Satisfacción y tiempo de espera de usuarios de establecimientos de salud peruanos: análisis secundario de ENSUSALUD 2014-2016

Introduction: Health systems require evaluations about the quality of the delivery of services in Peru. Objective: Estimate the levels of satisfaction and waiting time in users of public and private peruvian health services. Methods: Secondary analysis of questionnaire 1 of the Nat...

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Detalles Bibliográficos
Autores: Murillo, Juan Pablo, Bellido-Boza, Luciana, Huamani-Ñahuinlla, Percy, Garnica-Pinazo, Gladys, Munares-García, Oscar, Del-Carmen, José
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2019
País:Perú
Institución:Universidad Nacional Mayor de San Marcos
Repositorio:Revistas - Universidad Nacional Mayor de San Marcos
Idioma:español
OAI Identifier:oai:revistasinvestigacion.unmsm.edu.pe:article/16846
Acceso en línea:https://revistasinvestigacion.unmsm.edu.pe/index.php/anales/article/view/16846
Access Level:acceso abierto
Palabra clave:Satisfacción del Paciente; Percepción del Tiempo; Calidad de la Atención de Salud; Derecho a la Salud; Reforma de la Atención de Salud
Patient Satisfaction; Time Perception; Quality of Health Care; Right to Health; Health Care Reform
Descripción
Sumario:Introduction: Health systems require evaluations about the quality of the delivery of services in Peru. Objective: Estimate the levels of satisfaction and waiting time in users of public and private peruvian health services. Methods: Secondary analysis of questionnaire 1 of the National Survey of Satisfaction of Users in Health (ENSUSALUD) 2014, 2015 and 2016. The waiting time was defined as the minutes it took since the user arrived at the health facility until he entered the doctor’s office. Satisfaction was evaluated with the user’s perception. Results: Satisfaction levels were: 70,1% (95% CI: 69,7%-71,2%), 73,7% (95% CI: 72,5%-74,9%) and 73,9% (IC 95%: 72,6%-75,1%) for 2014, 2015 and 2016, respectively. The users affiliated to the Comprehensive Health Insurance (2014: 67,7%, and 2016: 67,6%) and Social Health Insurance (EsSalud) (2015: 67,2%) were those that presented lower percentages. The regions that showed an increase in satisfaction were Cajamarca (2016-2014: 26%), La Libertad (2016-2014: 26%). The median waiting time was 60 (q1-q3:30-120), 75 (q1-q3:30-150) and 75 (q1-q3: 35-140) minutes, for the years 2014, 2015 and 2016, respectively. The delay in the attention was the most frequent problem identified by the users. Conclusions: In 2014, 2015 and 2016, 70,1%, 73,7% and 73,9% of users peruvian health services were satisfied with the care. We should consider the heterogeneity by territories and financial entity. The median waiting time for care was 60 minutes.