BACKGROUND: Although @entity1 satisfaction is widely used as a quality indicator, most such measures do not account for @entity1 subgroups such as those with @entity146 . There is also very little data on satisfaction of @entity146 @entity1 with their medical care. OBJECTIVE: The objective of this study was to assess the role of @entity146 in satisfaction with outpatient primary care services in the Department of Veterans Affairs (VA). METHOD: Data from the VA Customer Feedback Survey (n = 50,532) were merged with administrative data to determine diagnoses and other characteristics. Satisfaction ratings were compared across @entity146 diagnoses and across various aspects of satisfaction with care. RESULTS: After controlling for @entity1 characteristics (eg, gender, age, disability, acute vs. routine visit) and subjective health, @entity1 with @entity161 , @entity1005 , @entity734 , @entity308 , and other @entity146 reported significantly lower satisfaction with their outpatient primary care. Dissatisfaction was particularly reported for access to care and overall coordination of care. CONCLUSIONS: Despite VA characteristics that might be thought to improve satisfaction (eg, easier access to specialty mental health services as a result of the integrated VA system), @entity1 with @entity146 are significantly less satisfied than @entity1 without such disorders. Possible explanations include both lower technical quality of care and poorer interpersonal communication between providers and @entity1 with @entity1032 , including the negative effects of stigma. These findings highlight the need for satisfaction ratings to be case-mix-adjusted, including the incorporation of health and mental health diagnoses, and the need for further research that elucidates the reasons behind lower satisfaction ratings.

The role of XXXX diagnosis in satisfaction with primary care: data from the department of veterans affairs.

@entity1 :: ('9606', 'Species') :: ['patients', 'patient'] @entity1032 :: ('MESH:D008607', 'Disease') :: ['mental illness'] @entity308 :: ('MESH:D003866', 'Disease') :: ['depression'] @entity146 :: ('MESH:D001523', 'Disease') :: ['psychiatric', 'psychiatric illness', 'psychiatric disorders'] @entity1005 :: ('MESH:D013313', 'Disease') :: ['posttraumatic stress disorder'] @entity161 :: ('MESH:D012559', 'Disease') :: ['schizophrenia'] @entity734 :: ('MESH:D019966', 'Disease') :: ['drug abuse']
@entity146 :: (MESH:D001523,Disease) :: ['psychiatric']
