The concepts of expectation and satisfaction: do they capture the way patients evaluate their care?
- 1 February 1999
- journal article
- research article
- Published by Wiley in Journal of Advanced Nursing
- Vol. 29 (2) , 364-372
- https://doi.org/10.1046/j.1365-2648.1999.00897.x
Abstract
The concepts of expectation and satisfaction: do they capture the way patients evaluate their care?¶ The measurement of patient satisfaction has become a common way to elicit patients' views of their health care. However, difficulties arising from the limited theoretical underpinning of satisfaction, the difficulty in defining expectations and satisfaction and the methodological problems associated with their measurement have cast doubt on the validity of studies. This paper reviews the methodological and theoretical difficulties in measuring these concepts and argues that a better understanding of expectations and satisfaction, which is based in patient experience, must first be achieved before theoretical modelling and valid measurement can progress. It presents the findings of a study which attempted to clarify the concepts of expectations and satisfaction by exploring the experience of cardiac patients. The findings are discussed in the context of the key issues in this area.Keywords
This publication has 27 references indexed in Scilit:
- Patient expectations: What do primary care patients want from the GP and how far does meeting expectations affect patient satisfaction?Family Practice, 1995
- What do general practitioners and their patients want from general practice and are they receiving it? A frameworkSocial Science & Medicine, 1995
- Patient Satisfaction: What we Know about and What we Still Need to ExploreMedical Care Review, 1993
- What patients like about their medical care and how often they are asked: A meta-analysis of the satisfaction literatureSocial Science & Medicine, 1988
- Patient satisfaction with the clinical encounter: Social psychological determinantsSocial Science & Medicine, 1987
- Problems in the conceptual framework of patient satisfaction research: an empirical explorationSociology of Health & Illness, 1983
- Patient satisfaction in primary health care: A literature review and analysisEvaluation and Program Planning, 1983
- Social psychological determinants of patient satisfaction: A test of five hypothesesSocial Science & Medicine, 1982
- Toward a theory of patient satisfactionSocial Science & Medicine, 1982
- Developing a Measure of Patient and Personnel Satisfaction with Nursing CareNursing Research, 1957