Physician Satisfaction With Patient Encounters: Reliability and Validity of an Encounter-specific Questionnaire

While patient satisfaction has been studied extensively and considered an outcome measure of physician-patient encounters, physician satisfaction has received limited consideration. The reliability and validity of an “encounterspecific” physician satisfaction scale were examined. The Delphi technique was used to develop a 39-item questionnaire comprising four hypothesized domains of physician satisfaction: interactive, personal, professional, and contextual. Factor analysis supported two of the four hypothesized categories. Exclusion of all items not contributing to the reliability of the two subscales or differentiating between high and low scores in an item analysis allowed a condensation of the scale. This 16-item scale was tested in a second phase of the study, which supported the reliability and validity of the two-dimension encounterspecific physician satisfaction scale. Further use of the scale may prove useful in exploring this neglected component of physician-patient encounters.

[1]  J. Ware Effects of Acquiescent Response Set on Patient Satisfaction Ratings , 1978, Medical care.

[2]  M. Weinberger,et al.  The impact of clinical encounter events on patient and physician satisfaction. , 1981, Social science & medicine. Part E, Medical psychology.

[3]  A. Lazare,et al.  EVALUATION OF THE INITIAL INTERVIEW IN A WALK-IN CLINIC: The Clinician's Perspective on a “Negotiated Approach” , 1977, The Journal of nervous and mental disease.

[4]  R. Lichtenstein Measuring the Job Satisfaction of Physicians in Organized Settings , 1984, Medical care.

[5]  A. Haase,et al.  Measurement of Work Satisfaction among Health Professionals , 1978, Medical care.

[6]  R. Reynolds,et al.  Attitudes of medical interns toward patients and health professionals. , 1971, Journal of health and social behavior.

[7]  C. Koopman,et al.  Process Analysis of Two Dimensions of the Negotiated Approach in Relation to Satisfaction in the Initial Interview , 1983, Journal of Nervous and Mental Disease.

[8]  N. Breslau,et al.  Work Settings and Job Satisfaction: A Study of Primary Care Physicians and Paramedical Personnel , 1978, Medical care.

[9]  G. Engel The effect of bureaucracy on the professional autonomy of the physician. , 1969, Journal of health and social behavior.

[10]  J. Ware,et al.  Patient Satisfaction and Change in Medical Care Provider: A Longitudinal Study , 1983, Medical care.

[11]  M. Butler,et al.  Patient and provider satisfaction in Navy family practice and non-family practice clinics. , 1984, The Journal of family practice.

[12]  R Barker,et al.  The effects of physician communications skills on patient satisfaction; recall, and adherence. , 1984, Journal of chronic diseases.

[13]  R. C. Smith Teaching interviewing skills to medical students: the issue of 'countertransference'. , 1984, Journal of medical education.

[14]  W. Carter,et al.  Problems and prospects for health services research on provider-patient communication. , 1985, Medical care.

[15]  B. Hulka,et al.  Scale for the Measurement of “Satisfaction” with Medical Care: Modifications in Content, Format and Scoring , 1974, Medical care.

[16]  R. Gorlin,et al.  Physicians' reactions to patients. A key to teaching humanistic medicine. , 1983, The New England journal of medicine.

[17]  L. Cronbach Essentials of psychological testing , 1960 .

[18]  T. Zastowny,et al.  Satisfaction With Medical Care: Replications and Theoretic Reevaluation , 1983, Medical care.