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Association Between Loneliness and Patient Experience in a Primary Health Care Setting
Emily Hamovitch1, Kaileah McKellar1, Grace Spiro1
1Institute of Health Policy, Management and Evaluation, University of Toronto, Toronto, Ontario, Canada.
Annals of Family Medicine
|March 24, 2026
Summary
Loneliness negatively impacts patient experiences in primary care. Identifying and addressing loneliness can improve how patients perceive their healthcare.
Area of Science:
- Public Health
- Healthcare Management
- Psychology
Background:
- Loneliness is a growing public health issue.
- Patient experience is crucial for healthcare quality.
- Primary care settings offer opportunities for intervention.
Purpose of the Study:
- To examine the association between patient loneliness and their healthcare experiences.
- To investigate the impact of loneliness on patient-reported outcomes in primary care.
Main Methods:
- Cross-sectional survey of 2,673 adult primary care patients in Ontario, Canada.
- Utilized the University of California-Los Angeles 3-item Loneliness Scale.
- Employed a Bayesian multivariate cumulative logit model to analyze data.
Main Results:
- Lonely patients reported significantly lower odds of positive experiences across multiple healthcare domains.
- Loneliness was associated with diminished patient perceptions of care.
- The study identified a statistically significant negative correlation.
Conclusions:
- Loneliness negatively influences how patients perceive their healthcare experiences.
- Primary care clinicians can play a vital role in identifying and addressing patient loneliness.
- Interventions promoting social connection may enhance patient experience and outcomes.
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