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Will patient satisfaction set the preventive services implementation agenda?

T E Kottke1, L I Solberg, M L Brekke

  • 1Department of Health Sciences Research, Mayo Clinic and Foundation, Rochester, MN 55905, USA. thomas_kottke@msgw.mayo.edu

American Journal of Preventive Medicine
|July 1, 1997
PubMed
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Physicians recommending preventive services is weakly linked to patient satisfaction. This suggests quality evaluations must explicitly include preventive care to increase its delivery.

Area of Science:

  • Health Services Research
  • Preventive Medicine
  • Patient Satisfaction

Background:

  • Patient satisfaction is a key healthcare quality metric.
  • In competitive markets, it's a health plan marketing tool.
  • This study investigates if patient satisfaction drives preventive service recommendations.

Purpose of the Study:

  • To examine the association between preventive services and patient satisfaction.
  • To determine if patient satisfaction spontaneously increases clinician recommendations for preventive care.

Main Methods:

  • Mail survey of 6,830 adult patients in Minneapolis-St. Paul.
  • Assessed patient-reported rates of being advised on 8 preventive services.
  • Measured patient satisfaction with specific preventive services and overall care.

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Main Results:

  • Being advised on preventive services correlated modestly with satisfaction (r=0.16-0.35).
  • Correlations with overall satisfaction index were weak (r=0.01-0.27).

Conclusions:

  • The link between preventive service advice and patient satisfaction is too weak to drive spontaneous physician recommendations.
  • To improve preventive service delivery, explicit inclusion in quality evaluations is necessary.