Journal of General Internal Medicine

, Volume 15, Issue 2, pp 122–128 | Cite as

Is the professional satisfaction of general internists associated with patient satisfaction?

  • Jennifer S. Haas
  • E. Francis Cook
  • Ann Louise Puopolo
  • Helen R. Burstin
  • Paul D. Cleary
  • Troyen A. Brennan
Original Articles

Abstract

BACKGROUND: The growth of managed care has raised a number of concerns about patient and physician satisfaction. An association between physicians’ professional satisfaction and the satisfaction of their patients could suggest new types of organizational interventions to improve the satisfaction of both.

OBJECTIVE: To examine the relation between the satisfaction of general internists and their patients.

DESIGN: Cross-sectional surveys of patients and physicians.

SETTING: Eleven academically affiliated general internal medicine practices in the greater-Boston area.

PARTICIPANTS: A random sample of English-speaking and Spanish-speaking patients (n=2,620) with at least one visit to their physician (n=166) during the preceding year.

MEASUREMENTS: Patients’ overall satisfaction with their health care, and their satisfaction with their most recent physician visit.

MAIN RESULTS: After adjustment, the patients of physicians who rated themselves to be very or extremely satisfied with their work had higher scores for overall satisfaction with their health care (regression coefficient 2.10; 95% confidence interval 0.73–3.48), and for satisfaction with their most recent physician visit (regression coefficient 1.23; 95% confidence interval 0.26–2.21). In addition, younger patients, those with better overall health status, and those cared for by a physician who worked part-time were significantly more likely to report better satisfaction with both measures. Minority patients and those with managed care insurance also reported lower overal satisfaction.

CONCLUSIONS: The patients of physicians who have higher professional satisfaction may themselves be more satisfied with their care. Further research will need to consider factors that may mediate the relation between patient and physician satisfaction.

Key words

satisfaction with care physician characteristics patient characteristics 

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References

  1. 1.
    Cleary PD, Edgmann-Levitan S. Health care quality: incorporating consumer perspectives. JAMA. 1997;15(4):42–56.Google Scholar
  2. 2.
    Rubin HR, Gandek B, Rogers WH, Kosinski M, McHorney CA, Ware JE Jr. Patients’ ratings of outpatient visits in different practice settings: results from the Medical Outcomes Study. JAMA. 1993;270:835–40.PubMedCrossRefGoogle Scholar
  3. 3.
    Hall JA, Irish JT, Roter DL, Ehrlich CM, Miller LH. Satisfaction, gender and communication in medical visits. Med Care. 1994;32:1216–31.PubMedCrossRefGoogle Scholar
  4. 4.
    Linn LS, Cope DW, Leake B. The effect of gender and training of residents on satisfaction ratings by patients. J Med Educ. 1984;59:964–6.PubMedGoogle Scholar
  5. 5.
    Bialor BD, Gimotty PA, Poses RM, Fagan MJ. The effect of primary care training on patient satisfaction ratings. J Gen Intern Med. 1997;12:776–80.PubMedCentralCrossRefGoogle Scholar
  6. 6.
    Hauck FR, Zyzanski SJ, Alemagno SA, Medalie JH. Patient perceptions of humanism in physicians: effects on positive health behaviors. Fam Med. 1990;22(6):447–52.PubMedGoogle Scholar
  7. 7.
    Hall JA, Dornan MC. Meta-analysis of satisfaction with medical care: description of research domain and analysis of overall satisfaction levels. Soc Sci Med. 1988;27(6):637–44.PubMedCrossRefGoogle Scholar
  8. 8.
    Haas JS, Weissman JS, Cleary PD, et al. Discussion of preferences for life-sustaining care by persons with AIDS. Predictors of failure in patient-physician communication. Arch Intern Med. 1993;153:1241–8.PubMedCrossRefGoogle Scholar
  9. 9.
    Kaplan SH, Greenfield S, Gandek B, Rogers WH, Ware JE Jr. Characteristics of physicians with participatory decision-making styles. Ann Intern Med. 1996;124(5):497–504.PubMedCrossRefGoogle Scholar
  10. 10.
    Hall JA, Milburn MA, Epstein AM. A causal model of health status and satisfaction with medical care. Med Care. 1993;31:84–94.PubMedCrossRefGoogle Scholar
  11. 11.
    Linn LS, Brook RH, Clark VA, Ross Davies AR, Fink A, Kosecoff J. Physician and patient satisfaction as factors related to the organization of internal medicine group practices. Med Care. 1985;23:1171–8.PubMedCrossRefGoogle Scholar
  12. 12.
    Levinsky NG. Recruiting for primary care. N Engl J Med. 1993;328:656–60.PubMedCrossRefGoogle Scholar
  13. 13.
    Lichtenstein R. Measuring the job satisfaction of physicians in organized settings. Med Care. 1984;22:56–68.PubMedCrossRefGoogle Scholar
  14. 14.
    Borowsky S, Davis M, Goertz C, Lurie N. Are all health plans created equal? The physician’s view. JAMA. 1997;278(11):917–21.PubMedCrossRefGoogle Scholar
  15. 15.
    Haas JS, Cleary PD, Puopolo AL, Burstin HR, Cook EF, Brennan TA. Differences in the professional satisfaction of general internists in academically affiliated practices in the greater-Boston area. J Gen Intern Med. 1998;13:127–30.PubMedCentralPubMedCrossRefGoogle Scholar
  16. 16.
    Schmittdiel J, Selby J, Grumbach K, Quesenberry C. Choice of a personal physician and patient satisfaction in a health maintenance organization. JAMA. 1997;278:1596–9.PubMedCrossRefGoogle Scholar
  17. 17.
    Lipsitz SR, Fitzmaurice GM, Orav EJ, Laird NM. Performance of generalized estimating equations in practical situations. Biometric. 1994;50:270–8.CrossRefGoogle Scholar
  18. 18.
    Like R, Zyzanski SJ. Patient satisfaction with the clinical encounter: social psychological determinats. Soc Sci Med. 1987;24(4):351–7.PubMedCrossRefGoogle Scholar
  19. 19.
    Hall JA, Dornan MC. Patient sociodemographic characteristics as predictors of satisfaction with medical care: a meta-analysis. Soc Sci Med. 1990;30(7):811–8. Published erratum appears in Soc Sci Med. 1990;30(12):following 1368.PubMedCrossRefGoogle Scholar
  20. 20.
    Hall JA, Roter DL, Katz NR. Meta-analysis of correlates of provider behavior in medical encounters. Med Care. 1988;26:657–75.PubMedCrossRefGoogle Scholar
  21. 21.
    Hall JA, Epstein AM, DeCiantis ML, McNeil BJ. Physicians’ liking for their patients: more evidence for the role of affect in medical care. Health Psychol. 1993;12(2):140–6.PubMedCrossRefGoogle Scholar
  22. 22.
    Roter DL, Stewart M, Putname SM, Lipkin MJ, Stiles W, Inui TS. Communication patterns of primary care physicians. JAMA. 1997;277(4):350–6.PubMedCrossRefGoogle Scholar
  23. 23.
    Kerr EA, Hays RD, Mittman BS, Siu AL, Leake B, Brook RH. Primary care physicians’ satisfaction with quality of care in California capitated medical groups. JAMA. 1997;278(4):308–12.PubMedCrossRefGoogle Scholar
  24. 24.
    Ware JE Jr, Davies-Avery A, Stewart AL. The measurement and meaning of patient satisfaction. Health Med Care Serv Rev. 1978;1(1):1, 3–15.PubMedGoogle Scholar
  25. 25.
    Harpole LH, Orav EJ, Hickey M, Posther KE, Brennan TA. Patient satisfaction in the ambulatory setting: influence of data collection methods and socioeconomic factors. J Gen Intern Med 1996;11:431–4.PubMedCrossRefGoogle Scholar
  26. 26.
    Blendon RJ, Aiken LH, Freeman HE, Corey CR. Access to medical care for black and white Americans: a matter of continuing concern. JAMA. 1989;261:278–81.PubMedCrossRefGoogle Scholar
  27. 27.
    Cleary P, McNeil B. Patient satisfaction as an indicator of quality of care. Inquiry. 1988;25(1):25–36.PubMedGoogle Scholar

Copyright information

© Society of General Internal Medicine 2000

Authors and Affiliations

  • Jennifer S. Haas
    • 1
  • E. Francis Cook
    • 2
    • 4
  • Ann Louise Puopolo
    • 2
  • Helen R. Burstin
    • 2
  • Paul D. Cleary
    • 3
  • Troyen A. Brennan
    • 2
  1. 1.the Division of General Internal Medicine, San Francisco General Hospital, and the Institute for Health Policy StudiesUniversity of CaliforniaSan Francisco
  2. 2.Division of General MedicineBrigham and Women’s HospitalBoston
  3. 3.Department of Health Care PolicyHarvard Medical SchoolBoston
  4. 4.Department of EpidemiologyHarvard School of Public HealthBoston

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