Association between the person-centered medical approach and satisfaction with the consultation in primary health care

• Autor(a) principal: Castro, Rodrigo Caprio Leite de
• Data de Publicação: 2021
• Outros Autores: Knauth, Daniela Riva
• Tipo de documento: Artigo
• Idioma: por
• Título da fonte: Revista Brasileira de Medicina de Família e Comunidade (Online)
• Texto Completo: https://www.rbmfc.org.br/rbmfc/article/view/2702
• topic: Patient-Centered Care; Patient Satisfaction; Quality Indicators, Health Care; Primary Health Care.; Atención Dirigida al Paciente; Satisfacción del Paciente; Indicadores de Calidad de la Atención de Salud; Atención Primaria de Salud.; Assistência Centrada no Paciente; Satisfação do Paciente; Indicadores de Qualidade em Assistência à Saúde; Atenção Primária à Saúde.

Introduction: The application of the patient-centered clinical method (PCCM) aims to achieve the understanding about the patient and his/her condition by means of the approach from two perspectives: the doctor’s and the patient’s. The satisfaction of the users is considered as a major indicator of service evaluation. Purpose: This paper aims to investigate whether there is an association between the degree of PCCM orientation, according to the patient’s perception, and the satisfaction with the most recent medical appointment in a primary health care (PHC) service. Methods: This is a cross-sectional study, developed with hypertensive and/or diabetic patients in the 12 health care centers of a PHC service in Porto Alegre, RS (n = 408). The degree of PCCM orientation was measured by the use of the “Patient Perception of Patient-Centeredness” (PPPC) tool. Results: The low general score of the PPPC (corresponding to the high PCCM orientation) was significantly associated with the higher satisfaction of the patients with aspects related to the service (scheduling mode and cordiality at the reception) and the medical care (attention paid to the demands by the doctor, physical exam by the doctor, explanations about the problem, and explanations on the prognosis), the appointment in general, and to the systemic hypertension and/or diabetes mellitus treatment in the health care center. Discussion: The PHC doctor must   be more person-oriented to achieve, therefore, higher levels of satisfaction. In this perspective, the incorporation of the users’ satisfaction in the evaluation of health services must be a quality indicator, especially of the approach practiced by the doctor.