Patient expectations: What do primary care patients want from the GP and how far does meeting expectations affect patient satisfaction?

Williams, Susan; Weinman, John; Dale, Jeremy; Newman, Stanton

doi:10.1093/fampra/12.2.193

Cited by 240 publications

(181 citation statements)

References 9 publications

Supporting

Mentioning

156

Contrasting

Unclassified

Order By: Relevance

“…The results are in accordance with earlier studies concluding that patients' expectations were the best predictor of patient satisfaction 11 and that the extent to which expectations were met influenced the outcome in terms of satisfaction. 7,13 Another study 20 concluded that expectations served as independent predictors of satisfaction but were not associated with patients' age, gender, marital status, or race. Our results, however, suggest that patients' age, gender and education level were the main determinants and were inversely related to patients' preoperative expectations.…”

Section: Discussionmentioning

confidence: 99%

“…2 Some studies have concluded that levels of satisfaction are not affected by unmet expectations, or that there was little evidence to show that expectations play a significant role in the evaluation of satisfaction with care. [3][4][5] However, others have shown that levels of satisfaction do relate to preoperative expectations 6,7 and may serve as significant predictors of dissatisfaction and mood disturbance. 1,2 In particular, patients' satisfaction or dissatisfaction after spinal surgery has been shown to be influenced by patients' expectations, their medical condition and health status, psychosocial variables, and characteristics of the treatment.…”

Section: Introductionmentioning

confidence: 99%

“…7 The study of preoperative expectations and postoperative satisfaction in elderly patients operated for lumbar spinal stenosis (LSS) may assist in identifying the factors that affect patients' expectations and satisfaction and uncover the possible interrelations between them.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Decompression surgery for lumbar spinal stenosis in the elderly: preoperative expectations and postoperative satisfaction

et al. 2005

View full text Add to dashboard Cite

Study design: Retrospective cohort examination. Objectives: Data on expectations and satisfaction rates in elderly patients operated for lumbar spinal stenosis (LSS) are limited. The present study aimed to investigate these issues as well as the factors that might affect them. Setting: A university affiliated hospital. Patients and methods: A follow-up study of 367 consecutive patients aged 65 years and older (mean age 71.4 years), who underwent surgery for degenerative LSS between 1990 and 2000. Data collection included patients' preoperative expectation, demographic data, body mass index, operative risk, duration of symptoms, clinical presentation and patients' satisfaction on follow-up, pain level, activities of daily living level and walking ability. Data were recorded before operation and on follow-up. Preoperative and follow-up data were analyzed by univariate and multivariable models. Results: The response rate on follow-up was 81% (298 patients). A logistic regression analysis showed that advanced age, male gender and high education level were independently associated with positive expectations, while a great number of covariates were associated with patients' satisfaction. High patients' expectations were positively interrelated with satisfaction (r ¼ 0.332, Po0.001). Conclusions: In the elderly, preoperative expectations reasonably predict their postoperative satisfaction rate. It is suggested that a greater effort should be made to narrow the gaps between expectations and satisfaction, perhaps by providing more accurate preoperative information data regarding the outcomes of planned surgery.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Decompression surgery for lumbar spinal stenosis in the elderly: preoperative expectations and postoperative satisfaction

et al. 2005

View full text Add to dashboard Cite

show abstract

“…However, patient satisfaction with primary care and general practitioners is strongly influenced by the mode of care delivery, physician style, availability of out-of-hours care, a named physician, continuity of care and provision of routine screening (66,67,68,69).…”

Section: Patient Satisfactionmentioning

confidence: 99%

The Effect of Rostering with a Patient Enrolment Model on Emergency Department Utilization

Tiagi

Chechulin

2014

hcpol

View full text Add to dashboard Cite

This is a Health Evidence Network (HEN) synthesis report on the advantages and disadvantages of restructuring a health care system to be more focused on primary care services.The available evidence demonstrates some advantages for health systems that rely relatively more on primary health care and general practice in comparison with systems more based on specialist care in terms of better population health outcomes, improved equity, access and continuity and lower cost.This report is HEN's response to a question from a decision-maker. It provides a synthesis of the best available evidence, including a summary of the main findings and policy options related to the issue.HEN, initiated and coordinated by the WHO Regional Office for Europe, is an information service for public health and health care decision-makers in the WHO European Region. Other interested parties might also benefit from HEN.This HEN evidence report is a commissioned work and the contents are the responsibility of the authors. They do not necessarily reflect the official policies of WHO/Europe. The reports were subjected to international review, managed by the HEN team.When referencing this report, please use the following attribution:

show abstract

“…Discussing views can lead to greater congruence between patient and practitioner. This is important because congruent views increase patient satisfaction, which is a factor believed to influence the intention to comply [34][35][36].…”

Section: Introductionmentioning

confidence: 99%

Manipulation of patient–provider interaction: discussing illness representations or action plans concerning adherence

Theunissen

Ridder

Bensing

et al. 2003

Patient Education and Counseling

View full text Add to dashboard Cite

According to Leventhal's Self-Regulatory Model of Illness, patients have ideas and action plans related to the management of their disease. The aim of this study is to examine whether ideas and action plans relating to hypertension change as a result of general practitioner's (GP's) discussing them during consultation, and whether these changed ideas and actions plans affect adherence. The study employed an experimental design, highlighting three conditions: (0) care-as-usual consultation; (1) discussing patient's ideas about their disorder; and (2) discussing patient's action plans. Ten GP-trainees performed care-as-usual consultations, were subsequently assigned to a training in either Condition 1 or 2, and performed the trained conversations. Hundred and eight patients with hypertension were consecutively assigned to the conditions, and completed questionnaires a week before, immediately after the consultation, and 1 month later. The training resulted in two new, feasible and different types of conversations that managed to affect some of the patient's ideas and action plans. It is concluded that the study provided GPs with a tool to discuss illness representations and actions plan of patients with hypertension. Implications for the management of hypertension adherence in primary care are discussed. #

show abstract

Patient expectations: What do primary care patients want from the GP and how far does meeting expectations affect patient satisfaction?

Cited by 240 publications

References 9 publications

Decompression surgery for lumbar spinal stenosis in the elderly: preoperative expectations and postoperative satisfaction

Decompression surgery for lumbar spinal stenosis in the elderly: preoperative expectations and postoperative satisfaction

The Effect of Rostering with a Patient Enrolment Model on Emergency Department Utilization

Manipulation of patient–provider interaction: discussing illness representations or action plans concerning adherence

Contact Info

Product

Resources

About