The impact of general practitioner morale on patient satisfaction with care: a cross-sectional study

The impact of general practitioner morale on patient satisfaction with care: a cross-sectional study,10.1186/1471-2296-8-57,BMC Family Practice,Brian

The impact of general practitioner morale on patient satisfaction with care: a cross-sectional study   (Citations: 1)
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BACKGROUND: The association between stress and morale among general practitioners (GP) is well documented. However, the impact of GP stress or low morale on patient care is less clear. GPs in the UK now routinely survey patients about the quality of their care including organizational issues and consultation skills and the General Practice Assessment Questionnaire (GPAQ) is widely used for this purpose. We aimed to see if there was a relationship between doctor morale as measured by a validated instrument, the Morale Assessment in General Practice Index (MAGPI) and scores in the GPAQ. METHODS: All GPs in Lothian, Scotland who were collecting GPAQ data were approached and asked to complete the MAGPI. Using an anonymised linkage system, individual scores on the MAGPI were linked to the doctors' GPAQ scores. Levels of association between the scores were determined by calculating rank correlations at the level of the individual doctor. Hypothesised associations between individual MAGPI and GPAQ items were also assessed. RESULTS: 276 of 475 GPs who were approached agreed to complete a MAGPI questionnaire and successfully collected anonymous GPAQ data from an average of 49.6 patients. There was no significant correlation between the total MAGPI score and the GPAQ communication or enablement scale. There were weak correlations between "control of work" in the MAGPI scale and GPAQ items on waiting times to see doctors (r = 0.24 p < 0.01). Doctors who perceived that their patients viewed them negatively also scored lower on individual communication, accessibility and continuity of care GPAQ items. CONCLUSION: This study showed no relationship between overall GP morale and patient perception of performance. There was a weak relationship between patients' perceptions ofquality and doctors' beliefs about their workload and whether patients value them. Further research is required to elucidate the complex relationship between workload, morale and patients' perception of care.
Journal: BMC Family Practice - BMC FAM PRACT , vol. 8, no. 1, pp. 57-5, 2007
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    • ...Firstly, this difference could be due to selection of patients. The paper does not describe how patients were allocated to different groups of healthcare providers (HCPs), and the figures would strongly suggest the allocation was not random. If ENPs were allowed to choose which patients they saw, then it is hardly surprising that their own satisfaction ratings were highest. Patients may also be likely to be more satisfied with a consultation with which the HCP is more confident and comfortable. It is also possible that HCPs could deliberately select patients they considered would be uncritical....

    Giles N Cattermoleet al. Patient satisfaction and healthcare providers

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