ArticleJournal of general internal medicine2007
The effect of patients' met expectations on consultation outcomes. A study with family medicine residents.
Article in Journal of general internal medicine, 2007. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers.
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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.
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Who cites it
26 citing papers in PubMed.
- Expectations of cardiovascular patients: Which factors stand out in healthcare service delivery?BMC health services research · 2026Article
- Person-centred care in chiropractic: a foundational but evolving commitment in contemporary practice.The Journal of the Canadian Chiropractic Association · 2025Article
- Patients' Views and Expectations of Consultations in Primary Care in Malaysia: A Qualitative Study.Cureus · 2025Article
- Optimizing primary healthcare experience: assessing client satisfaction in Kaduna State, Northwest Nigeria.BMC primary care · 2024Article
- Intersection of Nativity and English Proficiency With Receipt of Person-Centered Contraceptive Counseling.O&G open · 2024Article
- Increased family psychosocial focus during children's developmental assessments: a study of parents' views.BMC pediatrics · 2024Article
- Patient Perceptions of their COVID-19 Inpatient Hospital Experience: a Survey Exploring Inequities in Healthcare Delivery.Journal of racial and ethnic health disparities · 2023Observational
- Motivations of the participants who post a message in an online health forum: a qualitative and quantitative descriptive study in French health forum Doctissimo.BMC primary care · 2022Article
- Health system responsiveness and associated factors among outpatients in primary health care facilities in Ethiopia.BMC health services research · 2022Article
- Empowerment, Communication, and Navigating Care: The Experience of Persons With Spinal Cord Injury From Acute Hospitalization to Inpatient Rehabilitation.Frontiers in rehabilitation sciences · 2022Article
- Analysis of the Comprehensiveness of Primary Care Clinics in Korea.Korean journal of family medicine · 2021Article
- Patients' ideas, concerns, expectations and satisfaction in primary health care - a questionnaire study of patients and health care professionals' perspectives.Scandinavian journal of primary health care · 2019Article
- Medical students' perceptions towards learning communication skills: a qualitative study following the 2-year training programme.International journal of medical education · 2019Article
- Measuring health system responsiveness at facility level in Ethiopia: performance, correlates and implications.BMC health services research · 2017Article
- Across US Hospitals, Black Patients Report Comparable Or Better Experiences Than White Patients.Health affairs (Project Hope) · 2016Article
- The Role of the Psychosocial Dimension in the Improvement of Quality of Care: A Systematic Review.Zdravstveno varstvo · 2016Review
- Patient expectations and their satisfaction in the context of public hospitals.Patient preference and adherence · 2016Article
- Patient participation in the discussions of options in Spanish primary care consultations.Health expectations : an international journal of public participation in health care and health policy · 2014Article
- Perceptions of and preferences for federally-funded family planning clinics.Reproductive health · 2014Article
- Met or matched expectations: what accounts for a successful back pain consultation in primary care?Health expectations : an international journal of public participation in health care and health policy · 2013Review
Corrections and comments
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesTo know the patients' expectations and the fulfillment of these at family medicine consultations by resident doctors and to assess their effect on some consultation outcomes.
designA prospective cohort study.
participantsPatients attending family medicine consultations held by 38 resident doctors: 1,301 eligible patients, 702 filled in all questionnaires. MEASUREMENTS: Before each visit, the patients' expectations about that particular consultation were registered. Right after the visit was over, their perception of several aspects of the communicative interaction with the doctor was measured. Later, patients were interviewed on the phone to know how their expectations had been fulfilled, how satisfied they were about the consultation, how they had followed the doctor's suggestions, if they were going to seek further care for the same cause later, and the evolution of their clinical problem. Logistic regression was the main analysis used.
resultsThe most common expectations were the doctor showing interest and listening (30.5%), getting some information about the diagnosis (16.3%), and sharing problems and doubts (11.1%). The rate of main expectations that were met was 76.5%. Satisfaction with the encounter was associated with the clinical evolution [odds ratio (OR) 2.23; confidence interval (CI): 1.32-3.75], and the fulfilling of the patients' main or two main expectations was significantly related to all the measured outcomes (satisfaction OR 3.51, CI: 1.73-7.8; adherence OR 1.80, CI: 1.11-2.92; clinical evolution OR 1.54, CI: 1.01-2.35; and seeking further care later OR 0.54, CI:0.36-0.81)
conclusionsPatients prioritize expectations of a more general sort when they attend primary care consultations and residents fulfill these acceptably. The fulfillment of expectations seems to affect the studied outcomes more than other factors.
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