Effects of depression and pain severity on satisfaction in medical outpatients: Analysis of the Medical Outcomes Study

Bair, Matthew J.; Kroenke, Kurt; Sutherland, Jason M.; McCoy, Kim; Harris, Hillary; McHorney, Colleen A.

doi:10.1682/jrrd.2006.06.0061

Cited by 44 publications

(29 citation statements)

References 45 publications

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“…Wait time before seeing a hand surgeon is not associated with patient satisfaction, but shorter wait time and being married/living with a partner are. Prior studies have related satisfaction to psychological distress/depression [5,29], unmet patient expectations [16], and less patient involvement in decision-making [7]. We speculate that satisfaction is partly a psychosocial phenomenon related to resiliency and partly related to the process of care (including elements like wait time and customer service).…”

Section: Discussionmentioning

confidence: 83%

Time Seeing a Hand Surgeon Is Not Associated With Patient Satisfaction

Teunis

Thornton

Jayakumar

et al. 2015

Clinical Orthopaedics &Amp; Related Research

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Background Previous studies, predominantly in the primary care setting, identified time spent with the physician as an important predictor of satisfaction. It is unknown if the same holds true in hand surgery. Questions/purposes Is patient satisfaction measured immediately after an office visit associated with the duration of time spent with the hand surgeon? What other factors are associated with satisfaction directly after the visits and 2 weeks after the appointment?Methods We prospectively enrolled 81 patients visiting our hand and upper extremity surgery outpatient clinic. We recorded their demographics and measured physical function, pain behavior, symptoms of depression, time spent in the waiting room, time spent with the physician, and patient satisfaction. Office times were measured using our patient ambulatory tracking system and by a research assistant outside the clinic room. To assess satisfaction we used items from the Consumer Assessment of Healthcare Providers and Systems survey (a federally developed standardized survey instrument) relevant to our study. Two weeks later, 51 (64%) patients were available for telephone followup and the same measures were completed. Mean time spent with the hand surgeon was 8 ± 5 minutes and mean in-office wait time to see the hand surgeon was 32 ± 18 minutes. A priori power analyses indicated that 77 patients would provide 80% power to detect an effect size f 2 = 0.18 for a regression with five predictors. This means that we would detect time spent with the physician as a significant factor if it accounted for 7% or more of the variability in satisfaction. Results Time spent with the hand surgeon was not associated with patient satisfaction measured directly after the visit (r = -0.023; p = 0.84). Longer time waiting to see the physician correlated with decreased patient satisfaction (r = -0.30; p = 0.0057). The final multivariable model for increased satisfaction directly after the office visit included shorter waiting time (regression coefficient [b] -0.0014; partial R 2 0.094; 95% confidence interval [CI], -0.0024 to -0.00042; p = 0.006) and being married/living with a partner (b 0.057; partial R 2 0.11; 95% CI, 0.021-0.093; p = 0.002 [adjusted R 2 0.18; p \ 0.001]). Similarly, multivariable analysis found higher patient satisfaction 2 weeks after the visit to be independently associated with shorter waiting time (b -0.0037; partial R 2 0.10; 95% CI, One of the authors (DR) certifies that he, or a member of his immediate family, has or may receive payments or benefits, during the study period, from Wright Medical (Memphis, TN, USA) of less than USD 10,000; Skeletal Dynamics (Miami, FL, USA) of less than USD 10,000; Biomet (Warsaw, IN, USA) of less than USD 10,000; AO North America (Paoli, PA, USA) of less than USD 10,000; and AO International (Dubendorf, Switzerland) of less than USD 10,000. All ICMJE Conflict of Interest Forms for authors and Clinical Orthopaedics and Related Research 1 editors and board members are on file with the publication and can...

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Section: Discussionmentioning

confidence: 83%

Time Seeing a Hand Surgeon Is Not Associated With Patient Satisfaction

Teunis

Thornton

Jayakumar

et al. 2015

Clinical Orthopaedics &Amp; Related Research

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“…However, because a structured psychiatric interview was not conducted with the patients, it is not known how many patients had a diagnosis of major depressive disorder or another depressive disorder as defined by standard diagnostic criteria. As both minor and major depression have been associated with patient satisfaction in medical outpatients, 37 it is possible that depressive symptoms that do not meet the criteria for a major depressive disorder may be a significant contributor to patient satisfaction after LASIK. This question should be addressed in future studies.…”

Section: Discussionmentioning

confidence: 99%

Role of depressive symptoms in patient satisfaction with visual quality after laser in situ keratomileusis

Morse

Schallhorn

Hettinger

et al. 2009

Journal of Cataract and Refractive Surgery

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“…4 The factors that account for patient satisfaction are incompletely understood, and the results of prior work have been inconsistent. 1,5 What is clear, however, is that patient satisfaction is not only a function of the physician and the objective care provided but also is influenced to some degree by patient-specific characteristics. Indeed, patient satisfaction has been variably found to correlate with age, unmet expectations, doctor-patient communication, health outcome, pain severity, timing of assessment, and a patient's mental state.…”

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confidence: 99%

“…Indeed, patient satisfaction has been variably found to correlate with age, unmet expectations, doctor-patient communication, health outcome, pain severity, timing of assessment, and a patient's mental state. 1,5 Psychological distress correlated with lower satisfaction in both general medical and psychiatric facilities, inpatient and ambulatory settings, and among patients with symptoms of psychological distress as well as those meeting Diagnostic and Statistical Manual criteria for a psychiatric diagnosis. [5][6][7] As health care becomes increasingly market driven, with both patients and health plans comparing physician performance and quality of care, it becomes important to understand how patient characteristics influence patient reports about their care experiences.…”

mentioning

confidence: 99%