Association between obesity and patient satisfaction

Research output: Contribution to journalArticle

18 Citations (Scopus)

Abstract

Objective: To examine the relationship between BMI and patient satisfaction with health care providers using a nationally representative survey. Research Methods and Procedures: This analysis examined the 9914 adult patients who completed the 2000 Medical Expenditure Panel Survey and had visited a health care provider within 12 months of the survey. Linear regression models were employed with patient satisfaction as the dependent variable. The patient satisfaction scale was based on ratings from five questions assessing the quality of provider interactions. The independent variable was BMI, with adjustments for the domains of demographics, social-economic status, health attitudes and behavior, health status, and health care use. BMI (weight in kilograms/square of height in meters) was classified as normal weight (18.5 to 24.9), overweight (25.0 to 29.9), or obese (2:30.0). Hierarchical models were used to evaluate how each domain modified the BMI-satisfaction association. Results: Obese patients reported significantly greater satisfaction with their health care providers than their normal-weight counterparts did (p < 0.05). There were no significant differences in satisfaction between normal-weight and overweight patients or between overweight and obese patients. The health status domain produced the largest modification in the BMI-satisfaction relationship. Examination of interaction effects revealed that the association between BMI and satisfaction was confined to older persons. Discussion: In this nationally representative sample of individuals, obese persons were more satisfied than their normal-weight counterparts. This finding counters those of previous studies. Incomplete adjustments for health care use and insurance status may have led to those conclusions.

Original languageEnglish (US)
Pages (from-to)1402-1411
Number of pages10
JournalObesity
Volume14
Issue number8
DOIs
StatePublished - Aug 2006

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Patient Satisfaction
Obesity
Weights and Measures
Health Personnel
Health Status
Linear Models
Delivery of Health Care
Attitude to Health
Insurance Coverage
Health Insurance
Health Expenditures
Economics
Demography
Research
Surveys and Questionnaires

Keywords

  • Health care delivery
  • Older patients
  • Patient satisfaction
  • Physician interaction

ASJC Scopus subject areas

  • Endocrinology
  • Medicine (miscellaneous)
  • Endocrinology, Diabetes and Metabolism
  • Nutrition and Dietetics

Cite this

Association between obesity and patient satisfaction. / Fong, Ronald L; Bertakis, Klea D; Franks, Peter.

In: Obesity, Vol. 14, No. 8, 08.2006, p. 1402-1411.

Research output: Contribution to journalArticle

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