Table 2: Evaluation of the quality of medical services by respondents from the 5-point scale: poor (1), average (2), good (3), very good (4), excellent (5).

General Satisfaction 2012 2013 2014 2015 2016
Very satisfied with care 4 4.3 4.5 4.6 4.6
Some things could be better 2 1.5 1.4 1.3 1.2
Medical care is excellent 4.1 4.4 4.5 4.6 4.7
Things need improvement 2.1 2 1.9 1.8 1.6
Care just about perfect 4.1 4.2 4.5 4.6 4.6
Dissatisfied with some things 2.1 1.7 1.6 1.4 1.3
Technical Quality
Careful to check everything 4 4.3 4.5 4.6 4.6
Doctors need to be more thorough 1.6 1.2 1.1 1 0.8
Doctor’s office has everything needed 4.3 4.4 4.5 4.6 4.6
Wonder if diagnosis is correct 1.3 1.1 0.8 0.7 0.5
Know latest medical developments 4.1 4.2 4.3 4.4 4.5
Lack experience with my problems 1.4 1.2 0.9 0.6 0.5
Doctors are competent, well-trained 4.2 4.3 4.3 4.4 4.5
Doubt about ability of doctors 1.2 1.2 0.9 0.6 0.5
Never expose me to a risk 4 4.3 4.3 4.4 4.5
Doctors rarely give advice 1.1 1.1 0.8 0.7 0.5
Interpersonal Aspects
Too business-like, impersonal 0.9 0.8 0.8 0.6 0.5
Do best to keep me from worrying 4 4 4 4.1 4.1
Should pay attention to privacy 1 1.1 1 0.6 0.5
Genuine interest in me 4.1 4.1 4 4.2 4.2
Make me feel foolish 0.3 0.3 0.2 0.1 0.1
Very friendly and courteous 4 4 4.1 4.1 4.2
Should give me more respect 1 1.1 0.8 0.5 0.5
Communication
Explain the reason for tests 4 4 4.1 4.2 4.2
Use terms without explaining 1.2 1.2 0.9 0.6 0.5
Say everything that’s important 3.9 4 4 4.2 4.3
Ignore what I tell them 0.5 0.4 0.4 0.3 0.3
Doctors listen carefully 4 4 4.1 4.1 4.2
Financial Aspects
Care without financial setback 3.1 3.9 4 4.1 4.2
Worry about large bills 2.3 1 0.8 0.7 0.6
Protected from financial hardship 3 3.5 3.9 4 4
Problem to cover share of cost 2.4 1.2 0.9 0.8 0.6
Insured, protected financially 2 4.2 4.3 5 5
Pay more than I can afford 2.5 1 0.8 0.5 0.3
Amount I pay is reasonable 2 4.1 4.2 4.4 4.5
Go without care because too expensive 0.5 0.2 0 0 0
Time Spent with Doctor
Doctors spend plenty of time with me 4.2 4.4 4.4 4.4 4.6
Hurry too much 1 0.8 0.8 0.7 0.5
Access/Availability/Convenience
Get hospital care without trouble 3.9 4.2 4.1 4.3 4.3
Hard to get care on short notice 1.1 1 0.8 0.7 0.5
Easy to get care in an emergency 4 4.2 5 5 5
Office should be open for more hours 1.5 1 0.8 0.4 0.3
Care conveniently located 4 4.1 4.2 4.2 4.3
Wait too long for emergency treatment 1 0.8 0.8 0.7 0.5
Can reach doctor for help with medical question 4 4.1 4.2 4.2 4.3
Hard to get appointment right away 1.1 1 0.8 0.7 0.5
Office hours are convenient 4.2 4.4 4.4 5 5
Kept waiting at doctor’s office 4.3 4.4 4.3 4.2 4.2
Easy access to specialists 4.1 4.1 4.2 4.3 4.3
Get medical care whenever need it 4.1 4.2 4.3 4.3 4.4