ArticleBMC family practice2018
Coping better with health problems after a visit to the family physician: associations with patients and physicians characteristics.
Article in BMC family practice, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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Who cites it
5 citing papers in PubMed.
- Association Between Patient-Reported Enablement and Customer Satisfaction in 140 055 Primary Care Patients After Doctor Appointment.Journal of patient experience · 2024Article
- Design of a Model for Management of Referral System in the Iranian Urban Family Physician Program.Iranian journal of public health · 2020Article
- Patient enablement after a consultation with a general practitioner-Explaining variation between countries, practices and patients.Health expectations : an international journal of public participation in health care and health policy · 2020Article
- The validity and reliability of the patient enablement instrument (PEI) after GP appointments in Finnish health care centres.Journal of patient-reported outcomes · 2020Article
- Comparison of the Patient Enablement Instrument (PEI) with two single-item measures among Finnish Health care centre patients.BMC health services research · 2019Article
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Authors and funding
3 authors.
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Abstract
backgroundGood patient experience is recognized as an important component of a strong primary care system. Among the dimensions related to experience in family medicine, the ability to cope better with health problems is considered to be a measure of the quality of a consultation with a family physician (FP). The objective is to identify factors related to patients, physicians and practice, associated with patients' ability to cope better with their health problems after a family medicine consultation.
methodsThe data stemmed from the Swiss part of the Quality and Costs of Primary Care (QUALICOPC) study, an international cross sectional survey aiming to compare quality, cost and equity in primary care. In Switzerland, a random sample of 199 FPs and 1791 patients participated. The negative answer to the question: "After this visit, I feel I can cope better with my health problems" was modeled using multilevel logistic regressions.
resultsDifficulty to cope better with health problems was positively associated with the following: younger age (OR: 1.58, 95% CI [1.03-2.41]), cultural aspects related to the Swiss area of language (French speaking people declared higher inability than German and Italian ones), presence of chronic disease (OR: 1.54 95% CI [1.00-2.39]). Conversely an intermediate number (1-4) of visits during the last 6 months (OR: 0.37 95% CI [0.23-0.62]) and the satisfaction with the physician (OR: 0.18 95% CI [0.08-0.44]) are negative predictors of the patient inability to cope better with his health problems. A self-reported effort-reward imbalance at work (OR: 0.64 95% CI [0.41-1.00]) was the only predictive FP characteristic (negatively associated).
conclusionsAlthough the design of the study does not allow causal inference, this study showed that the predictors of patient difficulties to cope better with health problem are mainly centered on the patients' characteristics. The patient-physician relationship both in terms of quality and frequency of visits is probably also important. Organizational practice characteristics do not seem to play a major role but stress at work among physicians should be further investigated.
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