{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,23]],"date-time":"2026-07-23T05:04:05Z","timestamp":1784783045093,"version":"3.55.0"},"reference-count":35,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,7,23]],"date-time":"2026-07-23T00:00:00Z","timestamp":1784764800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Med."],"abstract":"\n Background and objectives<\/jats:title>\n Primary health care centres (PHCCs) are the foundation stone of Kuwait\u2019s public healthcare system, providing accessible and comprehensive services. Patient satisfaction is a critical indicator of healthcare quality and is associated with improved adherence to medical advice and better health outcomes. Despite international evidence supporting structured family medicine and appointment-based systems, Kuwait\u2019s PHCCs continue to operate primarily on a walk-in basis. This study aimed to describe patient satisfaction with a family medicine appointment clinic at the Nassem PHCC in Kuwait.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n A cross-sectional observational study was conducted between September 2024 and September 2025. The extended recruitment period was necessary to achieve an sufficient sample and capture routine service-utilisation patterns across a full annual cycle. Consecutive patients attending the family medicine appointment clinic were recruited using convenience sampling. A validated, self-administered seven-item questionnaire assessed satisfaction with the doctor\u2013patient relationship using a five-point Likert scale (1\u202f=\u202fVery Dissatisfied to 5\u202f=\u202fVery Satisfied). After excluding 11 incomplete records from 264 initial responses, the final analytic sample comprised 253 participants. All analyses were conducted in Jamovi (version 2.5).<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n Principal component analysis confirmed a unidimensional scale structure (KMO\u202f=\u202f0.949; Bartlett\u2019s\n \u03c7<\/jats:italic>\n 2<\/jats:sup>\n \u202f=\u202f2,210,\n df<\/jats:italic>\n \u202f=\u202f21,\n p<\/jats:italic>\n \u202f&lt;\u202f0.001). Internal consistency was excellent (Cronbach\u2019s\n \u03b1<\/jats:italic>\n \u202f=\u202f0.969). Item means ranged from 4.67 to 4.76, with 74.0\u201381.0% of respondents selecting the highest satisfaction category across all items, indicating a pronounced ceiling effect. The composite satisfaction score was obviously negatively skewed (skewness\u202f=\u202f\u22123.59, kurtosis\u202f=\u202f18.0). A statistically significant age-group difference in satisfaction was observed (Kruskal\u2013Wallis\n \u03c7<\/jats:italic>\n 2<\/jats:sup>\n \u202f=\u202f24.60,\n df<\/jats:italic>\n \u202f=\u202f4,\n p<\/jats:italic>\n \u202f&lt;\u202f0.001,\n \u03b5<\/jats:italic>\n 2<\/jats:sup>\n \u202f=\u202f0.098); no significant differences were found by nationality or gender.\n <\/jats:p>\n <\/jats:sec>\n \n Conclusion<\/jats:title>\n Patients attending the Nassem PHCC family medicine appointment clinic reported high Overall Satisfaction. A significant age-related variation was observed, with older patients reporting higher satisfaction than younger adults. Ceiling effects, cross-sectional design, convenience sampling, and potential social desirability bias limit the conclusions that can be drawn. Future research should employ longitudinal designs, comparator groups, and more sensitive instruments.<\/jats:p>\n <\/jats:sec>","DOI":"10.3389\/fmed.2026.1873673","type":"journal-article","created":{"date-parts":[[2026,7,23]],"date-time":"2026-07-23T04:30:01Z","timestamp":1784781001000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Patient satisfaction with the implementation of the family medicine model at Nassem Health Centre, Kuwait"],"prefix":"10.3389","volume":"13","author":[{"given":"Lulua","family":"Alasousi","sequence":"first","affiliation":[{"name":"Ministry of Health of Kuwait","place":["Kuwait City, Kuwait"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abdullah M.","family":"Al-Harran","sequence":"additional","affiliation":[{"name":"College of Medicine & Medical Sciences, Arabian Gulf University","place":["Manama, Bahrain"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wafa","family":"Al-Rasheedi","sequence":"additional","affiliation":[{"name":"Ministry of Health of Kuwait","place":["Kuwait City, Kuwait"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abdulaziz","family":"Thawini","sequence":"additional","affiliation":[{"name":"Ministry of Health of Kuwait","place":["Kuwait City, Kuwait"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2026,7,23]]},"reference":[{"key":"ref1","volume-title":"Primary Health Care","year":"2026"},{"key":"ref2","doi-asserted-by":"publisher","first-page":"662","DOI":"10.31128\/AJGP-05-18-4568","article-title":"Continuity of care: vital, but how do we measure and promote it?","volume":"47","author":"Jackson","year":"2018","journal-title":"Aust J Gen Pract"},{"key":"ref3","doi-asserted-by":"publisher","first-page":"e518","DOI":"10.3399\/BJGP.2024.0568","article-title":"Personal 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