Frontiers in medicine · 2026
Patient satisfaction with the implementation of the family medicine model at Nassem Health Centre, Kuwait.
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Alasousi Lulua, Al-Harran Abdullah M, Al-Rasheedi Wafa, Thawini Abdulaziz
Аннотация
BACKGROUND AND OBJECTIVES: Primary health care centres (PHCCs) are the foundation stone of Kuwait's public healthcare system, providing accessible and comprehensive services. Patient satisfaction is a critical indicator of healthcare quality and is associated with improved adherence to medical advice and better health outcomes. Despite international evidence supporting structured family medicine and appointment-based systems, Kuwait's PHCCs continue to operate primarily on a walk-in basis. This study aimed to describe patient satisfaction with a family medicine appointment clinic at the Nassem PHCC in Kuwait.
METHODS: A cross-sectional observational study was conducted between September 2024 and September 2025. The extended recruitment period was necessary to achieve an sufficient sample and capture routine service-utilisation patterns across a full annual cycle. Consecutive patients attending the family medicine appointment clinic were recruited using convenience sampling. A validated, self-administered seven-item questionnaire assessed satisfaction with the doctor-patient relationship using a five-point Likert scale (1 = Very Dissatisfied to 5 = Very Satisfied). After excluding 11 incomplete records from 264 initial responses, the final analytic sample comprised 253 participants. All analyses were conducted in Jamovi (version 2.5).
RESULTS: Principal component analysis confirmed a unidimensional scale structure (KMO = 0.949; Bartlett's χ 2 = 2,210, df = 21, p < 0.001). Internal consistency was excellent (Cronbach's α = 0.969). Item means ranged from 4.67 to 4.76, with 74.0-81.0% of respondents selecting the highest satisfaction category across all items, indicating a pronounced ceiling effect. The composite satisfaction score was obviously negatively skewed (skewness = -3.59, kurtosis = 18.0). A statistically significant age-group difference in satisfaction was observed (Kruskal-Wallis χ 2 = 24.60, df = 4, p < 0.001, ε 2 = 0.098); no significant differences were found by nationality or gender.
CONCLUSION: Patients attending the Nassem PHCC family medicine appointment clinic reported high Overall Satisfaction. A significant age-related variation was observed, with older patients reporting higher satisfaction than younger adults. Ceiling effects, cross-sectional design, convenience sampling, and potential social desirability bias limit the conclusions that can be drawn. Future research should employ longitudinal designs, comparator groups, and more sensitive instruments.
METHODS: A cross-sectional observational study was conducted between September 2024 and September 2025. The extended recruitment period was necessary to achieve an sufficient sample and capture routine service-utilisation patterns across a full annual cycle. Consecutive patients attending the family medicine appointment clinic were recruited using convenience sampling. A validated, self-administered seven-item questionnaire assessed satisfaction with the doctor-patient relationship using a five-point Likert scale (1 = Very Dissatisfied to 5 = Very Satisfied). After excluding 11 incomplete records from 264 initial responses, the final analytic sample comprised 253 participants. All analyses were conducted in Jamovi (version 2.5).
RESULTS: Principal component analysis confirmed a unidimensional scale structure (KMO = 0.949; Bartlett's χ 2 = 2,210, df = 21, p < 0.001). Internal consistency was excellent (Cronbach's α = 0.969). Item means ranged from 4.67 to 4.76, with 74.0-81.0% of respondents selecting the highest satisfaction category across all items, indicating a pronounced ceiling effect. The composite satisfaction score was obviously negatively skewed (skewness = -3.59, kurtosis = 18.0). A statistically significant age-group difference in satisfaction was observed (Kruskal-Wallis χ 2 = 24.60, df = 4, p < 0.001, ε 2 = 0.098); no significant differences were found by nationality or gender.
CONCLUSION: Patients attending the Nassem PHCC family medicine appointment clinic reported high Overall Satisfaction. A significant age-related variation was observed, with older patients reporting higher satisfaction than younger adults. Ceiling effects, cross-sectional design, convenience sampling, and potential social desirability bias limit the conclusions that can be drawn. Future research should employ longitudinal designs, comparator groups, and more sensitive instruments.