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Public Health Rep. 1993 Nov-Dec; 108(6): 751–759.
PMCID: PMC1403458

Patients' desires and satisfaction in general medicine clinics.


Most patients have explicit desires or requests when they visit their physicians. Identification of patients' requests and needs is the starting point of a patient-centered approach to care. The frequency with which physicians met their patients' desires for services and that frequency's association with patient satisfaction were examined for 243 patients with chronic disease in general medicine clinics of a Department of Veterans Affairs hospital. Patients desired a mean of 11.9 services, of which an average of 67 percent were met. However, many patients' desires for information and most of their desires for help with emotional and family problems were not met. Patients with the most unmet desires for services, especially services related to information, were significantly less satisfied with their physicians than were those with fewer unmet desires. Factor analysis was used to develop a short, 16-item Requests for Services Questionnaire that appeared to cover the range of services that patients with chronic conditions desire. Enhancing physicians' ability to recognize and respond to patients' desires for services by using short patient request questionnaires may have the potential to improve patient satisfaction and other health care outcomes.

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Selected References

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  • Brody DS, Miller SM, Lerman CE, Smith DG, Lazaro CG, Blum MJ. The relationship between patients' satisfaction with their physicians and perceptions about interventions they desired and received. Med Care. 1989 Nov;27(11):1027–1035. [PubMed]
  • Eisenthal S, Emery R, Lazare A, Udin H. "Adherence" and the negotiated approach to patienthood. Arch Gen Psychiatry. 1979 Apr;36(4):393–398. [PubMed]
  • Eisenthal S, Koopman C, Lazare A. Process analysis of two dimensions of the negotiated approach in relation to satisfaction in the initial interview. J Nerv Ment Dis. 1983 Jan;171(1):49–54. [PubMed]
  • Korsch BM, Gozzi EK, Francis V. Gaps in doctor-patient communication. 1. Doctor-patient interaction and patient satisfaction. Pediatrics. 1968 Nov;42(5):855–871. [PubMed]
  • Lazare A, Eisenthal S, Wasserman L. The customer approach to patienthood. Attending to patient requests in a walk-in clinic. Arch Gen Psychiatry. 1975 May;32(5):553–558. [PubMed]
  • Like R, Zyzanski SJ. Patient satisfaction with the clinical encounter: social psychological determinants. Soc Sci Med. 1987;24(4):351–357. [PubMed]
  • Uhlmann RF, Inui TS, Pecoraro RE, Carter WB. Relationship of patient request fulfillment to compliance, glycemic control, and other health care outcomes in insulin-dependent diabetes. J Gen Intern Med. 1988 Sep-Oct;3(5):458–463. [PubMed]
  • Eisenthal S, Lazare A. Evaluation of the initial interview in a walk-in clinic. The patient's perspective on a "customer approach". J Nerv Ment Dis. 1976 Mar;162(3):169–176. [PubMed]
  • Lazare A, Eisenthal S. Patient requests in a walk-in clinic. Replication of factor analysis in an independent sample. J Nerv Ment Dis. 1977 Nov;165(5):330–340. [PubMed]
  • Good MD, Good BJ, Nassi AJ. Patient requests in primary health care settings: development and validation of a research instrument. J Behav Med. 1983 Jun;6(2):151–168. [PubMed]
  • Like R, Zyzanski SJ. Patient requests in family practice: a focal point for clinical negotiations. Fam Pract. 1986 Dec;3(4):216–228. [PubMed]
  • Uhlmann RF, Inui TS, Carter WB. Patient requests and expectations. Definitions and clinical applications. Med Care. 1984 Jul;22(7):681–685. [PubMed]
  • Frowick B, Shank JC, Doherty WJ, Powell TA. What do patients really want? Redefining a behavioral science curriculum for family physicians. J Fam Pract. 1986 Aug;23(2):141–146. [PubMed]
  • Wasserman RC, Inui TS, Barriatua RD, Carter WB, Lippincott P. Responsiveness to maternal concern in preventive child health visits: an analysis of clinician-parent interactions. J Dev Behav Pediatr. 1983 Sep;4(3):171–176. [PubMed]
  • Roter D, Lipkin M, Jr, Korsgaard A. Sex differences in patients' and physicians' communication during primary care medical visits. Med Care. 1991 Nov;29(11):1083–1093. [PubMed]
  • Duffy DL, Hamerman D, Cohen MA. Communication skills of house officers. A study in a medical clinic. Ann Intern Med. 1980 Aug;93(2):354–357. [PubMed]
  • Strull WM, Lo B, Charles G. Do patients want to participate in medical decision making? JAMA. 1984 Dec 7;252(21):2990–2994. [PubMed]
  • Kessler LG, Steinwachs DM, Hankin JR. Episodes of psychiatric care and medical utilization. Med Care. 1982 Dec;20(12):1209–1221. [PubMed]
  • McFarland BH, Freeborn DK, Mullooly JP, Pope CR. Utilization patterns among long-term enrollees in a prepaid group practice health maintenance organization. Med Care. 1985 Nov;23(11):1221–1233. [PubMed]
  • Hall JA, Roter DL, Katz NR. Meta-analysis of correlates of provider behavior in medical encounters. Med Care. 1988 Jul;26(7):657–675. [PubMed]

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