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User satisfaction in the spanish health system: trend analysis.

Rev Saude Publica · 2019 · PMC6763284 · PMID 31576946

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a negative trendno p-value reported
CONCLUSIONS A negative trend was observed in the opinion of the Spanish national health system users.

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an increasing trendno p-value reported
Satisfaction with knowledge and follow-up by the family doctor and pediatrician showed an increasing trend (APC = 7.939, 95%CI 3.965 – 11.914).

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a decreasing trendno p-value reported
Similarly, the attention by the medical staff was static (APC = 3.227, 95%CI -7.076–13.531), as were in all the autonomous communities, except for Asturias, which showed a decreasing trend (APC = -10.486; 95%CI -12.798 – -8.174) with a decrease of more than 10 points ( Table 3 ).

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Quoted from the open-access full text in Europe PMC under the licence the publisher applied. The sentence is reproduced exactly as published; the emphasis is ours.