Acceptance by private patients of resident involvement in their outpatient care

Michael J. Reichgott, J. S. Schwartz

Research output: Contribution to journalArticle

26 Scopus citations

Abstract

The attitudes of private patients toward resident participation in their ambulatory care were evaluated. Of 195 patients (29 percent) responding to 667 mailed prospective questionnaires, 143 (73 percent) stated that they would allow resident participation in their care. Satisfactory prior experiences with trainees was the most important factor predicting acceptance (p less than.0001) of resident participation. A majority of “accepting” respondents would allow the following limited delegation of responsibility to residents: history-taking, physical examination, and visit scheduling. The majority (71 percent) desired faculty consultation at every visit. A small, retrospective survey of resident-treated private patients revealed that 70 percent were fully satisfied, 20 percent partially satisfied, and 10 percent dissatisfied. Dissatisfaction by the patients was associated with not knowing beforehand that a trainee would participate in the health care delivery. The private patients usually accepted trainees for outpatient care if: (a) they had been informed in advance, (b) they had not had a prior unsatisfactory resident experience, and (c) the responsibility of the residents had been carefully delegated and the residents closely supervised.

Original languageEnglish (US)
Pages (from-to)703-709
Number of pages7
JournalAcademic Medicine
Volume58
Issue number9
Publication statusPublished - 1983
Externally publishedYes

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Keywords

  • Ambulatory care
  • Hospital bed capacity, 500 and over
  • Institutional practice
  • Internship and residency
  • Outpatient clinics, hospital
  • Patient acceptance of health care
  • Pennsylvania
  • Private practice
  • Prospective studies
  • Questionnaires
  • Retrospective studies
  • Socioeconomic factors

ASJC Scopus subject areas

  • Medicine(all)
  • Education

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