ABSTRACT
Objetivo: Describir la satisfacción del paciente con la relación con su médico de familia mediante la utilización del Patient-Doctor Relationship Questionnaire versión de 9 preguntas (PDRQ-9) y reevaluar las propiedades psicométricas de éste.DiseñoEstudio transversal.EmplazamientoSeis centros de Atención Primaria (AP) en la Comunidad de Madrid, España.ParticipantesCuatrocientos cincuenta y un pacientes aleatorizadamente seleccionados que acababan de acudir a una consulta de Medicina de Familia. Mediciones: Entrevista en la que se recogen características sociodemográficas del sujeto, su necesidad en salud, la accesibilidad al servicio y la situación socioeconómica. Se recogen las contestaciones a los 9 ítems del PDRQ-9 y se construye un índice sintético de satisfacción; se explican las diferencias en la satisfacción con un modelo multivariante. Resultados: La media de la satisfacción fue de 4,41 (intervalo de confianza [IC] del 95%: 4,334,48) en una escala de uno (menor satisfacción) a 5 (mayor satisfacción) con una mediana de 4,78 (rango intercuartil: 4,005,00). Cuatro de cada 10 sujetos expresaban la máxima satisfacción posible (efecto techo). Un único factor explicaba el 75,3% de la variancia, con un valor alfa de Cronbach de 0,952. La edad (OR: 1,03, IC del 95%: 1,021,05) y el vivir en zonas rurales (OR: 1,44, IC del 95%: 0,942,20) se asociaban con una satisfacción mayor. Conclusiones: Los usuarios de AP están bastante satisfechos con la relación con su médico, especialmente los de más edad y los que viven en ámbitos rurales. El PDRQ-9 tiene una elevada consistencia interna, pero presenta problemas de discriminación en la parte alta de la escala (AU)
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.ResultsThe mean satisfaction index was 4.41 (95% CI: 4.334.48) on a scale of 1 (the worst) to 5 (the best satisfaction possible), with a median of 4.78 (interquartile range 4.005.00). Four of every 10 subjects expressed the maximum possible satisfaction ("ceiling effect"). A single factor explained 75.3% of the variance, with a Cronbach á value of 0.952. Age (OR 1.03, 95% CI: 1.021.05) and living in rural areas (OR 1.44, 95% CI: 0.942.20) 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 (AU)
Subject(s)
Humans , Male , Female , Patient Satisfaction , Primary Health Care/organization & administration , Primary Health Care/standards , /organization & administration , Quality of Health Care/organization & administration , Quality of Health Care/trends , Psychometrics/methods , Physician-Patient Relations , Family Practice/organization & administration , Family Practice/standards , Primary Health Care/trends , Primary Health Care , Surveys and Questionnaires , Cross-Sectional StudiesABSTRACT
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: 4.33-4.48) on a scale of 1 (the worst) to 5 (the best satisfaction possible), with a median of 4.78 (interquartile range 4.00-5.00). Four of every 10 subjects expressed the maximum possible satisfaction ("ceiling effect"). A single factor explained 75.3% of the variance, with a Cronbach alpha value of 0.952. Age (OR 1.03, 95% CI: 1.02-1.05) and living in rural areas (OR 1.44, 95% CI: 0.94-2.20) 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.
