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Health Status and Satisfaction With Health Care: A Longitudinal Study Among Patients Served by the Veterans Health Administration

Center for Health Quality, Outcomes, and Economoic Research, Veterans Affairs Medical Center, Bedford, Mass and Department of Health Services, Bos-ton University School of Public Health, Boston, Mass, xsren{at}bu.edu

Lewis Kazis, ScD

Center for Health Quality, Outcomes, and Economoic Research, Veterans Affairs Medical Center, Bedford, Mass and Department of Health Services, Bos-ton University School of Public Health, Boston, Mass

Austin Lee, PhD

Center for Health Quality, Outcomes, and Economoic Research, Veterans Affairs Medical Center, Bedford, Mass and Department of Mathematics and Statistics, Boston University, Boston, Mass

William Rogers, PhD

The Health Institute, New England Medical Center, Boston, Mass

Susan Pendergrass, DrPH

Veterans Health Ad-ministration, VISN 16, Jackson, Miss

As the Veterans Health Administration (VHA) places high priority on becoming a performance-based organization, there is an increasing need to quantify and refine its outcome measurement system. Using panel data from VHA ambulatory care patients (1996-1998), we conducted cross-lagged correlations and ordinary least squares regression to examine the relationship between 2 VHA health care values: health status and satisfaction with care. The study results indicated that patients' health status was significantly associated with their satisfaction with care, indicating that patients with better health status were more likely to be satisfied with health care. Al- though satisfaction with care was both a consequence and a determinant of health status, the effects of health status on satisfaction seemed to be more important than the effects of satisfaction on health status. More research is needed for a better understanding of the dynamic relationship between health status and satisfaction with care.

Key Words: Health status • quality of care • satisfaction with health care

American Journal of Medical Quality, Vol. 16, No. 5, 166-173 (2001)
DOI: 10.1177/106286060101600504


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