PATIENT EXPECTATIONS - WHAT DO PRIMARY-CARE PATIENTS WANT FROM THE GP AND HOW FAR DOES MEETING EXPECTATIONS AFFECT PATIENT SATISFACTION

被引：193

作者：

WILLIAMS, S

WEINMAN, J

DALE, J

NEWMAN, S

机构：

[1] Department of General Practice and Primary Care, KCSMD, London, SE5 9PJ, Bessemer Road

[2] Division of Psychiatry, Unit of Psychology, UMDS, London

[3] Department of Psychiatry, Middlesex Hospital, London

来源：

FAMILY PRACTICE | 1995年 / 12卷 / 02期

关键词：

D O I：

10.1093/fampra/12.2.193

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

There is growing recognition of the importance of patients' expectations in general practice. This study aimed to investigate the types of expectations adult primary care patients have prior to consulting the GP, and how far meeting expectations is associated with increased satisfaction. Patients (n = 504) attending general practitioners (n = 25) at 10 London general practices were included in the study. The Patients Intentions Questionnaire (PIG) was administered prior to the consultation to investigate patients' expectations and the Expectations Met Questionnaire (EMQ) was administered after the consultation to find out what the patient reportedly obtained. Satisfaction with the consultation was also measured using the Medical Interview Satisfaction Scale (MISS). The results of a principal components analysis of PIQ item scores indicated that the most wanted items were for 'explanation of the problem'. There was less desire for 'support' or 'tests and diagnosis'. Many of the 'support' items could potentially be provided to all patients, yet a proportion of patients reported not receiving these items from the GP. The results of one-way ANOVAs revealed that patients with greater numbers of their expectations met reported significantly higher satisfaction with the consultation than those with lower numbers met. The PIQ and EMO could be potentially useful self-audit tools for use by general practitioners and trainee GPs.

引用

页码：193 / 201

页数：9

共 16 条

[1]

Bertakis K.D., The communication of information from physician to patient: A method for increasing the retention and satisfaction, J Fam Pract, 5, pp. 217-222, (1977)

[2]

Francis V., Korsch B.M., Morris M.J., Gaps in doctor-patient communication, N Engl J Med, 280, pp. 535-560, (1969)

[3]

Ley P., Communicating with Patients: Improving Communication, Satisfaction and Compliance., (1988)

[4]

Strasser R., The doctor-patient relationship in general practice, Med J Aust, 156, pp. 334-338, (1992)

[5]

Salmon P., Sharma N., Valori R., Bellenger N., Patients’ intentions in primary care: Relationship to physical and psychological symptoms and their perception by general practitioners, Soc Sci Med, 38, pp. 585-592, (1994)

[6]

Webb S., Lloyd M., Prescribing and referral in general practice: A study of patients’ expectations and doctors’ actions, Br J Gen Pract, 44, pp. 165-169, (1994)

[7]

Joos S.K., Hickman D.H., Borders L.M., Patients’ desires and satisfaction in general medicine clinics, Public Health Rep, 108, pp. 751-759, (1994)

[8]

Van de Kar A., Van der Grinten R., Meertens R., Knottnerus A., Kok G., Worry: A particular determinant of consultation illuminated, Fam Pract, 9, pp. 67-75, (1992)

[9]

Arborelius E., Bremberg S., What can doctors do to achieve a successful consultation? Video-taped interviews analysed by the ‘consultation map’ method, Fam Pract, 9, pp. 61-66, (1992)

[10]

Levenstein J.H., Stewart M., Brown J., Weston W.W., McCracken E., McWhinney I., Patient-centred clinical interviewing, Communicating with Medical Patients, (1989)

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