Design and validation of a scale to assess user satisfaction with Primary Health Care

Lázaro Pablo Linares Cánovas, Liyansis Bárbara Linares Cánovas, Barbarito Malagón Silva, Beatriz Gallardo Hernández, Adalina Linares Montano and Martha María Pérez Martín

SAP Health and Policy, 2025

Abstract: Introduction: Primary Health Care is key to user-centered care but faces challenges such as the lack of valid instruments to measure user satisfaction with the care received.Objective: to evaluate the psychometric properties of a scale designed to assess user satisfaction with health care.Methods: a methodological study for instrument validation was conducted in Pinar del Río in 2023, focusing on the validation of the SATUS-APS scale. Following its development, the instrument underwent expert validation and a pilot test, including exploratory and confirmatory factor analyses. Content and construct validity, as well as internal consistency, were analyzed.Results: the SATUS-APS scale showed high item-level content validity (.85–.94) and internal consistency (α=.83). Exploratory factor analysis identified six factors explaining 58.4% of the variance, with appropriate statistical fit (RMSEA=.045, CFI=.976), requiring modifications. The final model included 18 items, showing acceptable fit (CMIN/DF= 2.87, CFI=.976, TLI=.940, SRMR=.0471, RMSEA=.0404, p<.001) and excellent overall reliability (α=.968).Conclusions: the questionnaire demonstrated validity and reliability for measuring user satisfaction. Its structure was confirmed through factor analysis, and reliability coefficients were high across all dimensions. It is a useful tool for research and quality improvement in health services.

Date: 2025
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Persistent link: https://EconPapers.repec.org/RePEc:cwf:shpart:shp2025395

DOI: 10.56294/shp2025395

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