Skip to main content
Log in

The significance of patients' perceptions of physician conduct

A study of patient satisfaction in a family practice center

  • Research Reports
  • Published:
Journal of Community Health Aims and scope Submit manuscript

Abstract

The provision of high quality medical care and the insurance of patient satisfaction depend in part upon the ability and willingness of physicians to establish rapport with their patients and to develop effective physician-patient communication. In this study, patients' overall satisfaction with their physicians' care was assessed in relation to their perceptions of their physicians' (1) proficiency at communicating and listening to details of the illness and medical treatment, (2) capability of providing affective care, and (3) technical competence. Perceptions of physician behaviors were measured by a questionnaire administered to 329 patients of 54 residents in a family practice center. The relationship between the perceptions of patients and their satisfaction with medical care was examined both for the entire sample and among groups of patients with differing demographic characteristics. Results indicate an important link between patients' perceptions of socioemotional aspects of the physician-patient relationship and their reported satisfaction with medical care. Noticeable differences were found to exist in the importance that patients with different demographic characteristics placed on various aspects of their physicians' conduct.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Korsch BM, Gozzi EK, Francis V: Gaps in doctor-patient communication. I. Doctor-patient interaction and patient satisfaction.Pediatrics 42 855–871, 1968.

    Google Scholar 

  2. Davis MS: Variations in patients' compliance with doctors' advice: An empirical analysis of patterns of communication.Am J Public Health 58 274–288, 1968.

    Google Scholar 

  3. Davis MS: Physiological, psychological, and demographic factors in patient compliance with doctors' orders.Med Care 6 115–122, 1968.

    Google Scholar 

  4. Freemon B, Negrete VF, DAvis M, et al: Gaps in doctor-patient communication: Doctor-patient interaction analysis.Pediatr Res 5 298–311, 1971.

    Google Scholar 

  5. Ley P, Spelman MS: Communications in an outpatient setting.Br J Soc Clin Psychol 4 114–116, 1965.

    Google Scholar 

  6. Houston CS, Pasanen WE: Patients' perceptions of hospital care.Hospitals 46 70–74, 1972.

    Google Scholar 

  7. Lebow JL: Consumer assessments of the quality of medical care.Med Care 12 328–337, 1974.

    Google Scholar 

  8. Bloom SW:The Doctor and His Patient: A Sociological Interpretation. New York, Russell Sage Foundation, 1963.

    Google Scholar 

  9. Gray PG, Cartwright A: Choosing and changing doctorsLancet 1308–1309, 1953.

  10. Kasteler J, Kane RL, Olsen DM, et al: Issues underlying prevalence of “doctor-shopping” behavior.J Health Soc Behav 17 328–339, 1976.

    Google Scholar 

  11. Cobb B: Why do people detour to quacks?Psychiatric Bulletin 3 66–69, 1954.

    Google Scholar 

  12. Vaccarino JM: Malpractice: The problem in perspective.JAMA 238 861–863, 1977.

    Google Scholar 

  13. Ben-Sira Z: The function of the professional's affective behavior in client satisfaction: A revised approach to social interaction theory.J Health Soc Behav 17 3–11, 1976.

    Google Scholar 

  14. Janis IL:Psychological Stress: Psychoanalytic and Behavioral Studies of Surgical Patients. New York, Wiley, 1958.

    Google Scholar 

  15. Langer EL, Janis IL, Wolfer JA: Reduction of psychological stress in surgical patients.Exp Soc Psychol 11 155–165, 1975.

    Google Scholar 

  16. Ware JE, Doyle BJ:Physician Conduct and Other Factors That Affect Consumer Satisfaction with Medical Care. Publication No. P-5670, Rand Corporation, 1977.

  17. Ware JE, Davies-Avery A, Stewart AL: The measurement and meaning of patient satisfaction.Health and Medical Care Services Review 1 3–15, 1978.

    Google Scholar 

  18. Ware JE, Snyder MK, Wright WR: Some issues in the measurement of patient satisfaction with health care services. Publication No. P-6021, Rand Corporation, 1977.

  19. Becker MH, Drachman RH, Kirscht JP: A new approach to explaining sick-role behavior in low-income populations.Am J Public Health 64 205–216, 1974.

    Google Scholar 

  20. Ware JE: personal communication. November 15, 1978.

  21. Wolf MH, Putnam SM, James SA, et al: The medical interview satisfaction scale: Development of a scale to measure patient perceptions of physician behavior.J. Behav Med 1 391–402, 1979.

    Google Scholar 

  22. Duncan OD: Socioeconomic index for occupations in the detailed classification of the Bureau of the Census, 1950 (transformed to NORC scale). In AJ Reiss, OD Duncan, PK Hatt, et al:Occupation and Social Status. Glencoe, Illinois, The Free Press, 1961. Appendix B, pp 263–275.

    Google Scholar 

  23. Wyler AR, Masuda M, Holmes TH: Seriousness of illness rating scale.J. Psychosom Res 11 363–373, 1968.

    Google Scholar 

  24. Cronbach LJ: Coefficient alpha and the internal structure of tests.Psychometrika 16 297–334, 1951.

    Google Scholar 

  25. Hulka BS, Kupper LL, Daly MB, et al: Correlates of satisfaction and dissatisfaction with medical care: A community perspective.Med Care 13 648–658, 1975.

    Google Scholar 

  26. Apostle, D, Oder F: Factors that influence the public's view of medical care.JAMA 202 140–146, 1967.

    Google Scholar 

  27. Friedman HS, DiMatteo MR: Health care as an interpersonal process.J. Soc Issues 35 1–11, 1979.

    Google Scholar 

  28. Knowles JH: The responsibility of the individual.Daedalus 106 57–80, 1977.

    Google Scholar 

  29. DiMatteo MR, Prince LM, Taranta A: Patients' perceptions of physicians' behavior: Determinants of patient commitment to the therapeutic relationship.J Community Health 4 280–290, 1979.

    Google Scholar 

  30. Ware JE, Snyder MK: Dimensions of patient attitudes regarding doctors and medical services.M

  31. Ware JE, Wright WR, Snyder MK, et al: Consumer perceptions of health care services: Implications for academic medicine.J Med Educ 50 839–848, 1975.

    Google Scholar 

  32. Andersen R, Kravits J, Anderson OW: The public's view of the crisis in medical care: An impetus for changing delivery systems.Economic and Business Bulletin 24 44–52, 1971.

    Google Scholar 

  33. Linn LS: Factors associated with patient evaluation of health care.Milbank Mem Fund Q 53 531–548, 1975.

    Google Scholar 

  34. Rojek DG, Clemente F, Summers CF: Community satisfaction: A study of contentment with local services.Rural Sociology 40 177–192, 1975.

    Google Scholar 

  35. Ware, JE, Kane RL, Davies A, et al: An experimental approach to the validation of patient quality of care assessment. Santa Monica, Calif, The Rand Corporation, 1980.

  36. DiMatteo MR: A social-psychological analysis of physician-patient rapport: Toward a science of the art of medicine.J Soc Issues 35 12–33, 1979.

    Google Scholar 

  37. Friedman HS: Nonverbal communication between patients and medical practitioners.J Soc Issues 35 82–99, 1979.

    Google Scholar 

  38. Stone GC: Patient compliance and the role of the expert.J Soc Issues 35 34–59, 1979.

    Google Scholar 

Download references

Authors

Additional information

Dr. DiMatteo is Assistant Professor of Psychology at the University of California, Riverside, 92521, and Staff Research Psychologist, Department of Family Practice, San Bernardino County Medical Center, San Bernardino, California 92404. Ron Hays is now a graduate student in the social personality area of the psychology department at the University of Colorado, Boulder, 80309.

This research was supported by an NIMH small grant (#RO3-MH31421) to the first author and by University of California, Riverside, Intramural Research Funds. Thanks are due to John R. Crouch, M.D., David M. Hess, M.D., J. Philip Loge, M.D., and Douglas C. Spieske, M.D., for their support of this research in the field setting, as well as to Marianne Archambault, Carl F. Eklund, Jann Gumbiner, and Daniel B. Takeda who served as interviewers.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Robin DiMatteo, M., Hays, R. The significance of patients' perceptions of physician conduct. J Community Health 6, 18–34 (1980). https://doi.org/10.1007/BF01324054

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF01324054

Keywords

Navigation