Willing to wait?: The influence of patient wait time on satisfaction with primary care

BMC Health Services Research - 2007
Roger T. Anderson1, Fabian Camacho1, Rajesh Balkrishnan2
1Department of Public Health Sciences, Wake Forest University Health Sciences, Medical Center Boulevard, Winston-Salem, NC, 27157, USA
2College of Pharmacy and School of Public Health, The Ohio State University, Columbus, OH, 43210, USA

Tóm tắt

Abstract Background This study examined the relationship between patient waiting time and willingness to return for care and patient satisfaction ratings with primary care physicians. Methods Cross-sectional survey data on a convenience sample of 5,030 patients who rated their physicians on a web-based survey developed to collect detailed information on patient experiences with health care. The survey included self-reported information on wait times, time spent with doctor, and patient satisfaction. Results Longer waiting times were associated with lower patient satisfaction (p < 0.05), however, time spent with the physician was the strongest predictor of patient satisfaction. The decrement in satisfaction associated with long waiting times is substantially reduced with increased time spent with the physician (5 minutes or more). Importantly, the combination of long waiting time to see the doctor and having a short doctor visit is associated with very low overall patient satisfaction. Conclusion The time spent with the physician is a stronger predictor of patient satisfaction than is the time spent in the waiting room. These results suggest that shortening patient waiting times at the expense of time spent with the patient to improve patient satisfaction scores would be counter-productive.

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Tài liệu tham khảo

Leddy KM, Kaldenberg DO, Becker BW: Timeliness in ambulatory care treatment. An examination of patient satisfaction and wait times in medical practices and outpatient test and treatment Facilities. J Ambul Care Manage. 2003, 26 (2): 138-149.

Brody DS, Miller SM, Lerman CE, Smith DG, Lazaro CG, Blum MJ: "The Relationship Between Patients' Satisfaction with their Physicians and Perceptions About Interventions They Desired and Received.". Medical Care. 1989, 27: 1027-1035. 10.1097/00005650-198911000-00004.

Peck BM, Asch DA, Goold SD, Roter DL, Ubel PA, MCIntyre LM, Abbott KH, Hoff JA, Koropchak CM, Tulsky JA: "Measuring Patient Expectations: Does the Instrument Affect Satisfaction or Expectations?". Medical Care. 2001, 39: 100-108. 10.1097/00005650-200101000-00011.

Anderson RT, Weisman CS, Scholle SH, Henderson JT, Oldendick R, Camacho F: Evaluation of the quality of care in the clinical care centers of the National Centers of Excellence in Women's Health. Women's Health Issues. 2002, 12 (6): 287-90. 10.1016/S1049-3867(02)00154-8.

Anderson R, Feldman Barbara: What Patient's Want: A Content Analysis of Key Qualities That Influence Patient Satisfaction. Journal of Medical Practice Management. 2007.

Dansky KH, Miles J: Patient satisfaction with ambulatory healthcare services: waiting time and filling time. Hosp Health Serv Adm. 1997, 42 (2): 165-177.

Huang XM: Patient attitude towards waiting in outpatient clinic and its applications. Health Serv Manage Res. 1994, 7 (1): 2-8.

Zoller JS, Lackland DT, Silverstein MD: Predicting patient intent to return from patient satisfaction scores. J Ambul Care Manage. 2001, 24 (1): 44-50.

Bar-Dayan Y, Leiba A, Weiss Y, Carroll JS, Benedek P: Waiting time is a major predictor of patient satisfaction in a primary military clinic. Mil Med. 2002, 167 (10): 842-5.

Probst JC, Greenhouse DL, Selassie AW: Patient and Physician Satisfaction with an Outpatient Care Visit. J Fam Pract. 1997, 45 (5): 418-25.

Lipsitz SH, Fitzmaurice GM, Orav EJ, Laird NM: "Performance of Generalized Estimating Equations in Practical Situations,". Biometrics. 1994, 50: 270-278. 10.2307/2533218.

Camacho F, Anderson RT, Safrit A, Jones AS, Hoffmann P: The Relationship between Patient's perceived Waiting Time and Office-Based Practice Satisfaction. NC Med J. 2006, 67 (6): 409-413.

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