The Relationship between Patient Socioeconomic Status and Patient Satisfaction: Does Patient-Physician Communication Matter?

The Relationship between Patient Socioeconomic Status and Patient Satisfaction: Does Patient-Physician Communication Matter?

Bibliographic Details
Main Author: Labuda Schrop, Susan M.
Language:English
Published: Kent State University / OhioLINK 2011
Subjects:
Sociology
patient-physician communication
medical communication
patient satisfaction
patient-centered communication
physician-centered communication
Online Access:http://rave.ohiolink.edu/etdc/view?acc_num=kent1320002395
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spelling ndltd-OhioLink-oai-etd.ohiolink.edu-kent13200023952021-08-03T05:37:44Z The Relationship between Patient Socioeconomic Status and Patient Satisfaction: Does Patient-Physician Communication Matter? Labuda Schrop, Susan M. Sociology patient-physician communication medical communication patient satisfaction patient-centered communication physician-centered communication The therapeutic efficacy of the patient-physician interaction plays a central role in medicine. Many factors impact the patient-physician interaction, and ultimately affect health outcomes. Health follows a social gradient. Being poor matters to health and health care access in the U.S. with socioeconomic status being a strong, consistent predictor of morbidity and mortality. Health disparities include differences in health status; access to, utilization, and quality of care; and health care delivery. Unequal treatment of patients on the basis of their personal or group characteristics warrants attention, unequal treatment not justified by the patient’s underlying health condition or treatment preference. This dissertation examined the relationship between patient socioeconomic status and patient satisfaction, and determined if patient-physician communication mediated this relationship. Three hypotheses were tested though secondary analyses of data from the Direct Observation of Primary Care study, a landmark multi-method study representing the most comprehensive glimpse into the content and context of family medicine outpatient visits to date. The data supported hypothesis 1. Patients’ insurance status related significantly to physician-patient communication. Patients insured by Medicaid had visits that were significantly more physician-centered. In addition, male patients, patients with better physical health, and patients whose visits were more complex had visits that were more patient-centered. Conversely, as patients’ mental health improved, the visits became more physician-centered. Results were mixed for hypothesis 2. Satisfaction with the care-delivery site was unrelated to communication but was significantly related to patient age and overall health with older and healthier patients rating the site significantly higher. Communication related significantly to satisfaction with the physician and overall satisfaction. Satisfaction with the physician and overall satisfaction increased significantly as the visit became more patient-centered. In addition, older patients, those with better overall health and shorter visits rated satisfaction with the physician and overall satisfaction significantly higher. The data did not support hypothesis 3. There was no relationship between socioeconomic status and patient satisfaction. The next steps need to be creating and validating easy-to-administer patient satisfaction measures and the determining the optimal balance between patient-centered and physician-centered communication measured by validated instruments. 2011-11-02 English text Kent State University / OhioLINK http://rave.ohiolink.edu/etdc/view?acc_num=kent1320002395 http://rave.ohiolink.edu/etdc/view?acc_num=kent1320002395 unrestricted This thesis or dissertation is protected by copyright: all rights reserved. It may not be copied or redistributed beyond the terms of applicable copyright laws.
collection NDLTD
language English
sources NDLTD
topic Sociology
patient-physician communication
medical communication
patient satisfaction
patient-centered communication
physician-centered communication
spellingShingle Sociology
patient-physician communication
medical communication
patient satisfaction
patient-centered communication
physician-centered communication
Labuda Schrop, Susan M.
The Relationship between Patient Socioeconomic Status and Patient Satisfaction: Does Patient-Physician Communication Matter?
author Labuda Schrop, Susan M.
author_facet Labuda Schrop, Susan M.
author_sort Labuda Schrop, Susan M.
title The Relationship between Patient Socioeconomic Status and Patient Satisfaction: Does Patient-Physician Communication Matter?
title_short The Relationship between Patient Socioeconomic Status and Patient Satisfaction: Does Patient-Physician Communication Matter?
title_full The Relationship between Patient Socioeconomic Status and Patient Satisfaction: Does Patient-Physician Communication Matter?
title_fullStr The Relationship between Patient Socioeconomic Status and Patient Satisfaction: Does Patient-Physician Communication Matter?
title_full_unstemmed The Relationship between Patient Socioeconomic Status and Patient Satisfaction: Does Patient-Physician Communication Matter?
title_sort relationship between patient socioeconomic status and patient satisfaction: does patient-physician communication matter?
publisher Kent State University / OhioLINK
publishDate 2011
url http://rave.ohiolink.edu/etdc/view?acc_num=kent1320002395
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