Abstract:
The purpose of this cross-sectional explanatory research is to evaluate client satisfaction in
primary care units and to study the factors that could correlate and predict the clients satisfaction in
primary care units in Nakhonsawan Province. The sample was 200 clients who were older than 15 years
and who utilized the health care service of primary care units from August to September 2006.
Statistical analyses used were frequency, percentage, mean, standard deviation (S.D.), Pearsons
Product Moment Correlation Coefficient and Stepwise Multiple Regression.
Regarding satisfaction, it was found that client satisfaction were at a high level (77.0%) As for
health care attitude, it was found that the majority of clients health care attitude was at a high level
(72.5 %). Perception of services in the primary care units was at a high level (95.5 %), Perception of
responsibility of nurses in the primary care units was at a high level (91.0 %), Health care attitude,
perception of the services in the primary care units, perception of responsibility of nurses in the primary
care units were positively correlated to the satisfaction of health care service in the primary care units
with satisfaction significance (p<0.001) and education level negatively a correlated to the satisfaction
with a satisfaction significance of p<0.001.It was found that the perception of the responsibility of
nurses in the primary care units and health care attitude were statistically significant predicted the
clients satisfaction and power of prediction at 19.5 percent .
The results of this study provide suggestions that the improvement should be applied to the
development of increased standardization of the nursing service as follows: cooperation in decisions
regarding the selection of treatment, instructions regarding diagnostic results and the progression of the
disease and longitudinal service as home health care service. And the primary health care unit monitors
service quality and supplies to obtain the greatest benefit in terms of establishing a service system for
communicating information to patients by use of a cable sound system for providing healthcare news.