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El efecto de la calidad del servicio en la satisfacción del derechohabiente en instituciones públicas de salud en México

Author

Listed:
  • Jorge Vera

    (Tecnológico de Monterrey, México)

  • Andrea Trujillo

    (EGADE Business School, México)

Abstract

El objetivo de este trabajo es ofrecer una explicación de los factores que tienen impacto en la percepción de satisfacción del derechohabiente del sistema público de salud. Mediante un estudio exploratorio y analizando el proceso de atención que recibe un derechohabiente en una clínica de primer nivel, se detectaron 32 atributos de calidad en el servicio. Se diseñó un cuestionario estructurado para medir la percepción sobre el cumplimiento de estos atributos, así como indicadores de satisfacción. Se integró una muestra de 600 derechohabientes dividida de forma equitativa entre tres instituciones: Secretaría de Salud, Instituto Mexicano del Seguro Social e Instituto de Seguridad y Servicios Sociales de los Tra-bajadores del Estado. Los atributos se integraron en siete dimensiones de calidad del servicio mediante un análisis factorial confirmatorio. Para analizar el impacto de estas dimensiones en la satisfacción se llevaron a cabo tanto seis modelos de regresión como dos modelos estructurales. Estos análisis arrojaron que la calidad del servicio proporcionado por los médicos, así como la calidad del servicio de la entrega de medicamentos, tienden a ser los factores de mayor impacto en la satisfacción del derechohabiente. Calidad del servicio del personal de análisis clínicos y la calidad de las instalaciones también tuvieron impactos significativos. Sin embargo, factores como calidad del servicio de los enfermeros(as), calidad del servicio del personal de farmacia, y calidad en la recepción (turnos), no tuvieron un impacto estadísticamente significativo.

Suggested Citation

  • Jorge Vera & Andrea Trujillo, 2018. "El efecto de la calidad del servicio en la satisfacción del derechohabiente en instituciones públicas de salud en México," Contaduría y Administración, Accounting and Management, vol. 63(2), pages 5-27, Abril-Jun.
    • Handle: RePEc:nax:conyad:v:63:y:2018:i:2:p:5-27
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    References listed on IDEAS

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    More about this item

    Keywords

    calidad en el servicio; satisfacción; instituciones de salud;
    All these keywords.

    JEL classification:

    • M31 - Business Administration and Business Economics; Marketing; Accounting; Personnel Economics - - Marketing and Advertising - - - Marketing
    • M39 - Business Administration and Business Economics; Marketing; Accounting; Personnel Economics - - Marketing and Advertising - - - Other
    • I11 - Health, Education, and Welfare - - Health - - - Analysis of Health Care Markets
    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health

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