Short waits, long consults keep most patients very happy with their physicians

"Particularly surprising is that even a lot of patients who reported average encounters with physicians, such as average national wait times and average physician encounter time, seem to be giving full marks to their physician in terms of visit satisfaction," said Rajesh Balkrishnan, lead study author and associate professor in the University of Michigan School of Public Health and College of Pharmacy.

The study analyzed data from an online survey tool, www.DrScore.com, where 14,984 patients ranked visits from 2004-2010 on a 10-point scale, with 10 being the highest. The study included only physicians with 10 or more ratings, and patients could rate a particular doctor only once every three months, to prevent skewed scores.

The average overall satisfaction rating was 9.28. Of those, 70 percent, or 10,510 of the scores were 10s. Another 2,291, or 15 percent, were 9s. Less than 2 percent of the ratings were 1 or less, Balkrishnan said.

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So why then, is the public perception that people aren't happy with doctors, who are often too rushed, not engaged, and make them wait too long?

"The few highly publicized cases of dissatisfaction are what is driving common public perception," Balkrishnan said. "Public perceptions are influenced by various factors, including personal experiences, headline news stories, which are rarely flattering, and media images."

These high marks overall suggest that most patients give doctors the benefit of the doubt, Balkrishnan said. The majority of patients realize that factors beyond the physician's control, such as insurance red tape, contribute to their dissatisfaction.

Older patients, patients with shorter waiting times, and those who reported spending more time with their physicians had the highest scores. Younger patients, patients who reported longer waits, and patients who spent less than five minutes with their physicians had the lowers scores.

Co-authors on the paper include, Ali Bonakdar Tehrani, Emory University, Rollins School of Public Health; Dr. Steven Feldman, , Department of Dermatology, Wake Forest University School of Medicine, Winston, Salem NC; and Fabian Camacho, , Pennsylvania State University College of Medicine, Hershey, Penn.

The paper, "Patient Satisfaction with Outpatient Medical Care in the United States" appears online in the journal Health Outcomes Research and Medicine.

Provided by University of Michigan