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Updated: Jul 13, 2026

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Experimental Research Examining How People Can Cope with Uncertainty Through Soft Haptic Sensations
Published on: September 16, 2015
[Methodologic difficulties in measuring patient satisfaction--discrepancy coming from formulating questions]
Ludmiła Marcinowicz1, Agnieszka Borzuchowska, Ryszard Grebowski
1Zakładu Medycyny Rodzinnej i Pielegniarstwa Srodowiskowego Akademii Medycznej w Białymstoku. marcinek@amb.edu.pl
Summary
Patient satisfaction surveys can be misleading. Closed questions often yield positive patient feedback, while open questions reveal negative experiences, indicating a need for more qualitative research methods.
Area of Science:
- Health Services Research
- Patient Experience Studies
Context:
- Patient satisfaction surveys are widely used to evaluate healthcare services.
- Methodological choices in surveys, such as question framing, can significantly influence responses.
- The 'leniency effect' describes the tendency for closed-ended questions to elicit more positive feedback than open-ended questions.
Purpose:
- To compare patient responses to open-ended versus closed-ended questions regarding satisfaction with family doctor services.
- To investigate the discrepancy between quantitative ratings and qualitative feedback in patient surveys.
Summary:
- A study in Poland surveyed 560 patients using mailed questionnaires about their satisfaction with family doctor services.
- A significant number of patients (19.4%) who rated their care positively on a closed-ended scale provided negative justifications in open-ended questions.
- Common negative themes included short consultation times, difficulties obtaining specialist referrals, and a lack of holistic patient care.
Impact:
- Findings suggest that standard questionnaire surveys may not be precise enough for a comprehensive evaluation of doctor's care.
- Qualitative research methods, such as in-depth interviews and open-ended questions, may be necessary to complement or replace quantitative surveys for a deeper understanding of patient satisfaction.
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