The effect of patients' met expectations on consultation outcomes. A study with family medicine residents
Open accessAbstract
Objectives To know the patients' expectations and the fulfillment of these at family medicine consultations by resident doctors and to assess their effect on some consultation outcomes.Design A prospective cohort study.Participants Patients attending family medicine consultations held by 38 resident doctors: 1,301 eligible patients, 702 filled in all questionnaires.Measurements Before each visit, the patients' expectations about that particular consultation were registered. Right after the visit was over, their perception of several aspects of the communicative interaction with the doctor was measured. Later, patients were interviewed on the phone to know how their expectations had been fulfilled, how satisfied they were about the consultation, how they had followed the doctor's suggestions, if they were going to seek further care for the same cause later, and the evolution of their clinical problem. Logistic regression was the main analysis used.Results The most common expectations were the doctor showing interest and listening (30.5%), getting some information about the diagnosis (16.3%), and sharing problems and doubts (11.1%). The rate of main expectations that were met was 76.5%. Satisfaction with the encounter was associated with the clinical evolution [odds ratio (OR) 2.23; confidence interval (CI): 1.32-3.75], and the fulfilling of the patients' main or two main expectations was significantly related to all the measured outcomes (satisfaction OR 3.51, CI: 1.73-7.8; adherence OR 1.80, CI: 1.11-2.92; clinical evolution OR 1.54, CI: 1.01-2.35; and seeking further care later OR 0.54, CI:0.36-0.81)Conclusions Patients prioritize expectations of a more general sort when they attend primary care consultations and residents fulfill these acceptably. The fulfillment of expectations seems to affect the studied outcomes more than other factors.
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- Authors
- Ruiz-Moral, R., Pérula de Torres, L. Á., & Jaramillo-Martin, I.
- Venue
- Journal of General Internal Medicine
- Published
- 2007-01
- Volume
- 22
- Issue
- 1
- Pages
- 86-91
- ISSN
- 0884-8734 (ISSN-L)
- 1525-1497
- PMC
- PMC1824777
- OpenAlex
- W2045104693
- Cited by
- 77
- References
- 46
- Citations by year
- 2026: 4 · 2025: 2 · 2024: 6 · 2023: 3 · 2022: 10 · 2021: 3 · 2020: 2 · 2019: 3 · 2017: 6 · 2016: 3 · 2015: 4 · 2014: 4 · 2013: 1 · 2012: 4
- FWCI
- 8.52
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Journal of General Internal Medicine (publishedVersion)
- Europe PMC (PubMed Central) (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Funders
- University of Rochester
- Servicio Andaluz de Salud
- Topics
- Health Sciences › Health Professions › General Health Professions › Patient-Provider Communication in Healthcare
- Health Sciences › Health Professions › General Health Professions › Patient Satisfaction in Healthcare
- Health Sciences › Health Professions › General Health Professions › Primary Care and Health Outcomes
- Keywords
- patient expectations, consultation outcomes, family medicine residents, patient satisfaction, medication adherence, physician-patient communication, primary care visits, clinical outcomes
- MeSH terms
- Adolescent, Adult, Aged, Aged, 80 and over, Child, Family Practice, Female, Follow-Up Studies, Humans, Internship and Residency, Male, Middle Aged, Outcome and Process Assessment, Health Care, Physician-Patient Relations, Prospective Studies, Surveys and Questionnaires, Spain, Patient Satisfaction
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Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
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