Association between patients’ recommendation of their GP and their evaluation of the GP

Vedsted, Peter; Heje, Hanne N

doi:10.1080/02813430802294886

Cited by 38 publications

(19 citation statements)

References 16 publications

(11 reference statements)

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“…In a Danish study where patients assessed the care in general practice using the DANPEP (Danish patients evaluate practice) instrument [40], the patients were more likely to recommend their GP if the care they received was emphatic, patient-oriented, informative and coordinated than if it was easily accessible [41]. In these studies, the patients evaluated their care in one part of the healthcare system only, i.e.…”

Section: Discussionmentioning

confidence: 99%

Patient-experienced effect of an active implementation of a disease management programme for COPD – a randomised trial

et al. 2013

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BackgroundPeople living with chronic disease currently account for the majority of the total healthcare costs. The Central Denmark Region implemented a disease management programme (DMP) for chronic obstructive pulmonary disease (COPD) in 2008. This presented an opportunity to examine the effect of an evidence-based, planned and proactive implementation of a DMP compared to the usual implementation strategy.MethodsWe performed a block- and cluster-randomised controlled trial with two groups and an extra external control group. The primary outcome was patients’ assessment of their care after using an active implementation model for a DMP for COPD measured with the Patient-Assessment-of-Chronic-Illness-Care (PACIC) instrument. At baseline, questionnaires were sent to 2,895 patients identified by an algorithm based on health registry data on lung-related contacts to the healthcare system. Patients were asked to confirm or refute their diagnosis of COPD. Of those who responded, 1,445 (72.8%) confirmed their diagnosis. PACIC data were collected at baseline and at a 12-month follow-up for 744 (51.1%) patients.ResultsComparing the three groups after the implementation of the DMP, we found a statistically significantly higher change in the PACIC score in the intervention group than in the control groups. No statistically significant differences were found between the control and the external control groups in any of the dimensions.ConclusionsReinforcing the role of general practice as coordinator for care-and self-management-support with an active implementation of a DMP for COPD made patients score higher on the PACIC instrument, which indicates a better experience of the received healthcare.Trial registrationNCT01228708.

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Section: Discussionmentioning

confidence: 99%

Patient-experienced effect of an active implementation of a disease management programme for COPD – a randomised trial

et al. 2013

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“…Thirdly, empathetic doctors are more likely to get referrals,17 operate with increased efficiency,18 and be less likely to “burn out” 19. Ultimately, empathy ensures trust and allows symptoms to be unmasked, thereby improving diagnosis, improving patient adherence with medical directions, and ensuring better care 20…”

Section: Introductionmentioning

confidence: 99%

Empathy levels among first year Malaysian medical students: an observational study

Williams¹,

Sadasivan²,

Kadirvelu³

et al. 2014

AMEP

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BackgroundThe literature indicates that medical practitioners experience declining empathy levels in clinical practice. This highlights the need to educate medical students about empathy as an attribute early in the academic curriculum. The objective of this study was to evaluate year one students’ self-reported empathy levels following a 2-hour empathy workshop at a large medical school in Malaysia.MethodsChanges in empathy scores were examined using a paired repeated-measures t-test in this prospective before and after study.ResultsAnalyzing the matched data, there was a statistically significant difference and moderate effect size between mean empathy scores before and 5 weeks after the workshop (112.08±10.67 versus 117.93±13.13, P<0.0001, d=0.48) using the Jefferson Scale Physician Empathy (Student Version).ConclusionThe results of this observational study indicate improved mean self-reported empathy scores following an empathy workshop.

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“…2007) and they may affect health status, willingness to recommend and willingness to return to the same healthcare provider (Da Costa et al. 1999, Vedsted & Heje 2008, Wilde‐Larsson & Larsson 2009, Otani et al. 2010).…”

Section: Introductionmentioning

confidence: 99%

“…Surveys of patient experiences with healthcare service quality are conducted regularly in several countries, to give healthcare authorities information from a patient perspective (Bjertnaes et al 2005). Quality of care experiences can be seen as an endpoint in quality evaluation (Jenkinson et al 2002, Danielsen et al 2007) and they may affect health status, willingness to recommend and willingness to return to the same healthcare provider (Da Costa et al 1999, Vedsted & Heje 2008, Wilde-Larsson & Larsson 2009, Otani et al 2010.…”

Section: Introductionmentioning

confidence: 99%

Quality of care from patients’ perspective: impact of the combination of person‐related and external objective care conditions

Grøndahl

Karlsson

Hall‐Lord

et al. 2011

Journal of Clinical Nursing

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Aims and objectives. To describe patients' perceptions of quality of care and to explore combinations of person-related and external objective care conditions as potential predictors of these perceptions. Background. Several studies have examined various single factors of person-related and external objective care conditions in relation to quality of care. None of these has included the effect of over-occupancy on patients' perception of quality of care. Furthermore, little is known about how combinations of different factors are related to each other and to the perception of quality of care using multivariate analysis. Design. A cross-sectional design. Method. A total of 528 patients (83AE7%) from 12 medical, surgical or medical-surgical wards in five hospitals in Norway participated. Perceptions of quality of care and person-related conditions were measured with the 'Quality from Patient's Perspective' instrument. Data on external objective care conditions was collected from ward statistics provided by head nurses. Multivariate general linear modelling was used (p < 0AE05). Results. The combination of person-related and external objective care conditions revealed five factors that predict patients' perception of quality of care. Three of these are person-related conditions: sex, age and self-reported psychological well-being and two of them are external objective care conditions: RNs (headcount) on the wards and frequency of over-occupancy. These five factors explained 55% of the model. Patients rated the quality of care high. Conclusions. Sex, age, psychological well-being, frequency of over-occupancy and the number of RNs are important factors that must be emphasised if patients are to perceive the quality of care as high. Relevance to clinical practice. Head nurses and healthcare authorities must continually prepare the wards for over-occupancy and they must consider the number of RNs working on the wards.

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Association between patients’ recommendation of their GP and their evaluation of the GP

Abstract: Recommending the GP to others was most strongly associated with the "emphatic", "patient-oriented", "informative and coordinating", and "competent/skilled" GP and to a lesser degree with accessibility to general practice.

Cited by 38 publications

References 16 publications

Patient-experienced effect of an active implementation of a disease management programme for COPD – a randomised trial

Patient-experienced effect of an active implementation of a disease management programme for COPD – a randomised trial

Empathy levels among first year Malaysian medical students: an observational study

Quality of care from patients’ perspective: impact of the combination of person‐related and external objective care conditions

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