Skip to main content
Top
Published in: Health and Quality of Life Outcomes 1/2007

Open Access 01-12-2007 | Research

Correlates of patient satisfaction with physician visit: Differences between elderly and non-elderly survey respondents

Authors: Meg C Kong, Fabian T Camacho, Steven R Feldman, Roger T Anderson, Rajesh Balkrishnan

Published in: Health and Quality of Life Outcomes | Issue 1/2007

Login to get access

Abstract

Background

Few studies document differences in patient satisfaction with physicians in the elderly (≥ 65 years) and compare it to non-elderly (<65 years) patients.

Methods

A cross-sectional survey study on a convenience sample of 20,901 patients rated their recent visit to a physician through a web-based survey. Survey included validated questions based on aspects of physician care practice such as "friendliness", wait times and time spent with doctor. These scales were then used to measure patient satisfaction with physician. Statistical analysis involved pair-matching of non-elderly patients with elderly patients (both cohorts, n = 507 each) using propensity scores.

Results

Even though elderly and non-elderly patients had similar waiting times, elderly patients gave higher physician satisfaction scores than non-elderly patients (all p < 0.05). When predictors of physician satisfaction ratings were examined, shorter waiting time was more significantly associated with better treatment satisfaction in non-elderly patients (partial rho = -0.25 in the non-elderly compared to partial rho = -0.11 in elderly, p < 0.05). Increased time spent with the physician was more significantly correlated with higher physician satisfaction ratings in the non-elderly patients (partial rho = 0.38 in the non-elderly compared to partial rho = 0.18, p < 0.001).

Conclusion

Increased patient satisfaction ratings of the non-elderly were associated more strongly with shorter waiting times than in the elderly. However overall, elderly patients reported similar waiting times and better physician satisfaction scores. Similarly, higher physician satisfaction in non-elderly patients were more strongly associated with increased time spent with physician than in the elderly patients.
Appendix
Available only for authorised users
Literature
1.
go back to reference Wolff JL, Starfield B, Anderson G: Prevalence, expenditures, and complications of multiple chronic conditions in the elderly. Arch Intern Med 2002, 162: 2269–2276. 10.1001/archinte.162.20.2269PubMedCrossRef Wolff JL, Starfield B, Anderson G: Prevalence, expenditures, and complications of multiple chronic conditions in the elderly. Arch Intern Med 2002, 162: 2269–2276. 10.1001/archinte.162.20.2269PubMedCrossRef
2.
go back to reference Rothman AA, Wagner EH: Chronic illness management: What is the role of the primary care? Ann Intern Med 2003, 138: 256–261.PubMedCrossRef Rothman AA, Wagner EH: Chronic illness management: What is the role of the primary care? Ann Intern Med 2003, 138: 256–261.PubMedCrossRef
3.
go back to reference Epstein AM, Lee TH, Hamel MB: Paying physicians for high-quality care. New Eng Journal of Medicine 2004, 350: 406–410. 10.1056/NEJMsb035374CrossRef Epstein AM, Lee TH, Hamel MB: Paying physicians for high-quality care. New Eng Journal of Medicine 2004, 350: 406–410. 10.1056/NEJMsb035374CrossRef
4.
go back to reference Balkrishnan R, Dugan E, Camacho FT, Hall MA: Trust and satisfaction with physicians, insurers, and the medical profession. Med Care 2003, 41: 1058–64. 10.1097/01.MLR.0000083743.15238.9FPubMedCrossRef Balkrishnan R, Dugan E, Camacho FT, Hall MA: Trust and satisfaction with physicians, insurers, and the medical profession. Med Care 2003, 41: 1058–64. 10.1097/01.MLR.0000083743.15238.9FPubMedCrossRef
5.
go back to reference Camacho F, Anderson RT, Safrit A, Jones AS, Hoffmann P: The relationship between Patient's perceived waiting time and office-based practice satisfaction. NC Med J 2006, 67: 409–413. Camacho F, Anderson RT, Safrit A, Jones AS, Hoffmann P: The relationship between Patient's perceived waiting time and office-based practice satisfaction. NC Med J 2006, 67: 409–413.
6.
go back to reference Leddy KM, Kaldenberg DO, Becker BW: Timeliness in ambulatory care treatment. An examination of patient satisfaction and wait times in medical practices and outpatient test and treatment Facilities. J Ambul Care Manage 2003, 26: 138–149.PubMedCrossRef Leddy KM, Kaldenberg DO, Becker BW: Timeliness in ambulatory care treatment. An examination of patient satisfaction and wait times in medical practices and outpatient test and treatment Facilities. J Ambul Care Manage 2003, 26: 138–149.PubMedCrossRef
7.
go back to reference Yancy WS, Machpherson DS, Hanusa BH, Switzer GE, Arnold RM, Buranosky RA, et al.: Patient satisfaction in resident and attending ambulatory care clinics. J Gen Int Med 2001, 16: 755–762. 10.1111/j.1525-1497.2001.91005.xCrossRef Yancy WS, Machpherson DS, Hanusa BH, Switzer GE, Arnold RM, Buranosky RA, et al.: Patient satisfaction in resident and attending ambulatory care clinics. J Gen Int Med 2001, 16: 755–762. 10.1111/j.1525-1497.2001.91005.xCrossRef
8.
go back to reference Camacho FT, Feldman SR, Balkrishnan R, Kong MC, Anderson RT: Validation and reliability of two specialty care satisfaction scales. , in press. Camacho FT, Feldman SR, Balkrishnan R, Kong MC, Anderson RT: Validation and reliability of two specialty care satisfaction scales. , in press.
9.
go back to reference Anderson R, Feldman , Barbara A: What patient's want: a content Analysis of key qualities that Influence Patient Satisfaction. Journal of Medical Practice Management 2007, in press. Anderson R, Feldman , Barbara A: What patient's want: a content Analysis of key qualities that Influence Patient Satisfaction. Journal of Medical Practice Management 2007, in press.
10.
go back to reference D'Agostino RB Jr: Propensity score methods for bias reduction in the comparison of a treatment to a non-randomized control group. Stat Med 1998, 17: 2265–2281. 10.1002/(SICI)1097-0258(19981015)17:19<2265::AID-SIM918>3.0.CO;2-BPubMedCrossRef D'Agostino RB Jr: Propensity score methods for bias reduction in the comparison of a treatment to a non-randomized control group. Stat Med 1998, 17: 2265–2281. 10.1002/(SICI)1097-0258(19981015)17:19<2265::AID-SIM918>3.0.CO;2-BPubMedCrossRef
11.
go back to reference SAS Statistical Software. Version 9.1.; SAS Institute, Cary, NC SAS Statistical Software. Version 9.1.; SAS Institute, Cary, NC
12.
go back to reference Blendon RJ, Schoen C, DesRoches C, Osborn R, Zapert K: Common concerns amid diverse systems: Health care experience in five countries. Health Affairs 2003, 22: 106–121. 10.1377/hlthaff.22.3.106PubMedCrossRef Blendon RJ, Schoen C, DesRoches C, Osborn R, Zapert K: Common concerns amid diverse systems: Health care experience in five countries. Health Affairs 2003, 22: 106–121. 10.1377/hlthaff.22.3.106PubMedCrossRef
13.
go back to reference Mead N, Bower P: Patient-centredness: a conceptual framework and review of the empirical literature. Soc Sci Med 2000, 51: 1087–1110. 10.1016/S0277-9536(00)00098-8PubMedCrossRef Mead N, Bower P: Patient-centredness: a conceptual framework and review of the empirical literature. Soc Sci Med 2000, 51: 1087–1110. 10.1016/S0277-9536(00)00098-8PubMedCrossRef
14.
go back to reference Gross DA, Zyzanski SJ, Borawski EA, Cebul RD, Strange KC: Patient satisfaction with time spent with their physician. J Fam Pract 1998, 47: 133–137.PubMed Gross DA, Zyzanski SJ, Borawski EA, Cebul RD, Strange KC: Patient satisfaction with time spent with their physician. J Fam Pract 1998, 47: 133–137.PubMed
15.
go back to reference Haas JS, Cook EF, Pupolo AL, Burstin HR, Cleary PD, Brennan TA: Is the professional satisfaction of general internists associated with patient satisfaction? J Gen Int Med 2000, 15: 122–128. 10.1046/j.1525-1497.2000.02219.xCrossRef Haas JS, Cook EF, Pupolo AL, Burstin HR, Cleary PD, Brennan TA: Is the professional satisfaction of general internists associated with patient satisfaction? J Gen Int Med 2000, 15: 122–128. 10.1046/j.1525-1497.2000.02219.xCrossRef
16.
go back to reference Jackson JL, Chamberlin J, Kroenke K: Predictors of patient satisfaction. Soc Sci Med 2001, 52: 609–620. 10.1016/S0277-9536(00)00164-7PubMedCrossRef Jackson JL, Chamberlin J, Kroenke K: Predictors of patient satisfaction. Soc Sci Med 2001, 52: 609–620. 10.1016/S0277-9536(00)00164-7PubMedCrossRef
17.
go back to reference Anderson RT, Camacho FT, Balkrishnan R: Willing to wait? The influence of patient wait-time on satisfaction with primary care. BMC Health Serv Res 2007, 28:7: 31. 10.1186/1472-6963-7-31CrossRef Anderson RT, Camacho FT, Balkrishnan R: Willing to wait? The influence of patient wait-time on satisfaction with primary care. BMC Health Serv Res 2007, 28:7: 31. 10.1186/1472-6963-7-31CrossRef
18.
go back to reference Feddock CA, Hoellein AR, Griffith CH, Wilson JF, Bowerman JL, Becker NS, et al.: Can physicians improve patient satisfaction with long waiting times? Eval Health Prof 2005, 28: 40. 10.1177/0163278704273084PubMedCrossRef Feddock CA, Hoellein AR, Griffith CH, Wilson JF, Bowerman JL, Becker NS, et al.: Can physicians improve patient satisfaction with long waiting times? Eval Health Prof 2005, 28: 40. 10.1177/0163278704273084PubMedCrossRef
19.
go back to reference Heje HN, Vedsted P, Sokolowski I, Olesen F: Doctor and practice characteristics associated with differences in patient evaluations of general practice. BMC Health Serv Res 2007, 7: 46. 10.1186/1472-6963-7-46PubMedCentralPubMedCrossRef Heje HN, Vedsted P, Sokolowski I, Olesen F: Doctor and practice characteristics associated with differences in patient evaluations of general practice. BMC Health Serv Res 2007, 7: 46. 10.1186/1472-6963-7-46PubMedCentralPubMedCrossRef
20.
go back to reference Probst JC, Greenhouse DL, Selassie AW: Patient and physician satisfaction with an outpatient care visit. J Fam Pract 1997, 45: 418–25.PubMed Probst JC, Greenhouse DL, Selassie AW: Patient and physician satisfaction with an outpatient care visit. J Fam Pract 1997, 45: 418–25.PubMed
21.
go back to reference Hall JA, Milburn MA, Epstein AM: A causal model of health status and satisfaction with medical care. Med Care 1993, 31: 84–94. 10.1097/00005650-199301000-00007PubMedCrossRef Hall JA, Milburn MA, Epstein AM: A causal model of health status and satisfaction with medical care. Med Care 1993, 31: 84–94. 10.1097/00005650-199301000-00007PubMedCrossRef
22.
go back to reference Lee Y, Kasper JD: Assessment of medical care by elderly people: General satisfaction and physician quality. Health Serv Res 1998, 32: 741–758.PubMedCentralPubMed Lee Y, Kasper JD: Assessment of medical care by elderly people: General satisfaction and physician quality. Health Serv Res 1998, 32: 741–758.PubMedCentralPubMed
Metadata
Title
Correlates of patient satisfaction with physician visit: Differences between elderly and non-elderly survey respondents
Authors
Meg C Kong
Fabian T Camacho
Steven R Feldman
Roger T Anderson
Rajesh Balkrishnan
Publication date
01-12-2007
Publisher
BioMed Central
Published in
Health and Quality of Life Outcomes / Issue 1/2007
Electronic ISSN: 1477-7525
DOI
https://doi.org/10.1186/1477-7525-5-62

Other articles of this Issue 1/2007

Health and Quality of Life Outcomes 1/2007 Go to the issue