Influence of Body Weight on Patients' Satisfaction with Ambulatory Care
Patients with obesity experience psychosocial consequences because of their weight and report physician bias. We examined whether obesity is associated with lower patient satisfaction with ambulatory care among 2,858 patients seen at 11 academically affiliated primary care practices in Boston. Compa...
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| Veröffentlicht in: | Journal of general internal medicine : JGIM 2002-02, Vol.17 (2), p.155-159 |
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| container_title | Journal of general internal medicine : JGIM |
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| creator | Wee, Christina C. Phillips, Russell S. Francis Cook, E. Haas, Jennifer S. Louise Puopolo, Ann Brennan, Troyen A. Burstin, Helen R. |
| description | Patients with obesity experience psychosocial consequences because of their weight and report physician bias. We examined whether obesity is associated with lower patient satisfaction with ambulatory care among 2,858 patients seen at 11 academically affiliated primary care practices in Boston. Compared with normal weight patients (body mass index [BMI], 19.0 to 24.9 kg/M 2), overweight (BMI, 25.0 to 29.9 kg/M
2) and obese patients (BMI ≥30 kg/M
2) reported lower overall satisfaction scores at their most recent visit; the scores were 85.5, 85.0, and 82.6 out a possible 100, respectively (
P = .05). After adjustment for potential confounders including illness burden, obese patients reported lower scores but the difference was not statistically significant (mean difference, 1.23 [95% confidence interval −0.67 to 3.12]). Patient satisfaction with their usual provider and their practice did not vary by BMI group. Obesity is associated with only modest decreases in satisfaction scores with the most recent visit, which were explained largely by higher illness burden among obese patients. |
| doi_str_mv | 10.1046/j.1525-1497.2002.00825.x |
| format | Article |
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2) and obese patients (BMI ≥30 kg/M
2) reported lower overall satisfaction scores at their most recent visit; the scores were 85.5, 85.0, and 82.6 out a possible 100, respectively (
P = .05). After adjustment for potential confounders including illness burden, obese patients reported lower scores but the difference was not statistically significant (mean difference, 1.23 [95% confidence interval −0.67 to 3.12]). Patient satisfaction with their usual provider and their practice did not vary by BMI group. Obesity is associated with only modest decreases in satisfaction scores with the most recent visit, which were explained largely by higher illness burden among obese patients.</description><identifier>ISSN: 0884-8734</identifier><identifier>EISSN: 1525-1497</identifier><identifier>DOI: 10.1046/j.1525-1497.2002.00825.x</identifier><identifier>PMID: 11841531</identifier><language>eng</language><publisher>Boston, MA, USA: Blackwell Science, Inc</publisher><subject>Adult ; Aged ; Ambulatory care ; Ambulatory Care - standards ; Ambulatory Care - trends ; Bias ; Biological and medical sciences ; Body Mass Index ; Boston - epidemiology ; Brief Report ; Comorbidity ; Confidence Intervals ; Female ; Health care ; Health Care Surveys ; Humans ; Internal medicine ; Male ; Medical practices ; Medical records ; Medical sciences ; Medicine ; Metabolic diseases ; Middle Aged ; Obesity ; Obesity - epidemiology ; Overweight ; Patient satisfaction ; Patient Satisfaction - statistics & numerical data ; Primary care ; Primary Health Care - standards ; Primary Health Care - trends ; Reference Values</subject><ispartof>Journal of general internal medicine : JGIM, 2002-02, Vol.17 (2), p.155-159</ispartof><rights>2002 INIST-CNRS</rights><rights>Society of General Internal Medicine 2002</rights><rights>2002 by the Society of General Internal Medicine 2002</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c5265-3a9ab7e4baf9cdcb0fe6d552dd59c696ffdc6f9e7420f5d8d16ce61bba0050243</citedby><cites>FETCH-LOGICAL-c5265-3a9ab7e4baf9cdcb0fe6d552dd59c696ffdc6f9e7420f5d8d16ce61bba0050243</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC1495006/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC1495006/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,314,727,780,784,885,1417,27924,27925,45574,45575,53791,53793</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=13521540$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/11841531$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Wee, Christina C.</creatorcontrib><creatorcontrib>Phillips, Russell S.</creatorcontrib><creatorcontrib>Francis Cook, E.</creatorcontrib><creatorcontrib>Haas, Jennifer S.</creatorcontrib><creatorcontrib>Louise Puopolo, Ann</creatorcontrib><creatorcontrib>Brennan, Troyen A.</creatorcontrib><creatorcontrib>Burstin, Helen R.</creatorcontrib><title>Influence of Body Weight on Patients' Satisfaction with Ambulatory Care</title><title>Journal of general internal medicine : JGIM</title><addtitle>J Gen Intern Med</addtitle><description>Patients with obesity experience psychosocial consequences because of their weight and report physician bias. We examined whether obesity is associated with lower patient satisfaction with ambulatory care among 2,858 patients seen at 11 academically affiliated primary care practices in Boston. Compared with normal weight patients (body mass index [BMI], 19.0 to 24.9 kg/M 2), overweight (BMI, 25.0 to 29.9 kg/M
2) and obese patients (BMI ≥30 kg/M
2) reported lower overall satisfaction scores at their most recent visit; the scores were 85.5, 85.0, and 82.6 out a possible 100, respectively (
P = .05). After adjustment for potential confounders including illness burden, obese patients reported lower scores but the difference was not statistically significant (mean difference, 1.23 [95% confidence interval −0.67 to 3.12]). Patient satisfaction with their usual provider and their practice did not vary by BMI group. Obesity is associated with only modest decreases in satisfaction scores with the most recent visit, which were explained largely by higher illness burden among obese patients.</description><subject>Adult</subject><subject>Aged</subject><subject>Ambulatory care</subject><subject>Ambulatory Care - standards</subject><subject>Ambulatory Care - trends</subject><subject>Bias</subject><subject>Biological and medical sciences</subject><subject>Body Mass Index</subject><subject>Boston - epidemiology</subject><subject>Brief Report</subject><subject>Comorbidity</subject><subject>Confidence Intervals</subject><subject>Female</subject><subject>Health care</subject><subject>Health Care Surveys</subject><subject>Humans</subject><subject>Internal medicine</subject><subject>Male</subject><subject>Medical practices</subject><subject>Medical records</subject><subject>Medical sciences</subject><subject>Medicine</subject><subject>Metabolic diseases</subject><subject>Middle Aged</subject><subject>Obesity</subject><subject>Obesity - epidemiology</subject><subject>Overweight</subject><subject>Patient satisfaction</subject><subject>Patient Satisfaction - statistics & numerical data</subject><subject>Primary care</subject><subject>Primary Health Care - standards</subject><subject>Primary Health Care - trends</subject><subject>Reference Values</subject><issn>0884-8734</issn><issn>1525-1497</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2002</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNqNkV9rFDEUxYModlv9CjII6tOMN5kkkwER6lLXlYKCio8hkz_dLLOTmszY7rc34y6t-uRTLrm_e3JuDkIFhgoD5a-3FWaElZi2TUUASAUgCKtuH6DFXeMhWoAQtBRNTU_QaUpbAFwTIh6jE4wFxazGC7RaD66f7KBtEVzxLph98d36q81YhKH4rEZvhzG9Kr7kKjmlR5-vb_y4Kc533dSrMcR9sVTRPkGPnOqTfXo8z9C39xdflx_Ky0-r9fL8stSMcFbWqlVdY2mnXKuN7sBZbhgjxrBW85Y7ZzR3rW0oAceMMJhry3HXKQAGhNZn6O1B93rqdtbobC-qXl5Hv1NxL4Py8u_O4DfyKvyU-UsYAM8CL48CMfyYbBrlzidt-14NNkxJNpgyUpMZfP4PuA1THPJyUjRMCNZykSFxgHQMKUXr7pxgkHNUcivnRObnGzlHJX9HJW_z6LM_N7kfPGaTgRdHQCWtehfVoH2652pGMKOQuTcH7sb3dv_fBuTH1ToX9S-uxa_n</recordid><startdate>200202</startdate><enddate>200202</enddate><creator>Wee, Christina C.</creator><creator>Phillips, Russell S.</creator><creator>Francis Cook, E.</creator><creator>Haas, Jennifer S.</creator><creator>Louise Puopolo, Ann</creator><creator>Brennan, Troyen A.</creator><creator>Burstin, Helen R.</creator><general>Blackwell Science, Inc</general><general>Springer</general><general>Springer Nature B.V</general><general>Blackwell Science Inc</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QL</scope><scope>7RV</scope><scope>7U9</scope><scope>7X7</scope><scope>7XB</scope><scope>88C</scope><scope>8AO</scope><scope>8FD</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>C1K</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>H94</scope><scope>K9.</scope><scope>M0S</scope><scope>M0T</scope><scope>M1P</scope><scope>M2O</scope><scope>M7N</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>P64</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope><scope>RC3</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>200202</creationdate><title>Influence of Body Weight on Patients' Satisfaction with Ambulatory Care</title><author>Wee, Christina C. ; Phillips, Russell S. ; Francis Cook, E. ; Haas, Jennifer S. ; Louise Puopolo, Ann ; Brennan, Troyen A. ; Burstin, Helen R.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c5265-3a9ab7e4baf9cdcb0fe6d552dd59c696ffdc6f9e7420f5d8d16ce61bba0050243</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2002</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Ambulatory care</topic><topic>Ambulatory Care - standards</topic><topic>Ambulatory Care - trends</topic><topic>Bias</topic><topic>Biological and medical sciences</topic><topic>Body Mass Index</topic><topic>Boston - epidemiology</topic><topic>Brief Report</topic><topic>Comorbidity</topic><topic>Confidence Intervals</topic><topic>Female</topic><topic>Health care</topic><topic>Health Care Surveys</topic><topic>Humans</topic><topic>Internal medicine</topic><topic>Male</topic><topic>Medical practices</topic><topic>Medical records</topic><topic>Medical sciences</topic><topic>Medicine</topic><topic>Metabolic diseases</topic><topic>Middle Aged</topic><topic>Obesity</topic><topic>Obesity - epidemiology</topic><topic>Overweight</topic><topic>Patient satisfaction</topic><topic>Patient Satisfaction - statistics & numerical data</topic><topic>Primary care</topic><topic>Primary Health Care - standards</topic><topic>Primary Health Care - trends</topic><topic>Reference Values</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Wee, Christina C.</creatorcontrib><creatorcontrib>Phillips, Russell S.</creatorcontrib><creatorcontrib>Francis Cook, E.</creatorcontrib><creatorcontrib>Haas, Jennifer S.</creatorcontrib><creatorcontrib>Louise Puopolo, Ann</creatorcontrib><creatorcontrib>Brennan, Troyen A.</creatorcontrib><creatorcontrib>Burstin, Helen R.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Bacteriology Abstracts (Microbiology B)</collection><collection>Nursing & Allied Health Database</collection><collection>Virology and AIDS Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Healthcare Administration Database (Alumni)</collection><collection>ProQuest Pharma Collection</collection><collection>Technology Research Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>Environmental Sciences and Pollution Management</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Healthcare Administration Database</collection><collection>Medical Database</collection><collection>Research Library</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>Research Library (Corporate)</collection><collection>Nursing & Allied Health Premium</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest Central Basic</collection><collection>Genetics Abstracts</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Journal of general internal medicine : JGIM</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Wee, Christina C.</au><au>Phillips, Russell S.</au><au>Francis Cook, E.</au><au>Haas, Jennifer S.</au><au>Louise Puopolo, Ann</au><au>Brennan, Troyen A.</au><au>Burstin, Helen R.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Influence of Body Weight on Patients' Satisfaction with Ambulatory Care</atitle><jtitle>Journal of general internal medicine : JGIM</jtitle><addtitle>J Gen Intern Med</addtitle><date>2002-02</date><risdate>2002</risdate><volume>17</volume><issue>2</issue><spage>155</spage><epage>159</epage><pages>155-159</pages><issn>0884-8734</issn><eissn>1525-1497</eissn><abstract>Patients with obesity experience psychosocial consequences because of their weight and report physician bias. We examined whether obesity is associated with lower patient satisfaction with ambulatory care among 2,858 patients seen at 11 academically affiliated primary care practices in Boston. Compared with normal weight patients (body mass index [BMI], 19.0 to 24.9 kg/M 2), overweight (BMI, 25.0 to 29.9 kg/M
2) and obese patients (BMI ≥30 kg/M
2) reported lower overall satisfaction scores at their most recent visit; the scores were 85.5, 85.0, and 82.6 out a possible 100, respectively (
P = .05). After adjustment for potential confounders including illness burden, obese patients reported lower scores but the difference was not statistically significant (mean difference, 1.23 [95% confidence interval −0.67 to 3.12]). Patient satisfaction with their usual provider and their practice did not vary by BMI group. Obesity is associated with only modest decreases in satisfaction scores with the most recent visit, which were explained largely by higher illness burden among obese patients.</abstract><cop>Boston, MA, USA</cop><pub>Blackwell Science, Inc</pub><pmid>11841531</pmid><doi>10.1046/j.1525-1497.2002.00825.x</doi><tpages>5</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Adult Aged Ambulatory care Ambulatory Care - standards Ambulatory Care - trends Bias Biological and medical sciences Body Mass Index Boston - epidemiology Brief Report Comorbidity Confidence Intervals Female Health care Health Care Surveys Humans Internal medicine Male Medical practices Medical records Medical sciences Medicine Metabolic diseases Middle Aged Obesity Obesity - epidemiology Overweight Patient satisfaction Patient Satisfaction - statistics & numerical data Primary care Primary Health Care - standards Primary Health Care - trends Reference Values |
| title | Influence of Body Weight on Patients' Satisfaction with Ambulatory Care |
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