An Approach to Individual Characteristics and Attributes of Primary Care that Influence Satisfaction with the National Health Care System in Spain

  1. Imanol L. Nieto-González 1
  2. Santiago Batista Toledo 1
  1. 1 Universidad Complutense de Madrid
    info

    Universidad Complutense de Madrid

    Madrid, España

    ROR 02p0gd045

Revista:
Estudios de economía aplicada

ISSN: 1133-3197 1697-5731

Año de publicación: 2023

Título del ejemplar: Ciencia de datos para la Economía Aplicada

Volumen: 41

Número: 1

Tipo: Artículo

DOI: 10.25115/SAE.V41I1.9075 DIALNET GOOGLE SCHOLAR

Otras publicaciones en: Estudios de economía aplicada

Resumen

La pandemia y la crisis sanitaria mundial que ha provocado la COVID-19 ha puesto de manifiesto la importancia de la inversión efectiva en el sistema sanitario público de las distintas regiones del mundo. No obstante, resulta quizás más importante que esa inversión sea percibida de utilidad por la ciudadanía y, sobre todo, efectiva, por lo que conocer y estudiar el nivel de satisfacción con la sanidad resulta crucial. Por ello, el objetivo de este trabajo es estudiar qué características individuales, así como del propio Sistema Nacional de Salud (SNS), son más relevantes en la percepción de satisfacción experimentada por el individuo. En concreto, se analizan atributos relativos al sistema sanitario en general y a la atención primaria en particular, dado que esta última es la primera línea del sistema y la más utilizada por la población. Se estima un modelo logit multinomial, empleando los microdatos del Barómetro Sanitario del Centro de Investigaciones Sociológicas (CIS) para el año 2019. Entre los principales resultados se encuentra que las jóvenes con estudios superiores que residen en municipios medianos y pequeños, tienen una mayor probabilidad de estar insatisfechas con el funcionamiento del sistema público. Por otra parte, el estado de salud autopercibido también resulta significativo. En términos de atributos de la atención primaria, el tiempo y la atención prestada durante la consulta, así como la seguridad transmitida por parte del personal sanitario, contribuyen significativamente a una mejor percepción del SNS en su conjunto. Las conclusiones extraídas permiten indicar que las inequidades generadas por las diferencias en inversión pueden ser claves para generar mayores o menores niveles de satisfacción, aunque otras características individuales y del SNS son útiles para llevar a cabo políticas sanitarias encaminadas a mejorar los niveles de satisfacción ciudadana.

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