Abstract
Aim
It is possible to quantify the impact of medical care in specialised medical centers by measuring patient satisfaction. Modern quality management systems use this process as a part of result evaluation in the practice. This study describes an investigation of the influence of quality-management measures on patient satisfaction in ten specialist medical practices.
Subject and methods
One hundred patient questionnaires were issued between 2010 and 2011 in ten medical specialists practices before and after improvement of the quality management system. The evaluation of the patients were analysed using a Utest. By correlation analysis correlations between specific quality management activities and items of the patient questionnaire were identified.
Results
The results of the study indicate a generally positive reaction of patients to the improvement in the quality management of selected items. But in the totality of all practices, no clear improvement in patient satisfaction could be measured. There were weak but statistically significant correlations between specific quality-management-measure improvements and improvement of the patient questionnaire items identified.
Conclusion
No significant improvements in patient satisfaction, which can be attributed directly to improvements in quality management, have been found by the study. But there were clues to correlations of specific quality-improvements and patient satisfaction issues. These can be used for directed quality management measures in practice and as a controlling tool of practice management regarding the evaluation of patients inside and on on-line doctor review sites.
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References
AOK (2011a) Millionen Versicherte können an Befragung zu ihren Ärzten teilnehmen. Gesundheit Gesellschaft 14(50):7
AOK (2011b) Physician review site. http://www.aok-arztnavi.de. Accessed 27 August 2012
Baumann W, Nonnenmacher A, Weiß B (2008) Schmitz S (2008) Patient satisfaction with care in office-based oncology practices. Dtsch Arztebl 105(50):871–877
Bavarian Association of Statutory Health Insurance Physicians (KVB) (2012) Der Servicekompass, Stand Januar. KVB, Munich, Germany
Consumer Assessment of Healthcare Providers and Systems (CAHPS) (2012). CAHPS clinician and group Survey. http://www.cahps.ahrq.gov/clinician_group/. Accessed 27 August 2012
Diekmann A (2008) Empirische Sozialforschung: Grundlagen, Methoden, Anwendungen. Rohwohlt, Reinbeck, Hamburg, Germany
Federal Joint Committee according to § 91 para. 5 SGB V (2005) Qualitätsmanagement-Richtlinie vertragsärztliche Versorgung. Bundesanzeiger 248
Federal Republic of Germany (2011) Social security code (SGB) fifth book (V). http://bundesrecht.juris.de/sgb_5/index.html. Accessed 27 August 2012
Fitzpatrick R, Bowling A, Gibbons E et al. (2006) A structured review of patient-reported measures in relation to selected chronic conditions, perceptions of quality of care and career impact. Patient-reported Health Instruments Group, National Center for Health Outcomes Development, University of Oxford, Oxford, UK. http://phi.uhce.ox.ac.uk/pdf/ChronicConditions/. Accessed 27 August 2012
Friese (2003) Konstruktvalidierung des Kölner Patientenfragebogens mittels der Multitrait-Multimethod-Analyse (MTMM). In: Pfaff H, Freise D, Mager G, Schrappe M (eds) Der Kölner Patientenfragebogen (KPF): Entwicklung und Validierung eines Fragebogens zur Erfassung der Einbindung des Patienten als Kotherapeuten. Asgard, Sankt Augustin, Germany
Kano N (1984) Attractive quality and must-be quality. J Japanese Soc Qual Control 4:39–48
National Association of Statutory Health Insurance Physicians, KBV (2007) Checkliste QEP-Selbstbewertung (SB) Checkliste Vorbereitung der QEP-Zertifizierung (FB). KVB, Berlin. http://www.uptoderm.de/images/uptoderm/contentFile/qep.pdf. Accessed 27 August 2012
National Association of Statutory Health Insurance Physicians, KBV (2008) Selbstbewertungsbogen zur Ist-Einschätzung im Rahmen des einrichtungsinternen Qualitätsmanagements. KVB, Berlin. http://www.kvhh.net/media/public/db/media/1/2009/10/90/qep_selbstbewertungsbogen.pdf. Accessed 27 August 2012
National Association of Statutory Health Insurance Physicians, KBV (2010) Qualitätsmanagement wirkt! KV Praxis, 1, März, KVB, Berlin
National Association of Statutory Health Insurance Physicians, KBV (2011) Was bringt mir QM? http://www.kbv.de/qep/qep.html. Accessed 27 August 2012
Pfaff H, Freise D, Mager G, Schrappe M (2003) Der Kölner Patientenfragebogen (KPF): Entwicklung und Validierung eines Fragebogens zur Erfassung der Einbindung des Patienten als Kotherapeuten. Asgard, Sankt Augustin, Germany
Stiftung Gesundheit (2007) Qualitätsmanagement in der ärztlichen Praxis 2007: Eine deutschlandweite Befragung niedergelassener Ärztinnen und Ärzte. http://www.stiftung-gesundheit.de/PDF/studien/Studie_QM_2007.pdf. Accessed 27 August 2012
Stiftung Gesundheit (2008) Qualitätsmanagement in der ärztlichen Praxis 2008: Eine deutschlandweite Befragung niedergelassener Ärztinnen und Ärzte. http://www.stiftung-gesundheit.de/PDF/studien/Studie_QM_2008.pdf. Accessed 27 August 2012
Stiftung Gesundheit (2009) Qualitätsmanagement in der ärztlichen Praxis 2009: Eine deutschlandweite Befragung niedergelassener Ärztinnen und Ärzte. http://www.stiftung-gesundheit.de/PDF/studien/Studie_QM_2009.pdf. Accessed 27 August 2012
Stiftung Gesundheit (2010) Qualitätsmanagement in der ärztlichen Praxis 2009: Eine deutschlandweite Befragung niedergelassener Ärztinnen und Ärzte. http://www.stiftung-gesundheit.de/PDF/studien/Studie_QM_2010.pdf. Accessed 27 August 2012
Stiftung Warentest (2010) Qualität verordnet, vol 11. Stiftung Warentest, Berlin, p 8
Stiftung Gesundheit (2011) Qualitätsmanagement in der ärztlichen Praxis 2009: Eine deutschlandweite Befragung niedergelassener Ärztinnen und Ärzte. http://www.stiftung-gesundheit.de/PDF/studien/Studie_QM_2011.pdf. Accessed 27 August 2012
VDEK (2011) Physician review site. http://www.vdek-arztlotse.de. Accessed 27 August 2012
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Leicht, KH., Honekamp, W. & Ostermann, H. Quality management in professional medical practices: are there effects on patient satisfaction?. J Public Health 21, 465–471 (2013). https://doi.org/10.1007/s10389-013-0575-6
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DOI: https://doi.org/10.1007/s10389-013-0575-6