[Relevance of the socioeconomic and health context in patient satisfaction].

Objective: To determine which factors of the socioeconomic and health contexts influence the perception of the satisfaction of the population with the health services.

Methods: The data come from the European Health Survey of 2009. In the 22,188 subjects surveyed, the relationship between the perception of satisfaction with the health services received and the individual and contextual variables was studied, applying a multilevel analysis.

[Sociodemographic characteristics and geographic variability associated with patient satisfaction in Primary Care].

Background: Patient satisfaction with health services plays an important role in programs to improve the quality of care from the point of view of users. The objectives of this study were: To identify sociodemographic characteristics associated with patient satisfaction in the care provided by family doctors in Primary Health Care (PHC) centres, and describe the geographical variability of this phenomenon in the Spanish National Health Service.

Material And Methods: The data come from the European Health Survey (2009).

[Economic recession (2006-2012) and changes in the health status of the Spanish population].

Objective: To analyze the relationship of mental health problems in Spanish population with the economic recession (2006-2012), and find out how it affects the self-perception of health status.

Materials And Methods: Cross-sectional study using the National Health Survey of Spain, 2006/2007 and 2011/2012. Using logistic regression models, three indicators linked to mental health and perceived health were analyzed.

Development and Assessment of a Questionnaire to Study Protection, Promotion, and Support of Breastfeeding.

Objective: To develop an instrument to measure variables that influence health care professionals' behavior with regard to the protection, promotion, and support of breastfeeding, especially one that related to the Baby-Friendly Hospital Initiative (BFHI), and to conduct a psychometric assessment.

Design: Cross-sectional study.

Setting: Two public health departments in eastern Spain.

[Evaluation and Improvement of the Informed Consent Documents in 9 Hospitals, Spain].

Background: Informed consent forms are very important in the process of medical information. The aim of this study was to assess the changes in the formal quality levels of these documents, as a result of corrective measures implemented after the first evaluation.

Methods: Complete cycle of evaluation and quality improvement, with 4 assessments between the years 2007 and 2013.

Clinical Pathway for Thyroidectomy.

Clinical pathways are care plans applicable to patient care procedures that present variations in practice and a predictable clinical course. They are designed not as a substitute for clinical judgment, but rather as a means to improve the effectiveness and efficiency of the procedures. This clinical pathway is the result of a collaborative work of the Sections of Endocrine Surgery and Quality Management of the Spanish Association of Surgeons.

[Introduction of an accreditation system for hospital informed consent forms].

Objective: To describe an accreditation system for informed consent forms (ICF) in a tertiary hospital, as an intervention to improve their quality, and to check the improvements achieved.

Material And Methods: Following an external evaluation of the ICF quality in a public hospital in Murcia (Spain), an accreditation committee set the ICF requirements and associated procedures. Effectiveness is assessed by comparing two external evaluations carried out by the EMCA Program (2011 and 2013) and based on 19 criteria and a sample of 60 ICF for every public hospital in Murcia Region.

[Formal quality assessment of informed consent documents in 9 hospitals].

Introduction: Informed consent forms are very important in the process of medical information. The aim of this study is to design reliable formal quality criteria of these documents and their application in the evaluation of those used in the hospitals of a regional health service.

Material And Methods: Criteria have been designed from the analysis of existing regulations, previous studies and consultation with key experts.

[Factors related to patient satisfaction with hospital emergency services].

Objectives: To determine the perceived quality variables related to satisfaction and to identify the influence of sociodemographic factors on user satisfaction with hospital emergencies.

Methods: A telephone survey was conducted with a specifically designed questionnaire for use in a sample of 3,600 users of hospital emergency services in nine public hospitals in 2008 and 2009.

Results: The adjusted model including all perceived quality and sociodemographic variables explained 47.

[Psychometric properties of scales of professional competence and treatment by health personnel in outpatient hospital surgeries].

The aim of this study was to analyze the psychometric properties of two scales that assess the perceived quality and patient satisfaction with outpatient surgery in the Health Service of Murcia. These scales assess the degree of Professional Competence (PC) and Personnel Treatment (PT). The scales were administered to a sample of 2017 users of outpatient surgery in the Health Service of Murcia during the years 2008 and 2009.

[Reliability of coding of diagnoses recorded in the computerized information system at primary health care centers].

Objective: To find the reliability of the coding of diagnoses in the doctor's note in this computer system and to analyse where there are most discrepancies.

Design: An observational study. The concordance between the reason for consultation, codified by an external assessor, and the coding of the main diagnosis.

[Health services accessibility in the Murcia region].

Objectives: To find the geographical accessibility of primary care services and their support facilities.

Design: An observational, crossover study.

Setting: Primary health care.