OLDER PATIENTS HEALTH-STATUS AND SATISFACTION WITH MEDICAL-CARE IN AN HMO POPULATION

被引:150
作者
HALL, JA
FELDSTEIN, M
FRETWELL, MD
ROWE, JW
EPSTEIN, AM
机构
[1] HARVARD UNIV,SCH MED,DEPT SOCIAL MED & HLTH POLICY,BOSTON,MA 02115
[2] HARVARD UNIV,SCH PUBL HLTH,DEPT HLTH POLICY & MANAGEMENT,BOSTON,MA 02115
[3] FRONTIER SCI & TECHNOL RES FDN INC,BOSTON,MA
[4] ROGER WILLIAMS GEN HOSP,PROVIDENCE,RI 02908
[5] BROWN UNIV,PROGRAM MED,PROVIDENCE,RI 02912
[6] MT SINAI MED CTR,NEW YORK,NY 10029
[7] BRIGHAM & WOMENS HOSP,DEPT MED,DIV GEN MED,HLTH SERV & POLICY RES SECT,BOSTON,MA 02115
[8] HARVARD UNIV,SCH MED,DEPT HLTH CARE POLICY,BOSTON,MA 02115
关键词
Consumer satisfaction; Health status; Older patients;
D O I
10.1097/00005650-199003000-00006
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
Few studies have examined the relationship between older patients’ satisfaction with medical care and their health status, and none of these investigations has been based at an HMO. To examine this question, data on 532 patients older than 70 years in an HMO were analyzed. Patients’ reports of satisfaction with medical care were examined in relation to several dimensions of health status (based on self-reports, chart data, and physicians’ ratings), their own sociodemographic characteristics, and characteristics of their primary physicians. Greater satisfaction was significantly associated with better self-rated health and physical function, less emotional distress, and more social activity but was not related to physicians’ health ratings, number of diagnoses, or cognitive function. Mean levels of satisfaction were also significantly different for patients of different physicians but not appreciably related to patients’ sociodemographic characteristics. When patient sociodemographic characteristics were controlled for, the relations of health status variables to satisfaction were essentially unchanged. It was concluded that the key issues to be resolved are whether better health leads to greater satisfaction or vice versa, and, in either case, whether the relations are mediated by factors relating to the patient’s experience of medical care. © Lippincott-Raven Publishers.
引用
收藏
页码:261 / 270
页数:10
相关论文
共 42 条
  • [1] ARMOR DJ, 1974, SOCIOLOGICAL METHODO
  • [2] SICKNESS IMPACT PROFILE - VALIDATION OF A HEALTH STATUS MEASURE
    BERGNER, M
    BOBBITT, RA
    POLLARD, WE
    MARTIN, DP
    GILSON, BS
    [J]. MEDICAL CARE, 1976, 14 (01) : 57 - 67
  • [4] CHRISTENSEN K, 1972, AM J PUBLIC HEALTH, V4, P483
  • [5] DAVIS J, 1980, GENERAL SOCIAL SURVE
  • [6] DiMatteo M R, 1980, J Community Health, V6, P18
  • [7] EPSTEIN AM, IN PRESS JAMA
  • [8] RELATIONSHIP OF PHYSICIAN BEHAVIOR TO PATIENT COMPLIANCE
    FALVO, D
    WOEHLKE, P
    DEICHMANN, J
    [J]. PATIENT COUNSELLING AND HEALTH EDUCATION, 1980, 2 (04): : 185 - 188
  • [9] MINI-MENTAL STATE - PRACTICAL METHOD FOR GRADING COGNITIVE STATE OF PATIENTS FOR CLINICIAN
    FOLSTEIN, MF
    FOLSTEIN, SE
    MCHUGH, PR
    [J]. JOURNAL OF PSYCHIATRIC RESEARCH, 1975, 12 (03) : 189 - 198
  • [10] THE DISEASE-PRONE PERSONALITY - A META-ANALYTIC VIEW OF THE CONSTRUCT
    FRIEDMAN, HS
    BOOTHKEWLEY, S
    [J]. AMERICAN PSYCHOLOGIST, 1987, 42 (06) : 539 - 555