Primary Care Productivity and Patient Satisfaction Community Practice: What is the Relationship?

Research has shown a consistent positive association between patient and provider experience and improved patient outcomes and safety. There is a belief that patient satisfaction and physician productivity are competing interests. The relationship for primary care physicians, in a Midwest Health sys...

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Main Author: Thomas G. Howell Jr.
Format: Article
Language:English
Published: The Beryl Institute 2024-08-01
Series:Patient Experience Journal
Subjects:
Online Access:https://pxjournal.org/journal/vol11/iss2/5
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author Thomas G. Howell Jr.
author_facet Thomas G. Howell Jr.
author_sort Thomas G. Howell Jr.
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description Research has shown a consistent positive association between patient and provider experience and improved patient outcomes and safety. There is a belief that patient satisfaction and physician productivity are competing interests. The relationship for primary care physicians, in a Midwest Health system was evaluated as part of this project. Data from Press Ganey patient satisfaction surveys on likelihood of recommending the practice and the physician were compared between primary care physicians in the top quartile of average monthly patient visits and those that were in the three lower quartiles. A secondary analysis of patient satisfaction scores related to continuous years of service was also performed. Results of a multi-level logistic regression analysis showed a statistically significant difference between quartiles on average monthly visits and the likelihood of receiving a top box score on recommendation of the practice, but not the provider. The odds ratio was 0.7 for lower quartiles compared to highest quartile of visits. There was not a statistically significant difference for the categories of continuous years of service. On the question of recommending the physician, the odds ratios were not different, although there was a significant difference for the categories of years of service, with those between 0-5 years having a 0.62 odds ratio of a top box score compared to greater than 10 years. The results would tend to refute the belief that patient satisfaction must be sacrificed for physician productivity.
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spelling doaj-art-aed7305172fa4d9d9fa2d63a8b5a85c22025-01-08T20:18:38ZengThe Beryl InstitutePatient Experience Journal2372-02472024-08-0111210.35680/2372-0247.1948Primary Care Productivity and Patient Satisfaction Community Practice: What is the Relationship?Thomas G. Howell Jr.Research has shown a consistent positive association between patient and provider experience and improved patient outcomes and safety. There is a belief that patient satisfaction and physician productivity are competing interests. The relationship for primary care physicians, in a Midwest Health system was evaluated as part of this project. Data from Press Ganey patient satisfaction surveys on likelihood of recommending the practice and the physician were compared between primary care physicians in the top quartile of average monthly patient visits and those that were in the three lower quartiles. A secondary analysis of patient satisfaction scores related to continuous years of service was also performed. Results of a multi-level logistic regression analysis showed a statistically significant difference between quartiles on average monthly visits and the likelihood of receiving a top box score on recommendation of the practice, but not the provider. The odds ratio was 0.7 for lower quartiles compared to highest quartile of visits. There was not a statistically significant difference for the categories of continuous years of service. On the question of recommending the physician, the odds ratios were not different, although there was a significant difference for the categories of years of service, with those between 0-5 years having a 0.62 odds ratio of a top box score compared to greater than 10 years. The results would tend to refute the belief that patient satisfaction must be sacrificed for physician productivity.https://pxjournal.org/journal/vol11/iss2/5physicianproductivitypatient satisfactionyears of serviceprimary care
spellingShingle Thomas G. Howell Jr.
Primary Care Productivity and Patient Satisfaction Community Practice: What is the Relationship?
Patient Experience Journal
physician
productivity
patient satisfaction
years of service
primary care
title Primary Care Productivity and Patient Satisfaction Community Practice: What is the Relationship?
title_full Primary Care Productivity and Patient Satisfaction Community Practice: What is the Relationship?
title_fullStr Primary Care Productivity and Patient Satisfaction Community Practice: What is the Relationship?
title_full_unstemmed Primary Care Productivity and Patient Satisfaction Community Practice: What is the Relationship?
title_short Primary Care Productivity and Patient Satisfaction Community Practice: What is the Relationship?
title_sort primary care productivity and patient satisfaction community practice what is the relationship
topic physician
productivity
patient satisfaction
years of service
primary care
url https://pxjournal.org/journal/vol11/iss2/5
work_keys_str_mv AT thomasghowelljr primarycareproductivityandpatientsatisfactioncommunitypracticewhatistherelationship