title: [Interpersonal relationships: perception of the communication, treatment and adverse experiences encountered by users of medical units that belong to the Coordinating Commission of the National Institutes of Health and High Specialty Hospitals (CCINSHAE)].
abstract: BACKGROUND
  User's perception with regard to the attention they received in healthcare units is increasingly being taken into account by the health service providers in order to improve the quality of their service.
  
  
  OBJECTIVE
  Describe how the users perceive the health services provided by the CCINSHAE with regard to the communication with the physicians, the attention of the staff and the adverse personal and institutional experiences and to explore their relation with user's demographic characteristics, health condition, physical limitations to carry out daily activities and service area.
  
  
  METHODS
  A questionnaire was designed to collect information about the user and his/her opinion with regard to the healthcare units, the communication with the physicians, the attention of the staff and the adverse personal and institutional experiences. The data were analyzed with STATA using sample weights.
  
  
  RESULTS
  A total of 2,176 individuals were interviewed after they had received attention and represent a population of 1,457,964 users, over 6 months, of the CCINSAHE. We then calculated four binary variables that reflect the perception of the users. These four variables were significantly associated with the type of health unit where the user received attention, schooling, limitations to carry out daily activities, facilities provided to the relatives, family income, the use of alternative medicine, and the area of attention.
  
  
  CONCLUSIONS
  A fundamental aspect of the service provided by the healthcare institutions is the communication between the physicians and the users. We found that the perception of the users with regard to the communication with the physician, the attention of the staff, and the adverse personal and institutional experiences was associated with the type of healthcare unit. The federal reference hospitals produced the most unfavorable perception while the regional hospitals produced the most favorable impression. This study enables the decision-making personnel to determine what needs to be modified in order to improve the service provided by the health units.
authors: Dirección de Investigación, Hospital General de México. americainv@gmail.com
authors: América Guadalupe Guadalupe
authors: AG
authors: Arroyo-Valerio
authors: David
authors: D
authors: Cortés-Poza
authors: Rebeca
authors: R
authors: Aguirre Hernández
authors: Ruth
authors: R
authors: Fuentes García
authors: Omar Fernando
authors: OF
authors: Ramírez de la Roche
authors: Alicia
authors: A
authors: Hamui Sutton
mesh_terms: D000047:Academies and Institutes; D003142:Communication; D005260:Female; D006761:Hospitals; D006801:Humans; D007398:Interpersonal Relations; D008297:Male; D008800:Mexico; D017060:Patient Satisfaction; D011795:Surveys and Questionnaires