Abstract
This study examines the association between type of internal medicine training and satisfaction ratings among 509 patients who visited the clinic of an urban teaching hospital over a 3-month period in 1994. When controlling for patient, health-system, and other resident factors, primary care training was significantly associated with higher satisfaction ratings (cumulative odds ratio 1.53; 95% confidence interval 1.04, 2.25; p=.031) than categorical training. Using satisfaction ratings to rank the residents without adjusting for patient and health-system factors would have correctly classified only 27% of the residents in the lowest quartile. These findings have implications for both the education and potential employment of internists.
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References
Epstein A. Sounding board: performance reports on quality—prototypes, problems, and prospects. N Engl J Med. 1995;333:57–61.
Doyle E. Can patient satisfaction surveys help diagnose (and improve) your practice? ACP Observer. 1996;16(2):1,14,17.
Cope DW, Linn LS, Leake BD, Barrett PA. Modification of residents’ behavior by preceptor feedback of patient satisfaction. J Gen Intern Med. 1986;1:394–8.
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.
Webster GD. Final report on the Patient Satisfaction Questionnaire Project, Executive Summary. Philadelphia, Pa: American Board of Internal Medicine; 1989.
Tamblyn R, Benaroya S, Snell L, McLeod P, Schnarch B, Abrahamowicz M. The feasibility and value of using patient satisfaction ratings to evaluate internal medicine residents. J Gen Intern Med. 1994;9:146–52.
Sisk JE, Gorman SA, Reisinger AL, Glied SA, DuMouchel WH, Hynes MM. Evaluation of Medicaid managed care: satisfaction, access, and use. JAMA. 1996;276:50–5.
Linder-Pelz S, Struening EL. The multidimensionality of patient satisfaction with a clinic visit. J Community Health. 1985;10:42–54.
Comstock LM, Hooper EM, Goodwin JM, Goodwin JS. Physician behaviors that correlate with patient satisfaction. J Med Educ. 1982;57:105–12.
Hsieh MO, Kagle JD. Understanding patient satisfaction and dissatisfaction with health care. Health Soc Work. 1991;16:281–90.
Greenfield S, Sullivan LM, Dukes KA, Tripp TJ, Kaplan SH. Unadjusted patient satisfaction scores used in physician profiling result in spurious ranking. J Gen Intern Med. 1996;11(suppl 1):72. Abstract.
Kravitz RL, Cope DW, Bhrany V, Leake B. Internal medicine patients’ expectations for care during office visits. J Gen Intern Med. 1994;9:75–81.
Agresti A. Analysis of Ordinal Categorical Data. New York, NY: John Wiley & Sons; 1984:112–5.
Greenland S. Alternative models for ordinal logistic regression. Stat Med. 1994;13:1665–78.
Rubin HR, Gandek B, Rogers WH, Kosinski M, McHorney CA, Ware JE. Patients’ ratings of outpatient visits in different practice settings: results from the Medical Outcomes Study. JAMA. 1993;270:835–40.
Rubin HR, Wu AW. Patient satisfaction: its importance and how to measure it. In: Gitnick G, Rothenberg F, Weiner JL, eds. The Business of Medicine. New York, NY: Elsevier; 1991:397–409.
Hall JA, Dornan MC. What patients like about their medical care and how often they are asked: a meta-analysis of the satisfaction literature. Soc Sci Med. 1988;27:935–9.
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Supported by the Department of Medicine, Rhode Island Hospital. Brown University School of Medicine. During this study, Dr. Bialor was a Fellow in General Internal Medicine at Rhode Island Hospital.
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Bialor, B.D., Gimotty, P.A., Poses, R.M. et al. The effect of primary care training on patient satisfaction ratings. J GEN INTERN MED 12, 776–780 (1997). https://doi.org/10.1046/j.1525-1497.1997.07164.x
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DOI: https://doi.org/10.1046/j.1525-1497.1997.07164.x