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  1. Choice of a personal physician and patient satisfaction in a health maintenance organization.

    Article - En anglais

    Context. - Being able to choose one's health care plan has been shown to increase subsequent patient satisfaction with the plan, but it is not known whether choosing one's own primary care physician affects patient satisfaction with the physician.

    Objective

    - To compare satisfaction with care between members of a group-model health maintenance organization (HMO) who chose their primary care physician and members who were assigned a physician.

    Design

    - Cross-sectional mailed survey with response rate of 71.4%. Setting. - A large group-model HMO in northern Califomia.

    Main Outcome Measure

    - Nine questions on satisfaction with the primary care physician.

    Subjects

    - Random sample of HMO members 35 to 85 years of age who were impaneled with a primary care physician.

    Results

    - Among the 10205 survey respondents, patients who chose their personal physician (n=4748) were 16 to 20 percentage points more likely to rate their satisfaction as « excellent » or « very good » than patients who were assigned a physician (n=5457) for 9 satisfaction measures (P<. 001 for each comparison).

    The association of choice with satisfaction was not due to physicians with higher patient satisfaction being chosen more often, or to differences in patient demographic or socioeconomic characteristics, health values, or health beliefs, or to differences in physician demographics or specialty. (...)

    Mots-clés Pascal : Organisation santé, Satisfaction, Evaluation, Choix, Médecin, Soin santé primaire, Homme

    Mots-clés Pascal anglais : Public health organization, Satisfaction, Evaluation, Choice, Physician, Primary health care, Human

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

    Cote : 98-0033481

    Code Inist : 002B30A05. Création : 17/04/1998.