Performance of the provider satisfaction inventory to measure provider satisfaction with diabetes care.
OBJECTIVE
To develop and validate an inventory to measure provider satisfaction with diabetes management.


METHODS
Using the Mayo Clinic Model of Care, a review of the literature, and expert input, we developed a 4-category (chronic disease management, collaborative team practice, outcomes, and supportive environment), 29-item, 7-point-per-item Provider Satisfaction Inventory (PSI). For evaluation of the PSI, we mailed the survey to 192 primary-care and specialized providers from 8 practice sites (of whom 60 primary-care providers were participating in either usual or planned diabetes care). The Cronbach a score was used to assess the instrument's internal reliability. Participating providers indicated satisfaction or dissatisfaction with management of chronic disease by responding to 29 statements.


RESULTS
The response rate was 58%. In each category, the Cronbach a score ranged from 0.71 to 0.90. Providers expressed satisfaction with patient-physician relationships, with the contributions of the nurse educator to the team, and with physician leadership. Providers were dissatisfied with their ability to spend adequate time with the patient (3.6 +/- 1.4), their ability to give patients with diabetes necessary personal attention (4.1 +/- 1.2), the efficient passing of communication (4.3 +/- 1.2), and the opportunities for input to change practice (4.3 +/- 1.6). No statistically significant difference (P = 0.12) was found in mean total scores between planned care (5.0 +/- 0.5) and usual care (4.7 +/- 0.6) providers. Moreover, no significant differences were noted across practice sites.


CONCLUSIONS
The PSI is a reliable and preliminarily valid instrument for measuring provider satisfaction with diabetes care. Use in research and quality improvement activities awaits further validation.
Division of Endocrinology, Metabolism, and Nutrition, Department of Internal Medicine, Mayo Clinic Rochester, Rochester, Minnesota 55905, USA.
Victor M
VM
Montori
Deborah A
DA
Tweedy
Debra A
DA
Vogelsang
Patricia G
PG
Schryver
James M
JM
Naessens
Steven A
SA
Smith
D003695:Delivery of Health Care; D003920:Diabetes Mellitus / Q000628:therapy*; D006282:Health Personnel; D006801:Humans; D016239:MEDLINE; D008910:Minnesota; D009726:Nurses; D010817:Physician-Patient Relations; D010820:Physicians; D015397:Program Evaluation; D011787:Quality of Health Care; D011795:Surveys and Questionnaires