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Patient satisfaction of female and male users of veterans health administration services

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Abstract

OBJECTIVE: To compare patient satisfaction of male and female users of Veterans Health Administration (VHA) services.

DESIGN: Cross-sectional study based on secondary analysis of data from VHA’s Survey of Healthcare Experiences of Patients (SHEP).

PATIENTS: National random sample of 107,995 outpatients and 112,817 inpatients in FY2004.

MEASURES: Patient’s ratings of overall quality (OQ) and unique dimensions of satisfaction. Sociodemographic and health-related patient attributes.

ANALYSIS: Bivariate unadjusted analyses of the association between gender and other patient attributes and the outcomes of OQ and dimensions of satisfaction were conducted followed by multivariate analyses for each outcome, adjusting for demographic and health variables.

RESULTS: Significant differences between female and male reporting of satisfaction were found in the unadjusted analyses with males showing greater levels of satisfaction than females (P<.05). These differences disappeared or became smaller for both outpatient and inpatient services, after adjusting for covariates. For 6 of the inpatient dimensions (Transitions, Physical Comfort, Involvement Family and Friends, Courtesy, Coordination, and Access) males had higher satisfaction than females after statistical adjustment.

CONCLUSIONS: After adjustment for patient attributes, female VHA outpatients report similar OQ with VHA services as male patients. The fact that some inpatient dimensions of satisfaction continued to show effects favoring males even after adjustment suggests areas for continued focus in improving health care quality. Covariate adjustment is essential for evaluating satisfaction with health care services. Breaking down overall satisfaction into independent aspects of services is useful. The SHEP survey has provided a useful tool for evaluating and improving satisfaction among its VHA veteran users.

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References

  1. Crow R, Gage H, Hampson S, et al. The measurement of satisfaction with healthcare: implications for practice from a systematic review of the literature. Health Technol Assessment. 2002;32:45–51.

    Google Scholar 

  2. Weech-Maldonado R, Morales LS, Elliott M, Spritzer K, Marshall G, Hays RD. Race/ethnicity, language, and patients’ assessments of care in Medicaid managed care. Health Serv Res. 2003;38:789–808.

    Article  PubMed Central  PubMed  Google Scholar 

  3. Campbell JL, Ramsay J, Green J. Age, gender, socioeconomic, and ethnic differences in patients’ assessments of primary care. Qual Health Care. 2001;10:90–5.

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  4. Zaslavsky AM, Zaborski AB, Shaul DL, Cioffi MJ, Cleary PD. Adjusting performance measures to ensure equitable plan comparisons. Health Care Financing Rev. 2001;22:109–26.

    Google Scholar 

  5. Sargeant A, Kaehler J. Factors of patient satisfaction with medical services: the case of G.P. practices in the U.K. Health Mark Q. 1998;16:55–77.

    Article  CAS  PubMed  Google Scholar 

  6. Weisman CS, Henderson JT, Schifrin E, Romans M, Clancy CM. Gender and patient satisfaction in managed care plans: analysis of the 1999 HEDIS/CAHPS 2.0 H Adult Survey. Womens Health Issues. 2001;11:401–15.

    Article  CAS  PubMed  Google Scholar 

  7. Rahmqvist M. Patient satisfaction in relation to age, health status and other background factors: a model for comparisons of care visits. Int J Qual Health Care. 2001;13:385–90.

    Article  CAS  PubMed  Google Scholar 

  8. Blenkiron P, Hammill CA. What determines patients’ satisfaction with their mental health care and quality of life? Postgrad Med J. 2003;79:337–40.

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  9. Willits FK, Crider DM. Health rating and life satisfaction in the later middle years. J Gerontol. 1988;43:S172–6.

    CAS  PubMed  Google Scholar 

  10. Weisman CS, Rich DE, Rogers J, Crawford KG, Grayson CE, Henderson JT. Gender and patient satisfaction with primary care: tuning in to women in quality measurement. Womens Health Gend Based Med. 2000;9:657–65.

    Article  CAS  Google Scholar 

  11. Foss C. Gender bias in nursing care? Gender related differences in patient satisfaction with the quality of nursing care. Scand J Caring Sci. 2002;16:19–26.

    Article  PubMed  Google Scholar 

  12. Hoff RA, Rosenheck RA, Meterko M, Wilson NJ. Mental illness as a predictor of satisfaction with inpatient care at Veterans Affairs hospitals. Psych Serv. 1999;50:680–5.

    CAS  Google Scholar 

  13. Kressin NR, Skinner K, Sullivan L, et al. Patient satisfaction with the Department of Veterans Affairs Health Care: do women differ from men? Mil Med. 1999;164:283–8.

    CAS  PubMed  Google Scholar 

  14. Turpin RS, Darcy LA, Weaver FM, Kruse K. Assessing health care delivery to male versus female veterans. Women Health. 1992;18:81–95.

    Article  CAS  PubMed  Google Scholar 

  15. Rothman GH. Needs of female patients in a veterans psychiatric hospital. Soc Work. 1984;29:380–5.

    CAS  PubMed  Google Scholar 

  16. Bean-Mayberry BA, Chang C-CH, McNeil MA, Whittle J, Hayes PM, Scholle SH. Patient satisfaction in women’s clinics versus traditional primary care clinics in the Veterans Health Administration. J Gen Intern Med. 2003;18:175–81.

    Article  PubMed Central  PubMed  Google Scholar 

  17. Cleary PD, Edgman-Levitan S, Roberts M, et al. Patients evaluate their hospital care: a national survey. Health Affairs. 1991;10:254–67.

    Article  CAS  PubMed  Google Scholar 

  18. Young GJ, Charns MP, Barbour GL. Quality improvement in the US Veterans Health Administration. International Journal for Quality in Health Care. 1997;9:183–8.

    CAS  PubMed  Google Scholar 

  19. Perlin JP, Kolodner RM, Roswell RH. The Veterans Health Administration: quality, value, accountability, and information as transforming strategies for patient-centered care. Am J Manage Care. 2004;10:828–36.

    Google Scholar 

  20. Jha AK, Perlin JB, Steinman MA, Peabody JW, Ayanian JZ. Quality of ambulatory care for women and men in the Veterans Affairs health care system. J Gen Intern Med. 2005;20:762–5.

    Article  PubMed Central  PubMed  Google Scholar 

  21. Yano EM, Washington DL, Goldzweig C, Caffrey C, Turner C. The organization and delivery of women’s health care in Department of Veterans Affairs medical center. Women’s Health Issues. 2003;13:55–61.

    Article  PubMed  Google Scholar 

  22. Cleary PD, McNiel BJ. Patient satisfaction as an indicator of quality care. Inquiry. 1988;25:25–36.

    CAS  PubMed  Google Scholar 

  23. Hall JA, Dornam MC. Patient sociodemographic characteristics as predictors of satisfaction and medical care: a meta-analyses. Soc Sci Med. 1990;30:811–8.

    Article  CAS  PubMed  Google Scholar 

  24. Ren XS, Kazis L, Lee A, Rogers W, Pendergrass S. Health status and satisfaction with health care: a longitudinal study among patients served by the Veterans Health Administration. Am J Med Qual. 2001;16:166–73.

    Article  CAS  PubMed  Google Scholar 

  25. Kerr EA, Smith DM, Kaplan SH, Hayward RA. The association between three different measures of health status and satisfaction among patients with diabetes. Med Care Res Rev. 2003;60:158–77.

    Article  PubMed  Google Scholar 

  26. Covinsky KE, Rosenthal GE, Chren MM, et al. The relationship between health status changes and patient satisfaction in older hospitalized medical patient. J Gen Intern Med. 1998;13:223–9.

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  27. Young GJ, Meterko M, Desai KR. Patient satisfaction with hospital care: effects of demographic and institutional characteristics. Med Care. 2000;38:325–34.

    Article  CAS  PubMed  Google Scholar 

  28. Meterko M, Mohr DC, Young GJ. Teamwork culture and patient satisfaction in hospitals. Med Care. 2004;42:492–8.

    Article  PubMed  Google Scholar 

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Correspondence to Steven M. Wright PhD.

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The authors have no conflict of interest to declare.

The views expressed in this article are those of the authors and do not necessarily represent the views of the Department of Veterans Affairs.

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Wright, S.M., Craig, T., Campbell, S. et al. Patient satisfaction of female and male users of veterans health administration services. J GEN INTERN MED 21 (Suppl 3), S26–S32 (2006). https://doi.org/10.1111/j.1525-1497.2006.00371.x

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  • DOI: https://doi.org/10.1111/j.1525-1497.2006.00371.x

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