PATIENTS DESIRES AND SATISFACTION IN GENERAL MEDICINE CLINICS

Most patients have explicit desires or requests when they visit their physicians. Identification of patients' requests and needs is the star ring point of a patient-centered approach to care. The frequency with which physicians met their patients' desires for services and that fre quency's association with patient satisfaction were examined for 243 p atients with chronic disease in general medicine clinics of a Departme nt of Veterans Affairs hospital. Patients desired a mean of 11.9 servi ces, of which an average of 67 percent were met. However, many patient s' desires for information and most of their desires for help with emo tional and family problems were not met. Patients with the most unmet desires for services, especially services related to information, were significantly less satisfied with their physicians than were those wi th fewer unmet desires. Factor analysis was used to develop a short, 1 6-item Requests for Services Questionnaire that appeared ro cover the range of services that patients with chronic conditions desire. Enhanc ing physicians' ability to recognize and respond to patients' desires for services by using short patient request questionnaires may have th e potential to improve patient satisfaction and other health care outc omes.