• 作者：Jesú ; s Martí ; n-Ferná ; ndez^a ; ^{jmartinefe@hotmail.com} ; M. Isabel del Cura-Gonzá ; lez^b ; Tomá ; s Gó ; mez-Gascó ; n^c ; Eva Ferná ; ndez-Ló ; pez^a ; Guadalupe Pajares-Carabajal^a ; Bernardo Moreno-Jimé ; nez^d
• 关键词：Relació ; n mé ; dico-paciente ; Satisfacció ; n del paciente ; Atenció ; n Primaria ; Atenció ; n Primaria/organizació ; n y administració ; n ; Calidad de la atenció ; n ; Cuestionarios
• 刊名：Atenci贸n Primaria
• 出版年：2010
• 期刊代码：pca69_02126567
• 类别：med
• 出版时间：April 2010
• 卷：42
• 期：4
• 页码：196-203
• 文件大小：438 K

Objective

To describe patient satisfaction of their relationship with the family physician, using the PDRQ-9 questionnaire and assess its psychometric properties.

Design

Cross-sectional study.

Setting

Six Primary Care Health centres in the Community of Madrid, Spain.

Participants

Four hundred and fifty one patients randomly selected from those who had just visited their family physician.

Interventions

Interviews were carried out to collect demographic characteristics, health needs, the accessibility to the service, and the socioeconomic situation of the subjects.

Measurements

The PDRQ-9 responses were collected and a synthetic satisfaction index was constructed. A multivariable model was designed to explain differences in satisfaction.

Results

The mean satisfaction index was 4.41 (95%CI: 4.33 鈥?#xA0;4.48) on a scale of 1 (the worst) to 5 (the best satisfaction possible), with a median of 4.78 (interquartile range 4.00 鈥?#xA0;5.00). Four of every 10 subjects expressed the maximum possible satisfaction (鈥渃eiling effect鈥?. A single factor explained 75.3%of the variance, with a Cronbach 伪 value of 0.952. Age (OR 1.03, 95%CI: 1.02 鈥?#xA0;1.05) and living in rural areas (OR 1.44, 95%CI: 0.94 鈥?#xA0;2.20) were associated with above average satisfaction.

Conclusions

Primary care users feel their relationship with their family physicians are very satisfactory, particularly in those who are older and who live in rural areas. The PDRQ-9 questionnaire shows a high internal consistency, but it is not good enough to discriminate in the upper part of the scale.