الفهرس 
Primary health careOnly 14 pages are availabe for public view
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Abstract
Primary health care is essential healthcare made universally accessible to individuals, and families in the community by means acceptable to them, through their full participation and at a cost that the community and country can afford. It forms an integral part both of the country’s health system and overall social and economic development of the community
Some measures to improve the quality of health services, which is improving and assuring the standards of healthcare and facilities, enhancing diagnostic and clinical effectiveness, updating medical and nursing education and training, is to measure satisfaction either for the receiver or the providers. So, patient satisfaction has long been considered an important component when measuring health outcome and quality of care.
One of the ways to look into the existing PHC situation and possible problems is to study job satisfaction of general practitioner and physicians, as the attitudes people hold towards their jobs (referred to as job satisfaction) and this is one of the most widely studied work- related attitudes.
Since there is a lack of general practitioners and physicians in El-Shourok city, it is vital to build conditions that would motivate them to stay and work which may be accomplished through the enhancement of job satisfaction at PHC level.
This study was conducted to evaluate the external customers’ satisfaction towards PHC services provided in primary healthcare centers in (El-Shrouk city), to identify the causes of dissatisfaction and to measure job satisfaction among primary health care internal customers (physicians, nurses, pharmacists, laboratory workers and officers) at the same PHC centers in this new city during the health care reform.
Regarding patient satisfaction, the sample size of 600 patients aged at least 18 years attending the three centers on three days per week for each center during three months from January to Mars 2010.
An Arabic language interview questionnaire was used for clients which included socio-demographic characteristics as well as the overall and differential satisfaction with the different aspects of services of the PHC centers.
The result of the study was that, three fourth of the study consumers were females (76.5%) and about (39.7%) were in the age group 25-34. The majority of them (88.67%) were ever married and housewives (61.8%) respectively. The socio-demographic characters play minor role in overall satisfaction, but in general majority of patients showed that the overall patients; satisfaction was relatively high, majority of patients 521(86.83%) were satisfied of services provided in PHCC.
However, the most common reason for dissatisfaction was non availability of certain drugs, overcrowding of vaccination setting, unavailability of trained nurses and physician and inadequate referral system, so the study recommend to built new hospital to enhance the referral system in related centers, provision of drugs and investigations and built trust with system.
Regarding medical and non medical staff job satisfaction, all physicians and nurses employees in the PHCC in El-Sherouk city participated in the study and responded using a self-administered questionnaire. The results showed that their number was (n=81) for medical staff; where 40 were physicians, dentists and pharmacist (49.4%) and 41 were nurses (50.6%) and (21) for non medical staff (officers and lab workers). The results for medical and non medical staff were very similar, where the mean score of overall satisfaction (Mean=3.67 on a 5 point scale) which is nearly similar to non medical staff’s satisfaction (Mean= 3.57 on a 5 point scale), about 77.78 were fairly satisfied compared by 61.90 of non medical staff which is relatively low and about 16.049% were dissatisfied compared by14.29% were dissatisfied among non medical staff, while highly unsatisfied persons account (3.7%) when compared to non medical staff (14.29%)
The highly satisfied domains for medical and non medical staff were relation with colleagues (Mean=4.03, 4.35) respectively, from a point scale of 5, while the least satisfied domains were professional opportunity (Mean=2.58, 1.32) respectively and financial reward (Mean=2.75, 2.41) respectively.
So the study recommends increasing opportunity for progress through in-service training courses and attendance of scientific congresses, higher salaries and financial reward, and attention should be paid in particular to PHC officers and workers to increase their salaries and incentives and to increase their opportunity for progress through continuous education.