Advertisement

Do Pediatrician Interpersonal and Personality Characteristics Affect Patient Experience?

  • Sarah R. Martin
    Affiliations
    Department of Anesthesiology and Perioperative Care, University of California, Irvine (SR Martin, MA Fortier, B Jenkins, K Ahn, and ZN Kain)

    Children's Hospital of Orange County (SR Martin, TW Heyming, MA Fortier, JP Cappon, and ZN Kain), Orange, Calif

    Center on Stress & Health, University of California, Irvine (SR Martin, MA Fortier, B Jenkins, and ZN Kain)
    Search for articles by this author
  • Theodore W. Heyming
    Affiliations
    Children's Hospital of Orange County (SR Martin, TW Heyming, MA Fortier, JP Cappon, and ZN Kain), Orange, Calif
    Search for articles by this author
  • Michelle A. Fortier
    Affiliations
    Department of Anesthesiology and Perioperative Care, University of California, Irvine (SR Martin, MA Fortier, B Jenkins, K Ahn, and ZN Kain)

    Children's Hospital of Orange County (SR Martin, TW Heyming, MA Fortier, JP Cappon, and ZN Kain), Orange, Calif

    Center on Stress & Health, University of California, Irvine (SR Martin, MA Fortier, B Jenkins, and ZN Kain)

    Sue & Bill Gross School of Nursing, University of California, Irvine (MA Fortier)
    Search for articles by this author
  • Brooke Jenkins
    Affiliations
    Department of Anesthesiology and Perioperative Care, University of California, Irvine (SR Martin, MA Fortier, B Jenkins, K Ahn, and ZN Kain)

    Center on Stress & Health, University of California, Irvine (SR Martin, MA Fortier, B Jenkins, and ZN Kain)

    Department of Psychology, Chapman University (B Jenkins), Orange, Calif
    Search for articles by this author
  • Kyle Ahn
    Affiliations
    Department of Anesthesiology and Perioperative Care, University of California, Irvine (SR Martin, MA Fortier, B Jenkins, K Ahn, and ZN Kain)
    Search for articles by this author
  • James P. Cappon
    Affiliations
    Children's Hospital of Orange County (SR Martin, TW Heyming, MA Fortier, JP Cappon, and ZN Kain), Orange, Calif
    Search for articles by this author
  • Zeev N. Kain
    Correspondence
    Address correspondence to Zeev N. Kain, MD, MBA, Department of Anesthesiology and Perioperative Care, University of California, Irvine, Center on Stress & Health, 505 S. Main St, Suite 940, Orange, CA 92868
    Affiliations
    Department of Anesthesiology and Perioperative Care, University of California, Irvine (SR Martin, MA Fortier, B Jenkins, K Ahn, and ZN Kain)

    Children's Hospital of Orange County (SR Martin, TW Heyming, MA Fortier, JP Cappon, and ZN Kain), Orange, Calif

    Center on Stress & Health, University of California, Irvine (SR Martin, MA Fortier, B Jenkins, and ZN Kain)

    Child Study Center, Yale University School of Medicine (ZN Kain), New Haven, Conn
    Search for articles by this author

      Abstract

      Background and Objectives

      Previous studies have demonstrated associations between patient experience scores and physician's demographic characteristics such as gender and race. There is a paucity of data, however, on the effect of broader pediatrician characteristics on caregivers’ experience of their children's care. This study assessed pediatric caregiver experience of care ratings within a children's hospital and examined the effects of pediatricians’ interpersonal and personality traits on caregiver experience ratings.

      Methods

      This cross-sectional study included caregivers of children under 18 years old (n = 26,703) and physicians within children's hospital system (n = 65). Caregivers of children who received care from 2017 to 2019 provided their rating (0–10) of care experience via the standardized National Research Corporation Health Survey. Top box provider ratings were used for analyses. Physician's interpersonal and personality data were collected. Multilevel logistic regression analyses were used to examine the effects of physician interpersonal characteristics (empathy, compassion) and personality (perfectionism, Big Five personality traits [openness, conscientiousness, extraversion, agreeableness, neuroticism]) on experience of care rating.

      Results

      The odds of caregivers of Spanish-speaking children to provide a high physician rating were 75% higher than the odds for non-Spanish-speaking patients. At the physician level, lower agreeableness (odds ratio [OR] = 0.63, P = .002), and lower narcissistic perfectionism (OR = 0.98, P = .016) were associated with an increased likelihood of a high care experience rating. The odds of nonemergency medicine pediatricians receiving high ratings were approximately 4.17 times higher than that of EM pediatricians.

      Conclusions

      Current results may inform future interventions that address pediatrician personality characteristics associated with caregivers of children experience outcomes.

      Keywords

      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribe:

      Subscribe to Academic Pediatrics
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect

      References

        • Tsai TC
        • Orav EJ
        • Jha AK.
        Patient satisfaction and quality of surgical care in US hospitals.
        Ann Surg. 2015; 261: 2-8
        • Doyle C
        • Lennox L
        • Bell D.
        A systematic review of evidence on the links between patient experience and clinical safety and effectiveness.
        BMJ Open. 2013; 3e001570
        • Gallagher P
        • Ding L
        • Ham HP
        • et al.
        Development of a new patient-based measure of pediatric ambulatory care.
        Pediatrics. 2009; 124: 1348-1354
        • Co JPT
        • Sternberg SB
        • Homer CJ.
        Measuring patient and family experiences of health care for children.
        Acad Pediatr. 2011; 11: S59-S67
        • Chen AY
        • Elliott MN
        • Spritzer KL
        • et al.
        Differences in CAHPS reports and ratings of health care provided to adults and children.
        Med Care. 2012; 50: S35
        • Jha AK
        • Orav EJ
        • Zheng J
        • et al.
        Patients’ perception of hospital care in the United States.
        N Engl J Med. 2008; 359: 1921-1931
        • Trinh LN
        • Fortier MA
        • Kain ZN.
        Primer on adult patient satisfaction in perioperative settings.
        Perioper Med. 2019; 8: 1-13
        • Teunkens A
        • Vanhaecht K
        • Vermeulen K
        • et al.
        Measuring satisfaction and anesthesia related outcomes in a surgical day care center: a three-year single-center observational study.
        J Clin Anesth. 2017; 43: 15-23
        • Mendoza BA
        • Fortier MA
        • Trinh LN
        • et al.
        Factors impacting parental and child satisfaction in the perioperative setting.
        Pediatr Anesth. 2021; 31: 932-943
        • Weech-Maldonado R
        • Morales LS
        • Spritzer K
        • et al.
        Racial and ethnic differences in parents’ assessments of pediatric care in Medicaid managed care.
        Health Serv Res. 2001; 36: 575-594
        • Chen JG
        • Lee S
        • Khallouq BB.
        Association of demographics and hospital stay characteristics with patient experience in hospitalized pediatric patients.
        J Patient Exp. 2020; 7: 1077-1085
        • Chen JG
        • Zou B
        • Shuster J.
        Relationship between patient satisfaction and physician characteristics.
        J Patient Exp. 2017; 4: 177-184
        • Hall JA
        • Dornan MC.
        Patient sociodemographic characteristics as predictors of satisfaction with medical care: a meta-analysis.
        Soc Sci Med 1982. 1990; 30: 811-818
        • Mullola S
        • Hakulinen C
        • Gimeno Ruiz de Porras D
        • et al.
        Medical specialty choice and well-being at work: physician's personality as a moderator.
        Arch Environ Occup Health. 2019; 74: 115-129
        • Doherty EM
        • Nugent E.
        Personality factors and medical training: a review of the literature.
        Med Educ. 2011; 45: 132-140
        • Soto CJ
        • John OP.
        Short and extra-short forms of the Big Five Inventory–2: the BFI-2-S and BFI-2-XS.
        J Res Personal. 2017; 68: 69-81
        • Duberstein P
        • Meldrum S
        • Fiscella K
        • et al.
        Influences on patients’ ratings of physicians: physicians demographics and personality.
        Patient Educ Couns. 2007; 65: 270-274
        • Lanz JJ
        • Gregory PJ
        • Menendez ME
        • et al.
        Congeniality: understanding the importance of surgeons’ nontechnical skills through 360°feedback.
        J Surg Educ. 2018; 75: 984-992
        • Wang H
        • Kline JA
        • Jackson BE
        • et al.
        Association between emergency physician self-reported empathy and patient satisfaction.
        PLoS One. 2018; 13e0204113
        • Walsh S
        • O'Neill A
        • Hannigan A
        • et al.
        Patient-rated physician empathy and patient satisfaction during pain clinic consultations.
        Ir J Med Sci. 2019; 188: 1379-1384
        • Peters M
        • King J.
        Perfectionism in doctors.
        BMJ. 2012; 344: e1674
        • Hoyle RH
        • Gottfredson NC.
        Sample size considerations in prevention research applications of multilevel modeling and structural equation modeling.
        Prev Sci. 2015; 16: 987-996
        • Smith MM
        • Saklofske DH
        • Stoeber J
        • et al.
        The big three perfectionism scale: a new measure of perfectionism.
        J Psychoeduc Assess. 2016; 34: 670-687
        • Hojat M
        • DeSantis J
        • Shannon SC
        • et al.
        The Jefferson scale of empathy: a nationwide study of measurement properties, underlying components, latent variable structure, and national norms in medical students.
        Adv Health Sci Educ. 2018; 23: 899-920
      1. Hacker T. The Relational Compassion Scale: development and validation of a new self-rated scale for the assessment of self-other compassion. DClinPsy. University of Glasgow; 2008. Available at: https://eleanor.lib.gla.ac.uk/record=b2702336. Accessed April 29, 2021.

        • Strauss C
        • Lever Taylor B
        • Gu J
        • et al.
        What is compassion and how can we measure it? A review of definitions and measures.
        Clin Psychol Rev. 2016; 47: 15-27
        • Schmitt DP
        • Allik J
        • McCrae RR
        • et al.
        The geographic distribution of Big Five personality traits: patterns and profiles of human self-description across 56 nations.
        J Cross-Cult Psychol. 2007; 38: 173-212
        • John O
        • Srivastava S
        The Big-Five Trait Taxonomy: History, Measurement, and Theoretical Perspectives.
        Guilford Press, 2nd ed. (Pervin L, John O, eds.)1999
      2. Centers for Medicare & Medicaid Services (CMS). HCAHPS Tables on HCAHPS Online. Available at: http://www.hcahpsonline.org/en/summary-analyses/, Accessed June 9, 2021.

      3. Orange County Children's Partnership. The 26th Annual Report on the Conditions of Children in Orange County; 2020.

        • Wong AMF.
        Beyond burnout: looking deeply into physician distress.
        Can J Ophthalmol. 2020; 55: 7-16
        • Robertson JJ
        • Long B.
        Medicine's shame problem.
        J Emerg Med. 2019; 57: 329-338
        • Hill AP
        • Curran T.
        Multidimensional perfectionism and burnout: a meta-analysis.
        Personal Soc Psychol Rev. 2016; 20: 269-288
        • Shanafelt TD
        • Dyrbye LN
        • West CP.
        Addressing physician burnout the way forward.
        JAMA J Am Med Assoc. 2017; 317: 901-902
        • Specht J
        • Egloff B
        • Schmukle SC.
        Stability and change of personality across the life course: The impact of age and major life events on mean-level and rank-order stability of the big five.
        J Pers Soc Psychol. 2011; 101: 862-882
        • Ferguson E
        • Lievens F.
        Future directions in personality, occupational and medical selection: myths, misunderstandings, measurement, and suggestions.
        Adv Health Sci Educ. 2017; 22: 387-399
        • Borges NJ
        • Savickas ML.
        Personality and medical specialty choice: a literature review and integration.
        J Career Assess. 2002; 10: 362-380
        • Keulen MHF
        • Teunis T
        • Kortlever JTP
        • et al.
        Measurement of perceived physician empathy in orthopedic patients.
        J Patient Exp. 2020; 7: 600-606
        • Pollak KI
        • Alexander SC
        • Tulsky JA
        • et al.
        Physician empathy and listening: associations with patient satisfaction and autonomy.
        J Am Board Fam Med. 2011; 24: 665-672
        • Byczkowski TL
        • Fitzgerald M
        • Kennebeck S
        • et al.
        A comprehensive view of parental satisfaction with pediatric emergency department visits.
        Ann Emerg Med. 2013; 62: 340-350
        • Boudreaux ED
        • O'Hea EL
        Patient satisfaction in the emergency department: a review of the literature and implications for practice.
        J Emerg Med. 2004; 26: 13-26
        • Davis-Dao CA
        • Ehwerhemuepha L
        • Chamberlin JD
        • et al.
        Keys to improving patient satisfaction in the pediatric urology clinic: a starting point.
        J Pediatr Urol. 2020; 16: 377-383
        • Dunlap JL
        • Jaramillo JD
        • Koppolu R
        • et al.
        The effects of language concordant care on patient satisfaction and clinical understanding for Hispanic pediatric surgery patients.
        J Pediatr Surg. 2015; 50: 1586-1589
        • Lee B
        • Hollenbeck-Pringle D
        • Goldman V
        • et al.
        Are caregivers who respond to the child HCAHPS survey reflective of all hospitalized pediatric patients?.
        Hosp Pediatr. 2019; 9: 162-169
        • Compton J
        • Glass N
        • Fowler T.
        Evidence of selection bias and non-response bias in patient satisfaction surveys.
        Iowa Orthop J. 2019; 39: 195-201