Document Detail

Commentary: a patient-centered theory of satisfaction.
MedLine Citation:
PMID:  14717380     Owner:  NLM     Status:  MEDLINE    
The Primary Provider Theory holds that patient satisfaction occurs at the nexus of provider power and patient expectations. More specifically, patient satisfaction is principally the function of an underlying network of interrelated satisfaction constructs--satisfaction with the primary provider, waiting for the provider, and satisfaction with the provider's assistant(s). Hierarchically linked to patient-centered expectations of provider value, the Theory specifies that primary providers offer the greatest clinical utility to patients. The Theory is operationalized by patient-centered measures exclusively, where only patients judge the quality of service and all other judgments are immaterial. Bearing in mind the Institute of Medicine's recent recommendations to clinicians regarding the implementation of a new level of patient-centered care, the Primary Provider Theory offers an alternative paradigm for the measurement and realization of patient satisfaction. It can inform patient-centered physician practice, medical education, quality improvement, outcome measurement, and satisfaction survey construction.
Stephen J Aragon
Publication Detail:
Type:  Journal Article; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  American journal of medical quality : the official journal of the American College of Medical Quality     Volume:  18     ISSN:  1062-8606     ISO Abbreviation:  Am J Med Qual     Publication Date:    2003 Nov-Dec
Date Detail:
Created Date:  2004-01-13     Completed Date:  2004-02-26     Revised Date:  2007-11-14    
Medline Journal Info:
Nlm Unique ID:  9300756     Medline TA:  Am J Med Qual     Country:  United States    
Other Details:
Languages:  eng     Pagination:  225-8     Citation Subset:  IM    
The School of Health Sciences, Winston-Salem State University, Winston-Salem, NC 27110, USA.
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MeSH Terms
Decision Making
Hospital-Patient Relations*
Models, Psychological*
Patient Satisfaction*
Patient-Centered Care / standards*
Physician-Patient Relations*
Power (Psychology)
Quality of Health Care*
Reproducibility of Results
United States
Waiting Lists
Grant Support

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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