SciELO - Scientific Electronic Library Online

vol.36 número3Análisis con perspectiva de género de la Encuesta de Fecundidad 2018 en EspañaUso inadecuado del Protocolo de Estambul en la evaluación de víctimas de tortura por profesionales forenses en México índice de autoresíndice de materiabúsqueda de artículos
Home Pagelista alfabética de revistas  

Servicios Personalizados




Links relacionados

  • En proceso de indezaciónCitado por Google
  • No hay articulos similaresSimilares en SciELO
  • En proceso de indezaciónSimilares en Google


Gaceta Sanitaria

versión impresa ISSN 0213-9111


RODRIGUEZ-EGUIZABAL, Eva et al. Evaluation of health center's primary care responsiveness by patients with chronic illnesses. Gac Sanit [online]. 2022, vol.36, n.3, pp.232-239.  Epub 30-Sep-2022. ISSN 0213-9111.


To evaluate the health systems’ response capacity according to the perception of chronic patients, and the factors related to that perception.


Source of data: patients diagnosed with at least one chronic disease who visited primary care centers during June and July 2015 in a basic health area of La Rioja.


cross-sectional descriptive study based on interviews to over 18s who visited primary care centers. The dependent variable was the health systems’ response capacity and independent variables were sociodemographic and health related. In order to collect data, trained interviewers conducted a short questionnaire in Spanish from the World Health Organization Multi-country Survey Study with 403 subjects. Descriptive statistics, bivariate and multivariate logistic regression were performed.


The overall health systems’ response capacity was considered good by 87.10%. The domains that scored highest were: confidentiality (99.3%), dignity (98.3%) and communication (97.3%). Those evaluated worst were: rapid service (38,6%) and quality of basic services (31.8%). Low social class was the most important factor associated with the responsiveness, mainly with autonomy and rapid service. Sex, educational level, and occupation were related to communication domain, and patients with worse perceived health rated the general response worse. The domains considered most important were dignity (33.5%) and rapid service (30.5%).


The domains best evaluated were those related to respect for people. Rapid service has a low health systems’ response capacity, but a high importance, and therefore requires priority action.

Palabras clave : Chronic diseases; Health system; Response capacity of the health system; Primary care.

        · resumen en Español     · texto en Español     · Español ( pdf )