title: [Levels of dissatisfaction of external users of the Instituto Nacional de Salud del Niño (National Institute of Child Health) in Lima, Peru].
abstract: OBJECTIVE
  To determine the changes in the levels of dissatisfaction of the external users of the Instituto Nacional de Salud del Niño, in Lima, Peru.
  
  
  METHODS
  Observational study based on a software to evaluate surveys completed by health care users (Software de Evaluación de Encuestas de Usuarios en Salud - SEEUS). The population consisted of every person accompanying external users to outpatient visits, inpatient visits or emergency treatment in the years 2008, 2009 and 2010. To calculate the sample size, last year's proportion of users dissatisfied with each service was used, with an estimated error of 5% at a 95% confidence level.
  
  
  RESULTS
  A sample of 2051 people was obtained, which revealed a decreasing trend in the levels of dissatisfaction with outpatient visits, and an increased dissatisfaction in the medical capabilities dimension for hospitalization and emergency services. In addition, a dissatisfaction index lower than 0.20 was registered in the medical capabilities dimension for outpatient visits. In contrast, the highest dissatisfaction indexes were registered in the hygiene dimension for 2009 (0.25) and 2010 (0.25), and in the others dimension for emergency services in 2009 (0.25).
  
  
  CONCLUSIONS
  The dimensions showing an increase in the dissatisfaction index were tangible aspects, hygiene and others for hospitalization and emergency services. On the other hand, the medical capabilities dimension for outpatient visits showed a decrease in the level of dissatisfaction over the evaluated period.
authors: Instituto Nacional de Salud del Niño, Lima, Perú. rshimabuku@isn.gob.pe
authors: Roberto
authors: R
authors: Shimabuku
authors: Luis
authors: L
authors: Huicho
authors: Danitza
authors: D
authors: Fernández
authors: Graciela
authors: G
authors: Nakachi
authors: Ruth
authors: R
authors: Maldonado
authors: Armando
authors: A
authors: Barrientos
mesh_terms: D000047:Academies and Institutes; D000293:Adolescent; D000553:Ambulatory Care / Q000592:standards; D002648:Child; D004636:Emergency Service, Hospital / Q000592:standards; D005260:Female; D006760:Hospitalization; D006776:Hospitals, Pediatric; D006801:Humans; D008297:Male; D017060:Patient Satisfaction / Q000706:statistics & numerical data*; D010568:Peru