Journal of Postgraduate Medicine
 Open access journal indexed with Index Medicus & ISI's SCI  
Users online: 697  
Home | Subscribe | Feedback | Login 
About Latest Articles Back-Issues Articlesmenu-bullet Search Instructions Online Submission Subscribe Etcetera Contact
 ::  Similar in PUBMED
 ::  Search Pubmed for
 ::  Search in Google Scholar for
 ::  Article in PDF (179 KB)
 ::  Citation Manager
 ::  Access Statistics
 ::  Reader Comments
 ::  Email Alert *
 ::  Add to My List *
* Registration required (free) 

  IN THIS Article
 ::  References

 Article Access Statistics
    PDF Downloaded31    
    Comments [Add]    

Recommend this journal


  Table of Contents     
Year : 2014  |  Volume : 60  |  Issue : 2  |  Page : 220

Patient trust and satisfaction: Ways to make a difference

Department of BMJ Learning, BMJ, London, United Kingdom

Date of Web Publication13-May-2014

Correspondence Address:
Dr. K Walsh
Department of BMJ Learning, BMJ, London
United Kingdom
Login to access the Email id

Source of Support: None, Conflict of Interest: None

DOI: 10.4103/0022-3859.132381

Rights and Permissions

How to cite this article:
Walsh K. Patient trust and satisfaction: Ways to make a difference. J Postgrad Med 2014;60:220

How to cite this URL:
Walsh K. Patient trust and satisfaction: Ways to make a difference. J Postgrad Med [serial online] 2014 [cited 2023 Nov 28];60:220. Available from:


Baidya et al. have presented a fascinating and unique account of patient-physician trust among adults of rural Tamil Nadu. [1] Trust clearly influences satisfaction even though it appears to be independent of other factors. Interestingly though, a number of factors were associated with satisfaction with the physician - these included the physician's gender and age, self-reported health status, and the time spent with the physician. This list is interesting - not least because it is a mix of unchangeable and changeable factors. While we cannot change the physician's gender or age or the self-reported health status of the patient, we could change the amount of time spent in consultation. Should we therefore concentrate our efforts in this regard? It seems logical to do so, and yet this factor might be difficult to change. In medicine as in life, time is money and it may require significant funding to lengthen consultation times. This funding may simply not be available. If this initial strategy of lengthening consultation times proves difficult, then it is also worth considering alternatives. There are two broad possibilities. Firstly, it is worth considering transfer of skills with some consultations being conducted by non-physicians (such as nurses). Non-physicians are typically paid less than physicians and can thus provide the same amount of care for less or as importantly could prolong the consultation times (thus improving satisfaction) and be cost-neutral. A second alternative is to change the nature of the consultation. Often it is not the actual length of the consultation in minutes that patients notice but rather the quality of the consultation and the feeling that their time is precious to the physician and they are not being rushed. All too often the opposite occurs with physicians interrupting patients within seconds of them starting to tell their story. Patients may thus have the perception that the consultation time is too short. In contrast by improving the consultation skills patients might perceive that the consultation time is longer and their satisfaction rates might go up as a result. The best research produces findings that can be acted upon and it may be that these findings are amongst the most important in the study by Baidya et al.

 :: References Top

1.Baidya M, Gopichandran V, Kosalram K. Patient-physician trust among adults of rural Tamil Nadu: A community-based survey. J Postgrad Med 2014;60:21-6.  Back to cited text no. 1
[PUBMED]  Medknow Journal  


Print this article  Email this article
Online since 12th February '04
2004 - Journal of Postgraduate Medicine
Official Publication of the Staff Society of the Seth GS Medical College and KEM Hospital, Mumbai, India
Published by Wolters Kluwer - Medknow