M Arrazola-Vacas1, J de Hevia-Payá2, L Rodríguez-Esteban1. 1. Departamento de Economía de la Empresa (ADO), Economía Aplicada II y Fundamentos de Análisis Económico, Universidad Rey Juan Carlos, Madrid, España. 2. Departamento de Economía de la Empresa (ADO), Economía Aplicada II y Fundamentos de Análisis Económico, Universidad Rey Juan Carlos, Madrid, España. Electronic address: jose.dehevia@urjc.es.
Abstract
OBJECTIVES: To find out the factors that determine satisfaction with public primary health care in Spain. The work has considered a wide group of potential determining factors of that satisfaction, which are organised into 3 blocks of variables: Those related to the perceived quality in the care received, socioeconomic, and those relative to the state of health. MATERIAL AND METHODS: The micro data of the Barómetro Sanitario (BS) of 2013, which are representative at a national level, were employed. After a prior first descriptive analysis, 2 multivariate models were estimated: One in which satisfaction is considered as being of a cardinal nature (regression model), and another in which it is contemplated as being of an ordinal nature (ordered probit model). RESULTS: There were practically no differences between the results obtained with one or other of the multivariate models. Not all the variables considered were statistically significant. Of the 3 blocks of variables studied, the one related to the perceived quality in the care received in the health centre exerts the greatest relevance in the explanation of satisfaction. CONCLUSIONS: The results obtained show that, by means of the management of the variables related to the perception of quality of care in health centres, public administrators and health professionals may have a highly favourable influence on the levels of satisfaction of primary health care patients.
OBJECTIVES: To find out the factors that determine satisfaction with public primary health care in Spain. The work has considered a wide group of potential determining factors of that satisfaction, which are organised into 3 blocks of variables: Those related to the perceived quality in the care received, socioeconomic, and those relative to the state of health. MATERIAL AND METHODS: The micro data of the Barómetro Sanitario (BS) of 2013, which are representative at a national level, were employed. After a prior first descriptive analysis, 2 multivariate models were estimated: One in which satisfaction is considered as being of a cardinal nature (regression model), and another in which it is contemplated as being of an ordinal nature (ordered probit model). RESULTS: There were practically no differences between the results obtained with one or other of the multivariate models. Not all the variables considered were statistically significant. Of the 3 blocks of variables studied, the one related to the perceived quality in the care received in the health centre exerts the greatest relevance in the explanation of satisfaction. CONCLUSIONS: The results obtained show that, by means of the management of the variables related to the perception of quality of care in health centres, public administrators and health professionals may have a highly favourable influence on the levels of satisfaction of primary health care patients.
Keywords:
Análisis de regresión; Atención primaria; Health services needs and demand; Necesidades y demanda de servicios sanitarios; Patient satisfaction; Primary health care; Regression analysis; Satisfacción del paciente
Authors: María Del Carmen Valls Martínez; Alicia Ramírez-Orellana; Mayra Soledad Grasso Journal: Int J Environ Res Public Health Date: 2021-02-26 Impact factor: 3.390