The effects of doctor-patient communication on satisfaction and outcome of care

There was a strong positive relationship between patient satisfaction and functional outcome and patient satisfaction with care was in turn best predicted from four variables: satisfaction with outcome, the continuity of care, patient expectation and doctor-patient communication.

Abstract

From data on a series of 1761 episodes of acute primary care, the chain of relationships between patient expectation, doctor-patient communication, compliance, outcomes of care and satisfaction was examined. Overall few meaningful correlations were found. There was a strong positive relationship between patient satisfaction and functional outcome. Nonetheless, 65% of those patients who failed to regain their usual functional status professed satisfaction with the outcome of their care. Using discriminate analysis, we could predict satisfaction with outcome best by the actual outcome and satisfaction with care. Patient satisfaction with care was in turn best predicted from four variables: satisfaction with outcome, the continuity of care, patient expectation and doctor-patient communication. Implications of both positive and negative findings are discussed.