Lasting impressions: influence of the initial hospital consultation for chronic pelvic pain on dimensions of patient satisfaction at follow-up

R William Stones, William Stones, Wendy Lawrence, Wendy T Lawrence, Susan A. Selfe
Journal of Psychosomatic Research · 2006 · vol. 60(2) , pp. 163–167 · doi:10.1016/j.jpsychores.2005.06.077 · PMID:16439269 · W2054270717
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This study investigated how the initial hospital consultation for chronic pelvic pain impacts patient satisfaction during subsequent follow-up appointments.

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Abstract

OBJECTIVE: Chronic pelvic pain (CPP) is a common condition in women, and care experiences are distressing and unsatisfactory for many. Research suggests that elements of the initial hospital consultation influence clinical outcome. This study aimed to identify the dimensions through which initial consultations were subsequently recalled at follow-up. METHOD: A questionnaire study of 100 women, 6 months following a hospital gynaecology consultation for CPP, was conducted. Measures of pain and ratings of the medical consultation were completed at initial consultation and at follow-up. RESULTS: Follow-up questionnaire items loaded to constructs of "affect", "expectation", and "cognition", forming three subscales. Patients' initial ratings of the consultation and scores on all three subscales measured at follow-up were correlated, remaining significant for both affect and expectation after controlling for current pain status. CONCLUSION: Doctor's affect and the appropriateness of information to meet expectations are important influences on experiences of care and contribute to the long-term therapeutic element of the consultation.

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Condition tags

chronic_pelvic_pain

MeSH descriptors

Patient Satisfaction Pelvic Pain Referral and Consultation Adolescent Adult Affect Cognition England Female Follow-Up Studies Hospitals, University Humans Middle Aged Obstetrics and Gynecology Department, Hospital Pain Measurement Patient Acceptance of Health Care Patient Acceptance of Health Care Patient Education as Topic Pelvic Pain Pelvic Pain

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