What elements in the physician-patient relationship (PPR) contribute to patient satisfaction: Development of a short form PPRS-Patient Version (PPRS-Patient SF) Questionnaire.
DGBI
IBS
communication
patient care
patient doctor relationship
Journal
Neurogastroenterology and motility
ISSN: 1365-2982
Titre abrégé: Neurogastroenterol Motil
Pays: England
ID NLM: 9432572
Informations de publication
Date de publication:
02 2022
02 2022
Historique:
revised:
01
05
2021
received:
23
02
2021
accepted:
11
05
2021
pubmed:
14
6
2021
medline:
5
4
2022
entrez:
13
6
2021
Statut:
ppublish
Résumé
Past research suggests that patient-provider relationships play a crucial role in patient satisfaction with their medical care. However, the essential relationship elements responsible for this effect have not been elucidated and were examined in this study. Patients in six gastroenterology clinics at a major medical center completed an anonymous, secure Internet survey about their medical care after a clinic visit. The survey included the validated Satisfaction With Care Scale-37 (SAT-37) and Patient-Physician Relationship Scale (PPRS). Correlations between those scales were calculated, and exploratory factor analysis (EFA) followed by regression analysis was used to create a PPRS Short Form (PPRS-SF) specifically to account for satisfaction with care. 173 patients (114 females and 59 males; mean age 49.2 years) completed the survey. A range of specific patient-doctor relationship aspects on the PPRS substantially influenced the patients' satisfaction scores. These are grouped into five EFA-derived patient perception factors about their physicians: Competence, Connection, Professionalism, Considerateness, and Willingness/ability to make needed outside referrals. A brief 12-item PPRS-SF questionnaire was constructed that explained 63% of the variance in patients' satisfaction with their care. In contrast, the patients' clinical and demographic characteristics had little explanatory value regarding their satisfaction. Our findings strongly support the notion that the patient-physician relationship's quality is the principal driver of gastroenterology patients' satisfaction with their care. The new PPRS-SF is a convenient tool for clinicians and healthcare systems to assess the essential relationship factors that ensure satisfied patients.
Sections du résumé
BACKGROUND
Past research suggests that patient-provider relationships play a crucial role in patient satisfaction with their medical care. However, the essential relationship elements responsible for this effect have not been elucidated and were examined in this study.
METHODS
Patients in six gastroenterology clinics at a major medical center completed an anonymous, secure Internet survey about their medical care after a clinic visit. The survey included the validated Satisfaction With Care Scale-37 (SAT-37) and Patient-Physician Relationship Scale (PPRS). Correlations between those scales were calculated, and exploratory factor analysis (EFA) followed by regression analysis was used to create a PPRS Short Form (PPRS-SF) specifically to account for satisfaction with care.
KEY RESULTS
173 patients (114 females and 59 males; mean age 49.2 years) completed the survey. A range of specific patient-doctor relationship aspects on the PPRS substantially influenced the patients' satisfaction scores. These are grouped into five EFA-derived patient perception factors about their physicians: Competence, Connection, Professionalism, Considerateness, and Willingness/ability to make needed outside referrals. A brief 12-item PPRS-SF questionnaire was constructed that explained 63% of the variance in patients' satisfaction with their care. In contrast, the patients' clinical and demographic characteristics had little explanatory value regarding their satisfaction.
CONCLUSIONS & INFERENCES
Our findings strongly support the notion that the patient-physician relationship's quality is the principal driver of gastroenterology patients' satisfaction with their care. The new PPRS-SF is a convenient tool for clinicians and healthcare systems to assess the essential relationship factors that ensure satisfied patients.
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
e14191Informations de copyright
© 2021 John Wiley & Sons Ltd.
Références
Dorn SD, Morris CB, Schneck SE, et al. Development and validation of the Irritable Bowel Syndrome Satisfaction with Care Scale (IBS-SAT). Clin Gastroenterol Hepatol. 2011;9:1065-1071.
Dawn AG, Lee PP, Hall-Stone T, et al. Development of a patient satisfaction survey for outpatient care: a brief report. J Med Pract Manage. 2003;19:166-169.
Drossman D, Morris CB, Hu Y, et al. Characterization of health related quality of life (HRQOL) for patients with functional bowel disorder (FBD) and its response to treatment. Am J Gastroenterol. 2007;102:1442-1453.
Drossman DA, Li Z, Toner BB, et al. Functional bowel disorders: a multicenter comparison of health status, and development of illness severity index. Dig Dis Sci. 1995;40:986-995.
Kurlander JE, Chey WD, Morris CB, et al. Development and validation of the Patient-Physician Relationship Scale among patients with irritable bowel syndrome. Neurogastroenterol Motil. 2017;29:1-8.
Makoul G, Krupat E, Chang CH. Measuring patient views of physician communication skills: development and testing of the Communication Assessment Tool. Patient Educ Couns. 2007;67:333-342.
Van der Feltz-Cornelis CM, Van Oppen P, Van Marwijk HW, et al. A patient-doctor relationship questionnaire (PDRQ-9) in primary care: development and psychometric evaluation. Gen Hosp Psychiatry. 2004;26:115-120.
Svedlund J, Sjodin I, Dotevall G. GSRS - A clinical rating scale for gastrointestinal symptoms in patients with irritable bowel syndrome and peptic ulcer disease. Dig Dis Sci. 1988;33:129-134.
Kroenke K, Spitzer RL, Williams JBW, et al. An ultra-brief screening scale for anxiety and depression: the PHQ-4. Psychosomatics. 2009;50(6):613-621.
Drossman DA, Ruddy J. Improving patient-provider relationships to improve health care. Clin Gastroenterol Hepatol. 2020;18:1417-1426.
Drossman DA. David Sun Lecture: Helping your patient by helping yourself: how to improve the patient-physician relationship by optimizing communication skills. Am J Gastroenterol. 2012;2013:521-528.
Gill L, White L. A critical review of patient satisfaction. Leadership Health Services. 2009;22:8-19.
Crow R, Gage H, Hampson S, et al. The measurement of satisfaction with healthcare: implications for practice from a systematic review of the literature. Health Technol Assess. 2002;6:1-244.
CAHPS® Hospital Survey (HCAHPS) Quality Assurance Guidelines, 15th ed. Baltimore, MD: cms.gov: Centers for Medicare and Medicaid Services; 2020.
Medicine Io. Crossing the Quality Chasm: A New Health System for the 21st Century. Washington, D.C: National Academy of Sciences; 2001.
Drossman DA, Ruddy J. Gut Feelings: Disorders of Gut-Brain (DGBI) Interaction and the Patient-Doctor Relationship. Chapel Hill, NC: DrossmanCare; 2021.
Zulman DM, Haverfield MC, Shaw JG, et al. Practices to foster physician presence and connection with patients in the clinical encounter. JAMA. 2020;323:70-81.
Haverfield MC, Tierney A, Schwartz R, et al. Can patient-provider interpersonal interventions achieve the quadruple aim of healthcare? A systematic review. J Gen Intern Med. 2020;35(7):2107-2117.
Drossman DA, Morris C, Schneck S, et al. International survey of patients with IBS: symptom features and their severity, health status, treatments, and risk taking to achieve clinical benefit. J Clin Gastroenterol. 2009;43:541-550.
Feingold JH, Drossman DA. Deconstructing stigma as a barrier to treating DGBI: lessons for clinicians. Neurogastroenterol Motil. 2021;33(2):e14080.
Hall JA, Horgan TG, Stein TS, et al. Liking in the physician-patient relationship. Patient Educ Couns. 2002;48:69-77.
Singletary B, Patel N, Heslin M. Patient perceptions about their physician in 2 words: the good, the bad, and the ugly. JAMA Surg. 2017;152:1169-1170.
Ruddy J. From pretending to truly being OK: a journey from illness to health with postinfection irritable bowel syndrome: the patient's perspective. Gastroenterology. 2018;155:1666-1669.
Errico K. Katie: a patient's perspective. Am J Gastroenterol. 2017;112:528-529.