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Article
Publication date: 27 March 2009

Thomas G. McLeod, Brian A. Costello, Robert C. Colligan, Ross A. Dierkhising, Timothy J. Beebe, Kenneth P. Offord and G. Richard Locke

Patient satisfaction surveys are increasingly used to assess the quality of health care delivery. Unfortunately, survey non‐response may compromise generalizability (and…

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Abstract

Purpose

Patient satisfaction surveys are increasingly used to assess the quality of health care delivery. Unfortunately, survey non‐response may compromise generalizability (and inferential value). Although prior studies demonstrate an association between patient socio‐demographic variables and response rate, relatively little information is available linking personality factors to non‐response. This paper's purpose is to define outpatient satisfaction survey non‐responder personality characteristics.

Design/methodology/approach

Minnesota Multiphasic Personality Inventory profiles of patients who completed an outpatient satisfaction survey were compared with non‐responder profiles. Multivariate analysis was used to adjust for demographic and personality covariates. The study sample included 1,862 medical outpatients who were sent a satisfaction survey and Minnesota Multiphasic Personality Inventory results on record at this institution. Of these, 1,255 were survey responders and 607 were non‐responders.

Findings

Scores on three Minnesota Multiphasic Personality Inventory scales were significantly correlated with non‐response: higher scores on scales 4 – Psychopathic deviate (Pd) and 8 – Schizophrenia (Sc) predicted an increased likelihood of non‐response (odds ratio [OR], 1.02; p≤0.05 for both), and higher scores on 7 – Psychasthenia (Pt) were associated with a decreased likelihood of non‐response (OR, 0.98; p≤0.01).

Originality/value

Prior investigations demonstrate an association between patient socio‐demographic factors and survey non‐response. This paper uniquely highlights patient personality characteristics' contribution to non‐response. This information is an important consideration for patient satisfaction survey design, administration and interpretation.

Details

International Journal of Health Care Quality Assurance, vol. 22 no. 2
Type: Research Article
ISSN: 0952-6862

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Article
Publication date: 8 February 2008

Brian A. Costello, Thomas G. McLeod, G. Richard Locke, Ross A. Dierkhising, Kenneth P. Offord and Robert C. Colligan

The purpose of this research is to determine whether a pessimistic or hostile personality style adversely affects satisfaction with out‐patient medical visits. Many patient and…

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Abstract

Purpose

The purpose of this research is to determine whether a pessimistic or hostile personality style adversely affects satisfaction with out‐patient medical visits. Many patient and health care provider demographic characteristics have been related to patient satisfaction with a health care encounter, but little has been written about the association between patients' personality characteristics and their satisfaction ratings.

Design/methodology/approach

An eight‐item patient satisfaction survey was completed by 11,636 randomly selected medical out‐patients two to three months after their episode of care. Of these, 1,259 had previously completed a Minnesota Multiphasic Personality Inventory (MMPI). The association of pessimism and hostility scores with patient satisfaction ratings was assessed.

Findings

Among patients who scored high on the pessimism scale, 59 percent rated overall care by their physicians as excellent, while 72 percent with scores in the optimistic range rated it as excellent (p=0.003). Among the hostile patients, 57 percent rated their overall care by physicians as excellent, while 66 percent of the least hostile patients rated it as excellent (p=0.002).

Originality/value

Pessimistic or hostile patients were significantly less likely to rate their overall care as excellent than optimistic or non‐hostile patients.

Details

International Journal of Health Care Quality Assurance, vol. 21 no. 1
Type: Research Article
ISSN: 0952-6862

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