Sánchez-Piedra Carlos Alberto, Prado-Galbarro Francisco Javier, García-Pérez Sonia, Santamera Antonio Sarría
Agency for Health Technology Assessment, Instituto de Salud Carlos III, Madrid, Agencia de Evaluación de Tecnologías Sanitarias, Av/Monforte de Lemos, 5, Pabellón 4, 28029 Madrid, Spain.
Agency for Health Technology Assessment, Instituto de Salud Carlos III, Madrid, Spain.
Qual Prim Care. 2014;22(3):147-55.
EUprimecare is a study funded by the Seventh Framework Programme of the European Union, aimed at analysing the quality of the different models of primary care in Europe. The objective of this study was to describe and analyse the determinants associated with patient satisfaction in primary care in Europe.
We conducted telephone population surveys among primary care users in each EUprimecare consortium country (Germany, Spain, Estonia, Finland, Hungary, Italy and Lithuania). The survey was conducted with 3020 patients and the questionnaire included sociodemographic variables, health status, and use and satisfaction with primary care services. We undertook descriptive analyses, bivariate correlations and an ordinal regression model to study the direct relationship between levels of satisfaction and the explanatory variables for demographics, health status and health services for patients. We present the regression coefficients (β) with 95% confidence intervals and associated tests of statistical significance.
The mean age of the respondents was 51 years (SD 14.1). We found significant associations between the level of satisfaction and age (β = 0.008), specialist visits (β = -0.030), not having a general practitioner (β = 0.70), not measuring weight, cholesterol and blood pressure (β = 0.52), country (β1 Germany = -1.08 and β2 Lithuania = -0.60; β3 Hungary = 0.50 and β4 Italy = 0.53) and a better perception of health status (β = 0.33). Specialist visits had a negative association with satisfaction.
Overall, the results indicate factors that may be related to greater satisfaction with primary care services: age, visits to a specialist, having a doctor assigned to primary care and measurement of control parameters are associated with a better perception of the care received.
欧盟初级保健研究（EUprimecare）是一项由欧盟第七框架计划资助的研究，旨在分析欧洲不同初级保健模式的质量。本研究的目的是描述和分析与欧洲初级保健患者满意度相关的决定因素。
我们在每个EUprimecare联盟国家（德国、西班牙、爱沙尼亚、芬兰、匈牙利、意大利和立陶宛）对初级保健使用者进行了电话人口调查。对3020名患者进行了调查，问卷包括社会人口统计学变量、健康状况以及对初级保健服务的使用和满意度。我们进行了描述性分析、双变量相关性分析和有序回归模型，以研究满意度水平与患者人口统计学、健康状况和医疗服务解释变量之间的直接关系。我们给出了回归系数（β）及其95%置信区间和相关的统计显著性检验。
受访者的平均年龄为51岁（标准差14.1）。我们发现满意度水平与年龄（β = 0.008）、专科就诊（β = -0.030）、没有全科医生（β = 0.70）、未测量体重、胆固醇和血压（β = 0.52）、国家（β1德国 = -1.08，β2立陶宛 = -0.60；β3匈牙利 = 0.50，β4意大利 = 0.53）以及对健康状况的更好认知（β = 0.33）之间存在显著关联。专科就诊与满意度呈负相关。
总体而言，结果表明了可能与对初级保健服务更高满意度相关的因素：年龄、专科就诊、有指定的初级保健医生以及控制参数的测量与对所接受护理的更好认知相关。
