title: [Users' perception about of quality ambulatory healthcare services in Mexico].
abstract: OBJECTIVE
  To identify users' perception about ambulatory healthcare services quality and associated factors in Mexico.
  
  
  METHODS
  Analysis of the 2006 and 2012 National Surveys of Health and Nutrition that included users' perception of healthcare services and improvement in health status. A multivariate regression analysis allowed identifying the associated factors with the perception of improved health status.
  
  
  RESULTS
  Between 2006 and 2012, users' positive perception of healthcare services increased from 82 to 85%, and user report of improvement in health status increased from 79 to 81%. Health status improvement, explanations about the disease and treatment, being attended without appointment, freedom to choose the provider and short waiting time were associated with a perception of better quality of care.
  
  
  CONCLUSIONS
  Users' perception about the quality of care in ambulatory healthcare settings has improved, yet it is still neccessary to strengthen organizational strategies to provide healthcare when needed and to improve fulfillment of users' expectations.
authors.affiliation: Centro de Investigación en Sistemas de Salud, Instituto Nacional de Salud Pública, Cuernavaca, Morelos, México.
authors.forename: Hortensia
authors.initials: H
authors.lastname: Reyes-Morales
authors.affiliation: Dirección General, Instituto Nacional de Salud Pública, Cuernavaca, Morelos, México.
authors.forename: Sergio
authors.initials: S
authors.lastname: Flores-Hernández
authors.affiliation: Centro de Investigación en Sistemas de Salud, Instituto Nacional de Salud Pública, Cuernavaca, Morelos, México.
authors.forename: Alma Lucila
authors.initials: AL
authors.lastname: Sauceda-Valenzuela
authors.affiliation: Centro de Investigación en Sistemas de Salud, Instituto Nacional de Salud Pública, Cuernavaca, Morelos, México.
authors.forename: José de Jesús
authors.initials: Jde J
authors.lastname: Vértiz-Ramírez
authors.affiliation: Centro de Investigación en Sistemas de Salud, Instituto Nacional de Salud Pública, Cuernavaca, Morelos, México.
authors.forename: Clara
authors.initials: C
authors.lastname: Juárez-Ramírez
authors.affiliation: Centro de Investigación en Sistemas de Salud, Instituto Nacional de Salud Pública, Cuernavaca, Morelos, México.
authors.forename: Veronika J
authors.initials: VJ
authors.lastname: Wirtz
authors.affiliation: Banco Interamericano de Desarrollo, Washington, DC.
authors.forename: Ricardo
authors.initials: R
authors.lastname: Pérez-Cuevas
mesh_terms: D000553:Ambulatory Care / Q000592:standards*; D006801:Humans; D008800:Mexico; D009749:Nutrition Surveys; D017060:Patient Satisfaction; D058996:Quality Improvement; D011787:Quality of Health Care