title: Influences on patients' ratings of physicians: Physicians demographics and personality.
abstract: OBJECTIVE
  There is considerable interest in the influences on patients' ratings of physicians.
  
  
  METHODS
  In this cross-sectional study, patients (n = 4616; age range: 18-65 years) rated their level of satisfaction with their primary care physicians (n = 96). Patients and physicians were recruited from primary care practices in the Rochester, NY metropolitan area. For analytic purposes, length of the patient-physician relationship was stratified (< or =1, 1-4, > or =5 years). Principal components factor analysis of items from the Health Care Climate Questionnaire, the Primary Care Assessment Survey and the Patient Satisfaction Questionnaire yielded a single factor labeled "Satisfaction" that served as the sole dependent variable. Higher scores mean greater satisfaction. Predictors of interest were patient demographics and morbidity as well as physician demographics and personality, assessed with items from the NEO-FFI.
  
  
  RESULTS
  Patients treated by a physician for 1 year or less rated male physicians higher than female physicians. This gender difference disappeared after 1 year, but two physician personality traits, Openness and Conscientiousness, were associated with patients' ratings in lengthier patient-physician relationships. Patients report being more satisfied with physicians who are relatively high in Openness and average in Conscientiousness. Older patients provide higher ratings than younger patients, and those with greater medical burden rated their physicians higher.
  
  
  CONCLUSIONS
  Patients' ratings of physicians are multidetermined. Future research on patient satisfaction and the doctor-patient relationship would benefit from a consideration of physician personality. Identifying physician personality traits that facilitate or undermine communication, trust, patient-centeredness, and patient adherence to prescribed treatments is an important priority.
  
  
  CONCLUSIONS
  Learning environments could be created to reinforce certain traits and corresponding habits of mind that enhance patient satisfaction. Such a shift in the culture of medical education and practice could have implications for patient care.
authors.affiliation: Department of Psychiatry, University of Rochester Medical Center, Rochester, NY 14642, USA. Paul_Duberstein@urmc.rochester.edu
authors.forename: Paul
authors.initials: P
authors.lastname: Duberstein
authors.forename: Sean
authors.initials: S
authors.lastname: Meldrum
authors.forename: Kevin
authors.initials: K
authors.lastname: Fiscella
authors.forename: Cleveland G
authors.initials: CG
authors.lastname: Shields
authors.forename: Ronald M
authors.initials: RM
authors.lastname: Epstein
mesh_terms: D000293:Adolescent; D000328:Adult; D000367:Age Factors; D000368:Aged; D003142:Communication; D003430:Cross-Sectional Studies; D005163:Factor Analysis, Statistical; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009017:Morbidity; D015999:Multivariate Analysis; D009518:New York / Q000453:epidemiology; D017060:Patient Satisfaction; D018802:Patient-Centered Care; D010551:Personality; D010817:Physician-Patient Relations; D010821:Physicians, Family / Q000458:organization & administration / Q000523:psychology*; D010818:Practice Patterns, Physicians' / Q000458:organization & administration; D011320:Primary Health Care / Q000458:organization & administration; D011361:Professional Competence / Q000592:standards; D012044:Regression Analysis; D012737:Sex Factors; D011795:Surveys and Questionnaires; D035502:Trust