User satisfaction in the spanish health system: trend analysis

ABSTRACT OBJECTIVE To analyze the trend of opinion and satisfaction indicators of the Spanish national health system from 2005 to 2017. METHODS Ecological study of time series analyzing the trend of eight indicators of opinion and satisfaction on the Spanish national health system and its autono...

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Main Authors: Víctor Pérez-Cantó, Loreto Maciá-Soler, Víctor M González-Chordá
Format: Article
Language:English
Published: Universidade de São Paulo
Series:Revista de Saúde Pública
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0034-89102019000100277&lng=en&tlng=en
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author Víctor Pérez-Cantó
Loreto Maciá-Soler
Víctor M González-Chordá
author_facet Víctor Pérez-Cantó
Loreto Maciá-Soler
Víctor M González-Chordá
author_sort Víctor Pérez-Cantó
collection DOAJ
description ABSTRACT OBJECTIVE To analyze the trend of opinion and satisfaction indicators of the Spanish national health system from 2005 to 2017. METHODS Ecological study of time series analyzing the trend of eight indicators of opinion and satisfaction on the Spanish national health system and its autonomous communities from 2005 to 2017. The data was obtained from the Ministry of Health, Social Services and Equality and from the Health Barometer. The Prais-Winsten regression method was used. RESULTS A static tendency was observed in the perception of users on how the health system works (APC = 1.898, 95%CI -0.954 – 4.751) and decreasing opinion on the improvement of primary care (APC = -0.283; 95%CI -0.335 – -0.121), specialized (APC = -0.241, 95%CI -0.74 – -0.109) and hospitalization (APC = -0.171, 95%CI -0.307 – -0.036). Satisfaction with knowledge and follow-up by the family doctor and pediatrician showed an increasing trend (APC = 7.939, 95%CI 3.965 – 11.914). Satisfaction with medical and nursing professionals was static. No large differences were observed in the trends of the indicators studied in the autonomous communities. CONCLUSIONS A negative trend was observed in the opinion of the Spanish national health system users. Financing, human resources, quality management systems and differences in the autonomous communities may be some of the causes.
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spelling doaj.art-39c8cc26ab364ed8ace5a7f41ed689042022-12-21T23:01:58ZengUniversidade de São PauloRevista de Saúde Pública1518-87875310.11606/s1518-8787.2019053001506S0034-89102019000100277User satisfaction in the spanish health system: trend analysisVíctor Pérez-CantóLoreto Maciá-SolerVíctor M González-ChordáABSTRACT OBJECTIVE To analyze the trend of opinion and satisfaction indicators of the Spanish national health system from 2005 to 2017. METHODS Ecological study of time series analyzing the trend of eight indicators of opinion and satisfaction on the Spanish national health system and its autonomous communities from 2005 to 2017. The data was obtained from the Ministry of Health, Social Services and Equality and from the Health Barometer. The Prais-Winsten regression method was used. RESULTS A static tendency was observed in the perception of users on how the health system works (APC = 1.898, 95%CI -0.954 – 4.751) and decreasing opinion on the improvement of primary care (APC = -0.283; 95%CI -0.335 – -0.121), specialized (APC = -0.241, 95%CI -0.74 – -0.109) and hospitalization (APC = -0.171, 95%CI -0.307 – -0.036). Satisfaction with knowledge and follow-up by the family doctor and pediatrician showed an increasing trend (APC = 7.939, 95%CI 3.965 – 11.914). Satisfaction with medical and nursing professionals was static. No large differences were observed in the trends of the indicators studied in the autonomous communities. CONCLUSIONS A negative trend was observed in the opinion of the Spanish national health system users. Financing, human resources, quality management systems and differences in the autonomous communities may be some of the causes.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0034-89102019000100277&lng=en&tlng=enPatient SatisfactionNational Health SystemsQuality of Health CareHealth Services Research
spellingShingle Víctor Pérez-Cantó
Loreto Maciá-Soler
Víctor M González-Chordá
User satisfaction in the spanish health system: trend analysis
Revista de Saúde Pública
Patient Satisfaction
National Health Systems
Quality of Health Care
Health Services Research
title User satisfaction in the spanish health system: trend analysis
title_full User satisfaction in the spanish health system: trend analysis
title_fullStr User satisfaction in the spanish health system: trend analysis
title_full_unstemmed User satisfaction in the spanish health system: trend analysis
title_short User satisfaction in the spanish health system: trend analysis
title_sort user satisfaction in the spanish health system trend analysis
topic Patient Satisfaction
National Health Systems
Quality of Health Care
Health Services Research
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0034-89102019000100277&lng=en&tlng=en
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