Patient Satisfaction, Doctor Effort and Interview Location: Evidence from Paraguay
To examine the relationship between patient satisfaction and doctor performance, the authors observed 2,271 interactions between 292 doctors and their patients in 98 clinics and hospitals in Paraguay and conducted an exit-survey with the same patients as they left the clinic. For a subsample of 64 f...
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| Format: | Policy Research Working Paper |
| Language: | English en_US |
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World Bank, Washington, DC
2012
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| Online Access: | http://documents.worldbank.org/curated/en/2006/12/7249164/patient-satisfaction-doctor-effort-interview-location-evidence-paraguay http://hdl.handle.net/10986/8841 |
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okr-10986-88412021-04-23T14:02:41Z Patient Satisfaction, Doctor Effort and Interview Location: Evidence from Paraguay Das, Jishnu Sohnesen, Thomas Pave AGED ATTENTION CLINICAL PRACTICE CLINICS COMPETENCE DOCTORS EMPLOYMENT GENDER GENERAL PRACTICE HEALTH CARE HEALTH CENTERS HEALTH FACILITIES HEALTH OUTCOMES HEALTH POSTS HEALTH SERVICE HEALTH SERVICES HEALTH STATUS HEALTHCARE HOSPITALS INCENTIVE PAYMENTS INDIVIDUAL CHARACTERISTICS MEDICAL CARE MEDICINE MEDICINES NURSING NURSING CARE PATIENT PATIENT SATISFACTION PATIENTS PHYSICIANS PROBABILITY QUALITY OF CARE SOUTH AMERICA To examine the relationship between patient satisfaction and doctor performance, the authors observed 2,271 interactions between 292 doctors and their patients in 98 clinics and hospitals in Paraguay and conducted an exit-survey with the same patients as they left the clinic. For a subsample of 64 facilities they also interviewed patients who visited the facility within the last week. There are three patterns in the data: (1) Patient satisfaction is positively correlated with doctor effort, measured as a combination of time spent, questions asked, and examinations performed after controlling for observed doctor and patient characteristics; (2) However, accounting for unobserved doctor characteristics dramatically reduces the level of significance and size of correlation between effort and satisfaction, showing that much of the positive relationship is driven by these unobserved doctor-specific factors; and (3) Reported satisfaction is significantly lower for patients interviewed at home compared with those interviewed at the clinic. This leads the authors to conclude that even if patient satisfaction reflects some aspects of the doctor's performance, unobserved heterogeneity combined with survey biases limit the widespread applicability of patient satisfaction as an indicator of doctor performance. 2012-06-22T19:47:10Z 2012-06-22T19:47:10Z 2006-12 http://documents.worldbank.org/curated/en/2006/12/7249164/patient-satisfaction-doctor-effort-interview-location-evidence-paraguay http://hdl.handle.net/10986/8841 English en_US Policy Research Working Paper;No. 4086 CC BY 3.0 IGO http://creativecommons.org/licenses/by/3.0/igo/ World Bank World Bank, Washington, DC Publications & Research :: Policy Research Working Paper Publications & Research Latin America & Caribbean Paraguay |
| repository_type |
Digital Repository |
| institution_category |
Foreign Institution |
| institution |
Digital Repositories |
| building |
World Bank Open Knowledge Repository |
| collection |
World Bank |
| language |
English en_US |
| topic |
AGED ATTENTION CLINICAL PRACTICE CLINICS COMPETENCE DOCTORS EMPLOYMENT GENDER GENERAL PRACTICE HEALTH CARE HEALTH CENTERS HEALTH FACILITIES HEALTH OUTCOMES HEALTH POSTS HEALTH SERVICE HEALTH SERVICES HEALTH STATUS HEALTHCARE HOSPITALS INCENTIVE PAYMENTS INDIVIDUAL CHARACTERISTICS MEDICAL CARE MEDICINE MEDICINES NURSING NURSING CARE PATIENT PATIENT SATISFACTION PATIENTS PHYSICIANS PROBABILITY QUALITY OF CARE SOUTH AMERICA |
| spellingShingle |
AGED ATTENTION CLINICAL PRACTICE CLINICS COMPETENCE DOCTORS EMPLOYMENT GENDER GENERAL PRACTICE HEALTH CARE HEALTH CENTERS HEALTH FACILITIES HEALTH OUTCOMES HEALTH POSTS HEALTH SERVICE HEALTH SERVICES HEALTH STATUS HEALTHCARE HOSPITALS INCENTIVE PAYMENTS INDIVIDUAL CHARACTERISTICS MEDICAL CARE MEDICINE MEDICINES NURSING NURSING CARE PATIENT PATIENT SATISFACTION PATIENTS PHYSICIANS PROBABILITY QUALITY OF CARE SOUTH AMERICA Das, Jishnu Sohnesen, Thomas Pave Patient Satisfaction, Doctor Effort and Interview Location: Evidence from Paraguay |
| geographic_facet |
Latin America & Caribbean Paraguay |
| relation |
Policy Research Working Paper;No. 4086 |
| description |
To examine the relationship between patient satisfaction and doctor performance, the authors observed 2,271 interactions between 292 doctors and their patients in 98 clinics and hospitals in Paraguay and conducted an exit-survey with the same patients as they left the clinic. For a subsample of 64 facilities they also interviewed patients who visited the facility within the last week. There are three patterns in the data: (1) Patient satisfaction is positively correlated with doctor effort, measured as a combination of time spent, questions asked, and examinations performed after controlling for observed doctor and patient characteristics; (2) However, accounting for unobserved doctor characteristics dramatically reduces the level of significance and size of correlation between effort and satisfaction, showing that much of the positive relationship is driven by these unobserved doctor-specific factors; and (3) Reported satisfaction is significantly lower for patients interviewed at home compared with those interviewed at the clinic. This leads the authors to conclude that even if patient satisfaction reflects some aspects of the doctor's performance, unobserved heterogeneity combined with survey biases limit the widespread applicability of patient satisfaction as an indicator of doctor performance. |
| format |
Publications & Research :: Policy Research Working Paper |
| author |
Das, Jishnu Sohnesen, Thomas Pave |
| author_facet |
Das, Jishnu Sohnesen, Thomas Pave |
| author_sort |
Das, Jishnu |
| title |
Patient Satisfaction, Doctor Effort and Interview Location: Evidence from Paraguay |
| title_short |
Patient Satisfaction, Doctor Effort and Interview Location: Evidence from Paraguay |
| title_full |
Patient Satisfaction, Doctor Effort and Interview Location: Evidence from Paraguay |
| title_fullStr |
Patient Satisfaction, Doctor Effort and Interview Location: Evidence from Paraguay |
| title_full_unstemmed |
Patient Satisfaction, Doctor Effort and Interview Location: Evidence from Paraguay |
| title_sort |
patient satisfaction, doctor effort and interview location: evidence from paraguay |
| publisher |
World Bank, Washington, DC |
| publishDate |
2012 |
| url |
http://documents.worldbank.org/curated/en/2006/12/7249164/patient-satisfaction-doctor-effort-interview-location-evidence-paraguay http://hdl.handle.net/10986/8841 |
| _version_ |
1764406633781264384 |