Analysis of the Impact of Doctors’ and Health Care System Credibility on Patients’ Satisfaction with Health Care

  • Andriy Yavorskyy Ivano-Frankivsk National Medical University
Keywords: doctors’ credibility, satisfaction with health care, quality management system


Forming a patient-oriented health care system, patients’ participation in health care quality assessment has become the imperative of our time.

The objective of the research was to analyze the impact of doctors’ and health care system credibility on satisfaction with health care.

Materials and methods. Sociological survey of 530 patients was conducted. The patients completed their treatment in the surgical departments of inpatient facilities in Ivano-Frankivsk region. According to its results the patients were divided into two groups: satisfied (372 people) and not satisfied (158 people) with the level of health care services in the department and the hospital as a whole.

Results of the research. Nearly 60% of the surveyed patients were determined not to trust their doctors and one third of respondents did not know their primary care physician. This significantly increased the chances of dissatisfaction with health care (OR= 4.11; 95% CI: 1.67–10.14, p<0.001 and OR=1.96; 95% CI: 1.33–2.90 respectively; p<0.001) and promoted inefficient use of the health care system resources as a result of unreasonable hospitalization (in 18.8% cases). 

Conclusions. Patients who do not trust doctors in general and do not know their general practitioner remain dissatisfied with inpatient care by 1.5-10 times more often.


Voronenko YuV, Horachuk VV. Upravlinnia iakistiu medychnoi dopomohy: svitovi i vitchyzniani modeli. Skhidnoievropeiskyi zhurnal hromadskoho zdorovia. 2012;2-3 (18-19):64–67

Hoida NH, Murzina EO. Pidvyshchennia iakosti medychnoi dopomohy – odyn iz osnovnykh napriamkiv roboty. Vashe zdorovia. 2009;20:13

Horachuk VV. Upravlinnia iakistiu medychnoi dopomohy v zakladi okhorony zdorovia [monograph]. Vinnytsia: 2012. 212 p.

Hrevtsova RYu. Aktualni pravovi pytannia informatsiinoho obminu mizh likarem i patsiientom. Upravlinnia zakladom okhorony zdorovia. 2007;6:16–20

Detsyk OZ. [Methodological approach to summation of scientific research results]. Galic’kij likars’kij visnik. 2011;18 (2):5–8

Dziak HV, Lekhan VM, Kriachkova LV. Pidkhody do vyznachennia stratehii pidvyshchennia iakosti medychnoho obsluhovuvannia v Ukraini, harmonizovani in zahalnoievropeiskymy metodamy. Medychni perspektyvy. 2010;XV(1):6–9

World Health Organization, Regional Office for Europe. Health 2020: the European policy for health and well-being. 2013. 225 p.

Zyukov OL. Substantiation of structural and processing approach of inpatient health care quality management to oncologic patients in Ukraine [dissertation]. Kyiv: 2009. 331 p.

Lekhan VM, Zyukov OL. Zastosuvannia pryntsypiv dokazovoho menedzmentu dlia pryiniattia upravlinskykh rishen shchodo pidvyshchennia iakosti medychnoi dopomohy. Naukovyi visnyk Natsionalnoho medychnoho universytetu imeni OO Bohomoltsia. 2008;2-3 (18-19):66–69

Lekhan VM, Slabkyi GO, Shevchenko MV. Health care system strategy development: Ukrainian measuring. Kyiv: 2009. 50 p

Voronenko YuV, Hoida NH, Mintser OP, Mitchel M. Novi tekhnolohii navchannia menedzmentu v medytsyni. Study guide. Kyiv: Knuha plius; 2009. 416 p.

Horachuk VV, Voronenko YuV, Hoida NH, et al. Orhanizatsiia sotsiolohichnykh opytuvan patsientiv, iikh predstavnykiv i medychnoho personaluv zakladakh okhorony zdorovia. Guidelines. Kyiv: 2012. 22 p.

World Health Organization, Regional Office for Europe. Rukovodstvo po razrabotke strategiy obespecheniya kachestva i bezopasnosti s pozitsii sistem zdravokraneniya. 2008. 86 p.

Evans B, Elovainio R, Humphreys G, et al. Health systems financing: the path to universal coverage. World health report 2010. World Health Organization. [Internet]. 2010. 129 p.

Legido-Quigley H, McKee M, Nolte E, et al. Assuring the quality of health care in the European Union. A case for action. World Health Organization (European Observatory on Health Systems and Policies). 2008. 215 p.

World Health Organization Regional Office for Europe. Exploring patient participation in reducing health-care-related safety risks. 2013. 175 p.

Forthofer RN, Lee ES, Hernandez M. Biostatistics: A Guide to Design, Analysis, and Discovery. Amsterdam: Elsevier Academic Press; 2007. 502 p

Van de Bovenkamp HM, Trappenburg MJ. Government Influence on Patient Organizations. Heal Care Anal. 2011 Dec 28;19(4):329–351. DOI:

Friesner D, Neufelder D, Raisor J, Bozman CS. How to improve patient satisfaction when patients are already satisfied: a continuous process-improvement approach. Hospital Topics. 2009;87 (1):24–40

Jakubowski E, Saltman RB , editors. The Changing National Role in Health System Governance. A case-based study of 11 European countries and Australia. WHO European Observatory on Health Systems and Policies. 2013. 91 p.Available from:

Tanenbaum SJ. What is Patient-Centered Care? A Typology of Models and Missions. Heal Care Anal. 2015 Sep 27;23(3):272–287. DOI:

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