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Mental health and satisfaction with primary health care in female patients

      Purpose and objectives

      Patient satisfaction is an important outcome in patient care and is increasingly being used as an indicator of quality of care within large health systems. This study examined whether consideration of specific mental health factors, including posttraumatic stress disorder (PTSD), can improve our understanding of patient satisfaction in primary care settings.

      Methods

      Questionnaires were mailed to all women who used the VA San Diego Healthcare System primary care clinic in 1998. Two hundred twenty-one (56%) women who were invited to participate in this study completed questionnaires. Participants provided information about physical and mental health and satisfaction with their primary medical care.

      Results

      Age and general mental health were negatively associated and PTSD was positively associated with overall satisfaction with care and satisfaction with the provider. General mental health was significantly related to satisfaction with the clinic.

      Conclusions

      These findings support the importance of specific mental health symptoms, and trauma-related symptoms in specific, in determining satisfaction.
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      Biography

      Dr. Lang is a psychologist who specializes in behavioral medicine. Her research interests include assessment and treatment of anxiety and trauma in medical patients.

      Biography

      Dr. Rodgers is a psychologist who specializes in treating sexual trauma. Her research interests include trauma, disruptive behavior disorders, gender differences in pathology, and women’s health.

      Biography

      Dr. Moyer is a physician with clinical and research interests in internal medicine and women’s health.

      Biography

      Ms. Laffaye is a graduate student with interest in patient satisfaction, primary health care, PTSD, and women’s health.

      Biography

      Ms. Satz is a nurse practitioner with clinical and research interests in primary care, women’s health, and medical impact of trauma and PTSD.

      Biography

      Dr. Dresselhaus is a physician with interest in quality measurement, activity analysis/random sampling, preventive care, and use of standardized patients.

      Biography

      Dr. Stein is a psychiatrist with clinical and research interest in anxiety, epidemiology, health services, and public health.