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. 1997 Dec;6(4):201–204. doi: 10.1136/qshc.6.4.201

Pragmatic model of patient satisfaction in general practice: progress towards a theory.

R Baker 1
PMCID: PMC1055494  PMID: 10177036

Abstract

A major problem in the measurement of patient satisfaction is the lack of an adequate theory to explain the meaning of satisfaction, and hence how it should be measured and how the findings are interpreted. Because of the lack of a fully developed theory, when developing patient satisfaction questionnaires for use in general practice, a simple model was used. This model was pragmatic in that it linked together empirical evidence about patient satisfaction without recourse to more general social or psychological theory of behaviour, other than to define satisfaction as an attitude. Several studies with the questionnaires confirm in general the components of the model. However, the importance of personal care had not been sufficiently emphasised, and therefore the model has been revised. It can now serve as a basis for future research into patient satisfaction, in particular as a stimulus for investigating the links between components of the model and underlying psychological or other behavioural theories.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Aharony L., Strasser S. Patient satisfaction: what we know about and what we still need to explore. Med Care Rev. 1993 Spring;50(1):49–79. doi: 10.1177/002570879305000104. [DOI] [PubMed] [Google Scholar]
  2. Baker R. Characteristics of practices, general practitioners and patients related to levels of patients' satisfaction with consultations. Br J Gen Pract. 1996 Oct;46(411):601–605. [PMC free article] [PubMed] [Google Scholar]
  3. Baker R. Development of a questionnaire to assess patients' satisfaction with consultations in general practice. Br J Gen Pract. 1990 Dec;40(341):487–490. [PMC free article] [PubMed] [Google Scholar]
  4. Baker R., Streatfield J. What type of general practice do patients prefer? Exploration of practice characteristics influencing patient satisfaction. Br J Gen Pract. 1995 Dec;45(401):654–659. [PMC free article] [PubMed] [Google Scholar]
  5. Baker R. The reliability and criterion validity of a measure of patients' satisfaction with their general practice. Fam Pract. 1991 Jun;8(2):171–177. doi: 10.1093/fampra/8.2.171. [DOI] [PubMed] [Google Scholar]
  6. Baker R., Whitfield M. Measuring patient satisfaction: a test of construct validity. Qual Health Care. 1992 Jun;1(2):104–109. doi: 10.1136/qshc.1.2.104. [DOI] [PMC free article] [PubMed] [Google Scholar]
  7. Calnan M. Towards a conceptual framework of lay evaluation of health care. Soc Sci Med. 1988;27(9):927–933. doi: 10.1016/0277-9536(88)90283-3. [DOI] [PubMed] [Google Scholar]
  8. Campbell J. L. The reported availability of general practitioners and the influence of practice list size. Br J Gen Pract. 1996 Aug;46(409):465–468. [PMC free article] [PubMed] [Google Scholar]
  9. Campbell L. M., Sullivan F., Murray T. S. Videotaping of general practice consultations: effect on patient satisfaction. BMJ. 1995 Jul 22;311(6999):236–236. doi: 10.1136/bmj.311.6999.236. [DOI] [PMC free article] [PubMed] [Google Scholar]
  10. Carr-Hill R. A. The measurement of patient satisfaction. J Public Health Med. 1992 Sep;14(3):236–249. [PubMed] [Google Scholar]
  11. Freeman G. K., Richards S. C. How much personal care in four group practices? BMJ. 1990 Nov 3;301(6759):1028–1030. doi: 10.1136/bmj.301.6759.1028. [DOI] [PMC free article] [PubMed] [Google Scholar]
  12. Hall J. A., Dornan M. C. Patient sociodemographic characteristics as predictors of satisfaction with medical care: a meta-analysis. Soc Sci Med. 1990;30(7):811–818. doi: 10.1016/0277-9536(90)90205-7. [DOI] [PubMed] [Google Scholar]
  13. Hopton J. L., Howie J. G., Porter A. M. The need for another look at the patient in general practice satisfaction surveys. Fam Pract. 1993 Mar;10(1):82–87. doi: 10.1093/fampra/10.1.82. [DOI] [PubMed] [Google Scholar]
  14. John J. Patient satisfaction: the impact of past experience. J Health Care Mark. 1992 Sep;12(3):56–64. [PubMed] [Google Scholar]
  15. Kincey J., Bradshaw P., Ley P. Patients' satisfaction and reported acceptance of advice in general practice. J R Coll Gen Pract. 1975 Aug;25(157):558–566. [PMC free article] [PubMed] [Google Scholar]
  16. Kinnersley P., Stott N., Peters T., Harvey I., Hackett P. A comparison of methods for measuring patient satisfaction with consultations in primary care. Fam Pract. 1996 Feb;13(1):41–51. doi: 10.1093/fampra/13.1.41. [DOI] [PubMed] [Google Scholar]
  17. Lewis J. R. Patient views on quality care in general practice: literature review. Soc Sci Med. 1994 Sep;39(5):655–670. doi: 10.1016/0277-9536(94)90022-1. [DOI] [PubMed] [Google Scholar]
  18. Lewis J. R., Williamson V. Examining patient perceptions of quality care in general practice: comparison of quantitative and qualitative methods. Br J Gen Pract. 1995 May;45(394):249–253. [PMC free article] [PubMed] [Google Scholar]
  19. Linder-Pelz S. U. Toward a theory of patient satisfaction. Soc Sci Med. 1982;16(5):577–582. doi: 10.1016/0277-9536(82)90311-2. [DOI] [PubMed] [Google Scholar]
  20. Linder-Pelz S. Social psychological determinants of patient satisfaction: a test of five hypothesis. Soc Sci Med. 1982;16(5):583–589. doi: 10.1016/0277-9536(82)90312-4. [DOI] [PubMed] [Google Scholar]
  21. Locker D., Dunt D. Theoretical and methodological issues in sociological studies of consumer satisfaction with medical care. Soc Sci Med. 1978 Jul;12(4A):283–292. [PubMed] [Google Scholar]
  22. Marquis M. S., Davies A. R., Ware J. E., Jr Patient satisfaction and change in medical care provider: a longitudinal study. Med Care. 1983 Aug;21(8):821–829. doi: 10.1097/00005650-198308000-00006. [DOI] [PubMed] [Google Scholar]
  23. Poulton B. C. Use of the consultation satisfaction questionnaire to examine patients' satisfaction with general practitioners and community nurses: reliability, replicability and discriminant validity. Br J Gen Pract. 1996 Jan;46(402):26–31. [PMC free article] [PubMed] [Google Scholar]
  24. Ross C. K., Frommelt G., Hazelwood L., Chang R. W. The role of expectations in patient satisfaction with medical care. J Health Care Mark. 1987 Dec;7(4):16–26. [PubMed] [Google Scholar]
  25. Thompson A. G., Suñol R. Expectations as determinants of patient satisfaction: concepts, theory and evidence. Int J Qual Health Care. 1995 Jun;7(2):127–141. doi: 10.1093/intqhc/7.2.127. [DOI] [PubMed] [Google Scholar]
  26. Ware J. E., Jr How to survey patient satisfaction. Drug Intell Clin Pharm. 1981 Nov;15(11):892–899. doi: 10.1177/106002808101501107. [DOI] [PubMed] [Google Scholar]
  27. Wensing M., Grol R., Smits A. Quality judgements by patients on general practice care: a literature analysis. Soc Sci Med. 1994 Jan;38(1):45–53. doi: 10.1016/0277-9536(94)90298-4. [DOI] [PubMed] [Google Scholar]
  28. Williams S., Weinman J., Dale J., Newman S. Patient expectations: what do primary care patients want from the GP and how far does meeting expectations affect patient satisfaction? Fam Pract. 1995 Jun;12(2):193–201. doi: 10.1093/fampra/12.2.193. [DOI] [PubMed] [Google Scholar]
  29. Wilson P. M., Sullivan F., Hussein S., Smith G. D. Examination of the effects of emotional disturbance and its detection on general practice patients' satisfaction with the consultation. Br J Gen Pract. 1995 Jun;45(395):304–309. [PMC free article] [PubMed] [Google Scholar]

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