ambulatory health service users experience of waiting time and expenditure and factors associated with the perception of low quality of care in mexico门诊医疗服务用户的等待时间的经验和支出和相关因素与低质量的感知在墨西哥的护理.pdfVIP

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ambulatory health service users experience of waiting time and expenditure and factors associated with the perception of low quality of care in mexico门诊医疗服务用户的等待时间的经验和支出和相关因素与低质量的感知在墨西哥的护理.pdf

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ambulatory health service users experience of waiting time and expenditure and factors associated with the perception of low quality of care in mexico门诊医疗服务用户的等待时间的经验和支出和相关因素与低质量的感知在墨西哥的护理

Sauceda-Valenzuela et al. BMC Health Services Research 2010, 10:178 /1472-6963/10/178 R E S E A R C H A R T I C L E Open Access Research article Ambulatory health service users experience of waiting time and expenditure and factors associated with the perception of low quality of care in Mexico 1 1 2 1 Alma Lucila Sauceda-Valenzuela , Veronika J Wirtz* , Yared Santa-Ana-Téllez and Maria de la Luz Kageyama-Escobar Abstract Background: A principal reason for low use of public health care services is the perception of inferior quality of care. Studying health service user (HSU) experiences with their care and their perception of health service quality is critical to understanding health service utilization. The aim of this study was to define reference points for some aspects of health care quality and to analyze which HSU experiences resulted in perceptions of overall low quality of care. Methods: Data from the National Health Survey 2006 were used to compare the experiences of HSUs with their ambulatory care at Ministry of Health and affiliated institutions (MOH), social security institutions (SSI) and private institutions (PrivI). Reference points of quality of care related to waiting time and expenditure were defined for each of the three types of institutions by analyzing HSU experiences rated as acceptable. A multivariable logistic regression model was used to identify the principal factors associated with the general perception of low quality of care. Results: A total of 11,959 HSUs were included in the analysis, of whom 37.6% (n = 4,500) HSUs received care at MOH facilities; 31.2% (n = 3,730) used SSI and 31.2% (n = 3,729) PrivI. An estimated travel and waiting time of 10 minutes r