The relationship between patient satisfaction with physical therapy care and global rating of change reported by patients receiving worker's compensation

Physiother Theory Pract. 2011 May;27(4):310-8. doi: 10.3109/09593985.2010.490575. Epub 2010 Aug 26.


This study examined relationships between patient satisfaction with physical therapy care and global rating of change; 1,944 respondents completed the Medrisk Instrument for Measuring Patient Satisfaction with Physical Therapy Care (MR-12) and a nine-point Global Rating of Change Scale (GROC) following a course of physical therapy for a work-related musculoskeletal problem. Ninety percent of all respondents reported being satisfied or very satisfied with their overall care, whereas 70.1% of all respondents indicated they improved following treatment. Respondents who reported improvement had significantly higher scores for all measures of satisfaction (p<0.01) than did those who reported failure to improve; however, both of these groups had mean scores of greater than 4.0 on the MR-12, indicating that respondents were likely to be satisfied or very satisfied with care regardless of perceived change following treatment. Scores>4.0 from the MR-12 had high sensitivity to detect those respondents classified as "improved" (0.87-0.95), but low specificity to differentiate between those who were classified as "improved" and those who were classified as "did not improve" (0.22-0.30). Our findings support the hypothesis that patient satisfaction with care is primarily independent of perceived clinical change.

MeSH terms

  • Adult
  • Chi-Square Distribution
  • Female
  • Health Care Surveys
  • Health Knowledge, Attitudes, Practice
  • Humans
  • Male
  • Middle Aged
  • Musculoskeletal Diseases / physiopathology
  • Musculoskeletal Diseases / psychology
  • Musculoskeletal Diseases / rehabilitation*
  • Occupational Diseases / physiopathology
  • Occupational Diseases / psychology
  • Occupational Diseases / rehabilitation*
  • Patient Satisfaction*
  • Perception
  • Physical Therapy Modalities*
  • Quality of Health Care*
  • Recovery of Function
  • Regression Analysis
  • Surveys and Questionnaires
  • Treatment Outcome
  • United States
  • Workers' Compensation*