Why are sicker patients less satisfied with medical care tests of two explanatory models

Judith A. Hall, Debra L. Roter, Michael A. Milburn, Lawren H. Daltroy

Research output: Contribution to journalArticle

Abstract

Two explanations were tested for why patients who are less healthy tend to be less satisfied with their medical care than healthier patients. The explanations were (a) that poor health produces dissatisfaction directly and (b) that poor health produces dissatisfaction through the mediating effect of physicians behavior. Two studies are presented that measured patients' health status, patients' satisfaction with care, and their physicians' communication as recorded on audiotape. In Study 1, 114 patients had first visits with rheumatologists; in Study 2, 649 patients had continuing care visits with physicians in internal and family medicine. Causal modeling revealed that the first study supported the direct explanation. The second study also supported the direct explanation, as well as the mediation explanation with respect to the physician's use of social conversation.

Original languageEnglish (US)
Pages (from-to)70-73
Number of pages4
JournalHealth Psychology
Volume17
Issue number1
DOIs
StatePublished - Jun 23 1998

Keywords

  • Consumer satisfaction
  • Health status
  • Physician-patient communication

ASJC Scopus subject areas

  • Applied Psychology
  • Psychiatry and Mental health

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