<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1816-8949</journal-id>
<journal-title><![CDATA[Anales de la Facultad de Ciencias Médicas (Asunción)]]></journal-title>
<abbrev-journal-title><![CDATA[An. Fac. Cienc. Méd. (Asunción)]]></abbrev-journal-title>
<issn>1816-8949</issn>
<publisher>
<publisher-name><![CDATA[EFACIM. Editorial de la Facultad de Ciencias Médicas - Universidad Nacional de Asunción]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1816-89492019000300037</article-id>
<article-id pub-id-type="doi">10.18004/anales/2019.052.03.37-046</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Factores de insatisfacción al alta de un servicio de Clínica Médica del Paraguay]]></article-title>
<article-title xml:lang="en"><![CDATA[Factors of dissatisfaction upon discharge from a Medical Clinic service of Paraguay]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Real]]></surname>
<given-names><![CDATA[Raúl Emilio]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Real]]></surname>
<given-names><![CDATA[Nicolás Emilio]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad Nacional de Itapúa Facultad de Medicina Postgrado en Medicina Interna]]></institution>
<addr-line><![CDATA[Encarnación ]]></addr-line>
<country>Paraguay</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad del Pacífico Facultad de Ciencias Médicas ]]></institution>
<addr-line><![CDATA[Asunción ]]></addr-line>
<country>Paraguay</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2019</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2019</year>
</pub-date>
<volume>52</volume>
<numero>3</numero>
<fpage>37</fpage>
<lpage>46</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_arttext&amp;pid=S1816-89492019000300037&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_abstract&amp;pid=S1816-89492019000300037&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_pdf&amp;pid=S1816-89492019000300037&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción:  los factores que influyen en la insatisfacción de los pacientes son diversos y varían con cada país y tipo de hospital.  Objetivos:  hallar la frecuencia y factores asociados a la insatisfacción en la atención referida por los pacientes.  Materiales y métodos:  se realizó una investigación cuantitativa con el cuestionario SERVQUAL aplicado al alta de los pacientes adultos del Servicio de Clínica Médica del Hospital Nacional durante los años 2018 y 2019. Con el cuestionario de recogieron variables demográficas, clínicas y las respuestas a 22 preguntas que evaluaron cinco dimensiones relacionadas a la satisfacción con el servicio. Todos los sujetos encuestados firmaron el consentimiento informado.  Resultados:  se encuestaron 224 pacientes, siendo 48% del sexo masculino y 52% del femenino. La edad media fue 44±17 años. La frecuencia de insatisfacción con la atención recibida fue 59%. La dimensión del cuestionario SERVQUAL con peor puntuación fue la tangibilidad. Los factores de riesgo asociados estadísticamente a la insatisfacción fueron el sexo masculino, la procedencia rural, el estado civil soltero y la presencia de comorbilidades. Conclusiones: la frecuencia de insatisfacción fue 59%. El perfil del paciente insatisfecho es un varón, de procedencia rural, soltero y con comorbilidades.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction:  the factors that influence patient dissatisfaction are diverse and vary with each country and type of hospital.  Objectives:  to find the frequency and factors associated with dissatisfaction in the care referred by the patients.  Materials and methods:  a quantitative investigation was carried out with the SERVQUAL questionnaire applied to the discharge of adult patients from the Medical Clinic Service of the National Hospital during the years 2018 and 2019. With the questionnaire we collected demographic, clinical variables and responses to 22 questions that evaluated five dimensions related to satisfaction with the service. All the subjects surveyed signed the informed consent.  Results:  224 patients were surveyed, 48% being male and 52% female. The average age was 44 ± 17 years. The frequency of dissatisfaction with the care received was 59%. The dimension of the SERVQUAL questionnaire with the worst score was tangibility. The risk factors statistically associated with dissatisfaction were male sex, rural origin, single marital status and the presence of comorbidities. Conclusions: the frequency of dissatisfaction was 59%. The profile of the dissatisfied patient is a male, of rural origin, single and with comorbidities.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[satisfacción del paciente]]></kwd>
<kwd lng="es"><![CDATA[atención hospitalaria]]></kwd>
<kwd lng="es"><![CDATA[encuestas y cuestionarios]]></kwd>
<kwd lng="es"><![CDATA[Paraguay.]]></kwd>
<kwd lng="en"><![CDATA[patient satisfaction]]></kwd>
<kwd lng="en"><![CDATA[hospital care]]></kwd>
<kwd lng="en"><![CDATA[surveys and questionnaires]]></kwd>
<kwd lng="en"><![CDATA[Paraguay.]]></kwd>
</kwd-group>
</article-meta>
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