Determinants of patient satisfaction with the medical consultation

Abstract

This study assessed patient satisfaction with the medical consultation in ambulatory settings. A multistage sampling method, stratified by geographical location in metropolitan Sydney and type of medical practice, was employed. Two hundred and seventy-two patients attending medical consultations completed a brief questionnaire and interview immediately following a medical consultation with either a general practitioner or a medical specialist. Factor analysis of the questionnaire indicated that 58% of the variance in patient satisfaction ratings was accounted for by the level of interpersonal warmth and respect and the amount of information communicated by the doctor. Other factors impacting on satisfaction included the number of patient requests perceived to be met by the doctor, and the characteristics of the medical encounter, such as the length of the consultation and whether the visit was a first or subsequent consultation. There was no association between level of satisfaction and gender of doctor or the type of medical practice attended.     

Political skill as moderator of personality - Job performance relationships in socioanalytic theory: Test of the getting ahead motive in automobile sales

Based on the socioanalytic perspective of performance prediction ( [Hogan, 1991] and [Hogan and Shelton, 1998]), this study tests whether the motive to get ahead produces greater performance when interactively combined with social effectiveness. Specifically, we investigated whether interactions of the five-factor model constructs of extraversion and openness to experience (i.e., operationalizations of the getting ahead motive in the socioanalytic framework) with political skill predict sales performance. The hypotheses were tested in a sample of 112 car salespersons, and the results supported the extraversion × political skill interaction, but not the openness to experience × political skill interaction. For individuals high on political skill, higher levels of extraversion were associated with higher levels of sales. For individuals low on political skill, higher levels of extraversion were associated with lower levels of sales. Implications of the results and directions for future research are provided.     

Social skills and social phobia: An investigation of DSM-IV subtypes

Social phobia is characterized as pervasive social timidity in social settings. Although much is known about this disorder, aspects of its clinical presentation remain unexplored, in particular characteristics that distinguish the generalized and non-generalized subtypes. For example, it remains unclear whether patients with the non-generalized subtype display social skills deficits in social interactions, and if so, are these deficits clinically, as well as statistically, significant? In this study, adults with either the non-generalized (NGSP; n = 60) or generalized (GSP; n = 119) subtype of social phobia and adults with no psychological disorder (n = 200) completed an extensive behavioral assessment of social skill and social anxiety. As expected, adults with NGSP and GSP reported equal distress and displayed similar rates of avoidance during an Impromptu Speech Task when compared to adults with no disorder. In contrast, the three groups were distinctly different when interacting with another person in various social situations. Adults with NGSP displayed social skill deficits when compared to individuals with no disorder, but they had fewer deficits than the GSP subtype. However, the identified skill deficits were clinically as well as statistically significant only for the GSP subtype. The results are discussed in terms of the contribution of skill deficits to the conceptualization and treatment of social phobia.     

Political Skill and Work Attitudes: A Comparison of Multiple Social Effectiveness Constructs

In the realm of social effectiveness constructs, political skill has seen increased attention as a predictor of work performance and attitudes. However, the extent that political skill is distinct from related variables in this area remains an important question. The current study examined the proportion of variance explained by political skill in job satisfaction and turnover intentions above and beyond other social effectiveness variables (i.e., social intelligence, emotional intelligence, agreeableness, and conscientiousness). Results indicated that political skill was the strongest predictor of these outcomes, and explained a significant proportion of variance in them, beyond the other four social effectiveness constructs.     

Enhancing Cognitive‐Behavioural Therapy (CBT) Skill Acquisition Through Experiential and Reflective Learning: A Commentary on Studies Examining the Impact of Self‐Practice and Self‐Reflection in CBT

Self‐practice and self‐reflection (SP/SR) is a targeted training tool that is intended to increase CBT competency in therapists. The four articles reviewed in this commentary examine the benefits of SP/SR with various types of therapists, and survey the significant obstacles faced in implementing this tool with clinicians. Collectively, these articles conclude that SP/SR is a valuable tool in improving CBT skill acquisition and preventing burnout, particularly with difficult patients, but that most therapists elect not to use it largely because of the time involved in engaging in it. In this commentary, I suggest that empirical studies with larger samples and controlled designs are needed to build on the wealth of qualitative data collected to date in order to assess the value added by SP/SR compared with other training methods, and in order to determine its impact on a range of therapeutic outcomes. I also suggest that future studies should examine the efficacy of required SP/SR engagement, isolate its critical ingredients, and assess if there are clients and therapists for whom SP/SR is comparably more effective.     

Invited Response to Commentaries: Self‐Practice/Self‐Reflection (SP/SR): Contexts,Challenges and Ways Forward

McGinn (2015) and Fernández‐Álvarez, Castañeiras, and Wyss (2015) make valuable suggestions in their commentaries on the three self‐practice/self‐reflection (SP/SR) articles in this issue of the Australian Psychologist. In our response, we use their commentaries as a springboard to highlight contextual influences and challenges for future SP/SR research, and suggest potential ways forward.     

Foreign Language Training Transfer: Individual and Contextual Predictors of Skill Maintenance and Generalization

Foreign language proficiency is a critical skill in which many U.S. military personnel receive extensive training. However, very little research has examined the factors associated with the successful transfer of this training. This study therefore investigates the impact of individual and contextual variables on two different types of foreign language skill transfer measures in a military context. Archival data were analyzed from 133 U.S. Army Special Forces (Green Berets) teams, including 919 Soldiers who had completed job-required foreign language training. Results indicate that initial skill acquisition had a positive impact on both the maintenance and generalization of language skills. The posttraining time interval between training and transfer measurement was negatively associated with skill maintenance, suggesting significant skill decay over time. The team context also accounted for significant variability in skill transfer, and the team mean skill level moderated the relationship between individual initial skill and subsequent generalization to job performance.     

Is there an Effect of Print Exposure on the Word Frequency Effect and the Neighborhood Size Effect?

Orthographic and phonological processing skills have been shown to vary as a function of reader skill (Stanovich & West, Reading Research Quarterly, 24, 402-433, 1989; Unsworth & Pexman, Quarterly Journal of Experimental Psychology, 56A, 63-81, 2003). One variable known to contribute to differences between readers of higher and lower skill is amount of print exposure: higher skilled readers read more often than lower skilled readers, and their increased print exposure is associated with faster responding to words and nonwords in lexical decision tasks. The present experiments examined the effect of print exposure on the word frequency effect and neighborhood size effect. We conclude that the different outcomes reported in previous studies (Chateau & Jared, Memory and Cognition, 28, 143-153, 2000; Lewellen, Goldinger, Pisoni, & Greene, Journal of Experimental Psychology: General, 122, 316-330, 1993) were due to the type of nonwords used in the lexical decision task (regular nonwords versus pseudohomophones). Our results are explained in terms of differences in the reliance on orthographic and phonological information between readers of higher and lower print exposure.     

Bodily Subjectivity,Way of Administration and Governance in the Axial Age

The Spring and Autumn period and the Warring States period were key eras in which the family-kingdom-state political structure handed down by the Xia, Shang, and Zhou dynasties transformed into the more familiar four-dimensional political structure of body-family-kingdom-world. The most important of the transformations was the independence of the body. The collapse of the feudal politico-religious structure dominated by emperors, lords and the senior officials allowed the social body to become independent of the overall structure of family-kingdom-world and became a structural element itself. As well, the teaching of Confucian ren 仁 (humanity) expanded the independence of the body to a moral and spiritual level, thus providing another agent for the politico-religious structure of body-family-kingdom-world. The emergence of this new agent provided another political agent “having no right to administer but the right to comment” outside the ruling group. As a result, the assumption that to “rectify” meant to “administer” was developed in the pre-Qin period. This became the Way of Administration, the ultimate meaning of which is to complete one’s human nature and to know destiny, which is the purpose of the Way of Governance. Subsequently, the Way of Administration and Way of Governance together formed one of the most significant political ideas in Chinese history.