Patient Satisfaction and the Brazilian Family Health Program: The Role of Education and Income Öffentlichkeit
Sheridan, Juliet Dawn (2011)
Abstract
Patient satisfaction has become an increasingly important
concept as policy-makers, healthcare
administrators, and theorists use measures of patient satisfaction
to evaluate and reform
healthcare systems. However, there is little research on
determinants of patient satisfaction with
primary care systems in the developing world. The goal of this
study is to determine whether a
relationship exists between education, income, and patient
satisfaction and whether these
demographic factors affect which benefits and problems that
community members cite of the
Family Health Program, the Brazilian primary care system in the
summer of 2009. Surveys were
administered to 293 caretakers of children under 5 years of age in
Vespasiano, State of Minas
Gerais, Brazil between June and August of 2009. Open-ended response
to the questions "In
general, how does the Family Health Program in Vespasiano benefit
you and your family?";
"Have you had any problems with the Family Health Program in
Vespasiano that you would like
to share with us?"; and "Do you have any other information on the
Family Health Program that
you would like to share with us?" were coded thematically, and data
on satisfaction, education,
and income were cross-tabulated with these responses. Demographic
factors were linked to the
qualitative responses and also cross-tabulated with education and
income. We found that
education does play a significant role in patient satisfaction,
although the same relationship is not
true of income. Both education and income played a significant role
in what specific problems
and benefits users cited of the Family Health Program. These
results can be used to not only
tailor the Family Health Program more closely to the desires of the
community but also to
contribute to the literature on patient satisfaction for use both
theoretically and when similar
programs are instituted around the world.
Table of Contents
Table of Contents
Introduction………………………………………………………………………………......….…....1
Review of the
Literature…………………………………………………………………….….…..3
The Brazilian Family Health
Program……………………………………….......……….….3
Social Inequality and
Health………………………………………………………......…..……3
Patient
Satisfaction……………………………………………………………….…….........…..5
Education and Patient
Satisfaction………………………………………………........…..8
Income and Patient
Satisfaction…………………………………………………......…….10
Methods………………………………………………………………………………………........…..16
Results……………………………………………………………………………….........……………19
Discussion…………………………………………………………………………….......…………..26
References……………………………………………………………………………………......…..35
Tables…………………………………………………………………………………….........……….38
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