者：
Brennan, TA
中科院分区：
文献类型：
--
作者：
Haas, JS;Cook, EF;Brennan, TA
背景：管理式医疗的发展引起了人们对患者和医生满意度的一些担忧。医生的专业满意度和患者的满意度之间的关系可以建议新的组织干预措施来提高两者的满意度。目的：检查普通内科医生和他们的患者的满意度之间的关系。设计：对患者和医生的横断面调查。设置：大波士顿地区11家学术上附属的全科内科诊所。部分：随机抽样说英语和西班牙语的患者(n=2,620)，在前一年至少去一次他们的医生(n=166)。测量：患者对他们的医疗保健的总体满意度，主要结果：经过调整后，对自己的工作非常满意或非常满意的医生的患者对他们的医疗保健的总体满意度得分更高(回归系数2.10；对于最近一次就诊的满意度(回归系数为1.23；95%可信区间为0.26-2.21)，此外，较年轻的患者、总体健康状况较好的患者以及由兼职医生护理的患者对这两个指标的满意度都显著更高。少数族裔患者和管理医疗保险患者的总体满意度也较低。结论：专业满意度较高的内科医生的患者可能对自己的护理更满意。进一步的研究将需要考虑可能调节患者和医生满意度之间关系的因素。
BACKGROUND: The growth of managed care has raised a number of concerns about patient and physician satisfaction. An association between physicians' professional satisfaction and the satisfaction of their patients could suggest new types of organizational interventions to improve the satisfaction of both.OBJECTIVE: To examine the relation between the satisfaction of general internists and their patients.DESIGN: Cross-sectional surveys of patients and physicians.SETTING: Eleven academically affiliated general internal medicine practices in the greater-Boston area.PARTICIPANTS: A random sample of English-speaking and Spanish-speaking patients (n = 2,620) with at least one visit to their physician (n = 166) during the preceding year.MEASUREMENTS: Patients' overall satisfaction with their health care, and their satisfaction with their most recent physician visit.MAIN RESULTS: After adjustment, the patients of physicians who rated themselves to be very or extremely satisfied with their work had higher scores for overall satisfaction with their health care (regression coefficient 2.10; 95% confidence interval 0.73-3.48), and for satisfaction with their most recent physician visit (regression coefficient 1.23; 95% confidence interval 0.26-2.21), In addition, younger patients, those with better overall health status, and those cared for by a physician who worked part-time were significantly more likely to report better satisfaction with both measures. Minority patients and those with managed care insurance also reported lower overall satisfaction.CONCLUSIONS: The patients of physicians who have higher professional satisfaction may themselves be more satisfied with their care. Further research will need to consider factors that may mediate the relation between patient and physician satisfaction.