title: [Perceived quality in hospitals of the Andalusia Healthcare System. The case of neurosurgery departments].
abstract: OBJECTIVE
  To analyse the characteristics of the perceived quality in hospitals of the Andalusia healthcare system and compare this with that in Andalusian Neurosurgery departments.
  
  
  METHODS
  Randomised surveys, adjusted for working age, were performed in Andalusia using a telephone questionnaire based on the SERVQUAL model with the appropriate modification, with the subsequent selection of a subgroup associated with neurosurgery. Perceived quality was classified as; technical, functional and infrastructure quality.
  
  
  RESULTS
  The overall satisfaction was 76.3%. Frequency analysis found that variables related to the technical quality (good doctors, successful operations, trained staff, etc.) obtained more favourable outcomes. Those related to time (wait, consulting, organizing schedules) obtained worse outcomes. The care of families variables obtained poor results. There was no difference between the overall Andalusian healthcare system and neurosurgery departments. In the mean analysis, women and older people gave more favourable responses, especially for variables related to infrastructure quality. In the "cluster" analysis, there were more favourable responses by elderly people, with no differences in gender (P<.009).
  
  
  CONCLUSIONS
  There is no difference in perceived quality between the Andalusian healthcare system overall and neurosurgery departments. The perceived quality of the Andalusian healthcare system is higher in the elderly people. The analysis of perceived quality is useful for promoting projects to improve clinical management.
authors.affiliation: Servicio de Neurocirugía, Hospital de Neurotraumatología, Complejo Hospitalario de Jaén, Jaén, España. Electronic address: ncorderotous@gmail.com.
authors.forename: N
authors.initials: N
authors.lastname: Cordero Tous
authors.affiliation: Servicio de Neurocirugía, Hospital Virgen de las Nieves, Granada, España.
authors.forename: Á
authors.initials: Á
authors.lastname: Horcajadas Almansa
authors.affiliation: Departamento de Economía y Administración de Empresas, Universidad de Málaga, Málaga, España.
authors.forename: G J
authors.initials: GJ
authors.lastname: Bermúdez González
authors.affiliation: Departamento de Economía y Administración de Empresas, Universidad de Málaga, Málaga, España.
authors.forename: D
authors.initials: D
authors.lastname: Tous Zamora
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D005260:Female; D006272:Health Facility Environment; D006282:Health Personnel; D006748:Hospital Departments; D006801:Humans; D007407:Interviews as Topic; D008297:Male; D008875:Middle Aged; D009493:Neurosurgery; D017060:Patient Satisfaction; D011787:Quality of Health Care; D012494:Sampling Studies; D013030:Spain; D011795:Surveys and Questionnaires; D013689:Telephone; D055815:Young Adult
keywords: Calidad; Encuesta; Neurocirugía; Neurosurgery; Organisation and administration; Organización y administración; Patient satisfaction; Quality; Satisfacción del paciente; Survey