title: Patient satisfaction with access and continuity of care in a multidisciplinary academic family medicine clinic.
abstract: OBJECTIVE
  To determine patient satisfaction with care provided at a family medicine teaching clinic.
  
  
  METHODS
  Mailed survey.
  
  
  METHODS
  Victoria Family Medical Centre in London, Ont.
  
  
  METHODS
  Stratified random sample of 600 regular patients of the clinic aged 18 years or older; 301 responses were received.
  
  
  METHODS
  Patient satisfaction with overall care, wait times for appointments, contact with physicians, and associated demographic factors. Logistic regression analysis and analysis were used to determine the significance of factors associated with satisfaction.
  
  
  RESULTS
  The response rate was 50%. Overall, 88% of respondents were fairly, very, or completely satisfied with care. Older patients tended to be more satisfied. Patients who were less satisfied had longer wait times for appointments (P < .001) and reduced continuity with specific doctors (P = .004). More satisfied patients also felt connected through other members of the health care team.
  
  
  CONCLUSIONS
  Patients were generally satisfied with the care provided at the family medicine teaching clinic. Older patients tended to be more satisfied than younger patients. Points of dissatisfaction were related to wait times for appointments and continuity with patients' usual doctors. These findings support the adoption of practices that reduce wait times and facilitate continuity with patients' usual doctors and other regular members of the health care team.
authors.affiliation: Department of Family Medicine, University of Western Ontario, 1008-Western Centre for Public Health and Family Medicine, 1151 Richmond St, London, ON N6A 5C1. swetmore@uwo.ca.
authors.forename: Stephen
authors.initials: S
authors.lastname: Wetmore
authors.forename: Leslie
authors.initials: L
authors.lastname: Boisvert
authors.forename: Esther
authors.initials: E
authors.lastname: Graham
authors.forename: Susan
authors.initials: S
authors.lastname: Hall
authors.forename: Tim
authors.initials: T
authors.lastname: Hartley
authors.forename: Lynda
authors.initials: L
authors.lastname: Wright
authors.forename: Jo-Anne
authors.initials: JA
authors.lastname: Hammond
authors.forename: Holly
authors.initials: H
authors.lastname: Ings
authors.forename: Barbara
authors.initials: B
authors.lastname: Lent
authors.forename: Anna
authors.initials: A
authors.lastname: Pawelec-Brzychczy
authors.forename: Stacey
authors.initials: S
authors.lastname: Valiquet
authors.forename: Jamie
authors.initials: J
authors.lastname: Wickett
authors.forename: Joanne
authors.initials: J
authors.lastname: Willing
mesh_terms: D000046:Academic Medical Centers; D000328:Adult; D000367:Age Factors; D000368:Aged; D001071:Appointments and Schedules; D003266:Continuity of Patient Care; D005194:Family Practice; D005260:Female; D006297:Health Services Accessibility; D006801:Humans; D016015:Logistic Models; D008297:Male; D008875:Middle Aged; D009864:Ontario / Q000453:epidemiology; D010044:Outpatient Clinics, Hospital; D010348:Patient Care Team; D017060:Patient Satisfaction / Q000706:statistics & numerical data*; D011795:Surveys and Questionnaires
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