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Patient satisfaction, doctor effort, and interview location : evidence from Paraguay

By Jishnu Das and Thomas Pave Sohnesen

Abstract

To examine the relationship between patient satisfaction and doctor performance, the authors observed 2,271 interactions between 292 doctors and their patients in 98 clinics and hospitals in Paraguay and conducted an exit-survey with the same patients as they left the clinic. For a subsample of 64 facilities they also interviewed patients who visited the facility within the last week. There are three patterns in the data: (1) Patient satisfaction is positively correlated with doctor effort, measured as a combination of time spent, questions asked, and examinations performed after controlling for observed doctor and patient characteristics; (2) However, accounting for unobserved doctor characteristics dramatically reduces the level of significance and size of correlation between effort and satisfaction, showing that much of the positive relationship is driven by these unobserved doctor-specific factors; and (3) Reported satisfaction is significantly lower for patients interviewed at home compared with those interviewed at the clinic. This leads the authors to conclude that even if patient satisfaction reflects some aspects of the doctor's performance, unobserved heterogeneity combined with survey biases limit the widespread applicability of patient satisfaction as an indicator of doctor performance.Health Monitoring&Evaluation,Health Systems Development&Reform,Health Law,Educational Sciences,Gender and Health

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  1. (2002). Consultation length in general practice: cross sectional study in six European countries.
  2. (2006). Exploiting the Hawthorne effect to test for information asymmetries in health care.
  3. (1993). Field tests for rational drug use in twelve developing countries."
  4. (2005). Getting Doctors to do their Best: Ability, Altruism and Incentives."
  5. (2006). Health Service Delivery in Paraguay : A Review of Quality of Care and Policies on Human Resources and User Fees.
  6. (1988). Involving consumers in quality of care assessment. Health Affairs
  7. (2006). Money for Nothing: The Dire Straits of Medical Practice.” Delhi,
  8. (1986). Patient. Satisfaction: An Indicator of Nursing Care Quality. Nursing management Jul;18(7):31-5.
  9. (2006). Patients' Global Ratings of Their Health Care Are Not Associated with the Technical Quality of Their Care.
  10. (2005). Practice-Quality Variation in Paraguay. The World Bank.
  11. (2001). Predictors of patient satisfaction.
  12. (1997). Questioning patient satisfaction: An empirical investigation in two outpatient clinics.
  13. (2003). The continuum of patient satisfaction—from satisfied to very satisfied .
  14. (1998). The Meaning of patient satisfaction: An exploration of high reported levels.
  15. (2002). The measurement of satisfaction with healthcare: implications for practice from a systematic review of the literature.

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