ABC | Volume 111, Nº2, August 2018

Original Article Marcolino et al Satisfaction of emergency physicians Arq Bras Cardiol. 2018; 111(2):151-159 Figure 2 – Satisfaction of physicians of level II hospitals and those of level III/IV hospitals according to the domains of the CARDIOSATIS-Team scale. 100 90 80 70 60 50 40 30 20 10 0 Level II hospital Level III/IV hospital Level II hospital Level III/IV hospital Satisfaction % (care provided) Satisfaction % (structure of care and diagnosis) Dissatisfied Neither Satisfied regarding the structure of care and diagnosis , such as the medical facilities for the diagnosis of cardiovascular diseases , promptness in diagnosis, adequacy of the service, and resolutivity , even if, by definition, the structure of a level II hospital is better than that of level III/IV hospitals. The number of dissatisfied physicians was higher among those of level II hospitals regarding the domains “medical facilities for the diagnosis of cardiovascular diseases” , “promptness in diagnosis” , “adequacy of the service” and “resolutivity” , in which a lower level of dissatisfaction would be expected among physicians of level II hospitals than the ones of level III/IV hospitals. It might be due to the higher expectations of those professionals, because satisfaction is known to relate to both adequacy of the services and individuals’ expectations regarding quality care. 16,20 Table 4 – Description of the satisfaction level of physicians of level II hospitals and level III/IV hospitals according to the CARDIOSATIS-Team scale Domains/Itens of the scale Level II hospitals (n = 28) Level III/IV hospitals (n = 46) Dissatisfied (1-2) Neither (3) Satisfied (4-5) Dissatisfied (1-2) Neither (3) Satisfied (4-5) Domain 1: Satisfaction with the care provided (5 items) Satisfaction with the care provided 13 (46.4) 1 (3.6) 14 (50.0) 24 (52.2) 6 (13.0) 16 (34.8) Municipality’s structure for diagnosis 18 (64.3) 2 (7.1) 8 (28.6) 31 (67.4) 6 (13.0) 9 (19.6) Structure for managing cardiovascular diseases 16 (57.1) 2 (7.1) 10 (35.7) 30 (65.2) 5 (10.9) 11 (23.9) Diagnostic accuracy 21 (75.0) 4 (14.3) 2 (7.1) 23 (50.0) 10 (21.7) 11 (23.9) Technical support 9 (32.1) - 19 (67.9) 18 (39.1) - 27 (58.7) Domain 2: Structure of care and diagnosis (6 items) Medical facilities for the diagnosis of cardiovascular diseases 24 (85.7) 1 (3.6) 3 (10.7) 18 (39.1) 17 (37.0) 10 (21.7) Quality of the equipment and materials 15 (53.6) 12 (42.9) 1 (3.6) 19 (41.3) 22 (47.8) 4 (8.7) Technology available for diagnosis 21 (75.0) 3 (10.7) 4 (14.3) 37 (80.4) 4 (8.7) 5 (10.9) Promptness in diagnosis 23 (82.1) 3 (10.7) 2 (7.1) 29 (63.0) 8 (17.4) 9 (19.6) Adequacy of the service 23 (82.1) 3 (10.7) 1 (3.6) 17 (37.0) 21 (45.7) 6 (13.0) Resolutivity 23 (82.1) 2 (7.1) 2 (7.1) 26 (56.5) 9 (19.6) 10 (21.7) Values expressed as n (%). 156