Literature DB >> 24733343

Patient satisfaction with access and continuity of care in a multidisciplinary academic family medicine clinic.

Stephen Wetmore1, Leslie Boisvert, Esther Graham, Susan Hall, Tim Hartley, Lynda Wright, Jo-Anne Hammond, Holly Ings, Barbara Lent, Anna Pawelec-Brzychczy, Stacey Valiquet, Jamie Wickett, Joanne Willing.   

Abstract

OBJECTIVE: To determine patient satisfaction with care provided at a family medicine teaching clinic.
DESIGN: Mailed survey.
SETTING: Victoria Family Medical Centre in London, Ont. PARTICIPANTS: Stratified random sample of 600 regular patients of the clinic aged 18 years or older; 301 responses were received. MAIN OUTCOME MEASURES: Patient satisfaction with overall care, wait times for appointments, contact with physicians, and associated demographic factors. Logistic regression analysis and analysis were used to determine the significance of factors associated with satisfaction.
RESULTS: The response rate was 50%. Overall, 88% of respondents were fairly, very, or completely satisfied with care. Older patients tended to be more satisfied. Patients who were less satisfied had longer wait times for appointments (P < .001) and reduced continuity with specific doctors (P = .004). More satisfied patients also felt connected through other members of the health care team.
CONCLUSION: Patients were generally satisfied with the care provided at the family medicine teaching clinic. Older patients tended to be more satisfied than younger patients. Points of dissatisfaction were related to wait times for appointments and continuity with patients' usual doctors. These findings support the adoption of practices that reduce wait times and facilitate continuity with patients' usual doctors and other regular members of the health care team.

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Mesh:

Year:  2014        PMID: 24733343      PMCID: PMC4046539     

Source DB:  PubMed          Journal:  Can Fam Physician        ISSN: 0008-350X            Impact factor:   3.275


  16 in total

1.  Continuity of care in family practice. Part 1: dimensions of continuity.

Authors:  B K Hennen
Journal:  J Fam Pract       Date:  1975-10       Impact factor: 0.493

2.  The General Practice Assessment Survey (GPAS): tests of data quality and measurement properties.

Authors:  J Ramsay; J L Campbell; S Schroter; J Green; M Roland
Journal:  Fam Pract       Date:  2000-10       Impact factor: 2.267

3.  Advanced access in academic settings: definitional challenges.

Authors:  Elizabeth G Baxley; Sam Weir
Journal:  Ann Fam Med       Date:  2009 Jan-Feb       Impact factor: 5.166

4.  Advanced access scheduling.

Authors:  Bruce Soloway; Jonathan Swartz
Journal:  Fam Med       Date:  2009 Jul-Aug       Impact factor: 1.756

5.  A 12-Item Short-Form Health Survey: construction of scales and preliminary tests of reliability and validity.

Authors:  J Ware; M Kosinski; S D Keller
Journal:  Med Care       Date:  1996-03       Impact factor: 2.983

6.  Long-term attendance at a family practice teaching unit. Qualitative study of patients' views.

Authors:  J B Brown; I Dickie; L Brown; J Biehn
Journal:  Can Fam Physician       Date:  1997-05       Impact factor: 3.275

7.  Continuity of care in family practice. Part 2: implications of continuity.

Authors:  I R McWhinney
Journal:  J Fam Pract       Date:  1975-10       Impact factor: 0.493

8.  Race/ethnicity and patient satisfaction. Using the appropriate method to test for perceived differences in care.

Authors:  Donald A Barr
Journal:  J Gen Intern Med       Date:  2004-09       Impact factor: 5.128

9.  Same-day booking: success in a Canadian family practice.

Authors:  Victoria Mitchell
Journal:  Can Fam Physician       Date:  2008-03       Impact factor: 3.275

Review 10.  Towards a theory of continuity of care.

Authors:  Denis Pereira Gray; Philip Evans; Kieran Sweeney; Pamela Lings; David Seamark; Clare Seamark; Michael Dixon; Nicholas Bradley
Journal:  J R Soc Med       Date:  2003-04       Impact factor: 18.000

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  18 in total

1.  Caring for older patients in primary care: Wisdom and innovation from Canadian family physicians.

Authors:  Christopher C Frank; Sid Feldman; Roy Wyman
Journal:  Can Fam Physician       Date:  2018-06       Impact factor: 3.275

2. 

Authors:  Christopher C Frank; Sid Feldman; Roy Wyman
Journal:  Can Fam Physician       Date:  2018-06       Impact factor: 3.275

3.  Association between continuity and access in primary care: a retrospective cohort study.

Authors:  Lisa L Cook; Richard P Golonka; Charles M Cook; Robin L Walker; Peter Faris; Shannon Spenceley; Richard Lewanczuk; Robert Wedel; Rebecca Love; Cheryl Andres; Susan D Byers; Tim Collins; Scott Oddie
Journal:  CMAJ Open       Date:  2020-11-16

4.  Patients' Satisfaction with Primary Health Care Centers' Services, Majmaah, Kingdom of Saudi of Saudi Arabia.

Authors:  Elsadig Yousif Mohamed; Waqas Sami; Abdullah Alotaibi; Abdulrahman Alfarag; Ahmed Almutairi; Fahad Alanzi
Journal:  Int J Health Sci (Qassim)       Date:  2015-04

5.  Academic family health teams: Part 1: patient perceptions of core primary care domains.

Authors:  June C Carroll; Yves Talbot; Joanne Permaul; Anastasia Tobin; Rahim Moineddin; Sean Blaine; Jeff Bloom; Debra Butt; Kelly Kay; Deanna Telner
Journal:  Can Fam Physician       Date:  2016-01       Impact factor: 3.275

6.  Academic family health teams: Part 2: patient perceptions of access.

Authors:  June C Carroll; Yves Talbot; Joanne Permaul; Anastasia Tobin; Rahim Moineddin; Sean Blaine; Jeff Bloom; Debra Butt; Kelly Kay; Deanna Telner
Journal:  Can Fam Physician       Date:  2016-01       Impact factor: 3.275

7.  Hispanics' Satisfaction with Free Clinic Providers: An Analysis of Patient-Centered Medical Home Characteristics.

Authors:  Elena R Platonova; Jan Warren-Findlow; William J Saunders; Jenny A Hutchison; Maren J Coffman
Journal:  J Community Health       Date:  2016-12

8.  Factors associated with patients' satisfaction in Brazilian dental primary health care.

Authors:  Muath Abdullah Aldosari; Mary Angela Tavares; Antônio Thomaz Gonzaga Matta-Machado; Mauro Henrique Nogueira Guimarães Abreu
Journal:  PLoS One       Date:  2017-11-16       Impact factor: 3.240

9.  Patient satisfaction with services at the Family Medicine Employee Clinic in a tertiary hospital in Riyadh.

Authors:  Abrar H Allafi; Jarman S Alqhatani; Mashael S Alruwayshid; Abeer S Alshuniefi; Enas F Alarik; Fatmah Alreshidi; Ebtehaj S Almughais; Reem A AlQudairy
Journal:  J Family Med Prim Care       Date:  2021-04-29

10.  Patient Satisfaction With the Family Physician Program in Sabzevar, Iran.

Authors:  Alireza Ghorbani; Pouran Raeissi; Ehsan Saffari; Nahid Reissi
Journal:  Glob J Health Sci       Date:  2015-06-25
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