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A Causal Model of Health Status and Satisfaction With Medical Care

Bibliographic Data

ID9101288
AuthorsJudith A Hall (0000-0001-5840-2895, Northeastern University, corresponding author), Michael A Milburn (University of Massachusetts Boston), Arnold M Epstein (0000-0003-2374-0311, Harvard University)
Year1993
Volume31
Issue1
Pages84-94
Publication date1993-01-01
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenueMedical Care (JOURNAL)
Journal identifiersISSN: 0025-7079 • E-ISSN: 1537-1948
PublisherOvid Technologies (Wolters Kluwer Health) (PUBLISHER)
DOI10.1097/00005650-199301000-00007
PMID8417273
OpenAlexW2056602286
LanguageEN
Citations received23
References cited23

Patients with better health status have often been shown to be more satisfied with their medical care, but the causal factors in this relation have not been determined. In this study, a longitudinal assessment of these two constructs was undertaken in which older patients in a health maintenance organization were interviewed at baseline (N = 590) and again 1 year later (N = 526) about their health status and satisfaction with their medical care. Structural equation modeling using LISREL procedures revealed that the predominant direction of causation went from earlier self-perceived overall health and functional ability to later levels of satisfaction. There was no evidence for causal paths going from satisfaction to later health. In addition, a test of spuriousness indicated that for self-perceived overall health, the significant longitudinal path was unlikely to be explained by unmeasured confounding variables

Causal model · Causation · Confounding · Health care · LISREL · Longitudinal study · Path analysis (statistics) · Patient satisfaction · Statistics · Structural equation modeling · Test (biology) · Health and Wellbeing Research · Medicine · Nursing · Patient Satisfaction in Healthcare · Patient-Provider Communication in Healthcare · Psychology

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Unique citing works23
Citations per year0,74
Citation span1995 - 2025 (31)
Citation velocityrecent
Highly citedNo
Citation typesNeutral: 21

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