The Doctor-patient Relationship and HIV-infected Patients' Satisfaction with Primary Care Physicians

Overview

Journal J Gen Intern Med

Publisher Springer

Specialty General Medicine

Date 2000 Aug 12

PMID 10940132

Citations 25

Authors

L M Sullivan

M D Stein

J B Savetsky

J H Samet

Affiliations

Soon will be listed here.

Abstract

Objective: To assess the extent to which perceptions of specific aspects of the doctor-patient relationship are related to overall satisfaction with primary care physicians among HIV-infected patients.

Design: Longitudinal, observational study of HIV-infected persons new to primary HIV care. Data were collected at enrollment and approximately 6 months later by in-person interview.

Setting: Two urban medical centers in the northeastern United States.

Participants: Patients seeking primary HIV care for the first time.

Measurements And Main Results: The primary outcome measure was patient-reported satisfaction with a primary care physician measured 6 months after initiating primary HIV care. Patients who were more comfortable discussing personal issues with their physicians (P =. 021), who perceived their primary care physicians as more empathetic (P =.001), and who perceived their primary care physicians as more knowledgeable with respect to HIV (P =.002) were significantly more satisfied with their primary care physicians, adjusted for characteristics of the patient and characteristics of primary care. Collectively, specific aspects of the doctor-patient relationship explained 56% of the variation in overall satisfaction with the primary care physician.

Conclusions: Patients' perceptions of their primary care physician's HIV knowledge and empathy were highly related to their satisfaction with this physician. Satisfaction among HIV-infected patients was not associated with patients' sociodemographic characteristics, HIV risk characteristics, alcohol and drug use, health status, quality of life, or concordant patient-physician gender and racial matching.

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