User satisfaction with public oral health services in the Brazilian Unified Health System

BMC Oral Health. 2019 Jun 25;19(1):126. doi: 10.1186/s12903-019-0803-8.

Abstract

Background: User satisfaction represents a patient-centered measure that should be used to assess the quality of oral health services. This study investigated the differences in user satisfaction with public oral health services according to the sociodemographic user profile and the quality of oral health services in primary health care in Brazil.

Methods: Secondary data from a national program obtained through interviews with users were analyzed. Satisfaction was based on the Swan' model relating to perceptions regarding the service performance, assessment of overall satisfaction and the intention to avoid the service in the future. The exploratory variables were demographic characteristics of the users and the quality of the primary service from the user's viewpoint, considering the dimensions: access; receptivity of spontaneous demand; integral health care; bonding, accountability, and coordination of care.

Results: A total of 37,262 users participated, and 65.51% reported satisfaction with the oral health service, that was higher among those > 20 years old and beneficiaries of the Family Grant Program and lower among users with a higher level of schooling and those who reported being employed. Users who rated oral health service positively were more satisfied.

Conclusions: Socioeconomically disadvantaged user was more satisfied with oral health services and the satisfaction increased with age. The improvement in the quality of oral health services in primary care can result in greater satisfaction.

Keywords: Dental health services; Family health; Health evaluation; Health services research; Oral health; Patient satisfaction; Primary health care.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Aged, 80 and over
  • Brazil
  • Cross-Sectional Studies
  • Dental Health Services / organization & administration*
  • Female
  • Health Services Accessibility
  • Health Services Research
  • Humans
  • Male
  • Middle Aged
  • Oral Health*
  • Patient Satisfaction*
  • Personal Satisfaction*
  • Primary Health Care / organization & administration*
  • Quality of Health Care
  • Surveys and Questionnaires
  • Young Adult