Español Português Nederlandse Deutsch Сервис опросов العربية Français Italiano 日本語 Türkçe Svenska Hebrew IL
+1 800 531 0228 +91 9650778590 +52 55 8421 2884 +49 309 160 7401 +44 20 7081 3228 +61 2 8074 5080 +971 585 998 383
SIGN UP FREE
Survey Templates Surveys The Effect of the Malpractice Situation on Patient

The Effect of the Malpractice Situation on Patient

The Effect of the Malpractice Situation on Patient Trust
What is your age?
What is your sex?
What is your race?
What is the highest level of education you have completed?
5.For questions 5 - 25, Please indicate your level of agreement with each statement.
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
I doubt that Dr. Ogilvie will really care about me as a person.
6.
Strongly Agree
Agree
Neither Agree nor Disagree
Disagree
Strongly Disagree
Dr. Ogilvie will usually be considerate of my needs and put them first.
7.
Strongly Agree
Agree
Neither Agree nor Disagree
Disagree
Strongly Disagree
I trust Dr. Ogilvie so much that I will always try to follow his advice.
8.
Strongly Agree
Agree
Neither Agree nor Disagree
Disagree
Strongly Disagree
If Dr. Ogilvie tells me something is so, then it must be true.
9.
Strongly Agree
Agree
Neither Agree nor Disagree
Disagree
Strongly Disagree
I sometimes may distrust Dr. Ogilvie's opinion and would like a second one.
10.
Strongly Agree
Agree
Neither Agree nor Disagree
Disagree
Strongly Disagree
I trust Dr. Ogilvie's judgement about my medical care.
11.
Strongly Agree
Agree
Neither Agree nor Disagree
Disagree
Strongly Disagree
I feel Dr. Ogilvie may not do everything he should for my medical care.
12.
Strongly Agree
Agree
Neither Agree nor Disagree
Disagree
Strongly Disagree
I trust Dr. Ogilvie to put my medical needs above all other considerations when treating my medical problems.
13.
Strongly Agree
Agree
Neither Agree nor Disagree
Disagree
Strongly Disagree
Dr. Ogilvie is a real expert in taking care of medical problems like mine.
14.
Strongly Agree
Agree
Neither Agree nor Disagree
Disagree
Strongly Disagree
I trust Dr. Ogilvie to tell me if a mistake was made about my treatment.
15.
Strongly Agree
Agree
Neither Agree nor Disagree
Disagree
Strongly Disagree
I sometimes worry that Dr. Ogilvie may not keep the information we discuss totally private.
16.
Strongly Agree
Agree
Neither Agree nor Disagree
Disagree
Strongly Disagree
I trust Dr. Ogilvie to put my health and well-being above any concerns that he may have about being sued later on by me.
17.
Strongly Agree
Agree
Neither Agree nor Disagree
Disagree
Strongly Disagree
I trust Dr. Ogilvie to keep personally sensitive medical information private.
18.
Strongly Agree
Agree
Neither Agree nor Disagree
Disagree
Strongly Disagree
I trust Dr. Ogilvie to provide me with information on all potential medical and surgical options and not just the standard options.
19.
Strongly Agree
Agree
Neither Agree nor Disagree
Disagree
Strongly Disagree
I trust Dr. Ogilvie to refer me to another specialist if necessary.
20.
Strongly Agree
Agree
Neither Agree nor Disagree
Disagree
Strongly Disagree
I trust Dr. Ogilvie to admit me to the hospital when needed.
21.
Strongly Agree
Agree
Neither Agree nor Disagree
Disagree
Strongly Disagree
I trust Dr. Ogilvie to make appropriate medical decisions regardless of health plan rules and guidelines.
22.
Strongly Agree
Agree
Neither Agree nor Disagree
Disagree
Strongly Disagree
I trust Dr. Ogilvie's judgement about my medical and surgical care.
23.
Strongly Agree
Agree
Neither Agree nor Disagree
Disagree
Strongly Disagree
I trust Dr. Ogilvie to recommend necessary medical tests and procedures regardless of cost.
24.
Strongly Agree
Agree
Neither Agree nor Disagree
Disagree
Strongly Disagree
I trust Dr. Ogilvie to offer me high-quality medical and surgical care.
25.
Strongly Agree
Agree
Neither Agree nor Disagree
Disagree
Strongly Disagree
I trust Dr. Ogilvie to recommend only medically necessary tests and procedures.
26.What is the reason for your visit to Dr. Ogilvie's office today? Please check one.
Have you ever met Dr. Ogilvie or do you have a friend or family member who has been under his care?
28.Please indicate your agreement or disagreement with the following 5 statements.
Strongly Agree
Agree
No Opinion
Disagree
Strongly Disagree
I believe I was referred to Dr. Ogilvie as a result of another doctor's fear of a lawsuit.
I believe my referral to Dr. Ogilvie was unnecessary.
I worry that being sent to Dr. Ogilvie was not in my best interest.
I worry that I may undergo unnecessary tests as a result of being sent here.
I am concerned that the expenses incurred by myself and my healthplan as a result of this visit are unnecessary.
29.What is your primary orthopedic issue today? Please check all that apply.
When did you first seek healthcare for this issue?
How many times have you been to a physician(s) for this particular issue before today? Please do not include visits for testing alone - such as x-rays or MRI.
32.Please indicate your agreement or disagreement with the following 5 statements.
Strongly Agree
Agree
No Opinion
Disagree
Stongly Disagree
Pennsylvania doctors are paying overly expensive premiums for malpractice insurance.
The malpractice situation in Pennsylvania has negatively affected the quality of healthcare in the state.
The malpractice situation has reulted in many doctors leaving the state.
The malpractice situation has directly impacted me or my loved ones.
I worry that my doctors' decisions are influenced by concerns over being sued.
How informed are you about the malpractice situation in Pennsylvania?
Please feel free to add any comments regarding this survey, or the malpractice issue below.
use this free template

Related templates and questionnaires

QuestionPro
Help center Live Chat SIGN UP FREE

QuestionPro in your language

Awards & certificates

  • g2-easyset-ent-fall21
  • g2-easybiz-mm-fall21
  • g2-leader-mm-fall21
  • g2-leader-fall21
  • g2-leader-eu-fall21
  • bbb-acredited
The Experience Journal

Find innovative ideas about Experience Management from the experts