Patient satisfaction and GP trustworthiness, practice orientation and performance: implications for selection, training and revalidation.

Abstract

The purpose of this paper is to examine the doctor-patient relationship from the patients' perspective. It tests a number of hypothesized relationships with respect to the interaction inside the doctor-patient relationship including the continuity of care, doctors' practice orientation and performance, which help enhance the understanding of patient trust and satisfaction. A quantitative survey using a closed-ended questionnaire provided a useable sample of 372 respondents. There was an overall high level of patient trust in and satisfaction with GPs as well as good patient rapport with their GPs. Patients who were most satisfied with their doctor perceived them to be more trustworthy, were more satisfied with their performance and perceived them to have greater preference for a sharing orientation than those patients who were least satisfied. The research findings suggest ways of maintaining and enhancing trust through training, continuing professional development, appraisals and assessments and revalidation of doctors. The skill sets and competencies related to trust and practice are presented in light of current practice trends and changing health care agendas, including the recent Department of Health White Paper, "Liberating the NHS" (2010). Since the questionnaire was able to discriminate between those patients who were most and least satisfied with their doctors, it identified what patients appreciate and are concerned about with respect to GPs and their practice. The research provides new insights and understanding of how patient satisfaction in the GP-patient relationship is influenced by GPs' trustworthiness, practice orientation and performance, for academic and practitioner communities.