IDEAS home Printed from https://ideas.repec.org/a/plo/pone00/0216028.html
   My bibliography  Save this article

Changes in patient satisfaction related to their perceived health state during implementation of improved integrated care for older persons

Author

Listed:
  • Antonius J Poot
  • Daisy M Wopereis
  • Wendy P J den Elzen
  • Jacobijn Gussekloo
  • Jeanet W Blom

Abstract

Patient satisfaction with the general practitioner (GP) is lower in older persons with a higher level of complexity of health problems. This study investigates whether, in these older persons, changes in satisfaction with their GP, on receiving improved integrated care, is related to their perceived health state.Using the Integrated Systematic Care for Older People (ISCOPE) trial (aimed at improving person- centered integrated care) this study compared changes in satisfaction with the GP in older persons (aged ≥75 years) with a high level of complex health problems on receiving integrated care, stratified for perceived health state at baseline. Satisfaction with the GP was registered on a 5-point Likert scale. Perceived health state was estimated with the Older Persons and Informal Caregivers Survey-Composite End Point (TOPICS-CEP) at baseline, stratified into 33% percentiles. Differences in satisfaction change between the intervention and usual care/control groups (overall and stratified for perceived health state) are presented by percentages of ‘very satisfied’ participants and improving or deteriorating 1 or more points on the Likert scale. At baseline, the intervention (n = 151) and control group (n = 603) were mainly female (75%) and living alone (62%); mean age was 83 years. Medical status, perceived health state and characteristics of participants were similar. Overall, at baseline 44.4% of respondents in the intervention group were ‘very satisfied’ compared with 37.1% at follow-up, (difference -7.3%). In the control group, ‘very satisfied’ at baseline was 32% and at follow up 29.2% (difference -2.8%). The p-value for this difference in change is 0.56. After stratification for TOPICS-CEP the results were the same. In older persons with a high level of complexity of health problems, implementation of person- centered integrated healthcare did not influence their satisfaction with the GP, also not among those with the highest or lowest perceived health state.

Suggested Citation

  • Antonius J Poot & Daisy M Wopereis & Wendy P J den Elzen & Jacobijn Gussekloo & Jeanet W Blom, 2019. "Changes in patient satisfaction related to their perceived health state during implementation of improved integrated care for older persons," PLOS ONE, Public Library of Science, vol. 14(5), pages 1-11, May.
    • Handle: RePEc:plo:pone00:0216028
    DOI: 10.1371/journal.pone.0216028
    as

    Download full text from publisher

    File URL: https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0216028
    Download Restriction: no
    File URL: https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0216028&type=printable
    Download Restriction: no
    File URL: https://libkey.io/10.1371/journal.pone.0216028?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    References listed on IDEAS

    as
    1. Pascoe, Gregory C., 1983. "Patient satisfaction in primary health care: A literature review and analysis," Evaluation and Program Planning, Elsevier, vol. 6(3-4), pages 185-210, January.
    2. Williams, Brian & Coyle, Joanne & Healy, David, 1998. "The meaning of patient satisfaction: An explanation of high reported levels," Social Science & Medicine, Elsevier, vol. 47(9), pages 1351-1359, November.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Hekkert, Karin Dorieke & Cihangir, Sezgin & Kleefstra, Sophia Martine & van den Berg, Bernard & Kool, Rudolf Bertijn, 2009. "Patient satisfaction revisited: A multilevel approach," Social Science & Medicine, Elsevier, vol. 69(1), pages 68-75, July.
    2. Zi Yang Wang & Jie Song & Xing Lin Feng, 2023. "A prediction model of patient satisfaction: policy evaluation and sensitivity analysis," Flexible Services and Manufacturing Journal, Springer, vol. 35(2), pages 455-486, June.
    3. Nik Aida Nik Adib & Mohd Ismail Ibrahim & Azriani Ab Rahman & Raishan Shafini Bakar & Nor Azni Yahaya & Suria Hussin & Wan Nor Arifin, 2018. "Translation and Validation of the Malay Version of the Parents’ Satisfaction Scale (PSS-M) for Assessment of Caregivers’ Satisfaction with Health Care Services for Children with Autism Spectrum Disord," IJERPH, MDPI, vol. 15(11), pages 1-14, November.
    4. Magnus Lindelow, 2003. "Understanding spatial variation in the utilization of health services: does quality matter?," Economics Series Working Papers WPS/2004-12, University of Oxford, Department of Economics.
    5. Atkinson, Sarah & Medeiros, Regianne L., 2009. "Explanatory models of influences on the construction and expression of user satisfaction," Social Science & Medicine, Elsevier, vol. 68(11), pages 2089-2096, June.
    6. Elísabet Hjörleifsdóttir & Ingalill Rahm Hallberg & Elín Díanna Gunnarsdóttir, 2010. "Satisfaction with care in oncology outpatient clinics: psychometric characteristics of the Icelandic EORTC IN‐PATSAT32 version," Journal of Clinical Nursing, John Wiley & Sons, vol. 19(13‐14), pages 1784-1794, July.
    7. Martyn C Jones & Brian Williams & Janice Rattray & Steve MacGillivray & Debbie Baldie & Abdul‐Razak Abubakari & Joanne Coyle & Susan Mackie & Eileen McKenna, 2018. "Extending the assessment of patient‐centredness in health care: Development of the updated Valuing Patients as Individuals Scale using exploratory factor analysis," Journal of Clinical Nursing, John Wiley & Sons, vol. 27(1-2), pages 65-76, January.
    8. Bereket Yakob & Busisiwe Purity Ncama, 2016. "Correlates of perceived access and implications for health system strengthening – lessons from HIV/AIDS treatment and care services in Ethiopia," PLOS ONE, Public Library of Science, vol. 11(8), pages 1-19, August.
    9. Sunil Shrestha & Binaya Sapkota & Santosh Thapa & Bhuvan K. C. & Saval Khanal, 2020. "Translation, cross-cultural adaptation and validation of Patient Satisfaction with Pharmacist Services Questionnaire (PSPSQ 2.0) into the Nepalese version in a community settings," PLOS ONE, Public Library of Science, vol. 15(10), pages 1-15, October.
    10. Vanacore, Amalia & Pellegrino, Maria Sole, 2021. "Testing inter-group ranking heterogeneity: do patient characteristics matter for prioritization of quality improvements in healthcare service?," Socio-Economic Planning Sciences, Elsevier, vol. 73(C).
    11. Vick, Sandra & Scott, Anthony, 1998. "Agency in health care. Examining patients' preferences for attributes of the doctor-patient relationship," Journal of Health Economics, Elsevier, vol. 17(5), pages 587-605, October.
    12. Grytten, Jostein & Carlsen, Fredrik & Skau, Irene, 2009. "Services production and patient satisfaction in primary care," Health Policy, Elsevier, vol. 89(3), pages 312-321, March.
    13. Schutt, Russell K. & Goldfinger, Stephen M. & Penk, Walter E., 1997. "Satisfaction with residence and with life: When homeless mentally ill persons are housed," Evaluation and Program Planning, Elsevier, vol. 20(2), pages 185-194, May.
    14. Ruggeri, Mirella & Greenfield, Thomas K., 1995. "The Italian version of the service satisfaction scale (SSS-30) adapted for community-based psychiatric patients: Development, factor analysis and application," Evaluation and Program Planning, Elsevier, vol. 18(2), pages 191-202.
    15. Anwar Brhan Gidey & Taklo Simeneh Yazie & Tegegne Bogale & Tesfaye Molla Gulente, 2021. "Magnitude of client satisfaction and its associated factors with outpatient pharmacy service at Dubti General Hospital, Afar, North East Ethiopia: A cross sectional study," PLOS ONE, Public Library of Science, vol. 16(11), pages 1-11, November.
    16. Mitropoulos, Panagiotis & Vasileiou, Konstantinos & Mitropoulos, Ioannis, 2018. "Understanding quality and satisfaction in public hospital services: A nationwide inpatient survey in Greece," Journal of Retailing and Consumer Services, Elsevier, vol. 40(C), pages 270-275.
    17. Abdur Razzaque Sarker & Marufa Sultana & Sayem Ahmed & Rashidul Alam Mahumud & Alec Morton & Jahangir A.M. Khan, 2018. "Clients’ Experience and Satisfaction of Utilizing Healthcare Services in a Community Based Health Insurance Program in Bangladesh," IJERPH, MDPI, vol. 15(8), pages 1-14, August.
    18. Prof. Dr. Klaus Bendel & Prof. Dr. Wenzel Matiaske & Prof. Dr. Florian Schramm, 2000. "'Kundenzufriedenheit' bei ambulanten Pflegedienstleistern. Bestandsaufnahme und Vorschläge für ein stresstheoretisch fundiertes Messinstrument," Report 003, Werkstatt für Organisations- und Personalforschung.
    19. García-Corchero, Juan David & Jiménez-Rubio, Dolores, 2022. "How do policy levers shape the quality of a national health system?," Journal of Policy Modeling, Elsevier, vol. 44(1), pages 203-221.
    20. Jackie Cumming, 2000. "Management of Key Purchaser Risks in Devolved Purchase Arrangements in Health Care," Treasury Working Paper Series 00/17, New Zealand Treasury.

    More about this item

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:plo:pone00:0216028. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: plosone (email available below). General contact details of provider: https://journals.plos.org/plosone/ .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.