Factors assodated with the perception of problems presentedin medicalconsultationin four dties of Peru

Abstract

OBJETIVES The aim of the study was to determine the factors associated with the perception of problems presented in medical consultation in fourcities in Peru. MATERIAL AND METHODS Multicenter; analytic and transverse study, carried out between May and June 2015 in hospitals of four Peruvian dties (Lima, Ucayali, Piura and lea). The PREMEPA scale was used to measure the characteristics of the medical consultation also medical data was recorded. Statistical analysis sought associations and p-values, through generalized linear models. RESULTS 804 people were surveyed.57% were women (459); the average age was 45 years (range 26-59).Lima was the city with higher frequency of problems presented during extemal consultation (35%).In multivariate analysis, the frequency of problems presented during external consultation decreased with a better service (RPa: O,7; IC95%: 0,6-3,09), better care (RPa: 0,5; IC95%:0,4-0,6) and explanation from the treating physidans (RPA: O.7; 95% Cl:0.6-0.8),adjusted whether the doctorwas male orfemale, spedalty and having a historyof problems with a doctor. CONCLUSIONS lt was found that certain characteristics of doctor treatment during consultation can generate the perception of problems by users, so this should be taken into account to generate training and sensitization programs of the various health institutions.

Keywords

• patient satisfaction
• professional practice
• doctor-patient relationships