Age matters: The older the physician, the fewer the patient complaints

Male doctor in white lab coat
Researchers speculate that speculated that because younger physicians may be more up-to-date with best practices, complaints may come less from cognitive or technical deficits and more from behavioral and confidence issues. (Getty/Saklakova)

It turns out the age of a physician does influence the likelihood patients will have a complaint.

However, the older the doctor, the fewer patient complaints, according to a study published in JAMA Ophthalmology.

Researchers from Vanderbilt University School of Medicine in Nashville, Tennessee, wanted to see if physician age was associated with an increased likelihood of receiving unsolicited complaints among ophthalmologists. When they reviewed 1,342 doctors, they found that increasing physician age was associated with a decreased risk of patient complaint.

Conference

13th Partnering with ACOS & IDNS Summit

This two-day summit taking place on June 10–11, 2019, offers a unique opportunity to have invaluable face-to-face time with key executives from various ACOs and IDNs from the entire nation – totaling over 3.5 million patients served in 2018. Exclusively at this summit, attendees are provided with inside information and data from case studies on how to structure an ACO/IDN pitch, allowing them to gain the tools to position their organization as a “strategic partner” to ACOs and IDNs, rather than a merely a “vendor.”

RELATED: Head off patient complaints with good customer service

Younger ophthalmologists had a significantly shorter time before receiving their first complaint from a patient and were significantly more likely to have a patient complain than older physicians, the researchers found.

Why late-career physicians had fewer complaints remains to be explored, the researchers said. For the study, they reviewed the rate of complaints over time by physician age using patient complaints registered between 2002 and 2015 in Vanderbilt’s Patient Advocacy Reporting System, a database of complaints and physician specialty data. The doctors were from 20 U.S. healthcare organizations that participate in the system.

The median physician age was 47, with 9% of the doctors 71 years or older. The ophthalmologists older than 70 had the lowest complaint rate and the longest mean time before receiving a patient complaint.

Over the course of the study, 564 ophthalmologists, or 42%, had at least one unsolicited patient complaint.

While it wasn’t clear why the older doctors received fewer complaints, the researchers said early-career physicians may face the challenges of mastering new clinical systems and how best to provide excellent care largely on their own. They speculated that because younger physicians may be more up-to-date with best practices, complaints may come less from cognitive or technical deficits and more from behavioral and confidence issues.

Younger doctors may also have novice support staff and nurses, a larger share of “difficult” patients referred by late- and midcareer ophthalmologists and insufficient training and experience to handle unsolvable medical situations or emotionally difficult conversations, the researchers said.

Midcareer physicians may be driven to undertake greater workloads, the researchers said. As their practices grow, they may see more patients and face complaints about shortened visits, poor availability and lower quality of care, the researchers said.

In older physicians, a rapid increase in patient complaints against a doctor who had few or none may signal a need for physical, mental and skills assessments, they said.

And while they may get fewer complaints, one study found patients treated by older doctors have higher mortality rates than those treated by younger physician.

Suggested Articles

The Trump administration has unveiled a new set of payment models aimed at boosting value in primary care, which it plans to launch next year.

But benchmarking has not seen an innovative improvement in decades. Here's how to change that.

ONC is moving another step closer to implementing a framework designed to improve data sharing between health information networks.