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Outpatient satisfaction: the role of nominal versus perceived communication
Megan K Beckett1, Marc N Elliott, Andrea Richardson
1RAND Corporation, Santa Monica, CA 90407-2138, USA. beckett@rand.org
Objective:
To examine the simultaneous associations of parent and coder assessments of communication events with parent satisfaction.
Study Setting:
Five hundred twenty-two pediatrician-patient encounters.
Study Design:
Parents reported on post-visit satisfaction with care and whether four communication events occurred. Raters also coded communication events from videotapes. Multivariate analyses predicted parent satisfaction.
Principal Findings:
Satisfaction was greater when parents perceived at least three communication events. Parent and coder reports were nearly uncorrelated. Coder-assessed communication events not perceived by parents were unrelated to parent satisfaction.
Conclusions:
Parents are more satisfied when most or all of the expected parent-physician communications occur. A successful pediatrician-parent communication event is one that a parent recognizes as having occurred; it is not merely one that a trained observer says occurred.
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Patient outcomes reflect the patient's response to the goal rather than what the nurse aims to achieve. Terminology should be observable and measurable to avoid the reader's interpretation. The desired outcome should be realistic and achievable in the designated care timeframe. Expected outcomes should align with adjunctive therapies. The outcome should enhance care evaluation by...