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. 2005 Feb;62(2):119–123. doi: 10.1136/oem.2004.016303

Patient satisfaction with occupational health physicians, development of a questionnaire

J Verbeek 1, A G de Boer 1, W E van der Weide 1, H Piirainen 1, J Anema 1, R J van Amstel 1, F Hartog 1
PMCID: PMC1740945  PMID: 15657194

Abstract

Aims: To develop a questionnaire that measures specific aspects of patient satisfaction with occupational health physicians.

Methods: General patient satisfaction questionnaires, a literature survey, and interviews with patients were used. An initial questionnaire was distributed among sick listed patients (n = 432) of occupational physicians (n = 90) from different occupational health services. To reduce items and to develop scales exploratory factor analysis and reliability analysis was used. A linear regression model was used to predict satisfaction ratings from the scales of the questionnaire.

Results: Questions about independence of the occupational physician were difficult to ask unambiguously. The factor analysis revealed five relevant factors which were named "being taken seriously as a patient", "attitude towards occupational health services", "trust and confidentiality", "expectations", and "comfort and access". All scales could be reduced to a maximum of five items without reducing the scale reliability too much. In the regression analysis, 71% of the variance of satisfaction ratings was explained by the first four scales and most by the first scale. "Comfort and access" did not contribute significantly to the model.

Conclusions: A short questionnaire was developed to measure different aspects of patient satisfaction specific for occupational health. Whether the questionnaire can effectively lead to quality improvement in occupational health services should be investigated.

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Selected References

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  1. Berwick D. M. The total customer relationship in health care: broadening the bandwidth. Jt Comm J Qual Improv. 1997 May;23(5):245–250. doi: 10.1016/s1070-3241(16)30314-5. [DOI] [PubMed] [Google Scholar]
  2. Brown J. B., Boles M., Mullooly J. P., Levinson W. Effect of clinician communication skills training on patient satisfaction. A randomized, controlled trial. Ann Intern Med. 1999 Dec 7;131(11):822–829. doi: 10.7326/0003-4819-131-11-199912070-00004. [DOI] [PubMed] [Google Scholar]
  3. Conbere P. C., McGovern P., Kochevar L., Widtfeldt A. Measuring satisfaction with medical case management. A quality improvement tool. AAOHN J. 1992 Jul;40(7):333–341. [PubMed] [Google Scholar]
  4. Hall J. A., Dornan M. C. What patients like about their medical care and how often they are asked: a meta-analysis of the satisfaction literature. Soc Sci Med. 1988;27(9):935–939. doi: 10.1016/0277-9536(88)90284-5. [DOI] [PubMed] [Google Scholar]
  5. Hulshof C. T., Verbeek J. H., van Dijk F. J., van der Weide W. E., Braam I. T. Evaluation research in occupational health services: general principles and a systematic review of empirical studies. Occup Environ Med. 1999 Jun;56(6):361–377. doi: 10.1136/oem.56.6.361. [DOI] [PMC free article] [PubMed] [Google Scholar]
  6. Hulsman Robert L., Ros Wynand J. G., Winnubst Jacques A. M., Bensing Jozien M. The effectiveness of a computer-assisted instruction programme on communication skills of medical specialists in oncology. Med Educ. 2002 Feb;36(2):125–134. doi: 10.1046/j.1365-2923.2002.01074.x. [DOI] [PubMed] [Google Scholar]
  7. 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]
  8. Plomp H. N. Evaluation of doctor-worker encounters in occupational health: an explanatory study. Occup Med (Lond) 1999 Apr;49(3):183–188. doi: 10.1093/occmed/49.3.183. [DOI] [PubMed] [Google Scholar]
  9. Sitzia J., Wood N. Patient satisfaction: a review of issues and concepts. Soc Sci Med. 1997 Dec;45(12):1829–1843. doi: 10.1016/s0277-9536(97)00128-7. [DOI] [PubMed] [Google Scholar]
  10. Verbeek J., van Dijk F., Räsänen K., Piirainen H., Kankaanpä E., Hulshof C. Consumer satisfaction with occupational health services: should it be measured? Occup Environ Med. 2001 Apr;58(4):272–278. doi: 10.1136/oem.58.4.272. [DOI] [PMC free article] [PubMed] [Google Scholar]
  11. Veroff D. R., Gallagher P. M., Wilson V., Uyeda M., Merselis J., Guadagnoli E., Edgman-Levitan S., Zaslavsky A., Kleimann S., Cleary P. D. Effective reports for health care quality data: lessons from a CAHPS demonstration in Washington State. Int J Qual Health Care. 1998 Dec;10(6):555–560. doi: 10.1093/intqhc/10.6.555. [DOI] [PubMed] [Google Scholar]
  12. Vingerhoets E., Wensing M., Grol R. Feedback of patients' evaluations of general practice care: a randomised trial. Qual Health Care. 2001 Dec;10(4):224–228. doi: 10.1136/qhc.0100224... [DOI] [PMC free article] [PubMed] [Google Scholar]
  13. Vuori H. Patient satisfaction--does it matter? Qual Assur Health Care. 1991;3(3):183–189. doi: 10.1093/intqhc/3.3.183. [DOI] [PubMed] [Google Scholar]
  14. Williams B. Patient satisfaction: a valid concept? Soc Sci Med. 1994 Feb;38(4):509–516. doi: 10.1016/0277-9536(94)90247-x. [DOI] [PubMed] [Google Scholar]
  15. van der Weide W. E., Verbeek J. H., van Dijk F. J. Relation between indicators for quality of occupational rehabilitation of employees with low back pain. Occup Environ Med. 1999 Jul;56(7):488–493. doi: 10.1136/oem.56.7.488. [DOI] [PMC free article] [PubMed] [Google Scholar]

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