Marta Gorina1, Joaquín T Limonero2, Xavier Peñart3, Jordi Jiménez4, Javier Gassó5. 1. Universitat Autónoma de Barcelona, Bellaterra, Cerdanyola del Vallès, Barcelona, España. 2. Universitat Autónoma de Barcelona, Bellaterra, Cerdanyola del Vallès, Barcelona, España; Grupo de Investigación en Estrés y Salud (GIES), Universitat Autónoma de Barcelona, Bellaterra, Cerdanyola del Vallès, Barcelona, España. Electronic address: joaquin.limonero@uab.cat. 3. Centro de Atención Primaria Oest, Mútua de Terrassa, Terrassa, Barcelona, España. 4. Centro de Atención Primaria Valldoreix, Mútua de Terrassa, Sant Cugat del Vallès, Barcelona, España. 5. Egarsat, Mutua de Accidentes de Trabajo de la Seguridad Social núm. 276, Sant Cugat del Vallès, Barcelona, España.
Abstract
OBJECTIVE: To determine the level of satisfaction of users that receive home health care through two different models of primary health care: integrated model and dispensaries model. DESIGN: cross-sectional, observational study. LOCATION: Two primary care centers in the province of Barcelona. PARTICIPANTS: The questionnaire was administered to 158 chronic patients over 65 years old, of whom 67 were receiving health care from the integrated model, and 91 from the dispensaries model. MAIN MEASUREMENTS: The Evaluation of Satisfaction with Home Health Care (SATISFAD12) questionnaire was, together with other complementary questions about service satisfaction of home health care, as well as social demographic questions (age, sex, disease, etc). RESULTS: The patients of the dispensaries model showed more satisfaction than the users receiving care from the integrated model. There was a greater healthcare continuity for those patients from the dispensaries model, and a lower percentage of hospitalizations during the last year. The satisfaction of the users from both models was not associated to gender, the health perception,or independence of the CONCLUSIONS: The user satisfaction rate of the home care by primary health care seems to depend of the typical characteristics of each organisational model. The dispensaries model shows a higher rate of satisfaction or perceived quality of care in all the aspects analysed. More studies are neede to extrapolate these results to other primary care centers belonging to other institutions.
OBJECTIVE: To determine the level of satisfaction of users that receive home health care through two different models of primary health care: integrated model and dispensaries model. DESIGN: cross-sectional, observational study. LOCATION: Two primary care centers in the province of Barcelona. PARTICIPANTS: The questionnaire was administered to 158 chronic patients over 65 years old, of whom 67 were receiving health care from the integrated model, and 91 from the dispensaries model. MAIN MEASUREMENTS: The Evaluation of Satisfaction with Home Health Care (SATISFAD12) questionnaire was, together with other complementary questions about service satisfaction of home health care, as well as social demographic questions (age, sex, disease, etc). RESULTS: The patients of the dispensaries model showed more satisfaction than the users receiving care from the integrated model. There was a greater healthcare continuity for those patients from the dispensaries model, and a lower percentage of hospitalizations during the last year. The satisfaction of the users from both models was not associated to gender, the health perception,or independence of the CONCLUSIONS: The user satisfaction rate of the home care by primary health care seems to depend of the typical characteristics of each organisational model. The dispensaries model shows a higher rate of satisfaction or perceived quality of care in all the aspects analysed. More studies are neede to extrapolate these results to other primary care centers belonging to other institutions.
Keywords:
Atención domiciliaria de salud; Atención primaria de salud; Calidad percibida de la atención; Home care services; Modelos organizacionales; Organizational models; Patient satisfaction; Perceived quality of care; Primary health care; Satisfacción del paciente
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