Abstract
Three hypotheses regarding the factor structure of patient satisfaction with an ambulatory health care encounter were tested in a New York medical center outpatient sample. All three hypotheses were generally supported. It was found that patients evaluated four distinct aspects of the clinic visit: doctor conduct, convenience, appointment getting, and the visit in general. A significant proportion of the variance in general satisfaction was explained by satisfaction with doctor conduct and satisfaction with convenience. Three factor scales of patient satisfaction were developed with demonstrable internal consistency reliability. Some possible effects of response method on satisfaction ratings were studied; these method effects were not substantial, and it is suggested that this type of psychometric procedure be used in further studies of patient satisfaction.
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References
Linder-Pelz S: Towards a theory of patient satisfaction.Soc Sci & Med 16577–582, 1982.
Lebow JL: Evaluation of an outpatient pediatric practice through the use of consumer questionnaires.Med Care 13250 (3), 1975.
Alpert JJ et al.: Attitudes and satisfactions of low-income families receiving comprehensive pediatric care.Am J Public Health 60499, 1970.
Woolley FR et al.: The effects of doctor-patient communication on satisfaction and outcomes of care.Soc Sci & Med 12123 (2A) 1978.
Fisher A: Patients' evaluation of outpatient care.J Med Educ 46238, 1971.
Noyes RW et al.: Expectation fulfilment as a measure of patient satisfaction.Am J Obstet & Gyn 118809, 1974.
Greenley JR, Schoenherr RA: Patients, clients and help-delivery organizations: A technical report. Mimeo, 1975.
Linn L: Factors associated with patient evaluation of health care.Milbank Mem Fund Q 53531 (4), 1975.
Levine DM et al.: The role of new health practitioners in a prepaid group practice: Provider differences in process and outcome of care.Med Care 14326, 1977.
De Castro F, Amin H: An ambulatory pediatric unit consumers' satisfaction.Clin Ped 9445, 1970.
Korsch BM et al.: Gaps in doctor-patient communication.Pediatrics 42855, 1968.
Stewart MA, Wanklin J: Direct and indirect measures of patient satisfaction with physicians' services.J Comm Health 3195 (3), 1978.
Lebow JL: Consumer assessments of the quality of medical care.Med Care 12328 (4), 1974.
McPhee C, et al.: Measurement of patient satisfaction: A survey of practices in community health centers.Comprehensive Psychiatry 16399 (4), 1975.
Ware JE et al.: Development and validation of scales to measure patient satisfaction with health care services: Vol. I of aFinal Report (Parts A and B). NCHSR and Southern Illinois School of Medicine, Mimeos, 1976.
Ware JE et al.: The measurement and meaning of patient satisfaction.Health & Med Care Serv Rev 11 (1), 1978.
Locker D, Dunt D: Theoretical and methodological issues in sociological studies of consumer satisfaction with medical care.Soc Sci & Med 12283, 1978.
Hulka BS et al.: Scale for the measurement of attitudes towards physicians and primary health care.Med Care 8429, 1970.
Becker MH et al.: A field experiment to evaluate various outcomes of continuity of physician care.Am J Public Health 641062 (11), 1974.
Roberts CM: Some attributes of patient satisfaction.South Dakota J Med (February):11 1976.
Shortell SM et al.: The relationships among dimensions of the health services in two provider systems: A causal model approach.J Hlth & Soc Behav 18139, 1977.
Lemke E, Wiersma W: Principles of psychological measurement. Rand McNally College Publishing Company, 1976. Indiana.
Nunnally J:Psychometric Theory, 1967. McGraw Hill, New York.
Nie NH et al.:Statistical Package for the Social Sciences (2nd ed.), 1975. McGraw Hill, New York.
Linder-Pelz S: Social psychological determinants of patient satisfaction: A test of five hypotheses.Soc Sci & Med 16583–589, 1982.
Linder-Pelz, Stewart MM: Patient evaluations of outpatient primary health care (forthcoming).
Hulka BS et al.: Satisfaction with medical care in a low income population.J Chron Dis 24661, 1971.
Kalleberg AL: Work values and job rewards: A theory of job satisfaction.A.S.R. 42124 (2) 1977.
Additional information
Susie Linder-Pelz, M.P.H., Ph.D., is with the Commonwealth Institute of Health in Australia. Elmer L. Struening, Ph.D., is with the New York State Psychiatric Institute and Columbia University.
This research was supported in part by a World Health Organization graduate fellowship. Address communications to: Dr. Susie Linder-Pelz, Commonwealth Institute of Health, University of Sydney, N.S.W. 2008, Australia.
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Linder-Pelz, S., Struening, E.L. The multidimensionality of patient satisfaction with a clinic visit. J Community Health 10, 42–54 (1985). https://doi.org/10.1007/BF01321358
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DOI: https://doi.org/10.1007/BF01321358