• Diego Gómez-Carmona, Alberto Paramio, Serafín Cruces-Montes, and Pedro P Marín-Dueñas.
• Department of Marketing and Communication, Faculty of Social Sciences, University of Cadiz, 11405 Jerez de la Frontera, Spain; Instituto de Desarrollo Social y Sostenible (INDESS), University of Cadiz, 11405 Jerez de la Frontera, Spain. Electronic address: diego.gomezcarmona@uca.es.
• Aten Primaria. 2022 Feb 1; 54 (2): 102178102178.

ObjectiveTo explain using a structural equation model to patient satisfaction by analysing confidence in preventive measures against COVID-19 as an antecedent of this satisfaction and the effect that these measures have on the antecedents of service quality and perceived value.DesignAn observational cross-sectional study. SITE: Online survey was sent via social networks for recruiting citizens resident in Spain.ParticipantsThe final sample consisted of 149 women and 122 men. The mean age of the participants was 36.73 years, all of whom were health service users.InterventionsNo interventions were conducted in the study.Main MeasurementsThe study variables for the development of the structural equation model were: confidence in COVID-19 safety protocol, perceived value, quality and user satisfaction.ResultsThe results showed a direct and positive effect of confidence in COVID-19 safety protocol on the quality of services provided, perceived value and user satisfaction.ConclusionsThe study is expected to be of interest to those in charge of designing protective measures against the spread of diseases, health centre managers and marketing professionals interested in the improvement user satisfaction, affected as a result of the current pandemic.Copyright © 2021 The Authors. Publicado por Elsevier España, S.L.U. All rights reserved.

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