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Design and validation of a scale to assess user satisfaction with Primary Health Care

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  • Linares Cánovas, Lázaro Pablo
  • Linares Cánovas, Liyansis Bárbara
  • Malagón Silva, Barbarito
  • Gallardo Hernández, Beatriz
  • Linares Montano, Adalina
  • Pérez Martín, Martha María

Abstract

Introduction: Primary Health Care is key to user-centered care but faces challenges such as the lack of valid instruments to measure user satisfaction with the care received.Objective: to evaluate the psychometric properties of a scale designed to assess user satisfaction with health care.Methods: a methodological study for instrument validation was conducted in Pinar del Río in 2023, focusing on the validation of the SATUS-APS scale. Following its development, the instrument underwent expert validation and a pilot test, including exploratory and confirmatory factor analyses. Content and construct validity, as well as internal consistency, were analyzed.Results: the SATUS-APS scale showed high item-level content validity (.85–.94) and internal consistency (α=.83). Exploratory factor analysis identified six factors explaining 58.4% of the variance, with appropriate statistical fit (RMSEA=.045, CFI=.976), requiring modifications. The final model included 18 items, showing acceptable fit (CMIN/DF= 2.87, CFI=.976, TLI=.940, SRMR=.0471, RMSEA=.0404, p<.001) and excellent overall reliability (α=.968).Conclusions: the questionnaire demonstrated validity and reliability for measuring user satisfaction. Its structure was confirmed through factor analysis, and reliability coefficients were high across all dimensions. It is a useful tool for research and quality improvement in health services.

Suggested Citation

  • Linares Cánovas, Lázaro Pablo & Linares Cánovas, Liyansis Bárbara & Malagón Silva, Barbarito & Gallardo Hernández, Beatriz & Linares Montano, Adalina & Pérez Martín, Martha María, 2025. "Design and validation of a scale to assess user satisfaction with Primary Health Care," SAP Health and Policy, South American Publishing.
    • Handle: RePEc:cwf:shpart:shp2025395
    DOI: 10.56294/shp2025395
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    References listed on IDEAS

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    1. Anjana Rai & Resham B. Khatri & Yibeltal Assefa, 2024. "Primary Health Care Systems and Their Contribution to Universal Health Coverage and Improved Health Status in Seven Countries: An Explanatory Mixed-Methods Review," IJERPH, MDPI, vol. 21(12), pages 1-18, November.
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