Patient Satisfaction and the Brazilian Family Health Program: The Role of Education and Income 公开

Sheridan, Juliet Dawn (2011)

Permanent URL: https://etd.library.emory.edu/concern/etds/qb98mf59x?locale=zh
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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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