Características sociodemográficas y variabilidad geográfica relacionada con la satisfacción del paciente en Atención Primaria

S. Pérez-Romero , J.J. Gascón-Cánovas , D. Salmerón-Martínez , P. Parra-Hidalgo , O. Monteagudo-Piqueras
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引用次数: 10

Abstract

Background

Patient satisfaction with health services plays an important role in programs to improve the quality of care from the point of view of users. The objectives of this study were: To identify sociodemographic characteristics associated with patient satisfaction in the care provided by family doctors in Primary Health Care (PHC) centres, and describe the geographical variability of this phenomenon in the Spanish National Health Service.

Material and methods

The data come from the European Health Survey (2009). Prevalence ratios (crude and adjusted) of the characteristics associated with both excellent satisfaction and dissatisfaction using Poisson regression, and their geographical variability are discussed.

Results

About one in every 3 users of the PHC believes that the care provided was excellent, while 6.7% were dissatisfied. There is a wide variability in the perception of satisfaction among the various regional health services, with prevalence ranging between 10.9% and 55.2%. Moreover, this assessment is closely related to age, level of self-perceived health, mental health, previous hospitalisation, chronic disease status, and limitations in daily activities.

Conclusions

Satisfaction with the care provided by the PHC physician is relatively high. However, the distribution between regions and socio-demographic characteristics and health status of the user is heterogeneous.

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与初级保健患者满意度相关的社会人口学特征和地理变异性
背景:从使用者的角度来看,患者对医疗服务的满意度在提高护理质量的项目中起着重要的作用。本研究的目的是:确定与初级卫生保健(PHC)中心家庭医生提供的护理的患者满意度相关的社会人口学特征,并描述这一现象在西班牙国家卫生服务体系中的地理差异。资料和方法数据来自欧洲健康调查(2009年)。使用泊松回归,讨论了与极满意和不满意相关的特征的患病率(原始和调整)及其地理变异性。结果每3名用户中就有1人认为提供的服务很好,6.7%的用户不满意。各地区卫生服务满意度存在很大差异,患病率在10.9%至55.2%之间。此外,该评估与年龄、自我感知健康水平、心理健康、既往住院情况、慢性疾病状况和日常活动限制密切相关。结论对初级保健医师的护理满意度较高。然而,使用者的区域分布、社会人口特征和健康状况是异质的。
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