Illness and Satisfaction With Medical Care

Abstract

Patients who have worse physical or mental health are less satisfied with their medical care than patients in better health. This article describes research that explores the causal underpinnings of this correlation. Does poor health cause dissatisfaction, or does dissatisfaction cause poor health? And is the dissatisfaction of sicker patients attributable to their own state of mind, or rather to how they are treated by their doctors? It appears that, predominantly, dissatisfaction follows from poorer health rather than vice versa, and moreover that sicker patients negative outlook is a pervasive cause of their lower satisfaction. However, there is also evidence that physicians reactions to sicker patients, in the form of curtailed social conversation, also play a role in the reduced satisfaction of these patients.