ArticlePloS one2014
Level of satisfaction of older persons with their general practitioner and practice: role of complexity of health problems.
Article in PloS one, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.
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.
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.
Who cites it
18 citing papers in PubMed.
- Structured Clinical Tools for Periodic Health Assessment of Older Adults in Primary Care: A Scoping Review.Health science reports · 2025Review
- Associated Factors in Patient Satisfaction among Older Persons Attending Primary Health Facilities in Sepang, Malaysia.The Malaysian journal of medical sciences : MJMS · 2024Article
- Impact of healthcare service quality on older people's satisfaction at geriatric medical centers: a rapid review.Journal of public health in Africa · 2023Article
- Incorporating Method Dissatisfaction into Unmet Need for Contraception: Implications for Measurement and Impact.Studies in family planning · 2021Article
- Article
- Perceived doctor-patient relationship and satisfaction with general practitioner care in older persons in residential homes.Scandinavian journal of primary health care · 2018Article
- Patients' perceptions of healthcare professionalism-a Romanian experience.BMC health services research · 2017Article
- Is the co-location of GPs in primary care centres associated with a higher patient satisfaction? Evidence from a population survey in Italy.BMC health services research · 2017Article
- Experiences of general practitioner continuity among women with chronic fatigue syndrome/myalgic encephalomyelitis: a cross-sectional study.BMC health services research · 2016Article
- [Patients' need for consultation after a geriatric assessment in family practice : Survey].Zeitschrift fur Gerontologie und Geriatrie · 2016Article
- Dizziness in older people: at risk of shared therapeutic nihilism between patient and physician. A qualitative study.BMC family practice · 2016Article
- Article
- Satisfaction in Older Persons and General Practitioners during the Implementation of Integrated Care.PloS one · 2016Article
- Consequences of interaction of functional, somatic, mental and social problems in community-dwelling older people.PloS one · 2015Article
- Drug prescription rates in secondary cardiovascular prevention in old age: Do vulnerability and severity of the history of cardiovascular disease matter?Scandinavian journal of primary health care · 2015Observational
- Comparison of quadriceps strength and handgrip strength in their association with health outcomes in older adults in primary care.Age (Dordrecht, Netherlands) · 2014Article
- Impacts of pay for performance on the quality of primary care.Risk management and healthcare policy · 2014Review
- Consultation Content not Consultation Length Improves Patient Satisfaction.Journal of family medicine and primary careArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundSatisfaction is widely used to evaluate and direct delivery of medical care; a complicated relationship exists between patient satisfaction, morbidity and age. This study investigates the relationships between complexity of health problems and level of patient satisfaction of older persons with their general practitioner (GP) and practice. METHODS AND
findingsThis study is embedded in the ISCOPE (Integrated Systematic Care for Older Persons) study. Enlisted patients aged ≥75 years from 59 practices received a written questionnaire to screen for complex health problems (somatic, functional, psychological and social). For 2664 randomly chosen respondents (median age 82 years; 68% female) information was collected on level of satisfaction (satisfied, neutral, dissatisfied) with their GP and general practice, and demographic and clinical characteristics including complexity of health problems. Of all participants, 4% was dissatisfied with their GP care, 59% neutral and 37% satisfied. Between these three categories no differences were observed in age, gender, country of birth or education level. The percentage of participants dissatisfied with their GP care increased from 0.4% in those with 0 problem domains to 8% in those with 4 domains, i.e. having complex health problems (p<0.001). Per additional health domain with problems, the risk of being dissatisfied increased 1.7 times (95% CI 1.4-2.14; p<0.001). This was independent of age, gender, and demographic and clinical parameters (adjusted OR 1.4, 95% CI 1.1-1.8; p = 0.021).
conclusionIn older persons, dissatisfaction with general practice is strongly correlated with rising complexity of health problems, independent of age, demographic and clinical parameters. It remains unclear whether complexity of health problems is a patient characteristic influencing the perception of care, or whether the care is unable to handle the demands of these patients. Prospective studies are needed to investigate the causal associations between care organization, patient characteristics, indicators of quality, and patient perceptions.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
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.