Association between obesity and patient satisfaction
Association between obesity and patient satisfaction
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DOI：
10.1038/oby.2006.159
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发表时间：
2006-08-01
期刊：
影响因子：
6.9
通讯作者：
Franks, Peter
中科院分区：
文献类型：
--
作者：
Fong, Ronald L.;Bertakis, Klea D.;Franks, Peter
目的：通过一项具有全国代表性的调查，探讨BMI与患者对医疗服务提供者满意度之间的关系。研究方法和程序：本分析调查了9914名完成2000年医疗支出小组调查并在调查后12个月内访问过医疗保健提供者的成年患者。采用线性回归模型，以患者满意度为因变量。患者满意度量表是基于评估提供者互动质量的五个问题的评分。自变量为BMI，并对人口统计学、社会经济地位、健康态度和行为、健康状况和医疗保健使用等领域进行了调整。BMI（体重单位：公斤/身高的平方单位：米）分为正常体重（18.5 ~ 24.9）、超重（25.0 ~ 29.9）、肥胖（>= 30.0）。采用层次模型评价各领域对bmi -满意度关联的影响。结果：肥胖患者对医护人员的满意度显著高于正常体重患者（p < 0.05）。正常体重患者与超重患者、超重患者与肥胖患者满意度无显著差异。健康状态域在bmi -满意度关系中产生了最大的改变。相互作用的检验表明，BMI和满意度之间的联系仅限于老年人。讨论：在这个具有全国代表性的个人样本中，肥胖的人比正常体重的人更满意。这一发现与之前的研究结果相反。对医疗保健使用和保险状况的不完全调整可能导致了这些结论。
Objective: To examine the relationship between BMI and patient satisfaction with health care providers using a nationally representative survey.Research Methods and Procedures: This analysis examined the 9914 adult patients who completed the 2.000 Medical Expenditure Panel Survey and had visited a health care provider within 12 months of the survey. Linear regression models were employed with patient satisfaction as the dependent variable. The patient satisfaction scale was based on ratings from five questions assessing the quality of provider interactions. The independent variable was BMI, with adjustments for the domains of demographics, social-economic status, health attitudes and behavior, health status, and health care use. BMI (weight in kilograms/square of height in meters) was classified as normal weight (18.5 to 24.9), overweight (25.0 to 29.9), or obese (>= 30.0). Hierarchical models were used to evaluate how each domain modified the BMI-satisfaction association.Results: Obese patients reported significantly greater satisfaction with their health care providers than their normal-weight counterparts did (p < 0.05). There were no significant differences in satisfaction between normal-weight and overweight patients or between overweight and obese patients. The health status domain produced the largest modification in the BMI-satisfaction relationship. Examination of interaction effects revealed that the association between BMI and satisfaction was confined to older persons.Discussion: In this nationally representative sample of individuals, obese persons were more satisfied than their normal-weight counterparts. This finding counters those of previous studies. Incomplete adjustments for health care use and insurance status may have led to those conclusions.