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  1. Important elements of outpatient care : A comparison of patients'and physicians'opinions.

    Article - En anglais

    Objective 

    To compare patients'and physicians'opinions on the importance of discrete elements of health care as determinants of the quality of outpatient care.

    Design 

    Analysis of results of a mailed survey.

    Setting 

    Community-based internal medicine practices.

    Participants 

    74 general internists and 814 patients randomly selected from the practices of these internists.

    Measures 

    125 elements of care that covered nine domains were identified : physician clinical skill, physician interpersonal skill, support staff, office environment, provision of information, patient involvement, nonfinancial access, finances, and coordination of care.

    Participants rated each element on its importance to high-quality care on a 4-point scale :

    • 1=not important ;

    • 2=of medium importance ;

    • 3=of high importance ;

    • and 4=essential.

    Patients'and physicians'ratings were compared for individual elements of care and for elements aggregated into domains.

    Results 

    Survey response rates were 93% for physicians and 60% for patients.

    In an element-by-element comparison of ratings, ratings by the two groups differed substantially for 58% of the attributes.

    The most striking difference was seen in the domain of provision of information (median ratings, 3.56 for patients and 2.85 for physicians ; P<0.001).

    Ratings by the two groups also differed in the domains of clinical skill (3.75 for patients and 3.35 for physicians ; P<0.001), nonfinancial access (3.00 for patients and 2. (...)

    Mots-clés Pascal : Médecine, Ambulatoire, Attitude, Malade, Médecin, Etude comparative, Perception, Qualité, Soin

    Mots-clés Pascal anglais : Medicine, Ambulatory, Attitude, Patient, Physician, Comparative study, Perception, Quality, Care

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 96-0493484

    Code Inist : 002B30A01A2. Création : 10/04/1997.