• M Hernán García, J L Gutiérrez Cuadra, C Lineros González, C Ruiz Barbosa, and A Rabadán Asensio.
• Escuela Andaluza de Salud Pública, Granada, España. mhernan@easp.es
• Aten Primaria. 2002 Oct 31; 30 (7): 425433425-33.

AimTo report the opinions of practitioners at health centers on dimensions of quality that affect user satisfaction.DesignCross-sectional study of focus groups (FG).SettingBahía de Cádiz and La Janda health centers in southwestern Spain.ParticipantsWe studied 4 FG whose participants were staff members of the two health centers: FG1, physicians; FG2, user satisfaction service staff; FG3, social workers; FG4, nurses. The groups were based on the different functions of staff at the two centers.MethodThe analysis was based on variables in the SERCAL model (an adaptation of the SERVQUAL model for the Spanish health care system) of opinions regarding service quality: access, comfort (tangibles), personalized service (courtesy), competence, and loyalty. The data were analyzed with version N-Vivo of the NUDIST program.ResultsAll dimensions of the theoretical model were identified by practitioners as constructs of users' perceptions of service quality. Users' and practitioners' views contrasted with and complemented each other to generate a model that could be validated. Access, personalized service and problem-solving (responsiveness) were key variables.ConclusionsPractitioners' opinions provided information of use in improving the quality model. Differences in opinion between users and practitioners merit further study based on an understanding of these groups' values and interests, and on the care provision context. Practitioners identified access, personalized service and problem-solving as features that influenced users' opinions of the quality of the health center.

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