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| The following questions refer to the usual PHC source identified by the respondents |
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| Accessibility of services | | |
| If the doctor who is responsible for your care is not available, you can see another doctor? | 0. Never/sometimes/often | 1. Always |
| How long does it take to see the doctor by appointment? | 0. Two weeks or more | 1. Less than two weeks |
| How long does it usually take to get there? | 0. 15 minutes or more | 1. Less than 15 minutes |
| The office hours are convenient? | 0. Not at all/a little/somewhat agree | 1. Strongly agree |
| It is easy to reach someone by telephone to make an appointment? | 0. Not at all/a little/somewhat agree | 1. Strongly agree |
| It is easy to talk to a doctor or nurse by telephone? | 0. Not at all/a little/somewhat agree | 1. Strongly agree |
| Continuity | | |
| You see the same doctor? | 0. Never/sometimes/often | 1. Always |
| How long have you been going there? | 0. Five years or less | 1. More than 5 years |
| Your medical history is known? | 0. Not at all/a little/somewhat agree | 1. Strongly agree |
| They are aware of all the prescribed drugs you take? | 0. Not at all/a little/somewhat agree | 1. Strongly agree |
| You can receive routine ongoing care for a chronic problem? | 0. Not at all/a little/somewhat agree | 1. Strongly agree |
| Comprehensiveness | | |
| All your health problems are taken care of whether they are physical or psychological? | 0. Not at all/a little/somewhat agree | 1. Strongly agree |
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| The doctor takes the time to talk to you about prevention and asks you about your lifestyle habits? | 0. Not at all/a little/somewhat agree | 1. Strongly agree |
| They help you get all the health care services you need? | 0. Not at all/a little/somewhat agree | 1. Strongly agree |
| Your opinion and what you want are taken into account in the care that you receive? | 0. Not at all/a little/somewhat agree | 1. Strongly agree |
| You are given help to weigh the pros and cons when you have to make decisions about your health? | 0. Not at all/a little/somewhat agree | 1. Strongly agree |
| Responsiveness | | |
| How long do you have to wait between the scheduled time of appointment and the time you actually see the doctor? | 0. Less than 60 minutes | 1. 60 minutes or more |
| The staff answer your questions clearly ? | 0. Not at all/a little/somewhat agree | 1. Strongly agree |
| You feel respected? | 0. Not at all/a little/somewhat agree | 1. Strongly agree |
| You are greeted courteously at the reception? | 0. Not at all/a little/somewhat agree | 1. Strongly agree |
| Your physical privacy is respected? | 0. Not at all/a little/somewhat agree | 1. Strongly agree |
| The doctors spend enough time with you? | 0. Not at all/a little/somewhat agree | 1. Strongly agree |
| The local of the clinic are pleasant? | 0. Not at all/a little/somewhat agree | 1. Strongly agree |
| Perceived care outcomes | | |
| The services you get help you to better understand your health problems? | 0. Not at all/a little/somewhat agree | 1. Strongly agree |
| The services you get help you to prevent certain health problems before they appear? | 0. Not at all/a little/somewhat agree | 1. Strongly agree |
| The services you get help you to control your health problems? | 0. Not at all/a little/somewhat agree | 1. Strongly agree |
| The professionals you see encourage you to follow the treatments prescribed? | 0. Not at all/a little/somewhat agree | 1. Strongly agree |
| The professionals you see help motivate you to adopt good lifestyle habits? | 0. Not at all/a little/somewhat agree | 1. Strongly agree |
| Unmet needs | | |
| During the last 6 months, did you feel you needed to see a doctor for a health problem but didn’t see one? | 0. No | 1. Yes |
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