title: Patient ratings of care at a rheumatology out-patient unit.
abstract: BACKGROUND
  Our objective was to determine patient satisfaction with services rendered by health care personnel at the rheumatology out-patient consultation.
  
  
  METHODS
  We carried out a cross-sectional survey at a tertiary-level care hospital in Mexico City. A questionnaire on satisfaction with quality of medical care was applied to 347 adult patients who attended the out-patient rheumatology clinic at least twice and who agreed to participate. Questions in the instrument covered three aspects of quality of care, including structure, process, and results.
  
  
  RESULTS
  In overall assessment, 83.5% of patients reported satisfaction with care. Structure received worst score and process, the best. Outcomes (e.g., disease improvement) received intermediate scores. Correlations within these areas were strong but correlation with overall satisfaction was not high. The majority of patients stated that physician competence was the most valuable aspect of the visit; the least valuable was waiting time.
  
  
  CONCLUSIONS
  Specific strategies need to be implemented to improve certain areas. Overall satisfaction as a measurement renders no specific and useful information due to complexity with regard to different dimensions of satisfaction.
authors.affiliation: Unidad en Epidemiología Clínica, Hospital de Especialidades Bernardo Sepúlveda, Centro Médico Nacional Siglo XXI (CMN-SXXI), Instituto Mexicano del Seguro Social (IMSS), Mexico City, Mexico. clarkp@prodigy.net.mx
authors.forename: Patricia
authors.initials: P
authors.lastname: Clark
authors.forename: Pilar
authors.initials: P
authors.lastname: Lavielle
authors.forename: Carolina
authors.initials: C
authors.lastname: Duarte
mesh_terms: D000328:Adult; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D008800:Mexico; D017063:Outcome Assessment, Health Care; D010044:Outpatient Clinics, Hospital / Q000592:standards*; D017060:Patient Satisfaction; D010817:Physician-Patient Relations; D011785:Quality Assurance, Health Care; D012219:Rheumatology; D011795:Surveys and Questionnaires