Satisfaction of patients suffering from type 2 diabetes and/or hypertension with care offered in family medicine clinics in Mexico.
OBJECTIVE
To evaluate the satisfaction and the factors related to dissatisfaction in patients suffering from type 2 diabetes and/or hypertension with care offered in family medicine clinics.


METHODS
A secondary data analysis was conducted. Main outcome measures were two indices of satisfaction: family doctor-patient relationship (FDPR) and clinic organizational arrangements (OA).


RESULTS
Approximately half of patients (n=1 323) were satisfied with care. In the FDPR index the items 'kindness of the family doctor' (FD) scored high, while the lowest score was for the items: 'the FD allows the patient to give an opinion about his/her treatment,' 'the patient understands the information' and 'the FD spends enough time on the consultation.' As for satisfaction with OA, the items 'cleanliness of the clinic' and 'ease of administrative procedures' obtained the lowest scores. In the logistic regression analysis the covariate 'negative self-rated health' and 'type of institution' were associated with dissatisfaction.


CONCLUSIONS
There are aspects of the FDPR and OA that reveal dissatisfaction of patients with chronic conditions.
Doubova
Svetlana Vladislavovna
SV
Unidad de Investigación Epidemiológica y en Servicios de Salud, Centro Médico Nacional Siglo XXI, Instituto Mexicano del Seguro Social, 06725 México, DF, México. svetlana.doubova@imss.gob.mx
Pérez-Cuevas
Ricardo
R
Zepeda-Arias
Maribel
M
Flores-Hernández
Sergio
S
D003430:Cross-Sectional Studies; D003924:Diabetes Mellitus, Type 2 / Q000628:therapy*; D005194:Family Practice; D005260:Female; D006268:Health Facilities; D006801:Humans; D006973:Hypertension / Q000628:therapy*; D008297:Male; D008800:Mexico; D008875:Middle Aged; D017060:Patient Satisfaction; D010817:Physician-Patient Relations; D011787:Quality of Health Care