Physician satisfaction with primary care office visits

The Collaborative Study Group of the American Academy on Physician and Patient

Research output: Contribution to journalArticle

131 Citations (Scopus)

Abstract

To study encounter-specific physician satisfaction we collected exit questionnaires from patients and physicians following 550 primary care office visits. The physicians’ questionnaire included 20 items pertaining to satisfaction with the visit, one of which was an assessment of global satisfaction. Using a bootstrap technique, we factor analyzed the satisfaction questions in 10 repeated samples. Four distinct dimensions of physician satisfaction emerged: Satisfaction with the patient-physician relationship, with the data collection process, with the appropriateness of the use of time, and with the absence of excessive demands on the part of the patient. Each scale was found to be reliable; global satisfaction was most closely related to the relationship factor. Satisfaction with use of time and the adequacy of data collection tended to be stable for individual physicians across a range of patients whereas global satisfaction and satisfaction with the relationship and the demanding nature of the patient and were more variable, hence most unique to each encounter. This study of physician satisfaction represents an effort to incorporate knowledge about physicians’ subjective experiences into a systematic understanding of the dynamics of the medical interview.

Original languageEnglish (US)
Pages (from-to)1083-1092
Number of pages10
JournalMedical Care
Volume31
Issue number12
StatePublished - 1993
Externally publishedYes

Fingerprint

Office Visits
Primary Health Care
physician
Physicians
physician-patient relationship
Physician-Patient Relations
questionnaire

Keywords

  • Difficult patients
  • Patient-doctor relationship
  • Physician satisfaction
  • Physicians’ experiences
  • Primary care visits
  • Time management

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health
  • Nursing(all)
  • Health(social science)
  • Health Professions(all)

Cite this

The Collaborative Study Group of the American Academy on Physician and Patient (1993). Physician satisfaction with primary care office visits. Medical Care, 31(12), 1083-1092.

Physician satisfaction with primary care office visits. / The Collaborative Study Group of the American Academy on Physician and Patient.

In: Medical Care, Vol. 31, No. 12, 1993, p. 1083-1092.

Research output: Contribution to journalArticle

The Collaborative Study Group of the American Academy on Physician and Patient 1993, 'Physician satisfaction with primary care office visits', Medical Care, vol. 31, no. 12, pp. 1083-1092.
The Collaborative Study Group of the American Academy on Physician and Patient. Physician satisfaction with primary care office visits. Medical Care. 1993;31(12):1083-1092.
The Collaborative Study Group of the American Academy on Physician and Patient. / Physician satisfaction with primary care office visits. In: Medical Care. 1993 ; Vol. 31, No. 12. pp. 1083-1092.
@article{e6e432b7a02f4bd18bb8be5189e49c5e,
title = "Physician satisfaction with primary care office visits",
abstract = "To study encounter-specific physician satisfaction we collected exit questionnaires from patients and physicians following 550 primary care office visits. The physicians’ questionnaire included 20 items pertaining to satisfaction with the visit, one of which was an assessment of global satisfaction. Using a bootstrap technique, we factor analyzed the satisfaction questions in 10 repeated samples. Four distinct dimensions of physician satisfaction emerged: Satisfaction with the patient-physician relationship, with the data collection process, with the appropriateness of the use of time, and with the absence of excessive demands on the part of the patient. Each scale was found to be reliable; global satisfaction was most closely related to the relationship factor. Satisfaction with use of time and the adequacy of data collection tended to be stable for individual physicians across a range of patients whereas global satisfaction and satisfaction with the relationship and the demanding nature of the patient and were more variable, hence most unique to each encounter. This study of physician satisfaction represents an effort to incorporate knowledge about physicians’ subjective experiences into a systematic understanding of the dynamics of the medical interview.",
keywords = "Difficult patients, Patient-doctor relationship, Physician satisfaction, Physicians’ experiences, Primary care visits, Time management",
author = "{The Collaborative Study Group of the American Academy on Physician and Patient} and Suchman, {Anthony L.} and Debra Roter and Michele Green and Mack Lipkin and Debra Roter and K. Bertakis and Rita Charon and Stephen Cohen-Cole and Oliver Fein and James Florek and Marsha Grayson and Michele Green and Thomas Inui and Mack Lipkin and Franklin Medio and Samuel Putnam and Timothy Quill and Katherine Rost and David Simon and Michael Simon and Barbara Starfield and Moira Stewart and William Stiles and Anthony Suchman and Bryce Templeton and Penelope Williamson",
year = "1993",
language = "English (US)",
volume = "31",
pages = "1083--1092",
journal = "Medical Care",
issn = "0025-7079",
publisher = "Lippincott Williams and Wilkins",
number = "12",

}

TY - JOUR

T1 - Physician satisfaction with primary care office visits

AU - The Collaborative Study Group of the American Academy on Physician and Patient

AU - Suchman, Anthony L.

AU - Roter, Debra

AU - Green, Michele

AU - Lipkin, Mack

AU - Roter, Debra

AU - Bertakis, K.

AU - Charon, Rita

AU - Cohen-Cole, Stephen

AU - Fein, Oliver

AU - Florek, James

AU - Grayson, Marsha

AU - Green, Michele

AU - Inui, Thomas

AU - Lipkin, Mack

AU - Medio, Franklin

AU - Putnam, Samuel

AU - Quill, Timothy

AU - Rost, Katherine

AU - Simon, David

AU - Simon, Michael

AU - Starfield, Barbara

AU - Stewart, Moira

AU - Stiles, William

AU - Suchman, Anthony

AU - Templeton, Bryce

AU - Williamson, Penelope

PY - 1993

Y1 - 1993

N2 - To study encounter-specific physician satisfaction we collected exit questionnaires from patients and physicians following 550 primary care office visits. The physicians’ questionnaire included 20 items pertaining to satisfaction with the visit, one of which was an assessment of global satisfaction. Using a bootstrap technique, we factor analyzed the satisfaction questions in 10 repeated samples. Four distinct dimensions of physician satisfaction emerged: Satisfaction with the patient-physician relationship, with the data collection process, with the appropriateness of the use of time, and with the absence of excessive demands on the part of the patient. Each scale was found to be reliable; global satisfaction was most closely related to the relationship factor. Satisfaction with use of time and the adequacy of data collection tended to be stable for individual physicians across a range of patients whereas global satisfaction and satisfaction with the relationship and the demanding nature of the patient and were more variable, hence most unique to each encounter. This study of physician satisfaction represents an effort to incorporate knowledge about physicians’ subjective experiences into a systematic understanding of the dynamics of the medical interview.

AB - To study encounter-specific physician satisfaction we collected exit questionnaires from patients and physicians following 550 primary care office visits. The physicians’ questionnaire included 20 items pertaining to satisfaction with the visit, one of which was an assessment of global satisfaction. Using a bootstrap technique, we factor analyzed the satisfaction questions in 10 repeated samples. Four distinct dimensions of physician satisfaction emerged: Satisfaction with the patient-physician relationship, with the data collection process, with the appropriateness of the use of time, and with the absence of excessive demands on the part of the patient. Each scale was found to be reliable; global satisfaction was most closely related to the relationship factor. Satisfaction with use of time and the adequacy of data collection tended to be stable for individual physicians across a range of patients whereas global satisfaction and satisfaction with the relationship and the demanding nature of the patient and were more variable, hence most unique to each encounter. This study of physician satisfaction represents an effort to incorporate knowledge about physicians’ subjective experiences into a systematic understanding of the dynamics of the medical interview.

KW - Difficult patients

KW - Patient-doctor relationship

KW - Physician satisfaction

KW - Physicians’ experiences

KW - Primary care visits

KW - Time management

UR - http://www.scopus.com/inward/record.url?scp=0027754733&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0027754733&partnerID=8YFLogxK

M3 - Article

C2 - 8246638

AN - SCOPUS:0027754733

VL - 31

SP - 1083

EP - 1092

JO - Medical Care

JF - Medical Care

SN - 0025-7079

IS - 12

ER -