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The relationship of patient satisfaction with care and clinical outcomes.

Publication ,  Journal Article
Kane, RL; Maciejewski, M; Finch, M
Published in: Med Care
July 1997

OBJECTIVES: The authors examine the relationship between three dimensions of patient satisfaction (quality of care, hospital care, and physician time) and two ways of looking at outcomes: absolute (status at 6 months after surgery) and relative (difference between baseline and follow-up status). METHODS: A total of 2,116 patients undergoing cholecystectomy were interviewed before surgery and again at 6 months. The baseline interview addressed health status (general functioning and specific symptoms) and risk factors. The follow-up interview included health status and a series of satisfaction questions. Outcomes included both overall health status and specific symptoms. Potential confounding factors, in addition to baseline status, such as demographics, casemix, and procedure type, were accounted for in the analysis. RESULTS: Each of the outcomes was related significantly to each of the satisfaction scales; however, the relative outcomes were related more strongly to satisfaction than were the absolute versions. Although the regression coefficients were highly significant, none of the outcomes measures accounted for more than 8% of the explained variance in the several satisfaction scores. CONCLUSIONS: Although outcomes and satisfaction are related, more goes into satisfaction than just outcomes. When determining their satisfaction with the care they have received, patients are more likely to focus on their present state of health than to consider the extent of improvement they have enjoyed.

Duke Scholars

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Published In

Med Care

DOI

ISSN

0025-7079

Publication Date

July 1997

Volume

35

Issue

7

Start / End Page

714 / 730

Location

United States

Related Subject Headings

  • Time Factors
  • Surveys and Questionnaires
  • Regression Analysis
  • Quality of Health Care
  • Physician-Patient Relations
  • Patient Satisfaction
  • Outcome Assessment, Health Care
  • Minnesota
  • Middle Aged
  • Male
 

Citation

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Kane, R. L., Maciejewski, M., & Finch, M. (1997). The relationship of patient satisfaction with care and clinical outcomes. Med Care, 35(7), 714–730. https://doi.org/10.1097/00005650-199707000-00005
Kane, R. L., M. Maciejewski, and M. Finch. “The relationship of patient satisfaction with care and clinical outcomes.Med Care 35, no. 7 (July 1997): 714–30. https://doi.org/10.1097/00005650-199707000-00005.
Kane RL, Maciejewski M, Finch M. The relationship of patient satisfaction with care and clinical outcomes. Med Care. 1997 Jul;35(7):714–30.
Kane, R. L., et al. “The relationship of patient satisfaction with care and clinical outcomes.Med Care, vol. 35, no. 7, July 1997, pp. 714–30. Pubmed, doi:10.1097/00005650-199707000-00005.
Kane RL, Maciejewski M, Finch M. The relationship of patient satisfaction with care and clinical outcomes. Med Care. 1997 Jul;35(7):714–730.

Published In

Med Care

DOI

ISSN

0025-7079

Publication Date

July 1997

Volume

35

Issue

7

Start / End Page

714 / 730

Location

United States

Related Subject Headings

  • Time Factors
  • Surveys and Questionnaires
  • Regression Analysis
  • Quality of Health Care
  • Physician-Patient Relations
  • Patient Satisfaction
  • Outcome Assessment, Health Care
  • Minnesota
  • Middle Aged
  • Male