Unidad de Investigación Epidemiológica y en Servicios de Salud, Centro Médico Nacional Siglo XXI, Instituto Mexicano del Seguro Social, 06725 México, DF, México.
Salud Publica Mex. 2009 May-Jun;51(3):231-9. doi: 10.1590/s0036-36342009000300014.
To evaluate the satisfaction and the factors related to dissatisfaction in patients suffering from type 2 diabetes and/or hypertension with care offered in family medicine clinics.
A secondary data analysis was conducted. Main outcome measures were two indices of satisfaction: family doctor-patient relationship (FDPR) and clinic organizational arrangements (OA).
Approximately half of patients (n=1 323) were satisfied with care. In the FDPR index the items 'kindness of the family doctor' (FD) scored high, while the lowest score was for the items: 'the FD allows the patient to give an opinion about his/her treatment,' 'the patient understands the information' and 'the FD spends enough time on the consultation.' As for satisfaction with OA, the items 'cleanliness of the clinic' and 'ease of administrative procedures' obtained the lowest scores. In the logistic regression analysis the covariate 'negative self-rated health' and 'type of institution' were associated with dissatisfaction.
There are aspects of the FDPR and OA that reveal dissatisfaction of patients with chronic conditions.
评估在家庭医学诊所接受治疗的 2 型糖尿病和/或高血压患者的满意度和相关不满意因素。
进行了二次数据分析。主要观察指标是两个满意度指标：医患关系（FDPR）和诊所组织安排（OA）。
约有一半的患者（n=1323）对治疗满意。在 FDPR 指数中，“家庭医生的友善”（FD）得分较高，而得分最低的项目是：“家庭医生允许患者对其治疗发表意见”、“患者理解信息”和“家庭医生在咨询上花费足够的时间”。至于对 OA 的满意度，“诊所的清洁度”和“行政程序的便利性”得分最低。在逻辑回归分析中，协变量“自我评估健康状况不佳”和“机构类型”与不满相关。
医患关系和诊所组织安排的某些方面显示出患有慢性病患者的不满。
