Functional status and patient satisfaction: a comparison of ischemic heart disease, obstructive lung disease, and diabetes mellitus

  • Fan V
  • Reiber G
  • Diehr P
 et al. 
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Abstract

OBJECTIVE: To determine the extent to which chronic illness and disease severity affect patient satisfaction with their primary care provider in general internal medicine clinics. DESIGN: Cross-sectional mailed questionnaire study. SETTING: Primary care clinics at 7 Veterans Affairs medical centers. PATIENTS/PARTICIPANTS: Of 62,487 patients participating in the Ambulatory Care Quality Improvement Project, 35,383 (57%) returned an initial screening questionnaire and were subsequently sent a satisfaction questionnaire. Patients (N=21,689; 61%) who returned the Seattle Outpatient Satisfaction Survey (SOSQ) were included in the final analysis, representing 34% of the original sample. MEASUREMENTS AND MAIN RESULTS: The organizational score of the SOSQ measures satisfaction with health care services in the internal medicine clinic, and the humanistic scale measures patient satisfaction with the communication skills and humanistic qualities of the primary care physician. For ischemic heart disease (IHD), chronic obstructive pulmonary disease (COPD), and diabetes, patient ability to cope with their disease was more strongly associated with patient satisfaction than disease severity. Among IHD patients, improvement in ability to cope emotionally with their angina was associated with higher SOSQ organizational scores (standardized beta=0.18; P

Author-supplied keywords

  • AN
  • Adaptation,Psychological
  • Affect
  • Aged
  • Ambulatory Care
  • Analysis
  • CARE
  • COMMUNICATION
  • COPD
  • Chronic Disease
  • Comorbidity
  • Comparative Study
  • Cross-Sectional Studies
  • Disease
  • Female
  • Health
  • Health Service
  • Health Services
  • Health Services Research
  • Health Status
  • Heart
  • Hospitals,Veterans
  • Humans
  • Internal Medicine
  • Linear Models
  • Lung
  • Lung Diseases,Obstructive
  • Male
  • Medicine
  • Middle Aged
  • Myocardial Ischemia
  • Outpatient Clinics,Hospital
  • PRIMARY-CARE
  • PV
  • Patient Education
  • Patient Satisfaction
  • Patients
  • Prediction
  • Primary Health Care
  • Quality of Health Care
  • Questionnaires
  • Research
  • Research Support,U.S.Gov't,Non-P.H.S.
  • Satisfaction
  • THERAPY
  • USA
  • United States
  • Veterans
  • WHO
  • chronic
  • chronic illness
  • design
  • development
  • diabetes
  • diabetes mellitus
  • education
  • health care
  • health care system
  • illness
  • measure
  • measurement
  • patient
  • primary care
  • quality
  • quality improvement
  • quality of care
  • questionnaire study
  • s
  • scale
  • score
  • screening
  • standards
  • statistics & numerical data
  • status
  • study
  • survey

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Authors

  • V S Fan

  • G E Reiber

  • P Diehr

  • M Burman

  • M B Mcdonell

  • S D Fihn

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