The effect of primary care training on patient satisfaction ratings |
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Authors: | Bruce D. Bialor MD Phyllis A. Gimotty PhD Roy M. Poses MD Mark J. Fagan MD |
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Affiliation: | Division of General Internal Medicine, Wayne State University School of Medicine, Detroit, Mich.,;Division of General Internal Medicine, Memorial Hospital of Rhode Island, Pawtucket,;Division of General Internal Medicine, Rhode Island Hospital,;Brown University School of Medicine, Providence, RI. |
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Abstract: | This study examines the association between type of internal medicine training and satisfaction ratings among 509 patients who visited the clinic of an urban teaching hospital over a 3-month period in 1994. When controlling for patient, health-system, and other resident factors, primary care training was significantly associated with higher satisfaction ratings (cumulative odds ratio 1.53; 95% confidence interval 1.04, 2.25; p = .031) than categorical training. Using satisfaction ratings to rank the residents without adjusting for patient and health-system factors would have correctly classified only 27% of the residents in the lowest quartile. These findings have implications for both the education and potential employment of internists. |
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Keywords: | patient satisfaction resident evaluation ambulatory care physician-patient relationship |
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