Association between Obesity and Patient Satisfaction
Article first published online: 6 SEP 2012
2006 North American Association for the Study of Obesity (NAASO)
Volume 14, Issue 8, pages 1402–1411, August 2006
How to Cite
Fong, R. L., Bertakis, K. D. and Franks, P. (2006), Association between Obesity and Patient Satisfaction. Obesity, 14: 1402–1411. doi: 10.1038/oby.2006.159
- Issue published online: 6 SEP 2012
- Article first published online: 6 SEP 2012
- Received for review May 03, 2005, Accepted in final from May 22, 2006
- patient satisfaction;
- physician interaction;
- older patients;
- health care delivery
Objective: To examine the relationship between BMI and patient satisfaction with health care providers using a nationally representative survey.
Research Methods and Procedures: This analysis examined the 9914 adult patients who completed the 2000 Medical Expenditure Panel Survey and had visited a health care provider within 12 months of the survey. Linear regression models were employed with patient satisfaction as the dependent variable. The patient satisfaction scale was based on ratings from five questions assessing the quality of provider interactions. The independent variable was BMI, with adjustments for the domains of demographics, social-economic status, health attitudes and behavior, health status, and health care use. BMI (weight in kilograms/square of height in meters) was classified as normal weight (18.5 to 24.9), overweight (25.0 to 29.9), or obese (≥30.0). Hierarchical models were used to evaluate how each domain modified the BMI-satisfaction association.
Results: Obese patients reported significantly greater satisfaction with their health care providers than their normal-weight counterparts did (p < 0.05). There were no significant differences in satisfaction between normal-weight and overweight patients or between overweight and obese patients. The health status domain produced the largest modification in the BMI-satisfaction relationship. Examination of interaction effects revealed that the association between BMI and satisfaction was confined to older persons.
Discussion: In this nationally representative sample of individuals, obese persons were more satisfied than their normal-weight counterparts. This finding counters those of previous studies. Incomplete adjustments for health care use and insurance status may have led to those conclusions.