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Medical Care Research and Review
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Effect of Mental Health Care and Shared Decision Making on Patient Satisfaction in a Community Sample of Patients with Depression

Karen A. Swanson

School of Public Health, University of California, Los Angeles, kswanson{at}ladhs.org

Roshan Bastani

School of Public Health, University of California, Los Angeles

Lisa V. Rubenstein

Veterans Administration Greater Los Angeles and University of California, Los Angeles

Lisa S. Meredith

RAND and the Veterans Administration Greater Los Angeles Center for the Study of Health Care Provider Behavior

Daniel E. Ford

Johns Hopkins University School of Medicine

This study sought to understand if shared decision making and/or receipt of mental health care was associated with patient satisfaction for patients with depression and to determine whether gender modified this relationship. The data are from the Quality Improvement for Depression study, a national collaborative study of 1,481 patients diagnosed with major depression in managed care settings. The cross-sectional analyses were performed using multiple logistic regression on a sample of 1,317 patients who answered both the baseline and month six questionnaires. Shared decision making and receipt of mental health care were both positively associated with patient satisfaction. Gender was not a moderator of this relationship. Health plans may be able to improve patient satisfaction levels by teaching physicians the importance of shared decision making. Contrary to expectations, patient gender made no difference in the effects of quality of care on patient satisfaction.

Key Words: patient satisfaction • quality of care • gender • shared decision making

Medical Care Research and Review, Vol. 64, No. 4, 416-430 (2007)
DOI: 10.1177/1077558707299479


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