Template-Type: ReDIF-Article 1.0
Title: Design and validation of a scale to assess user satisfaction with Primary Health Care
Author-Name: Linares Cánovas, Lázaro Pablo
Author-Name: Linares Cánovas, Liyansis Bárbara
Author-Name: Malagón Silva, Barbarito
Author-Name: Gallardo Hernández, Beatriz
Author-Name: Linares Montano, Adalina
Author-Name: 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.
Journal: SAP Health and Policy
Year: 2025
DOI: 10.56294/shp2025395
File-URL: https://southam.pub/journals/files/shp/shp2025395en.pdf
File-Format: application/pdf
Handle: RePEc:cwf:shpart:shp2025395