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Biomedical subjects

M A Stewart

Publications and source records attributed to M A Stewart.

At least 91 records · Page 5Linked to original sources
PubMed1978

Direct and indirect measures of patient satisfaction with physicians' services.

This research examines alternative measures of patient satisfaction. Three measures were compared: (1) a direct measure to evaluate how the patient felt about his own personal physician, (2) an indirect measure that assessed attitudes about physicians in general, and (3) a measure designed to be intermediate between these two. Responses to the three measures were found to differ: the levels of satisfaction increased with the directness of the measure used; indirect evidence that this relationship could not be attributed solely to a patient's reluctance to criticize his own physician is also provided. The three measures were compared in terms of their association with other assessments of outcome and with indicators of the process of care. Although none of the associations was statistically significant, high scores on the intermediate measure tended to correspond with better outcomes and higher scores on the process of care. These findings are at least compatible with the contention than an intermediate measure provides the most valid assessment of patient satisfaction.

Adult↗
PubMed1978

A family study of unsocialized aggressive boys.

The psychiatric histories of relatives of 17 boys admitted to an inpatient unit with "unsocialized aggressive" behavior and of 19 boys admitted with other problems were investigated by means of structured interviews. The interviews were rated blind and diagnoses made on the respondents and relatives described in the family histories using research criteria. Fathers and combined parents of the probands qualified for the diagnosis of antisocial personality disorder more often than the fathers and combined parents of control boys. Uncles of probands and combined uncles and aunts more often had a history of marked antisocial behavior than the corresponding relatives of controls. Siblings of the probands more often had a history of behavior problems as children or adolescents than the siblings of controls. The data suggest an association between unsocialized aggressive reaction in boys and antisocial personality disorder in their adult relatives. Such an association is an interesting contrast to the relationship between hyperactivity in children and alcoholism in their adult relatives.

Adult↗
PubMed1978

Unsocialized aggressive boys: a follow-up study.

Twenty-two boys who met criteria for the diagnosis "unsocialized aggressive reaction" and had been admitted to an inpatient unit were followed up 21 months later. Two thirds were improved. Fighting and resistance to discipline were diminished while impulsiveness and similar traits persisted. Boys who were separated from an antisocial parent but lived in a home did better than others.

Adolescent↗
PubMed1977

Physicians' knowledge of and response to patients' problems.

The purposes of the study were: 1) to describe the extent of the physician's knowledge and his response; 2) to measure the degree of correlation among four indicators of knowledge and among four indicators of response; and 3) to measure the association between physician's knowledge and his response. There were five physicians and 299 patients in the study. All the patients had at least one chronic condition and one current complaint. The four indicators referred to the four kinds of problems considered: discomfort, worry, disturbance of daily living, and social problems. The physicians had high percentages of perfect scores on knowledge of discomfort, worry, and disturbance of daily living, but a low percentage on knowledge of social problems. Scores on response to discomfort were high but were low on response to other aspects. The correlations between knowledge and response, although statistically significant, were low for all four types of problems. It is possible that these correlations were underestimated because the physician's responses were recorded only for the three-month period of the study.

Adult↗
PubMed1975

How illness presents: a study of patient behavior.

In 1972 McWhinney presented a classification of patient behavior which provided the physician with a framework in which to describe his assessment of the reason for the patient's visit. The present paper assesses the reliability of this classification schema involving seven categories of patient behavior comparing the assessments of the investigators with those of the cooperating physicians. There was agreement in 75 percent of the cases. For a random sample of women, 389 visits over a six-month period were classified. Signal behavior was noted in 14 percent of all visits and psychosocial problems were presented frankly in another 22 percent. The distribution of patient behaviors differed for patient and doctor-initiated visits and differed among the five participating physicians. Characteristics of the doctor, rather than those of the patient, had the greater influence on the degree to which patients used frank presentation rather than signal behavior to provoke discussion of psychosocial problems.

Adult↗