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Multicenter Study
. 2014 May 15:15:98.
doi: 10.1186/1471-2296-15-98.

Decreasing trends in patient satisfaction, accessibility and continuity of care in Finnish primary health care - a 14-year follow-up questionnaire study

Risto Raivio  1 , Juhani Jääskeläinen, Doris Holmberg-Marttila, Kari J Mattila
Affiliations
Multicenter Study

Decreasing trends in patient satisfaction, accessibility and continuity of care in Finnish primary health care - a 14-year follow-up questionnaire study

Risto Raivio et al. BMC Fam Pract. .

Abstract

Background: The aim here was to explore trends in patient satisfaction with primary health care and its accessibility and continuity, and to explore whether through reforms and improvements some of the essential goals had been achieved over a 14-year period of time in Finland.

Methods: Nine questionnaire surveys were conducted over a period of 14 years among patients attending within one week in the 65 health centres in the Tampere University Hospital catchment area. A total of 147,394 responded out of a sample of 333,648 patients. The response rate varied yearly from 53% to 37%.

Results: Patient satisfaction with care in Finnish health centres decreased by nearly 9 percentage units from 1998 to 2011. The fall-off was most marked in the age-group over 64 years. There was a 20 percentage unit's reduction in ease of access as reported by patients. Respondents also reported that the continuity of care had deteriorated.

Conclusions: Despite major reforms in Finnish health care policy, patients seem to be less satisfied. Our findings challenge both Finnish authorities and GPs to improve the accessibility and continuity of care in primary health services.

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Figures

Figure 1
Figure 1
The proportion of patients expressing unreserved satisfaction, meeting the same doctors or same nurses and having easy access to health centre.
Figure 2
Figure 2
Proportion (%) of patients expressing unreserved satisfaction by age groups and years of survey.
See this image and copyright information in PMC

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