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Patient satisfaction with time spent with their physician
D A Gross1, S J Zyzanski, E A Borawski
1Department of Epidemiology and Biostatistics, Case Western Reserve University, Cleveland, Ohio, USA. grossda@email.uc.edu
The Journal of Family Practice
|September 2, 1998
Summary
Patient satisfaction with family physician time is high and linked to visit length. Longer visits and chatting improve satisfaction, especially for older patients and well-care visits.
Area of Science:
- Primary Care
- Health Services Research
- Patient Experience
Background:
- Patient satisfaction is a key metric in healthcare quality.
- Understanding factors influencing patient satisfaction with physician time is crucial for improving primary care.
- Previous research has explored various aspects of the patient-physician relationship, but specific time dynamics warrant further investigation.
Purpose of the Study:
- To examine variables associated with patient satisfaction regarding time spent with family physicians during office visits.
- To identify specific physician and patient characteristics, visit types, and time allocation strategies that correlate with higher patient satisfaction.
Main Methods:
- Direct observation of 2315 patient visits across 138 family physicians in 84 practices.
- Analysis of sequential models linking patient/physician characteristics, visit details, and time use to patient satisfaction.
- Utilized questionnaires for patient-reported satisfaction data.
Main Results:
- Overall patient satisfaction with time spent was high, strongly correlated with visit duration (P < .001).
- Factors associated with greater satisfaction included older patient age, white race, better perceived health, well-care visits, and increased time spent chatting.
- Physician discussion of test results positively impacted satisfaction in visits over 15 minutes but negatively in shorter visits.
Conclusions:
- Family physicians can enhance patient satisfaction by allocating a small portion of visit time to non-medical conversation.
- Ensuring sufficient time for patient exchange and feedback is vital for improving satisfaction with time spent.
- Optimizing visit dynamics, including communication and time allocation, can significantly improve the patient experience in primary care settings.