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Factors associated with changes in satisfaction with care.

B Newsome1, S M Retchin, M Jurgensen

  • 1School of Medicine, Virginia Commonwealth University, Richmond, USA.

Clinical Performance and Quality Health Care
|April 5, 2000
PubMed
Summary
This summary is machine-generated.

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Patient satisfaction with medical care can increase or decrease with changes in health status. Hospitalizations also correlate with increased satisfaction, though the relationship isn't always clear.

Area of Science:

  • Healthcare Management
  • Patient Experience Research
  • Health Services Research

Background:

  • Patient satisfaction is a key indicator of healthcare quality.
  • Factors influencing satisfaction include health status, healthcare use, and personal characteristics.
  • Limited research exists on the dynamic relationship between these factors and changes in satisfaction.

Purpose of the Study:

  • To investigate how personal characteristics, health plan type, disease states, and healthcare utilization affect changes in patient satisfaction with care.
  • To analyze these influences over a 12-month prospective period using survey data.

Main Methods:

  • A prospective cohort study involving enrollees from three commercial health plans (POS, FFS, PPO).
  • Data collected via baseline and 12-month follow-up surveys.

Related Experiment Videos

  • Multivariate logistic regression models used to identify predictors of satisfaction changes.

    • Main Results:

    • Improved or declined health status significantly predicted increased satisfaction (OR 1.29).
    • History of hospitalization also predicted increased satisfaction (OR 1.27).
    • Declines in health status predicted decreased satisfaction (OR 1.43). Age, gender, race, plan type, disease state, and visits did not predict changes.

    Conclusions:

    • Changes in patient satisfaction are linked to changes in health status.
    • The precise nature of the relationship between health status changes and satisfaction requires further investigation.