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Patient satisfaction regarding general practitioners: a theoretical model based on patients’ experience and engagement in care process
Journal Title: PSICOLOGIA DELLA SALUTE 
Author/s: Veronica Velasco, Massimo Miglioretti, Maruska Strada, Luca Vecchio 
Year:  2014 Issue: Language: Italian 
Pages:  24 Pg. 34-57 FullText PDF:  122 KB
DOI:  10.3280/PDS2014-003003
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This study focuses on patient satisfaction towards general practitioners (GPs) and, in particular, on the process and criteria used by patients to evaluate their experience of care. The aim of the study is to develop a theoretical model that is able to explain how patients satisfaction toward their GPs is built and to identify its determinants. For this purpose 24 GPs were interviewed along with their patients (48). The GPs interviews focused on the organizational features of the service and the factors that may influence patient satisfaction. The interviews with patients concerned their experience and expectations about their GPs. All interviews were analyzed according to the Grounded Theory approach. The results of the analysis led us to develop a model where patients’ satisfaction about their GPs seems to revolve around three dimensions. The first one concerns a relationshipwise dimension, considering both the personal relationship between practitioner/patient and the relationship with the GP as a point of access to health care system. The second dimension is about the preferences shared by doctors and patients concerning the care approach, that is: a traditional medical approach rather than a patient centered approach. The third dimension refers to the dynamic among expectations and patient satisfaction outcomes.
Keywords: Patient satisfaction, General practitioners, Grounded Theory.

  1. Allan J., Schattner P., Stocks N. and Ramsay E. (2009). Does patient satisfaction of general practice change over a decade? BMC Family Practice, 10 (13)., 10.1186/147-2296-10-13DOI: 10.1186/147-2296-10-13
  2. Arnetz J.E. and Arnetz B.B. (1996). The development and application of a Patient Satisfaction Measurement System for hospital-wide quality. International Journal for Quality in Health Care, 8: 555-566., 10.1093/intqhc/8.6.55DOI: 10.1093/intqhc/8.6.55
  3. Capello S. e Miglioretti M. (2001). La valutazione della qualità del Centro di Diagnosi e Cura del dolore [Quality assessment of the Pain Diagnosis and Care Centre]. Psicologia della Salute, 3: 123-137.
  4. Chamberlain K. (1999). Using Grounded Theory in health psychology. In Murray M. and
  5. Chamberlain I. (eds.). Qualitative Health Psychology: Theories and Methods. Thousand Oaks, CA: Sage, pp. 183-201.
  6. Charmaz K. (2006). Constructing Grounded Theory, Thousand Oaks, CA: Sage Publications.
  7. Coulter A. (2012). Patient engagement. What works? Journal of Ambulatory Care Management, 35: 80-89., 10.1097/JAC.0b013e318249e0fdDonabedianA.(1980).Thedefinitionofqualityandapproachestoitsassessment,explorationsinQualityAssessmentandMonitoring.Vol.1,HealthAdministrationPress,AnnArbor,MIDOI: 10.1097/JAC.0b013e318249e0fdDonabedianA.(1980).Thedefinitionofqualityandapproachestoitsassessment,explorationsinQualityAssessmentandMonitoring.Vol.1,HealthAdministrationPress,AnnArbor,MI
  8. Fox J.G. and Storms D.M. (1981). A different approach to sociodemographic predictors of satisfaction with health care. Social Science & Medicine, 15: 557-564., 10.1016/0271-7123(81)90079-DOI: 10.1016/0271-7123(81)90079-
  9. Gambetti R.C., Graffigna G. and Biraghi S. (2012). The grounded theory approach to consumer-brand engagement: the practitioner’s standpoint. International Journal of Market Research, 54: 659-687., 10.2501/IJMR-54-5-000-00DOI: 10.2501/IJMR-54-5-000-00
  10. Gill L. and White L. (2009). A critical review of patient satisfaction. Leadership in Health Services, 1: 8-19., 10.1108/1751187091092799DOI: 10.1108/1751187091092799
  11. Glaser B.G. and Strauss A.L. (1967). The discovery of Grounded Theory. Chicago, IL: Aldine.
  12. Hawthorne G. (2006). Review of Patient Satisfaction Measures. Canberra: Australian Government Department of Health and Ageing.
  13. Heidegger T., Saal D. and Nuebling M. (2006). Patient satisfaction with anaesthesia care: what is patient satisfaction, how should it be measured, and what is the evidence for assuring high patient satisfaction. Best Practice and Research Clinical Anaesthesiology, 20: 331-346., 10.1016/j.bpa.2005.10.01DOI: 10.1016/j.bpa.2005.10.01
  14. Jenkinson C., Coulter A., Reeves R., Bruster S. and Richards N. (2003). Properties of the Picket Patient Experience questionnaire in randomized controlled trial of long versus short form survey instruments. Journal of Public Health Medicine, 3: 197-211., 10.1093/pubmed/fdg04DOI: 10.1093/pubmed/fdg04
  15. Linder-Pelz S. (1982). Toward a theory of patient satisfaction. Social Science & Medicine, 16: 577-582., 10.1016/0277-9536(82)90311-DOI: 10.1016/0277-9536(82)90311-
  16. Marcinowicz L., Chlabicz S. and Grebowski R. (2009). Patient satisfaction with healthcare provided by family doctors: primary dimensions and an attempt at typology. BMC Health Services Research, 9: 63., 10.1186/1472-6963-9-6DOI: 10.1186/1472-6963-9-6
  17. Mead N., Bower P. and Roland M. (2008). The General Practice Assessment Questionnaire (GPAQ) – Development and psychometric characteristics. BMC Family Practice, 9: 13., 10.1186/1471-2296-9-1DOI: 10.1186/1471-2296-9-1
  18. Miglioretti M., Velasco V., Celata C. and Vecchio L. (2013). Teachers’ ideas about health: implications for health promotion at school. Health Education Journal, 72: 695-707., 10.1177/001789691246092DOI: 10.1177/001789691246092
  19. Morse J.M., Stern P.N., Corbin J.M., Charmaz K.C., Bowers B. and Clarke A.E. (2009). Developing grounded theory. The second generation. Walmut Creek: Left Coast Press.
  20. Mubashir A., Nicholl J. and Campbell M. (2013). Patients’ experience and satisfaction with GP led walk-in centres in the UK; a cross sectional study. BMC Health Services Research, 13: 142., 10.1186/1472-6963-13-14DOI: 10.1186/1472-6963-13-14
  21. Otani K., Kim B.J., Waterman B., Boslaugh S., Klinkenberg W.D. and Dunagan W.C. (2012). Patient Satisfaction and Organizational Impact: A Hierarchical Linear Modeling Approach. Health Marketing Quarterly, 29: 256-269., 10.1080/07359683.2012.70572DOI: 10.1080/07359683.2012.70572
  22. Ramqvist M. and Bara A.M. (2010). Patient characteristics and quality dimensions related to patient satisfaction. International Journal for Quality in Health Care, 22: 86-92., 10.1093/intqhc/mzq009RegioneLombardia(2002).Qualitàpercepitadeiservizisanitari:sviluppodelsistemadirilevazione[Perceivedqualityofhealthservices:developmentofdatacollectionsystem].Deliberan°VII/8504del22marzo2002DOI: 10.1093/intqhc/mzq009RegioneLombardia(2002).Qualitàpercepitadeiservizisanitari:sviluppodelsistemadirilevazione[Perceivedqualityofhealthservices:developmentofdatacollectionsystem].Deliberan°VII/8504del22marzo2002
  23. Salisbury C., Wallace M. and Montgomery A.A. (2010). Patients’ experience and satisfaction in primary care: secondary analysis using multilevel modeling. British Medical Journal, 341: c5004., 10.1136/bmj.c5004SitziaJ.andWoodN.(1997).Patientsatisfaction:areviewofissuesanconcepts.SocialScienceandMedicine,45:1829-1843.DOI:10.1016/S0277-9536(97)00128-DOI: 10.1136/bmj.c5004SitziaJ.andWoodN.(1997).Patientsatisfaction:areviewofissuesanconcepts.SocialScienceandMedicine,45:1829-1843.DOI:10.1016/S0277-9536(97)00128-
  24. Strauss A. and Corbin J.M. (eds.) (1997). Grounded theory in practice. London, UK: Sage.
  25. Strasser S., Aharony L. and Greenberger D. (1993). The patient satisfaction process: moving toward a comprehensive model. Medical Care Review, 50: 219-45., 10.1177/10775587930500020DOI: 10.1177/10775587930500020
  26. Thiedke C.C. (2007). What do we really know about patient satisfaction? Family Practice Management, 14: 33-36.
  27. Venuleo C. (2013). I modelli di valutazione di un servizio URP espressi dall’utenza di un’Azienda Sanitaria Locale. Un caso studio [The users’ models of evaluating one National Health Service Public-Relations Department. A case study]. Psicologia della Salute, 3: 29-50., 10.3280/PDS2013-00300DOI: 10.3280/PDS2013-00300
  28. Ware J.E., Snyder M.K., Wright W.R. and Davies A.R. (1983). Defining and measuring patient satisfaction with medical care. Evaluation and Program Planning, 6: 247-263., 10.1016/0149-7189(83)90005-DOI: 10.1016/0149-7189(83)90005-

Veronica Velasco, Massimo Miglioretti, Maruska Strada, Luca Vecchio, Patient satisfaction regarding general practitioners: a theoretical model based on patients’ experience and engagement in care process in "PSICOLOGIA DELLA SALUTE" 3/2014, pp. 34-57, DOI:10.3280/PDS2014-003003

   

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