title: [Quality evaluation in public health: the case of an animal shelter].
abstract: OBJECTIVE
  There is growing interest in integrating quality approaches to the management of public services. The aim of the present study was to develop a comprehensive evaluation of service quality in the animal shelter managed by the public health services of the city of Barcelona (Catalonia, Spain).
  
  
  METHODS
  An evaluation study with three components was performed. Trends in the shelter's activity indicators (2000-2006) were analyzed, compliance with current regulations and protocols was assessed with an internal audit (2006), and user-customer satisfaction was measured with a survey based on the SERVPERF model (2006).
  
  
  RESULTS
  The number of animals put to sleep was reduced by almost 70% and the number of adoptions increased. The audit detected 10 non-conformities (3.2% of items), none of which was related to customer service. In the satisfaction survey, the quality dimensions with the highest scores were safety (94.2%) and empathy (81.8%). The emergence of behavioral problems (p=0.039) or health problems (p=0.068) in the adopted animals had a negative influence on quality perception among adopters.
  
  
  CONCLUSIONS
  A comprehensive scheme for the evaluation of this service is feasible. There is compliance with established protocols and regulations. The results of the survey show a high degree of user satisfaction.
authors.affiliation: Agència de Salut Pública de Barcelona, Spain.
authors.forename: Imma
authors.initials: I
authors.lastname: Junyent
authors.forename: Joan R
authors.initials: JR
authors.lastname: Villalbí
authors.forename: Manuela
authors.initials: M
authors.lastname: Ballestín
authors.forename: Júlia
authors.initials: J
authors.lastname: Durán
authors.forename: Aleix
authors.initials: A
authors.lastname: García-Rodríguez
authors.forename: Víctor
authors.initials: V
authors.lastname: Peracho
mesh_terms: D000818:Animals; D002415:Cats; D003258:Consumer Behavior; D004285:Dogs; D017063:Outcome Assessment, Health Care; D011634:Public Health; D019984:Quality Indicators, Health Care; D013030:Spain