title: [Patient satisfaction with the patient-doctor relationship measured using the questionnaire (PDRQ-9)].
abstract: OBJECTIVE
  To describe patient satisfaction of their relationship with the family physician, using the PDRQ-9 questionnaire and assess its psychometric properties.
  
  
  METHODS
  Cross-sectional study.
  
  
  METHODS
  Six Primary Care Health centres in the Community of Madrid, Spain.
  
  
  METHODS
  Four hundred and fifty one patients randomly selected from those who had just visited their family physician.
  
  
  METHODS
  Interviews were carried out to collect demographic characteristics, health needs, the accessibility to the service, and the socioeconomic situation of the subjects.
  
  
  METHODS
  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.
authors.affiliation: CS San Martín de Valdeiglesias, Area 8 de AP, Servicio Madrileño de Salud, Madrid, España. jmartinefe@hotmail.com
authors.forename: Jesús
authors.initials: J
authors.lastname: Martín-Fernández
authors.forename: M Isabel
authors.initials: MI
authors.lastname: del Cura-González
authors.forename: Tomás
authors.initials: T
authors.lastname: Gómez-Gascón
authors.forename: Eva
authors.initials: E
authors.lastname: Fernández-López
authors.forename: Guadalupe
authors.initials: G
authors.lastname: Pajares-Carabajal
authors.forename: Bernardo
authors.initials: B
authors.lastname: Moreno-Jiménez
mesh_terms: D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D017060:Patient Satisfaction; D010817:Physician-Patient Relations; D011795:Surveys and Questionnaires