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Patient satisfaction in women’s clinics versus traditional primary care clinics in the veterans administration

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Abstract

OBJECTIVE: To compare patient satisfaction in women’s clinics (WCs) versus traditional primary care clinics (TCs).

DESIGN: Anonymous, cross-sectional mailed survey.

SETTING: Eight Department of Veterans Affairs (VA) medical centers in 3 states.

PATIENTS: A random sample of women stratified by site and enrollment in WC versus TC (total response rate = 61%).

MEASURES: Overall satisfaction and gender-specific satisfaction as measured by the Primary Care Satisfaction Survey for Women (PCSSW).

ANALYSIS: We dichotomized the satisfaction scores (excellent versus all other), and compared excellent satisfaction in WCs versus TCs using logistic regression, controlling for demographics, health status, health care use, and location.

RESULTS: Women enrolled in WCs were more likely than those in TCs to report excellent overall satisfaction (odds ratio, 1.42; 95% confidence interval, 1.00 to 2.02; P=.05). Multivariate models demonstrated that receipt of care in WCs was a significant positive predictor for all 5 satisfaction domains (i.e., getting care, privacy and comfort, communication, complete care, and follow-up care) with the gender-specific satisfaction instrument (PCSSW).

CONCLUSIONS: This study is the first to consistently show higher satisfaction in WCs versus TCs despite age and race differences and comparable health status. Since these WCs show better quality in terms of satisfaction, other quality indicators should be evaluated. If WCs reduce fragmentation and improve health care delivery, the model will be applicable in VA and non-VA outpatient settings.

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Correspondence to Bevanne A. Bean-Mayberry MD, MHS.

Additional information

Dr. Bean-Mayberry’s project was funded by the Department of Veterans Affairs, Veterans Integrated Service Network 4, Competitive Pilot Project Funds in 2000. Dr. Scholle is supported in part by the National Center of Excellence in Women’s Health at Magee-Womens Hospital.

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Bean-Mayberry, B.A., Chang, CC.H., McNeil, M.A. et al. Patient satisfaction in women’s clinics versus traditional primary care clinics in the veterans administration. J GEN INTERN MED 18, 175–181 (2003). https://doi.org/10.1046/j.1525-1497.2003.20512.x

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  • DOI: https://doi.org/10.1046/j.1525-1497.2003.20512.x

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