Race and ethnicity play an important role in patient satisfaction with primary care physicians

2000 ◽  
Keyword(s):  
Primary Care ◽  
Patient Satisfaction ◽  
Race And Ethnicity ◽  
Primary Care Physicians

Understanding Patient Satisfaction, Trust, and Loyalty to Primary Care Physicians

2008 ◽  
Vol 65 (6) ◽  
pp. 696-712 ◽  
Author(s):  
Elena A. Platonova ◽  
Karen Norman Kennedy ◽  
Richard M. Shewchuk
Keyword(s):  
Primary Care ◽  
Patient Satisfaction ◽  
Primary Care Physicians

Differences between primary care physicians and specialised neurotologists in the diagnosis of dizziness and vertigo in Japan

2020 ◽  
Vol 134 (9) ◽  
pp. 764-768
Author(s):  
T Ito ◽  
S Matsuyama ◽  
T Shiozaki ◽  
D Nishikawa ◽  
H Akioka ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Primary Care ◽  
Patient Satisfaction ◽  
Diagnostic Accuracy ◽  
Medical Records ◽  
Primary Care Physicians ◽  
Symptom Relief ◽  
Accurate Diagnosis ◽  
High Quality

AbstractObjectiveVertigo and dizziness are frequent symptoms in patients at out-patient services. An accurate diagnosis for vertigo or dizziness is essential for symptom relief; however, it is often challenging. This study aimed to identify differences in diagnoses between primary-care physicians and specialised neurotologists.MethodIn total, 217 patients were enrolled. To compare diagnoses, data was collected from the reference letters of primary-care physicians, medical questionnaires completed by patients and medical records.ResultsIn total, 62.2 per cent and 29.5 per cent of the patients were referred by otorhinolaryngologists and internists, respectively. The cause of vertigo or dizziness and diagnosis was missing in 47.0 per cent of the reference letters. In addition, 67.3 per cent of the diagnoses by previous physicians differed from those reported by specialised neurotologists.ConclusionTo ensure patient satisfaction and high quality of life, an accurate diagnosis for vertigo or dizziness is required; therefore, methods or materials to improve the diagnostic accuracy are needed.

scholarly journals Quality-Based Payment for Medical Groups and Individual Physicians

2009 ◽  
Vol 46 (2) ◽  
pp. 172-181 ◽  
Author(s):  
James C. Robinson ◽  
Stephen M. Shortell ◽  
Diane R. Rittenhouse ◽  
Sara Fernandes-Taylor ◽  
Robin R. Gillies ◽  
...  
Keyword(s):  
Primary Care ◽  
Patient Satisfaction ◽  
Primary Care Physicians ◽  
Pay For Performance ◽  
Fee For Service ◽  
Performance Incentives ◽  
Payment Incentives ◽  
Medical Groups ◽  
Bonus Payments ◽  
Service Basis

This paper measures the extent to which medical groups experience external pay-for-performance incentives based on quality and patient satisfaction and the extent to which these groups pay their primary care and specialist physicians using similar criteria. Over half (52%) of large medical groups received bonus payments from health insurance plans in the period 2006–2007 based on measures of quality and patient satisfaction. Medical groups facing external pay-for-performance incentives are more likely to pay their primary care physicians (odds ratio [OR] 4.5; p<.001) and specialists (OR 2.5; p=.07) based on quality and satisfaction. Groups facing capitation payment incentives to control costs are more likely to pay member physicians on salary and less likely to pay based on productivity (p<.001 for primary care; p<.05 for specialists) than groups paid by insurers on a fee-for-service basis.

Subjective Expected Utility and Referral Decisions in Obesity

1986 ◽  
Vol 25 (04) ◽  
pp. 215-221 ◽  
Author(s):  
P. A. Jennett ◽  
A. S. Elstein ◽  
Marilyn Rothert ◽  
D. R. Rovner ◽  
Necia Black
Keyword(s):  
Primary Care ◽  
Patient Satisfaction ◽  
Expected Utility ◽  
Primary Care Physicians ◽  
Subjective Expected Utility ◽  
Value Assessment ◽  
Subjective Probabilities ◽  
Adequate Model ◽  
Referral Decisions ◽  
Patient Goals

SummaryReferral decisions of physicians dealing with long-term ambulatory problems are complex phenomena that are not clearly understood. This study was designed to assess the possible rationale behind such decisions in the management of obesity. It examined how well a subjective expected utility (SEU) model accounted for decisions of 45 primary care physicians regarding referral of obese female patients to an endocrinologist. Two patient goals, weight reduction and patient satisfaction, and a two-year time horizon were incorporated in the model.Data were collected using 24 written cases representing 12 patients approximately 100% overweight and 12 about 50% overweight, and a semi-structured interview in which subjective probabilities and importance weights were obtained. Values were calculated by transforming physicians’ ratings of risk of morbidity in the 24 cases into a utility scale.The SEU did not account for the primary care physicians’ referral behavior. Correlations between number of patient cases referred and SEU were analyzed and were not statistically significant, although there was substantial variation across physicians in number of cases referred. Mean subjective probabilities of weight loss and patient satisfaction were essentially identical for referral and non-referral.The formulation of the model, the design of the cases, and the method of value assessment are discussed as potential threats to the validity of the model as an account of referral decisions. Problems of constructing an adequate model are considered.

scholarly journals Effect of trust in primary care physicians on patient satisfaction: a cross-sectional study among patients with hypertension in rural China

2020 ◽  
Vol 21 (1) ◽  
Author(s):  
Wenqin Chen ◽  
Yingchao Feng ◽  
Jiyuan Fang ◽  
Jin Wu ◽  
Xianhong Huang ◽  
...  
Keyword(s):  
Primary Care ◽  
Patient Satisfaction ◽  
Rural Areas ◽  
Primary Care Physicians ◽  
Rural China ◽  
Hypertension Management ◽  
Technical Competence ◽  
Patient Trust ◽  
Clinical Behavior ◽  
Organization Of Care

Abstract Background In rural areas of China, hypertension is on the rise and it is drawing the Chinese government’s attention. The health outcomes of hypertension management can be positively impacted by patient satisfaction with primary care physicians (PCPs), and the influence of patient trust on satisfaction cannot be ignored. This study aimed to analyze the effect of trust in PCPs on patient satisfaction among patients with hypertension in rural China, and the influence of patients’ socio-demographic characteristics and hypertension-management-related factors. Methods A multi-stage stratified random sampling method was adopted to investigate 2665 patients with hypertension in rural China. Patient trust and satisfaction were measured using the Chinese version of the Wake Forest Physician Trust Scale and the European Task Force on Patient Evaluation of General Practice. Multiple linear regression was used to analyze the factors influencing patient satisfaction, and structural equation modeling was conducted to clarify the relationships among patient trust and patient satisfaction with PCPs. Results Patients’ trust in their PCPs’ benevolence had a positive main effect on all three satisfaction dimensions (clinical behavior: β = 0.940, p <  0.01; continuity and cooperation: β = 0.910, p <  0.01; and organization of care: β = 0.879, p <  0.01). Patients’ trust in their PCPs’ technical competence had a small negative effect on all three satisfaction dimensions (clinical behavior: β = − 0.077, p <  0.01; continuity and cooperation: β = − 0.136, p <  0.01; and organization of care: β = − 0.064, p <  0.01). Patient satisfaction was also associated with region, gender, insurance status, distance from the nearest medical/health-service institution, and number of visits to PCPs in the past year. Conclusions Patients focused more on physicians’ benevolence than on their technical competence. Hence, medical humanities and communication skills education should be emphasized for PCPs. Regarding region-based and health-insurance-based differences, the inequities between eastern, central, and western provinces, as well as between urban and rural areas, must also be addressed.

Transition of follow-up care to primary care physicians (PCPs) of breast cancer (BC) survivors: Barriers and patient satisfaction.

2015 ◽  
Vol 33 (15_suppl) ◽  
pp. e20613-e20613
Author(s):  
Melini Gupta ◽  
Carol A. Townsley ◽  
Ed Kucharski ◽  
Rashida Haq ◽  
Linda Muraca ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Primary Care ◽  
Patient Satisfaction ◽  
Primary Care Physicians ◽  
Follow Up Care

scholarly journals Patient satisfaction with hospital care provided by hospitalists and primary care physicians

2011 ◽  
Vol 7 (2) ◽  
pp. 131-136 ◽  
Author(s):  
Adrianne Seiler ◽  
Paul Visintainer ◽  
Richard Brzostek ◽  
Michael Ehresman ◽  
Evan Benjamin ◽  
...  
Keyword(s):  
Primary Care ◽  
Patient Satisfaction ◽  
Primary Care Physicians ◽  
Hospital Care

scholarly journals How do European patients feel about the listening skills of primary care physicians? Results from the EUprimecare Project

2014 ◽  
Vol 15 (4) ◽  
pp. 147-153
Author(s):  
Carlos Alberto Sánchez Piedra ◽  
Sonia García-Pérez ◽  
Francisco Javier Prado-Galbarro ◽  
Antonio Sarría-Santamera
Keyword(s):  
Primary Care ◽  
Patient Satisfaction ◽  
Health Status ◽  
Primary Care Physicians ◽  
Statistical Significance ◽  
Descriptive Analysis ◽  
Negative Influence ◽  
The European Union ◽  
Listening Skills ◽  
Explanatory Variables

OBJECTIVE: EUprimecare is a study funded by the 7th Framework Programme of the European Union aimed at analyzing the quality of the different models of primary care (PC) in Europe. The objective of this study was to describe and analyze the determinants associated with patient satisfaction with the listening skills of their PC physicians.METHODS: Telephone population survey in each EUprimecare consortium countries (Germany, Spain, Estonia, Finland, Hungary, Italy and Lithuania) among PC users. The questionnaire included sociodemographic variables, health status, use and satisfaction with PC services. The survey was conducted in 3020 patients. It was developed descriptive analysis, bivariate correlations and ordinal regression model to study the direct relation between levels of satisfaction and the explanatory variables on demographics, state and health services for patients. We show the regression coefficients (β) with 95% confidence interval and statistical significance associated.RESULTS: We found significant relation between the level of satisfaction and age (β = 0.016), visits to specialist (β = ‑0.040), having a general practitioner (GP) (β = 0.619), having a chronic disease (β = 0.255), measuring weight, cholesterol and blood pressure (β = 0.650), countries (β1 Estonia= 0.938; β2 Germany = 0.469; β3 Lithuania = 0.483; β5 Italy = 0.544 and β6 Hungary = 1.010) and a better perception of health status (β = 0.388). Specialist visits have a negative influence with the higher degree of satisfaction.CONCLUSIONS: Overall, the results indicate some areas that may be related to greater doctor‑patient satisfaction. Different factors are converging to explain satisfaction with listening skills.

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