Does the health status of chronically ill patients predict their judgements of the quality of general practice care?
Patients' health status as well as patients' judgements of care are used for assessing patients' perspectives, but the relation between those two concepts is unclear. In this study we explored whether health status predicts patients' judgements of the quality of general practice care. Hand-distributed and mailed surveys were performed by 28 general practitioners in The Netherlands. Chronically ill patients were approached when visiting the general practice or drawn from the practice registers. Health status was measured by WONCA/COOP charts, and patients' judgements by the CEP, a previously validated questionnaire. The response rate was 63% (n = 762). When controlled for other patient characteristics, a poor overall health predicted less positive judgements of medical care, information, counselling, relation and communication, continuity of care and the organization of appointments (p < 0.01). Poor mental well-being predicted less positive judgements of the cooperation between care providers and a stronger need for more care (p < 0.001). The four other aspects of health status did not predict the patients' judgements. Judgements about the premises and the availability for emergencies were not predicted by health status. It can be concluded that a multidimensional approach should be used for interpreting the relations between patients' health status and their judgements of general practice care.
Wensing
M
M
Centre for Quality of Care Research, University of Nijmegen, The Netherlands.
Grol
R
R
Asberg
J
J
van Montfort
P
P
van Weel
C
C
Felling
A
A
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001290:Attitude; D002908:Chronic Disease / Q000523:psychology*; D005194:Family Practice / Q000592:standards*; D005260:Female; D006304:Health Status; D006801:Humans; D007600:Judgment; D008297:Male; D008875:Middle Aged; D009426:Netherlands; D017060:Patient Satisfaction; D011787:Quality of Health Care; D012044:Regression Analysis; D011795:Surveys and Questionnaires