Evidence map›Paper›PMID 11722690›Full record

ArticleJournal of general internal medicine2001

Patient satisfaction in resident and attending ambulatory care clinics.

W S Yancy, D S Macpherson, B H Hanusa, G E Switzer, R M Arnold, R A Buranosky, W N Kapoor

Abstract read
In one paragraph

Article in Journal of general internal medicine, 2001. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
36citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

36 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  13. Resident-run urology clinics: A tool for use in competency-based medical education for teaching and assessing transition-to-practice skills.Canadian Urological Association journal = Journal de l'Association des urologues du Canada · 2019
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  16. 2018 CUA Abstracts.Canadian Urological Association journal = Journal de l'Association des urologues du Canada · 2018
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors.

W S YancyCenter for Health Services Research in Primary Care, Department of Veterans' Affairs Medical Center, Duke University Medical Center, Durham, NC 27705, USA. yancy006@mc.duke.edu
D S Macpherson
B H Hanusa
G E Switzer
R M Arnold
R A Buranosky
W N Kapoor

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo measure and compare patient satisfaction with care in resident and attending physician internal medicine ambulatory care clinics.

designA cross-sectional survey using a questionnaire derived from the Visit-Specific Satisfaction Questionnaire (VSQ) and Patient Satisfaction Index (PSI) distributed from March 1998 to May 1998.

settingFour clinics based at a university teaching hospital and the associated Veterans' Affairs (VA) hospital.

participantsTwo hundred eighty-eight patients of 76 resident and 25 attending physicians.

resultsPatients of resident physicians at the university site were more likely to be African American, male, have lower socioeconomic status and have lower physical and mental health scores on the Short Form-12 than patients of university attendings. Patients of resident and attending physicians at the VA site were similar. In multivariate analyses, patients of university attending physicians were more likely to be highly satisfied than patients of university residents on the VSQ-Physician (odds ratio [OR], 3.5; 95% confidence interval [CI], 1.6 to 7.8) and the PSI-Physician (OR, 10.1; 95% CI, 3.7 to 27.4) summary scores. Differences were not seen on the summary scores at the VA site. Two individual items displayed significant differences between residents and attendings at both sites: "personal manner (courtesy, respect, sensitivity, friendliness) of the doctor" (P <or= .03 at both sites) and "my doctor always treats me with the highest respect" (P < .001 at both sites).

conclusionsAfter controlling for patient characteristics, patients of resident physicians were less satisfied than those of attending physicians, especially in regard to the doctor's personal manner and respect toward the patient. Medical education should continue to emphasize the importance of these aspects of the physician-patient encounter.

Indexed as

Internship and ResidencyMedical Staff, HospitalOutpatient Clinics, HospitalPatient SatisfactionCross-Sectional StudiesFemaleHealth Services AccessibilityHealth StatusHospitals, TeachingHospitals, VeteransHumansMaleMiddle AgedPhysician-Patient RelationsSocial ClassSurveys and Questionnaires

Identifiers

PMID11722690
PMCPMC1495289

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.