Physician’s denial of certain requests related to worse patient satisfaction


November 28, 2017

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<p> At least 1 request was submitted in 68.0% of the total visits and 85.2% was met </p>
<p>  Patient satisfaction was worse with the doctors who denied Certain requests, according to the findings of an observational study published in <i> JAMA Internal Medicine </i>. </p>
<p>  The authors of the study from the Faculty of Medicine at the University of California Davis, Sacramento, CA, attempted to badess how satisfaction of the patient with the clinician was affected by the denial of certain types of patients An observational cross-sectional study was conducted that included 1,319 outpatient visits to family doctors (n = 56) by 1,1141 adults in an academic health center. [19659005] Data of the Evaluation of 6 consumers of health care providers and the Survey of visits of the doctors of systems and groups of adults were used to measure the satisfaction of the patient with the doctor of the visit. The different models of mixed effects observed the differences of adjusted means in the percentile of patient satisfaction badociated with the negation versus compliance with each of the following patient requests (if present): referral, badgesic, another new medication, test of laboratory, radiology test or other test. The weight of the patients, health status, sociodemographic characteristics, personality, concern for health, prior consultation with the doctor and other categories and application provisions were taken into account. </p>
<p>  At least 1 application was presented in 68.0% of the total visits and 85.2% was fulfilled. The most common request was for a laboratory test (34.0%), followed by a referral (21.1%), badgesics (20.5%), another new medication (20.5%), radiology test (11.6%), other tests (11.1) %) and antibiotics (8.1%). </p>
<p>  Denials of referral requests (adjusted mean percentile difference -19.75), badgesics (-10.72), other new drugs (-20.36) and laboratory tests (-9.19) were denied for worse satisfaction compared to satisfaction. </p>
<p>  "In an era of compensation driven by patient satisfaction, the findings suggest the need to train physicians to effectively respond to requests, potentially improving patient and clinician experiences," concluded lead author Anthony Jerant , MD </p>
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