Related Experiment Video
Updated: Sep 27, 2026

Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care
Published on: February 16, 2011
Why are people dissatisfied with medical care services in Lithuania? A qualitative study using responses to
Vaida Bankauskaite1, Osmo Saarelma
1Department of Social Medicine, Kaunas University of Medicine, Lithuania. vbankauskaite@hotmail.com
Objectives:
To identify and describe the main sources of dissatisfaction with medical services among the population in Lithuania.
Design:
Analysis of written responses to an open-ended question as a part of a questionnaire survey.
Participants:
A randomly selected group of 25--64-year-old men and women from the Utena and the Kaisiadorys regions of Lithuania. Of the 1395 survey respondents, 357 persons (25.6%) answered the question regarding the dissatisfaction with health care services.
Main Outcome Measures:
Identification of the sources of dissatisfaction with medical care services among study participants.
Results:
Twelve categories of dissatisfaction were identified that were related to three levels: shortcomings in the health care system (systemic level), deficiencies in provision and quality of services (institutional level) and deficiencies in physicians' attitudes, skills and work (individual level).
Conclusion:
Consumers' perceptions of medical care quality can be analysed by using information obtained from simple survey material and can be used to improve the quality of service. The causes of dissatisfaction with medical service can be traced to the development of the health care delivery system and patients' rights in a country.
Related Concept Videos
Methods Of Healthcare Delivery System
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is limited...
Ethical Issues
Ethical Concerns in Healthcare:
Health Literacy
Purpose of Health Records I
Here's a breakdown of how health records serve these purposes:
Primary Healthcare Services
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...
Introduction To Health Care Delivery System
The Institute of Medicine (IOM) advocates for a patient-centered, effective, safe, timely, equitable, and effective healthcare system. The National Priorities...