Key Words: health services, medical staff, personal satisfaction, quality of life, chile
Abstract
Introduction
This cross-sectional study sought to examine the relationships between the perception of efficiency and quality of the service provided by the staff of the health system with users’ well-being (satisfaction with life), in the Chilean context. Based on the literature review, we hypothesized that satisfaction with the services provided by the health system would be associated with the well-being of its users.
Objective
To determine the relationship between the evaluation of the health system, medical staff, and perceived efficiency, with users’ subjective well-being.
Methods
On a sample of 1,201 respondents (52.4% women, mean age 42.82 years), descriptive analysis, bivariate analysis, and a structural equation model were performed between the evaluation of the health system, medical staff, and perceived efficiency with users’ subjective well-being.
Results
These three variables are positively related to each other and have effects on subjective well-being.
Discussion
Health systems also influence the subjective well-being of their users and can be associated with indicators of quality of life. Some implications and considerations related to the Chilean health system are discussed. Also, some of the possible limitations of the study are mentioned. Lastly, the importance of the health systems as part of the state and government functions is discussed.
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Introducción
El presente estudio examina las posibles relaciones entre la percepción de eficiencia y la calidad de la atención por parte del personal de salud y el bienestar de los usuarios en el contexto chileno. Basados en la literatura, se hipotetiza que, a mayor satisfacción con el sistema de salud, se experimenta mayor bienestar por parte de la ciudadanía que utiliza sus servicios.
Objetivos
Determinar las relaciones entre la evaluación del sistema de salud, el personal médico y la eficiencia percibida en las prestaciones por parte de los usuarios y su bienestar subjetivo.
Métodos
Utilizando un diseño de corte transversal, y considerando una muestra de 1201 personas (52,4% mujeres, media de la edad de 42,82 años), se realizaron diferentes análisis descriptivos, bivariados, junto con un modelo de ecuación estructural en relación con la evaluación del sistema de salud, la evaluación del personal médico, y la eficiencia percibida en las prestaciones médicas por parte de los usuarios y su relación con el indicador de bienestar subjetivo de satisfacción con la vida.
Resultados
Los resultados indican que estas tres variables se relacionan positivamente entre sí y tienen efectos sobre el bienestar subjetivo.
Discusión
Los sistemas de salud poseen también una función sobre el bienestar subjetivo de sus usuarios, pudiendo asociarse a indicadores de calidad de vida. Se comentan en la discusión algunas implicancias y consideraciones relacionadas con el sistema de salud chileno. También se comentan las posibles limitaciones del presente estudio. Finalmente, se menciona la importancia que tienen los sistemas de salud como parte del aparato estatal y gubernamental.
Authors:
Andrés Rubio[1], Andrés Mendiburo[2], Juan Carlos Oyanedel[2], Luna Benavente[3], Dario Paez[4]
Affiliation:
[1] Facultad de Enfermería, Universidad Andres Bello, Santiago, Chile
[2] Facultad de Educación y Ciencias Sociales, Universidad Andres Bello, Santiago, Chile
[3] Centro de Investigación para la Educación Inclusiva, Viña del Mar, Chile
[4] Faculty of Psychology, University of the Basque Country, San Sebastian, Spain
E-mail: a.rubiorivera@uandresbello.edu
Author address:
[1] Sazié 2212, Santiago Santiago, Chile Código postal: 8320000
Citation: Rubio A, Mendiburo A, Oyanedel JC, Benavente L, Paez D. Evaluation of the health system personnel by their users and subjective well-being: A survey-based cross-sectional study. Medwave 2020;20(6):e7959 doi: 10.5867/medwave.2020.06.7959
Submission date: 27/12/2019
Acceptance date: 26/5/2020
Publication date: 15/7/2020
Origin: Not commissioned
Type of review: Externally peer-reviewed by three reviewers, double-blind
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- Diener E, Emmons RA, Larsen RJ, Griffin S. The Satisfaction With Life Scale. J Pers Assess. 1985 Feb;49(1):71-5. | CrossRef | PubMed |
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WHO. Informe sobre la salud en el mundo: 2000: Mejorar el desempeño de los sistemas de salud. Ginebra: 2000. [On line] | Link |McKee M, Figueras J, Saltman RB. Health systems, health, wealth and societal well-being: Assessing the case for investing In health systems: Assessing the case for investing in health systems. McGraw-Hill Education (UK); 2011. [On line] | Link |Sustainable Development Goals (SDGs). Transforming our world: The 2030 agenda for sustainable development. 2016. [On line] | Link |Convention for the protection of human rights and dignity of the human being with regard to the application of biology and medicine: convention on human rights and biomedicine (adopted by the Committee of Ministers on 19 November 1996). Council of Europe Convention of Biomedicine. Hum Reprod. 1997 Sep;12(9):2076-80. | PubMed |Commission EU. Council conclusions on common values and principles in European Union health systems. 2006. [On line] | Link |Kieny MP, Bekedam H, Dovlo D, Fitzgerald J, Habicht J, Harrison G, et al. Strengthening health systems for universal health coverage and sustainable development. Bull World Health Organ. 2017 Jul 1;95(7):537-539. | CrossRef | PMC |González P, Güell P, Márquez R, Godoy S, Castillo J, Orchard M, et al. Bienestar Subjetivo: El Desafío De Repensar El Desarrollo (Subjective Well-Being in Chile: The Challenge of Rethinking Development). United Nations Dev Progr. 2012. [On line] | Link |Tov W, Diener E. Culture and subjective well-being. In: Culture and well-being. Springer; 2009. p. 9–41. | CrossRef |Diener E, Chan MY. Happy people live longer: Subjective well‐being contributes to health and longevity. Appl Psychol Heal Well‐Being. 2011;3(1):1–43. | CrossRef |Veenhoven R. Medidas de la felicidad nacional bruta. Psychosoc Interv. 2009;18(3):279–99. | CrossRef |Oyanedel JC, Browne M, Mella C, Ayala C. Epidemiología del Bienestar Subjetivo en Chile. en: La Felicidad: Evidencias y Experiencias para cambiar nuestro mundo. LOM Ediciones y Sociedad Chilena de Neurología, Psiquiatría y Neurocirugía (SONEPSYN); 2013:53-72. Diener E. Assessing subjective well-being: Progress and opportunities. Soc Indic Res. 1994;31(2):103–57. | CrossRef |Lyubomirsky S, Sheldon KM, Schkade D. Pursuing happiness: The architecture of sustainable change. Rev Gen Psychol. 2005;9(2):111–31. | CrossRef |Hoyt LT, Chase-Lansdale PL, McDade TW, Adam EK. Positive youth, healthy adults: does positive well-being in adolescence predict better perceived health and fewer risky health behaviors in young adulthood? J Adolesc Health. 2012 Jan;50(1):66-73. | CrossRef | PubMed |Velikova G, Booth L, Smith AB, Brown PM, Lynch P, Brown JM, et al. Measuring quality of life in routine oncology practice improves communication and patient well-being: a randomized controlled trial. J Clin Oncol. 2004 Feb 15;22(4):714-24. | CrossRef | PubMed |USAID’s Health Finance and Governance (HFG). Impact of health systems strenghtening on health. 2015. [On line] | Link |Swanson KM. Effects of caring, measurement, and time on miscarriage impact and women's well-being. Nurs Res. 1999 Nov-Dec;48(6):288-98. | CrossRef | PubMed |Holloway F, Carson J. Subjective quality of life, psychopathology, satisfaction with care and insight: an exploratory study. Int J Soc Psychiatry. 1999 Winter;45(4):259-67. | CrossRef | PubMed |Diener E, Emmons RA, Larsen RJ, Griffin S. The Satisfaction With Life Scale. J Pers Assess. 1985 Feb;49(1):71-5. | CrossRef | PubMed |Singelis TM, Yamada AM, Barrio C, Laney JH, Her P, Ruiz-Anaya A, et al. Metric equivalence of the bidimensional acculturation scale, the satisfaction with life scale, and the self-construal scale across Spanish and English language versions. Hisp J Behav Sci. 2006;28(2):231–44. | CrossRef |
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