The Association of Equity, Accessibility, and Price With Primary Healthcare User’s Satisfaction

Author:

Lobo Alexandrina1,Duarte Paulo2,Carvalho Amâncio3,Rodrigues Vitor3,Monteiro Maria João3,Alves Helena2

Affiliation:

1. Escola Superior de Enfermagem Dr. José Timóteo Montalvão Machado, Chaves, Portugal

2. University of Beira Interior, Covilhã, Portugal

3. Universidade de Trás-os-Montes e Alto Douro, Vila Real, Portugal

Abstract

The assessment of user satisfaction, and the knowledge of what factors influence satisfaction are very important for the improvement of services’ quality provided. This study aims to evaluate user satisfaction with primary healthcare services. A sample of 6,113 healthcare services users was interviewed to evaluate satisfaction and determine a global satisfaction index using a Partial Least Squares Path Model. The global user satisfaction index with healthcare centers is 58.4 points on a 100-point scale, showing that users are only moderately satisfied with the service provided. The results show that the medical care and the price of services are the main predictors of user satisfaction. Other factors such as the perception of health equity and nursing services also seem to be important contributors to satisfaction. A more disturbing result is the negative relationship between perceived accessibility and satisfaction, which requires further research.

Publisher

SAGE Publications

Subject

General Nursing

Reference45 articles.

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3. Barbosa P. (2009). O impacto das políticas de saúde na satisfação dos utentes e no acesso aos cuidados de saúde primários: Estudo de caso na unidade de saúde familiar marginal [The impact of health policies on user satisfaction and access to primary care: A case study in a marginal family health unit] (master’s thesis). Universidade Técnica de Lisboa, Lisboa, Portugal.

4. Theory, development and implementation of national customer satisfaction indices: The Swiss Index of Customer Satisfaction (SWICS)

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