A snapshot of medical care quality: health professional and patient satisfaction

Main Article Content

Araceli López-García
Edith Valdez-Martínez
María Victoria Goycochea-Robles
Miguel Bedolla

Keywords

Job Satisfaction, Patient Satisfaction, Quality of Health Care, Evaluation Studies

Abstract

 

Objective: the aim of this study was to estimate health professional and patient satisfaction and to identify some of the factors that could impinge on health professional satisfaction.

Methods: a comparative cross-sectional study type survey was carried out at the outpatient setting from healthcare units at the Instituto Mexicano del Seguro Social. Two different questionnaires were employed: one to measure work satisfaction of health professionals (n = 797); and the second, to measure the satisfaction of patients (n = 948) with the quality of medical care received.

Results: in total, 402 (50.4 %) workers and 439 (46.3 %) patients were satisfied. The highest and the lowest numbers of satisfied workers were observed in family care units and second-level hospitals, respectively, while the greatest proportion of satisfied patients was found in the second level hospitals. No correlation was found between the number of health professionals and satisfied patients (r = 0.166, p = 0.363).

Conclusions: the results of this study have a twofold goal: to illustrate the current status quality of care and to suggest that an effort on periodic measurements of the process of care should be made to improve the quality of care.

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References

Donabedian A. An introduction to quality assurance in health care. New York, USA: Oxford University Press; 2003.

 

Sitzia J, Word N. Patient satisfaction: a review of issues and concepts. Soc Sci Med 1997;45(12):18 29-1843.

 

Landon BE, Reschovsky J, Blumenthal D. Changes in career satisfaction among primary care and specialist physicians 1997-2001. JAMA 2003;289(4): 442-449.

 

Zandbelt LC, Smets EM, Oort FJ, Godfried MH, de Haes HC. Satisfaction with the outpatient encounter: a comparison of patients’ and physicians’ views. J Gen Intern Med 2004;19(11):1088-1095.

 

Feddock CA, Hoellein AR, Griffith CH 3rd, Wilson JF, Bowerman JL, Becker NS, et al. Can physician improve patient satisfaction with long waiting times? Eval Health Prof 2005;28(1):40-52.

 

Frankel RM. Relationship-centered care and patient-physician relationship. J Gen Med 2004;19 (11):1163-1165.

 

Bronfman-Pertzovsky MN, López-Moreno S, Magis-Rodríguez C, Moreno-Altamirano A, Rutstein S. Atención prenatal en el primer nivel de atención: características de los provedores que influyen en la satisfacción de las usuarias  Salud Publica Mex 2003;45(6):445-454.

 

Smith R. Why are doctors so unhappy? BMJ 2001; 322(7294):1073-1074.

 

Hoppock R. Job satisfaction. New York, USA: Harper Publisher; 1935.

 

Zuger A. Dissatisfaction with medical practice. N Engl J Med 2004;350(1):69-75.

 

Secretaría de Salud. Sistema de protección social en salud. Elementos conceptuales, financieros y operativos. Segunda edición. México: Fondo de Cultura Económica; 2006.

 

Hulley SB, Cummings SR, Browner WS, Grady D, Hearst N, Newman TB. Designing clinical research. An epidemiologic approach. Second edition. Philadelphia: Lippincott Williams and Wilkins; 2001.

 

Cabrera-Piraval CE, Franco-Chávez SA, González-Pérez G, Vega-López G, Parra-Estrada J, Íñiguez-Núñez JE. Satisfacción laboral de profesionales de la salud en el IMSS, Jalisco 1999-2002. Rev Med IMSS 2004;42(3): 193-198.

 

Hernández-Leyva B, García-Peña C, Anzures-Carro R, Orozco-López M. Satisfacción de usuarios en unidades de medicina familiar. Rev Med IMSS 2002;40(5):373-378.

 

Moos RH. Work environment scale manual. California, USA: Consulting Psychologists Press; 1981.

 

García-Peña MC, Hernández-Leyva B, Anzures-Carro R, Reyes-Frausto S. Development and validation of an inventory to measure satisfaction of user of family medicine clinics in Mexico. Psychol Rep 1999;84(2):677-685.

 

Mardia KV, Kent JT, Bibby JM. Multivariate analysis. New York, USA: Academic Press; 1979.

 

Dawson SB, Trapp RG. Basic and clinical biostatistics. Second edition. Norwalk CT, USA: Appleton and Lange; 1994.

 

Hopkins A. Measuring the quality of medical care. London: Royal College of Physicians of London; 1990.

 

Rashid A, Forman W, Jagger C, Mann R. Consultation in general practice: a comparison of patients’ and doctors’ satisfaction. BMJ 1989;299 (6706):1015-1016.

 

Winefield HR, Murell TG, Clifford J. Process and outcomes in general practice consultation: problems in defining high quality care. Soc Sci Med 1995;41(7):969-975.

 

Probst JC, Greenhouse DL, Selassie AW. Patient and physician satisfaction with an outpatient care visit. J Fam Pract 1997;45(5):418-425.

 

Laín-Entralgo P. El médico y el enfermo. Segunda edición. Madrid, España: Triacastela; 2003.

 

Streiner DL, Norman GR. Health measurement scales. Second edition. Great Britain: Oxford University Press; 2001.