Marquis M S, Davies A R, Ware J E
Med Care. 1983 Aug;21(8):821-9. doi: 10.1097/00005650-198308000-00006.
Longitudinal data from The Rand Corporation's Health Insurance Experiment were used to test the hypothesis that provider continuity can be modeled as one behavioral consequence of patient satisfaction. Bivariate and multivariate analyses (controlling for sociodemographic characteristics, prior use of services, health status, and health insurance plan) supported our hypotheses. A multivariate linear probability function indicated that a 1-point decrease on a general satisfaction scale was associated with a 3.4 percentage-point increase in the probability of provider change. The relationship between satisfaction scores and continuity during the following year appears to be roughly linear; we observed no "threshold" satisfaction level at which the probability of provider change increased markedly. We discuss needed improvements in the measurement of provider continuity and the need for further study of other behavioral consequences of patient satisfaction.
医疗服务提供者的连续性可被建模为患者满意度的一种行为结果。双变量和多变量分析（控制社会人口统计学特征、先前的服务使用情况、健康状况和健康保险计划）支持了我们的假设。一个多变量线性概率函数表明，总体满意度量表上下降1分与更换医疗服务提供者的概率增加3.4个百分点相关。次年满意度得分与连续性之间的关系似乎大致呈线性；我们未观察到更换医疗服务提供者的概率会显著增加的“阈值”满意度水平。我们讨论了在医疗服务提供者连续性测量方面所需的改进，以及对患者满意度的其他行为结果进行进一步研究的必要性。
