title: [An analysis of user satisfaction and of productivity in a primary care model with the participation of physicians and technicians].
abstract: To attend health requirements of a poor community nearby Mexico City, the Ministry of Health, implemented an innovative health services model, compounded by allied health personnel (AHP) and general practitioners. The main feature of this model is that the AHP had been involved to provide clinical services in five causes of consultation: upper acute respiratory infections, diarrheal disease, prenatal care, family planning and well-child program. In this paper, the authors analyze the patient's satisfaction and the productivity of this model compared with the conventional one. In order to evaluate patient's satisfaction, 500 patients were interviewed, 300 who were attended by innovative model and 200 who were attended by the traditional one. In both health services models a high percentage (98%) of the patients were satisfied with the attention they received. The productivity analysis showed that the number of consultations given for the five causes mentioned above and for other causes, was higher in the innovative model than in the traditional one. The relevance of the allied health personnel to provide primary care services is discussed.
authors.affiliation: Grupo Interinstitucional de Investigación en Sistemas de Salud, Secretaría de Salud (SSA), Instituto Mexicano de Seguro Social.
authors.forename: R
authors.initials: R
authors.lastname: Pérez-Cuevas
authors.forename: V
authors.initials: V
authors.lastname: Libreros
authors.forename: S
authors.initials: S
authors.lastname: Reyes
authors.forename: J
authors.initials: J
authors.lastname: Santacruz
authors.forename: V
authors.initials: V
authors.lastname: Alanís
authors.forename: G
authors.initials: G
authors.lastname: Gutiérrez
mesh_terms: D000293:Adolescent; D000328:Adult; D000488:Allied Health Personnel / Q000458:organization & administration* / Q000706:statistics & numerical data; D017598:Efficiency, Organizational / Q000706:statistics & numerical data; D005260:Female; D006801:Humans; D008297:Male; D008800:Mexico; D008875:Middle Aged; D017146:Models, Organizational; D017060:Patient Satisfaction / Q000706:statistics & numerical data; D010820:Physicians / Q000458:organization & administration* / Q000706:statistics & numerical data; D011320:Primary Health Care / Q000458:organization & administration* / Q000706:statistics & numerical data; D015397:Program Evaluation / Q000379:methods
vernacular_title: Análisis de la satisfacción del usuario y de la productividad de un modelo de atención primaria con la participación de médicos y técnicos.