[Satisfaction according to health care insurance systems in an emergency department].
BACKGROUND
Health satisfaction is a fundamental measure of the quality of health services. This study aims to validate and analyse the results of a quality of care questionnaire to assess the level of satisfaction of patients attended in the emergency department of a high complexity hospital.


METHODS
Observational, cross-sectional study, with a questionnaire designed to assess the quality of service and satisfaction at the end of care in the emergency department. Descriptive statistics of scale were established and presented, as well as determining the construct validity, overall reliability, internal and concurrent validity of an overall against a uni-dimensional scale.


RESULTS
A total of 5,961 records were reviewed, most of them (77.3%) reported by patients in the Mandatory Health Plan. High levels of satisfaction overall and by subgroups were found. There were no significant differences between subgroups, with 86.8 for those with Pre-paid Medical Care Plan and 84.4 for mandatory health plan. Cronbach's alpha for the questionnaire was 0.90.


CONCLUSIONS
The questionnaire proved to be reliable and valid in determining the quality and satisfaction with care. The results showed high levels of satisfaction overall and in the domains. A low consistency between the results of the multidimensional and unidimensional satisfaction scales suggests that there were aspects of satisfaction not investigated on the multidimensional scale. Ecologically-designed before and after studies are required to evaluate the effectiveness of interventions in satisfaction.
Departamento de Bioestadística, Fundación Clínica Shaio, Bogotá, Colombia. Electronic address: fadavilar@gmail.com.
F A
FA
Dávila
Universidad Militar Nueva Granada, Departamento de Investigación, Fundación Clínica Shaio, Bogotá, Colombia.
J S
JS
Herrera
Universidad Militar Nueva Granada, Departamento de Investigación, Fundación Clínica Shaio, Bogotá, Colombia.
D A
DA
Yasnó
Fundación Universitaria Juan N. Corpas, Departameto de Investigación, Fundación Clínica Shaio, Bogotá, Colombia.
L C
LC
Forero
Universidad de la Sabana, Departamento de Investigación, Fundación Clínica Shaio, Bogotá, Colombia.
M V
MV
Alvarado
D003430:Cross-Sectional Studies; D004636:Emergency Service, Hospital / Q000592:standards*; D006801:Humans; D007348:Insurance, Health; D017060:Patient Satisfaction; D011787:Quality of Health Care; D057566:Self Report
Calidad de la atención de salud; Colombia; Emergency medical services; Patient satisfaction; Quality of health care; Satisfacción del paciente; Servicios médicos de urgencia