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Related Experiment Videos

Measuring patient expectations: does the instrument affect satisfaction or expectations?

B M Peck1, D A Asch, S D Goold

  • 1Center for Health Services Research in Primary Care, Durham VA Medical Center, North Carolina 27705, USA.

Medical Care
|February 15, 2001
PubMed
Summary
This summary is machine-generated.

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Different patient expectation instruments yield varied results but do not impact satisfaction. Understanding how measurement tools affect patient expectations is key for healthcare quality assessment.

Area of Science:

  • Healthcare Quality Assessment
  • Patient Experience Research
  • Medical Survey Design

Background:

  • Patient expectations significantly influence healthcare utilization and satisfaction.
  • Existing instruments for measuring patient expectations vary, with limited understanding of their impact on outcomes.
  • Assessing patient expectations is crucial for evaluating the quality of care.

Purpose of the Study:

  • To investigate whether different measurement instruments elicit varying numbers and types of patient expectations.
  • To determine if distinct assessment methods affect patient satisfaction levels.
  • To compare the impact of different expectation measurement tools on patient-reported outcomes.

Main Methods:

  • A randomized controlled trial involving 290 male primary care outpatients at a VA clinic.

Related Experiment Videos

  • Patients were assigned to receive either a "short" or "long" instrument to assess expectations, or a control group received no assessment.
  • Patient satisfaction was measured using visit-specific and general physician interpersonal skills questionnaires.

    • Main Results:

    • The "long" instrument significantly increased the reporting of expectations for tests, referrals, and new medications compared to the "short" instrument.
    • A higher percentage of patients receiving the "long" instrument reported unmet expectations (40%) versus the "short" instrument (19%).
    • Patient satisfaction levels remained similar across all three groups, regardless of the expectation measurement method used.

    Conclusions:

    • The choice of instrument significantly influences the number and type of patient expectations elicited.
    • Different methods for assessing patient expectations do not appear to affect overall patient satisfaction.
    • These findings highlight the importance of instrument selection in patient expectation research and quality assessment.