The relation of patient satisfaction with complaints against physicians and malpractice lawsuits

Stelfox, Henry T.; Gandhi, Tejal K.; Orav, E. John; Gustafson, Michael L.

doi:10.1016/j.amjmed.2005.01.060

Cited by 241 publications

(177 citation statements)

References 19 publications

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“…Given that the majority of studies were conducted in adult primary care clinics, these findings are highly pertinent to adult providers since communication is key to the patient-doctor primary care relationship and patient outcomes. [3][4][5][6][7][8][9][10] Lack of change in overall patient perceptions may be surprising to clinicians, given accounts of negative provider attitudes to EMR implementation. 2,65 However, knowing that patient perceptions did not suffer, providers and administrators should not be deterred by fears of its adoption and instead learn to actively use it in a more patient-centered manner.…”

Section: Resultsmentioning

confidence: 99%

“…Unfortunately, concerns have been raised over physicians who pay more attention to the "iPatient" on the computer screen than to the real patient during a clinical interaction. 1 Leading primary care physician organizations issued the Joint Principles of the Patient-Centered Medical Home (PCMH) in February 2007, a model that affirms that patient satisfaction with their doctor is an important marker in health care, 2 and that patient compliance, 3 health outcomes, [4][5][6] perceptions of physician competence, [7][8][9] and incidence of malpractice suits 10 are all closely related to the doctor's interpersonal skills and quality of the patient-doctor relationship.…”

Section: Introductionmentioning

confidence: 99%

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Impact of Electronic Medical Record Use on the Patient–Doctor Relationship and Communication: A Systematic Review

et al. 2016

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BACKGROUND: While Electronic Medical Record (EMR) use has increased dramatically, the EMR's impact on the patient-doctor relationship remains unclear. This systematic literature review sought to understand the impact of EMR use on patient-doctor relationships and communication.METHODS: Parallel searches in Ovid MEDLINE, PubMed, Scopus, PsycINFO, Cochrane Library, reference review of prior systematic reviews, meeting abstract reviews, and expert reviews from August 2013 to March 2015 were conducted. Medical Subject Heading terms related to EMR use were combined with keyword terms identifying face-to-face patient-doctor communication. English language observational or interventional studies were included. Studies examining physician attitudes only were excluded. Structured data extraction compared study population, design, data collection method, and outcomes. RESULTS: Fifty-three of 7445 studies reviewed met inclusion criteria. Included studies used behavioral analysis (28) to objectively measure communication behaviors using video or direct observation and pre-post or crosssectional surveys to examine patient perceptions (25). Objective studies reported EMR communication behaviors that were both potentially negative (i.e., interrupted speech, low rates of screen sharing) and positive (i.e., facilitating questions). Studies examining overall patient perceptions of satisfaction, communication or the patient-doctor relationship (n=22) reported no change with EMR use (16); a positive impact (5) or showed mixed results (1). Study quality was not assessable. Small sample sizes limited generalizability. Publication bias may limit findings. DISCUSSION: Despite objective evidence that EMR use may negatively impact patient-doctor communication, studies examining patient perceptions found no change in patient satisfaction or patient-doctor communication. Therefore, our findings should encourage providers to adopt the EMR as a communication tool. Future research is needed to better understand how to enhance patientdoctor-EMR communication. This research should correlate observed physician behavior to patient satisfaction, focus on physician communication skills training, and explore inpatient experiences.

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Section: Resultsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Impact of Electronic Medical Record Use on the Patient–Doctor Relationship and Communication: A Systematic Review

et al. 2016

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“…10 Compared to physicians with the highest patient satisfaction scores, physicians with the lowest scores had malpractice lawsuits rates that were 110% higher. Hickson et al performed a retrospective longtitudinal cohort study of 645 general and specialist physicians in a large US medical group to detect a possible association between patient complaints and malpractice risk.…”

Section: Why Patients Sue Doctorsmentioning

confidence: 99%

Medical malpractice and anesthesiology: literature review and role of the expert witness

Crosby

2007

Can J Anesth/J Can Anesth

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“…For example, improvements in outcomes in relation to satisfaction levels such as blood pressure and blood sugar, less complications in surgical patients, and lower mortality were found by several studies [8][9][10][11]. Dissatisfaction appears to lead to malpractice litigations [12] and doctor shopping, which can cause high costs and inefficiencies in health care systems [13].…”

mentioning

confidence: 99%

Dental patients: Delivering PCC

et al. 2014

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The relation of patient satisfaction with complaints against physicians and malpractice lawsuits

Cited by 241 publications

References 19 publications

Impact of Electronic Medical Record Use on the Patient–Doctor Relationship and Communication: A Systematic Review

Impact of Electronic Medical Record Use on the Patient–Doctor Relationship and Communication: A Systematic Review

Medical malpractice and anesthesiology: literature review and role of the expert witness

Dental patients: Delivering PCC

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