Do you like your doctor? It could be the death of you

Satisfaction with NHS is high but it may be bad news

Satisfaction with the NHS has been rising steadily for the past decade and is at an all-time high – but that could spell bad news for patients.

The more satisfied patients are with their medical care, the more likely they are to die, US researchers have found.

More care is not always better care and sometimes doctors have to tell patients things they would rather not hear.

The findings run counter to a key aspect of Health Secretary Andrew Lansley's NHS reforms, whose thrust is to increase satisfaction by boosting patient involvement in care – no decision "about me without me".

Findings from the 2011 NHS outpatient survey, published yesterday, show 84 per cent rated their experience as being excellent or very good, the highest level since the survey started in 2002.

Patients said they were better involved in decisions about their care, were treated with respect and dignity and had confidence and trust in staff.

A spokesman for the Care Quality Commission – which carried out the poll of 72,000 people attending outpatient departments in April and May 2011 – said it showed that when key aspects of care were measured, performance improved.

Ann Milton, Public Health minister, said the results were "great news" but said there was "more to do" to improve patients' experience of the NHS.

"We want people to feel involved at every step of the care they get in hospital." she said.

The Department of Health cited independent research by Imperial College London that showed hospitals with better patient ratings tended to have lower death and readmission rates. However, a US study that examined the patients rather than the hospitals found that those who were most satisfied were prescribed more drugs, had more hospital admissions and a 26 per cent higher death rate.

Satisfaction is regarded as "good" in health because satisfied patients are more likely to do what their doctors tell them and take drugs they prescribe.

However, many patients ask for treatments they do not need and may end up being overtreated or labelled as ill in ways that cause harm. They might be better off with a doctor prepared to risk their dissatisfaction by resisting their demands.

The US authors, from the University of California, whose study, The Cost of Satisfaction, is published in the medical journal, Archives of Internal Medicine, warned: "An overemphasis on patient satisfaction could have unintended adverse effects."

In a commentary on the findings, Brenda Sirovich, from the Department of Veterans Affairs Medical Centre in Vermont, said overcoming the "more is always better" fallacy of healthcare remained an enormous challenge.

In a recent survey, almost half of US primary care physicians believed their patients were receiving too much medical care.

Dr Sirovich wrote: "While most Americans may accurately assess how well their washing machines, their hairdressers or even their airlines are performing, their evaluations of physicians and health care interventions may have limited validity."

Suggested Topics
News
Kenny Ireland, pictured in 2010.
peopleActor, from House of Cards and Benidorm, was 68
News
A scene from the video shows students mock rioting
newsEnd-of-year leaver's YouTube film features staging of a playground gun massacre
Travel
travel
Environment
View from the Llanberis Track to the mountain lake Llyn
Du’r Arddu
environmentA large chunk of Mount Snowdon, in north Wales, is up for sale
PROMOTED VIDEO
Life and Style
ebookA wonderful selection of salads, starters and mains featuring venison, grouse and other game
Voices
A family sit and enjoy a quiet train journey
voicesForcing us to overhear dull phone conversations is an offensive act, says Simon Kelner
News
i100This Instagram photo does not prove Russian army is in Ukraine
Arts and Entertainment
The cast of The Big Bang Theory in a still from the show
tvBig Bang Theory filming delayed by contract dispute over actors' pay
News
Morrissey pictured in 2013
people
Arts and Entertainment
The Secret Cinema performance of Back to the Future has been cancelled again
filmReview: Sometimes the immersive experience was so good it blurred the line between fiction and reality
Arts and Entertainment
Sydney and Melbourne are locked in a row over giant milk crates
art
Life and Style
The director of Wall-E Andrew Stanton with Angus MacLane's Lego model
gadgetsDesign made in Pixar animator’s spare time could get retail release
News
peopleGuitarist, who played with Aerosmith, Lou Reed and Alice Cooper among others, was 71
Environment
Tyred out: should fair weather cyclists have a separate slow lane?
environmentFormer Labour minister demands 'pootling lanes' for women cyclists
News
people
Sport
England celebrate a wicket for Moeen Ali
sportMoeen Ali stars with five wickets as Cook's men level India series
News
Field of broken dreams: Andy Bell visits Passchendaele
news5 News's Andy Bell visited the killing fields of the Great War, and his ancestor - known only from his compelling war diary - came to life
Independent
Travel Shop
the manor
Up to 70% off luxury travel
on city breaks Find out more
santorini
Up to 70% off luxury travel
on chic beach resorts Find out more
sardina foodie
Up to 70% off luxury travel
on country retreats Find out more
Latest stories from i100
Have you tried new the Independent Digital Edition apps?

ES Rentals

    Independent Dating
    and  

    By clicking 'Search' you
    are agreeing to our
    Terms of Use.

    iJobs Job Widget
    iJobs General

    VB.Net Developer - £40k - Surrey - WANTED ASAP

    £35000 - £40000 per annum + competitive: Progressive Recruitment: .Mid Level V...

    Digitakl Business Analyst, Slough

    £40000 - £45000 per annum + Competitive Benefits: Progressive Recruitment: Dig...

    Mechanical Estimator: Nuclear Energy - Sellafield

    £40000 - £50000 per annum + Car, Medical, Fuel + More!: Progressive Recruitmen...

    Dynamics NAV Techno-Functional Consultant

    £50000 - £60000 per annum + benefits: Progressive Recruitment: An absolutely o...

    Day In a Page

    Dress the Gaza situation up all you like, but the truth hurts

    Robert Fisk on Gaza conflict

    Dress the situation up all you like, but the truth hurts
    Save the tiger: Tiger, tiger burning less brightly as numbers plummet

    Tiger, tiger burning less brightly

    When William Blake wrote his famous poem there were probably more than 100,000 tigers in the wild. These days they probably number around 3,200
    5 News's Andy Bell retraces his grandfather's steps on the First World War battlefields

    In my grandfather's footsteps

    5 News's political editor Andy Bell only knows his grandfather from the compelling diary he kept during WWI. But when he returned to the killing fields where Edwin Vaughan suffered so much, his ancestor came to life
    Lifestyle guru Martha Stewart reveals she has flying robot ... to take photos of her farm

    Martha Stewart has flying robot

    The lifestyle guru used the drone to get a bird's eye view her 153-acre farm in Bedford, New York
    Former Labour minister Meg Hillier has demanded 'pootling lanes' for women cyclists

    Do women cyclists need 'pootling lanes'?

    Simon Usborne (who's more of a hurtler) explains why winning the space race is key to happy riding
    A tale of two presidents: George W Bush downs his paintbrush to pen father’s life story

    A tale of two presidents

    George W Bush downs his paintbrush to pen father’s life story
    Restaurateur Mitch Tonks has given the Great Western Pullman dining car a makeover

    The dining car makes a comeback

    Restaurateur Mitch Tonks has given the Great Western Pullman dining car a makeover
    Gallery rage: How are institutions tackling the discomfort of overcrowding this summer?

    How are institutions tackling gallery rage?

    Art galleries around the world are experiencing a rise in admissions but this comes at a price, according to The New York Times's Rachel Donadio, who said soaring attendance had turned museums into crowded, sauna-like spaces
    Save the tiger: The day America’s love of backyard tigers led to a horrific bloodbath

    The day America’s love of backyard tigers led to a horrific bloodbath

    With only six per cent of the US population of these amazing big cats held in zoos, the Zanesville incident in 2011 was inevitable
    Samuel Beckett's biographer reveals secrets of the writer's time as a French Resistance spy

    How Samuel Beckett became a French Resistance spy

    As this year's Samuel Beckett festival opens in Enniskillen, James Knowlson, recalls how the Irish writer risked his life for liberty and narrowly escaped capture by the Gestapo
    We will remember them: relatives still honour those who fought in the Great War

    We will remember them

    Relatives still honour those who fought in the Great War
    Star Wars Episode VII is being shot on film - and now Kodak is launching a last-ditch bid to keep celluloid alive

    Kodak's last-ditch bid to keep celluloid alive

    Director J J Abrams and a few digital refuseniks shoot movies on film. Simon Usborne wonders what the fuss is about
    Once stilted and melodramatic, Hollywood is giving acting in video games a makeover

    Acting in video games gets a makeover

    David Crookes meets two of the genre's most popular voices
    Could our smartphones soon be diagnosing diseases via Health Kit and Google Fit?

    Could smartphones soon be diagnosing diseases?

    Health Kit and Google Fit have been described as "the beginning of a health revolution"
    Ryanair has turned on the 'charm offensive' but can we learn to love the cut-price carrier again?

    Can we learn to love Ryanair again?

    Four recent travellers give their verdicts on the carrier's improved customer service