Please use this identifier to cite or link to this item: https://hdl.handle.net/10419/182526 
Year of Publication: 
2018
Citation: 
[Journal:] International Journal of Healthcare Education & Medical Informatics [ISSN:] 2455-9199 [Volume:] 5 [Issue:] 1 [Publisher:] Advanced Research Publications (ADR) [Place:] Ghaziabad [Year:] 2018 [Pages:] 12-17
Publisher: 
Advanced Research Publications (ADR), Ghaziabad
Abstract: 
This paper analyzes the impact of service quality on patients’ satisfaction with the Portuguese National Health Service, through a novel indicator the Index of Satisfaction with the NHS that measures the share of children delivered in the NHS hospitals to total number of children delivered, in 2000–2016. We assume that families choose private health institutions if they are not satisfied with the National Health Service. Previous literature relies on questionnaires and surveys about patients’ satisfaction, introducing some subjectivity on the analysis since the concept of satisfaction is, itself, debatable, and does not compare the evolution of satisfaction over time. Our study is innovative in this regard. The results indicate that the weaknesses of the Portuguese NHS led public to choose private health institutions. In a context of economic difficulties and the loss of purchasing power, such results have clear implications on the evaluation of the quality of service provided by the NHS in Portugal.
Subjects: 
National Health Service
Patients’ Satisfaction
Quality of Service.
JEL: 
I11
I14
I18
Published Version’s DOI: 
Document Type: 
Article
Document Version: 
Manuscript Version (Preprint)
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