title: Patients' evaluation of primary health care services in Gjilan region, Kosovo.
abstract: BACKGROUND
  Patient satisfaction with the quality of primary health care (PHC) in Kosovo has not been previously reported. Our aim was to assess the level and socio-economic correlates of satisfaction of PHC users (also referred to as patients' evaluation) in Kosovo, a transitional country in the Western Balkans.
  
  
  METHODS
  A cross-sectional study was conducted in 2010 in Gjilan region, Kosovo, including a representative sample of 1039 PHC users (87% response). Patients' evaluation of PHC services was assessed through EUROPEP, a 23-item instrument tapping different aspects of medical encounter.
  
  
  RESULTS
  Mean age of survey participants (56% females) was 41 ± 16 years. About 50% of the participants were satisfied with the overall quality of medical services, doctor-patient relationship and organization of care. Younger (below median age), urban and employed PHC users reported a significantly higher satisfaction level with the overall health encounter quality. Conversely, there were no sex or educational differences.
  
  
  CONCLUSIONS
  Considerably fewer PHC users in Kosovo were satisfied with the overall medical encounter compared with their European counterparts. This new and useful evidence may support health professionals and policy makers for improving the quality of PHC in Kosovo, a country struggling and mainstreaming all energies in order to get international recognition.
authors.affiliation: Principal Family Medicine Centre, Gjilan, Kosovo.
authors.forename: Z
authors.initials: Z
authors.lastname: Tahiri
authors.forename: E
authors.initials: E
authors.lastname: Toçi
authors.forename: L
authors.initials: L
authors.lastname: Rrumbullaku
authors.forename: K
authors.initials: K
authors.lastname: Hoti
authors.forename: E
authors.initials: E
authors.lastname: Roshi
authors.forename: G
authors.initials: G
authors.lastname: Burazeri
mesh_terms: D000293:Adolescent; D000328:Adult; D000367:Age Factors; D000368:Aged; D000369:Aged, 80 and over; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D063826:Kosovo / Q000453:epidemiology; D008297:Male; D008875:Middle Aged; D017060:Patient Satisfaction / Q000706:statistics & numerical data*; D011320:Primary Health Care / Q000592:standards*; D011787:Quality of Health Care / Q000592:standards / Q000706:statistics & numerical data; D012959:Socioeconomic Factors; D011795:Surveys and Questionnaires; D055815:Young Adult
keywords: Kosovo; doctor–patient relationship; organization of care; patient evaluation; patient report; patient satisfaction; primary health care