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. 2010 Apr;42(4):196-203.
doi: 10.1016/j.aprim.2009.09.026. Epub 2010 Feb 8.

[Patient satisfaction with the patient-doctor relationship measured using the questionnaire (PDRQ-9)]

[Article in Spanish]
Jesús Martín-Fernández  1 , M Isabel del Cura-González, Tomás Gómez-Gascón, Eva Fernández-López, Guadalupe Pajares-Carabajal, Bernardo Moreno-Jiménez
Affiliations

[Patient satisfaction with the patient-doctor relationship measured using the questionnaire (PDRQ-9)]

[Article in Spanish]
Jesús Martín-Fernández et al. Aten Primaria. 2010 Apr.

Abstract
in English, Spanish

Objective: To describe patient satisfaction of their relationship with the family physician, using the PDRQ-9 questionnaire and assess its psychometric properties.

Design: Cross-sectional study.

Setting: Six Primary Care Health centres in the Community of Madrid, Spain.

Participants: Four hundred and fifty one patients randomly selected from those who had just visited their family physician.

Interventions: Interviews were carried out to collect demographic characteristics, health needs, the accessibility to the service, and the socioeconomic situation of the subjects.

Measurements: The PDRQ-9 responses were collected and a synthetic satisfaction index was constructed. A multivariable model was designed to explain differences in satisfaction.

Results: The mean satisfaction index was 4.41 (95% CI: 4.33-4.48) on a scale of 1 (the worst) to 5 (the best satisfaction possible), with a median of 4.78 (interquartile range 4.00-5.00). Four of every 10 subjects expressed the maximum possible satisfaction ("ceiling effect"). A single factor explained 75.3% of the variance, with a Cronbach alpha value of 0.952. Age (OR 1.03, 95% CI: 1.02-1.05) and living in rural areas (OR 1.44, 95% CI: 0.94-2.20) were associated with above average satisfaction.

Conclusions: Primary care users feel their relationship with their family physicians are very satisfactory, particularly in those who are older and who live in rural areas. The PDRQ-9 questionnaire shows a high internal consistency, but it is not good enough to discriminate in the upper part of the scale.

Objetivo: Describir la satisfacción del paciente con la relación con su médico de familia mediante la utilización del Patient-Doctor Relationship Questionnaire versión de 9 preguntas (PDRQ-9) y reevaluar las propiedades psicométricas de éste.

Diseño: Estudio transversal.

Emplazamiento: Seis centros de Atención Primaria (AP) en la Comunidad de Madrid, España.

Participantes: Cuatrocientos cincuenta y un pacientes aleatorizadamente seleccionados que acababan de acudir a una consulta de Medicina de Familia.

Mediciones: Entrevista en la que se recogen características sociodemográficas del sujeto, su necesidad en salud, la accesibilidad al servicio y la situación socioeconómica. Se recogen las contestaciones a los 9 ítems del PDRQ-9 y se construye un índice sintético de satisfacción; se explican las diferencias en la satisfacción con un modelo multivariante.

Resultados: La media de la satisfacción fue de 4,41 (intervalo de confianza [IC] del 95%: 4,33 – 4,48) en una escala de uno (menor satisfacción) a 5 (mayor satisfacción) con una mediana de 4,78 (rango intercuartil: 4,00 – 5,00). Cuatro de cada 10 sujetos expresaban la máxima satisfacción posible (efecto techo). Un único factor explicaba el 75,3% de la variancia, con un valor alfa de Cronbach de 0,952. La edad (OR: 1,03, IC del 95%: 1,02 – 1,05) y el vivir en zonas rurales (OR: 1,44, IC del 95%: 0,94 – 2,20) se asociaban con una satisfacción mayor.

Conclusiones: Los usuarios de AP están bastante satisfechos con la relación con su médico, especialmente los de más edad y los que viven en ámbitos rurales. El PDRQ-9 tiene una elevada consistencia interna, pero presenta problemas de discriminación en la parte alta de la escala.

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Esquema general del estudio
Esquema general del estudio
Estudio transversal mediante cuestionario a pacientes que habían acudido a la consulta de Medicina de Familia
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