Determinants of Patient Satisfaction in an Academic Rheumatology Practice.
J Clin Rheumatol
; 21(5): 256-62, 2015 Aug.
Article
em En
| MEDLINE
| ID: mdl-26203830
ABSTRACT
BACKGROUND:
Although patient satisfaction is used as a measure of physician performance and is an essential component of chronic disease management, there is limited understanding about factors affecting satisfaction in rheumatologic settings.OBJECTIVE:
Our study aimed to identify factors affecting satisfaction in outpatients with rheumatic diseases by correlating satisfaction with various factors.METHODS:
We conducted a cross-sectional cohort study of rheumatology patients at Oregon Health & Science University in 2013. Patient satisfaction ratings were obtained, and data were collected from medical records. Descriptive and quantile regression analyses were performed to describe the population and to model predictors of satisfaction.RESULTS:
We obtained data from 573 patients, 76% were females, 92% were non-Hispanic white, with a mean age of 50 (SD, 15) years. Female gender (ß = 7.51; 95% confidence interval [CI], 6.16-8.86), older age (ß = 0.10; 95% CI, 0.01-0.20), and follow-up visit (ß = 4.04; 95% CI, 0.14-7.93) had a positive impact on satisfaction, whereas polymyalgia rheumatica (ß = -9.25; 95% CI, -15.25 to -3.25), arthralgia (ß = -8.67; 95% CI, -16.60 to -0.74), myalgia (ß = -8.67; 95% CI, -16.60 to -0.74), gout (ß = -7.5; 95% CI, -14.13 to -0.89), ankylosing spondylitis (ß = -5.20; 95% CI, -9.65 to -0.75), pain (ß = -4.62; 95% CI, -8.43 to -0.81), fibromyalgia (ß = -4.62; 95% CI, -7.80 to -1.44), longer visit duration (ß = -0.08; 95% CI, -0.13 to -0.03), and afternoon appointments (ß = -4.62; 95% CI, -7.04 to -2.20) had an inverse effect.CONCLUSIONS:
Factors contributing to satisfaction scores differed for median satisfaction level and lower satisfaction level. Most of the factors identified as influencing patient satisfaction were unrelated to the physician or the skills of that physician.
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Pacientes Ambulatoriais
/
Relações Médico-Paciente
/
Doenças Reumáticas
/
Satisfação do Paciente
/
Pesquisas sobre Atenção à Saúde
/
Gerenciamento Clínico
/
Centros Médicos Acadêmicos
Tipo de estudo:
Observational_studies
/
Prevalence_studies
/
Prognostic_studies
/
Risk_factors_studies
Limite:
Adolescent
/
Adult
/
Aged
/
Aged80
/
Female
/
Humans
/
Male
/
Middle aged
Idioma:
En
Revista:
J Clin Rheumatol
Assunto da revista:
FISIOLOGIA
/
ORTOPEDIA
/
REUMATOLOGIA
Ano de publicação:
2015
Tipo de documento:
Article