title: Patient satisfaction in military medicine: model refinement and assessment of Department of Defense effects.
abstract: A sample of 154,893 patient responses from the Customer Satisfaction Survey database was drawn for 1999 to 2000. Average patient satisfaction levels consistently appeared to be high (between 6, very satisfied, and 7, completely satisfied, on the 7-point rating scale). Hierarchical regression results essentially replicated all three major constructs of an earlier theoretical attitude model. Refinements included adjustment and addition of categorical age and military beneficiary status for individual patient variables, addition of two beliefs about the care itself, substitution of waiting time variables, and addition of reason for visit situation variables. Hypothesis test results indicated that patient satisfaction constructs were homogeneous across the uniformed services for patients from all service branches, both enrolled and not enrolled within TRICARE regions, and among branch of service medical center, hospital, and clinic facilities. The final attitude model coefficient of multiple determinations obtained was R2 = 0.701 [F(25,154,867) = 14,539.33, p < 0.0001].
authors.affiliation: U.S. Army-Baylor University Graduate Program in Health Care Administration, U.S. Army Medical Department Center and School, 3151 Scott Road, Fort Sam Houston, TX 78234-6135, USA.
authors.forename: A David
authors.initials: AD
authors.lastname: Mangelsdorff
authors.forename: Kenn
authors.initials: K
authors.lastname: Finstuen
authors.forename: Stephen D
authors.initials: SD
authors.lastname: Larsen
authors.forename: Edward J
authors.initials: EJ
authors.lastname: Weinberg
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D002648:Child; D002675:Child, Preschool; D003695:Delivery of Health Care / Q000458:organization & administration; D005260:Female; D006801:Humans; D016014:Linear Models; D008297:Male; D008875:Middle Aged; D008887:Military Medicine / Q000458:organization & administration / Q000706:statistics & numerical data; D017146:Models, Organizational; D017060:Patient Satisfaction; D011787:Quality of Health Care; D014850:Waiting Lists