Influences on patients' ratings of physicians: physicians demographics and personality.

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Title: Influences on patients' ratings of physicians: physicians demographics and personality.
Authors: Duberstein P (AUTHOR), Meldrum S (AUTHOR), Fiscella K (AUTHOR), Shields CG (AUTHOR), Epstein RM (AUTHOR)
Source: Patient Education & Counseling. Feb2007, Vol. 65 Issue 2, p270-274. 5p.
Abstract: OBJECTIVE: There is considerable interest in the influences on patients' ratings of physicians. METHODS: In this cross-sectional study, patients (n=4616; age range: 18-65 years) rated their level of satisfaction with their primary care physicians (n=96). Patients and physicians were recruited from primary care practices in the Rochester, NY metropolitan area. For analytic purposes, length of the patient-physician relationship was stratified (/=5 years). Principal components factor analysis of items from the Health Care Climate Questionnaire, the Primary Care Assessment Survey and the Patient Satisfaction Questionnaire yielded a single factor labeled 'Satisfaction' that served as the sole dependent variable. Higher scores mean greater satisfaction. Predictors of interest were patient demographics and morbidity as well as physician demographics and personality, assessed with items from the NEO-FFI. RESULTS: Patients treated by a physician for 1 year or less rated male physicians higher than female physicians. This gender difference disappeared after 1 year, but two physician personality traits, Openness and Conscientiousness, were associated with patients' ratings in lengthier patient-physician relationships. Patients report being more satisfied with physicians who are relatively high in Openness and average in Conscientiousness. Older patients provide higher ratings than younger patients, and those with greater medical burden rated their physicians higher. CONCLUSION: Patients' ratings of physicians are multidetermined. Future research on patient satisfaction and the doctor-patient relationship would benefit from a consideration of physician personality. Identifying physician personality traits that facilitate or undermine communication, trust, patient-centeredness, and patient adherence to prescribed treatments is an important priority. PRACTICE IMPLICATIONS: Learning environments could be created to reinforce certain traits and corresponding habits of mind that enhance patient satisfaction. Such a shift in the culture of medical education and practice could have implications for patient care. [ABSTRACT FROM AUTHOR]
Copyright of Patient Education & Counseling is the property of Elsevier B.V. and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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  Data: Influences on patients' ratings of physicians: physicians demographics and personality.
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  Data: <searchLink fieldCode="AR" term="%22Duberstein+P%22">Duberstein P</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Meldrum+S%22">Meldrum S</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Fiscella+K%22">Fiscella K</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Shields+CG%22">Shields CG</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Epstein+RM%22">Epstein RM</searchLink> (AUTHOR)
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  Data: <searchLink fieldCode="JN" term="%22Patient+Education+%26+Counseling%22">Patient Education & Counseling</searchLink>. Feb2007, Vol. 65 Issue 2, p270-274. 5p.
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: OBJECTIVE: There is considerable interest in the influences on patients' ratings of physicians. METHODS: In this cross-sectional study, patients (n=4616; age range: 18-65 years) rated their level of satisfaction with their primary care physicians (n=96). Patients and physicians were recruited from primary care practices in the Rochester, NY metropolitan area. For analytic purposes, length of the patient-physician relationship was stratified (</=1, 1-4, >/=5 years). Principal components factor analysis of items from the Health Care Climate Questionnaire, the Primary Care Assessment Survey and the Patient Satisfaction Questionnaire yielded a single factor labeled 'Satisfaction' that served as the sole dependent variable. Higher scores mean greater satisfaction. Predictors of interest were patient demographics and morbidity as well as physician demographics and personality, assessed with items from the NEO-FFI. RESULTS: Patients treated by a physician for 1 year or less rated male physicians higher than female physicians. This gender difference disappeared after 1 year, but two physician personality traits, Openness and Conscientiousness, were associated with patients' ratings in lengthier patient-physician relationships. Patients report being more satisfied with physicians who are relatively high in Openness and average in Conscientiousness. Older patients provide higher ratings than younger patients, and those with greater medical burden rated their physicians higher. CONCLUSION: Patients' ratings of physicians are multidetermined. Future research on patient satisfaction and the doctor-patient relationship would benefit from a consideration of physician personality. Identifying physician personality traits that facilitate or undermine communication, trust, patient-centeredness, and patient adherence to prescribed treatments is an important priority. PRACTICE IMPLICATIONS: Learning environments could be created to reinforce certain traits and corresponding habits of mind that enhance patient satisfaction. Such a shift in the culture of medical education and practice could have implications for patient care. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
  Group: Ab
  Data: <i>Copyright of Patient Education & Counseling is the property of Elsevier B.V. and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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        Value: 10.1016/j.pec.2006.09.007
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