Patients' evaluation of primary health care services in Gjilan region, Kosovo

Patient satisfaction with the quality of primary health care (PHC) in Kosovo has not been previously reported. Our aim was to assess the level and socio-economic correlates of satisfaction of PHC users (also referred to as patients evaluation) in Kosovo, a transitional country in the Western Balkans. A cross-sectional study was conducted in 2010 in Gjilan region, Kosovo, including a representative sample of 1039 PHC users (87 response). Patients evaluation of PHC services was assessed through EUROPEP, a 23-item instrument tapping different aspects of medical encounter. Mean age of survey participants (56 females) was 41 16 years. About 50 of the participants were satisfied with the overall quality of medical services, doctorpatient relationship and organization of care. Younger (below median age), urban and employed PHC users reported a significantly higher satisfaction level with the overall health encounter quality. Conversely, there were no sex or educational differences. Considerably fewer PHC users in Kosovo were satisfied with the overall medical encounter compared with their European counterparts. This new and useful evidence may support health professionals and policy makers for improving the quality of PHC in Kosovo, a country struggling and mainstreaming all energies in order to get international recognition.