Measuring Patient Satisfaction for Quality Improvement

BACKGROUND: Surveys used for health plan quality reporting are generally administered annually to health plan enrollees to assess satisfaction with both the health plan and health care services. Therefore, surveys may lack sensitivity to measure the effects of patient-focused, quality improvement initiatives that could demonstrate results in a shorter time period. OBJECTIVES: We describe the development and testing of a multidimensional, visit-specific measure of satisfaction with primary care that may be used in quality improvement. METHODS: Conducted in five adult and pediatric primary care sites serving a commercial, largely managed-care population, the survey includes the Medical Outcomes Study Visit-Specific Questionnaire, the American Board of Internal Medicine Patient Satisfaction Questionnaire, and locally developed items. We assessed the instrument's reliability, validity, and utility for quality improvement. RESULTS: For both adult and pediatric samples, three factors emerged: satisfaction with the provider, satisfaction with access, and satisfaction with the office. Satisfaction with the provider and with the office were independently correlated with overall satisfaction in both samples; satisfaction with access was significantly correlated with overall satisfaction only for adults. For adults, patients who disenrolled from the health plan were less satisfied with the office compared with patients who remained with the health plan. Finally, for adults, we detected significant differences across practice sites in terms of satisfaction with office and access; for children, there were intersite differences in terms of satisfaction with provider, office, and access. CONCLUSIONS: We have support for the reliability and validity of this instrument that has identified differences in satisfaction between practice sites that may be used for quality improvement

Business · MEDLINE · Patient satisfaction · Political science · Quality (philosophy) · Quality management · Marketing · Medicine · Nursing · Patient Satisfaction in Healthcare · Patient-Provider Communication in Healthcare · Primary Care and Health Outcomes

• Doctor Saving Time

  Open Access•Audiey Kao•The AMA Journal of Ethic•2001

  Añadir item

• Dissatisfaction with medical care among women with HIV

  Jane K Burke-Miller, J K Burke et al.•AIDS Care•2003

  Añadir item

• Analysis of health care and actual needs of patients with psoriasis

  Open Access•Emma Altobelli, Mara Maccarone et al.•BMC Public Health•2007

  Añadir item

• Policy Goals of Contract Arrangements in Primary Care in Jeopardy

  Open Access•Lixian Ren, Jianping Ren et al.•Frontiers in Public Health•2022

  Añadir item

• Congruent Satisfaction

  Jennifer Devoe, Jennifer E Devoe et al.•Medical Care•2007

  Añadir item

• Patient Satisfaction and Use of Veterans Affairs Versus Non-Veterans Affairs Healthcare Services by Veterans

  Kevin T Stroupe, Denise M Hynes et al.•Medical Care•2005

  Añadir item

• Are Better Ratings of the Patient-Provider Relationship Associated With Higher Quality Care for Depression

  Lisa S Meredith, Maria Orlando et al.•Medical Care•2001

  Añadir item

• Patient satisfaction revisited

  Open Access•Karin Dorieke Hekkert, Karin Hekkert et al.•Social Science & Medicine•2009

  Añadir item

• Justice in Health Care Decision-Making

  Open Access•Mark Fondacaro, Mark R Fondacaro et al.•Social Justice Research•2005

  Añadir item

• Older Patients?? Health Status and Satisfaction With Medical Care in an HMO Population

  Judith A Hall, Michael Feldstein et al.•Medical Care•1990

  Añadir item

• Satisfaction, Gender, and Communication in Medical Visits

  Judith A Hall, Julie T Irish et al.•Medical Care•1994

  Añadir item

• Satisfaction With Ambulatory Care and Compliance in Older Patients

  Margaret W Linn, Bernard S Linn et al.•Medical Care•1982

  Añadir item

• The Concept of Access

  Roy Penchansky, J W Thomas•Medical Care•1981

  Añadir item

• The Importance of Patient Preferences in the Measurement of Health Care Satisfaction

  Caroline K Ross, Colette A Steward et al.•Medical Care•1993

  Añadir item

• Significance tests and goodness of fit in the analysis of covariance structures

  Peter M Bentler, Douglas G Bonett•Psychological Bulletin•1980

  Añadir item