Bulletin of the World Health Organization

How does satisfaction with the health-care system relate to patient experience?

Sara N Bleich, Emre Özaltin & Christopher JL Murray

Volume 87, Number 4, April 2009, 271-278

Table 2. Predictors of patient satisfaction with the health system in 21 European Union countries, World Health Survey for 200325

Predictor OLS coefficient (SE)a
Patient experience by responsiveness domains
Autonomy 0.11 (0.02)***
Choice 0.18 (0.04)***
Communication 0.08 (0.02)**
Confidentiality 0.12 (0.05)
Dignity 0.40 (0.12)***
Prompt attention 0.24 (0.03)***
Quality of basic amenities 0.61 (0.11)***
Patient expectations
Formal education
< 12b years
12 years –9.3 × 10–4 (0.04)
> 12 and < 17 years –0.14 (0.04)***
17 years 2.8 × 10–3 (0.04)
National attribute
GDP per capita measured as PPP 3.91 × 10–5 (0.00)***
Health status, self-reported
Very goodb
Good –0.15 (0.04)***
Moderate –0.28 (0.05)***
Bad –0.29 (0.08)***
Very bad –0.53 (0.14)***
Type of care by provider type
Governmentb
Privately operated –0.12 (0.04)***
NGO 0.08 (0.10)
Other 0.06 (0.08)
Personality, feelings of sadness
Nob
Yes –0.11 (0.03)***
Vignette score
Average 0.02 (0.02)*
Top percent 2.2 × 10–3 (0.00)***
Bottom percent –4.2 × 10–3 (0.00)**
Coverage (immunization) –0.1 (0.00)***
Constantc 2.03 (0.29)***
R² 17.5
n 16 384

*P < 0.05; **P < 0.01; ***P < 0.001.GDP, gross domestic product; NGO, nongovernmental organization; OLS, ordinary least squares; PPP, purchasing power parity; R², proportion of the variation in satisfaction accounted for in the model; SE, standard error.
a The full model is in Appendix A (available at: http://healthmetricsandevaluation.org/resources/pubs.html).
b Reference category.
c The constant is the intercept term.Data from the World Health Survey for 2003.
25