Healthcare utilization and satisfaction with medical services in outpatient care among Polish adults aged 50+
DOI:
https://doi.org/10.12923/2083-4829/2026-0017Keywords:
healthcare utilization, outpatient care, patients’ satisfactionAbstract
Proper functioning of a healthcare system is one of the determinants of life expectancy and health status. Patient satisfaction is an important, independent and complex indicator of healthcare quality. The aim of the study was to describe healthcare utilization including characteristics of Polish outpatient care users aged 50+ and to assess the satisfaction with care received during the most recent visit, both overall and by gender, age and place of residence.
The cross-sectional study was carried out in 2024 among 2006 randomly selected, community-dwelling adults in Poland. The study sample included 1203 participants who needed care in the 12 months prior to the interview, including 605 outpatient healthcare users who assessed satisfaction with received care.
In our study outpatient care users were more likely to be men, people aged over 70 years and those with multiple chronic conditions compared with people who didn’t use this type of care. Most of the outpatient care users were satisfied with received care (82.2%). Urban residents were less satisfied than rural residents with both the care they received during outpatient visit (79.9% vs 85.6%) and functioning of the healthcare system in Poland (42.2% vs 49.4%). No significant differences were found between age and gender groups.
The study showed a high level of satisfaction with outpatient medical care, despite less than half of outpatient users were satisfied with general Polish healthcare system. No age- or gender-disparities were observed in the assessment of the quality of outpatient care among this group of healthcare users.
References
1. Główny Urząd Statystyczny. Ambulatoryjna opieka zdrowotna w 2024 r. Warszawa, Białystok: GUS; 2025. Available from: https://stat.gov.pl/obszary-tematyczne/zdrowie/zdrowie/ambulatoryjna-opieka-zdrowotna-w-2024-r-,13,9.html [cited 2026 Jul 7]
2. Błędowski P, Chudek J, Grodzicki T, et al. Wyzwania dla polityki zdrowotnej i społecznej. Geneza projektów badawczych PolSenior1 i PolSenior2. In: Błędowski P, Grodzicki T, Mossakowska M, Zdrojewski T, editors. Polsenior 2. Badanie poszczególnych obszarów stanu zdrowia osób starszych, w tym jakości życia związanej ze zdrowiem. Gdańsk: Gdański Uniwersytet Medyczny; 2021. p. 19-35. Available from: https://polsenior2.gumed.edu.pl/attachment/attachment/82370/Polsenior_2.pdf [cited 2026 Jul 7]
3. Tobiasz-Adamczyk B, Gałaś A, Jędrzejczyk T, et al. Dostępność i poziom satysfakcji z usług medycznych. In: Błędowski P, Grodzicki T, Mossakowska M, Zdrojewski T, editors. Polsenior 2. Badanie poszczególnych obszarów stanu zdrowia osób starszych, w tym jakości życia związanej ze zdrowiem. Gdańsk: Gdański Uniwersytet Medyczny; 2021. p. 1011-1034. Available from: https://polsenior2.gumed.edu.pl/attachment/attachment/82370/Polsenior_2.pdf [cited 2026 Jul 7]
4. Szperka B, Ziółkowska K. Patients' satisfaction with e-medical services introduced to primary health care. Zeszyty Naukowe PANS w Koszalinie. 2024;6:69-102.
5. Mularczyk-Tomczewska P, Gujski M, Koperdowska JM, et al. Factors influencing patient satisfaction with healthcare services in Poland. Med Sci Monit. 2025;31:e948225. https://doi.org/10.12659/MSM.948225
6. Doherty AS, Miller R, Mallett J, et al. Heterogeneity in longitudinal healthcare utilisation by older adults: a latent transition analysis of the Irish Longitudinal Study on Ageing. J Aging Health. 2022;34(2):253-265. https://doi.org/10.1177/08982643211041818
7. Ilinca S, Calciolari S. The patterns of health care utilization by elderly Europeans: frailty and its implications for health systems. Health Serv Res. 2015;50(1):305-320. https://doi.org/10.1111/1475-6773.12211
8. Bastani P, Mohammadpour M, Samadbeik M, et al. Factors influencing access and utilization of health services among older people during the COVID-19 pandemic: a scoping review. Arch Public Health. 2021;79(1):190. https://doi.org/10.1186/s13690-021-00719-9
9. van Gaans D, Dent E. Issues of accessibility to health services by older Australians: a review. Public Health Rev. 2018;39:20. https://doi.org/10.1186/s40985-018-0097-4
10. Centrum Badania Opinii Społecznej. Korzystanie z internetu w 2025 roku. Komunikat z badań nr 60/2025. Warszawa: CBOS; 2025. Available from: https://www.cbos.pl/SPISKOM.POL/2025/K_060_25.PDF [cited 2026 Jul 7]
11. Cleary PD, McNeil BJ. Patient satisfaction as an indicator of quality care. Inquiry. 1988;25(1):25-36. Available from: [suspicious link removed] [cited 2026 Jul 7]
12. Zawisza K, Gałaś A, Tobiasz-Adamczyk B. Factors associated with patient satisfaction with health care among Polish older people: results from the Polish part of the COURAGE in Europe. Public Health. 2020;179:169-177. https://doi.org/10.1016/j.puhe.2019.10.012
13. Sinyiza FW, Kaseka PU, Chisale MRO, et al. Patient satisfaction with health care at a tertiary hospital in Northern Malawi: results from a triangulated cross-sectional study. BMC Health Serv Res. 2022;22(1):727. https://doi.org/10.1186/s12913-022-08087-y
14. Grönroos C. A service quality model and its marketing implications. Eur J Mark. 1984;18(4):36-44. https://doi.org/10.1108/EUM0000000004784
15. Woźniak B, Gajdzica M, Sekuła P, et al. Personal online social networks as moderators of the association between loneliness and quality of life in Polish adults aged 50+. Sci Rep. 2025;15(1):24545. https://doi.org/10.1038/s41598-025-24545-z
16. Główny Urząd Statystyczny. Sytuacja osób starszych w Polsce w 2024 r. Warszawa, Białystok: GUS; 2025. Available from: https://stat.gov.pl/obszary-tematyczne/osoby-starsze/osoby-starsze/sytuacja-osob-starszych-w-polsce-w-2024-r-,2,7.html [cited 2026 Jul 7]
17. Centrum Badania Opinii Społecznej. Korzystanie ze świadczeń i ubezpieczeń zdrowotnych. Komunikat z badań nr 69/2025. Warszawa: CBOS; 2025. Available from: https://www.cbos.pl/SPISKOM.POL/2025/K_069_25.PDF [cited 2026 Jul 7]
18. Olearczyk A, Sękowski K, Jankowski M, et al. Perceptions of public and private health services in Poland: findings from a 2025 nationwide survey. BMC Health Serv Res. 2026;26(1):14287. https://doi.org/10.1186/s12913-026-14287-7
19. OECD, European Observatory on Health Systems and Policies. Poland: Country Health Profile 2023, State of Health in the EU. Paris: OECD Publishing; Brussels: European Observatory on Health Systems and Policies; 2023. Available from: https://www.oecd.org/content/dam/oecd/en/publications/reports/2023/12/poland-country-health-profile-2023_80434439/f597c810-en.pdf [cited 2026 Jul 7]
20. OECD. Health at a Glance 2025: OECD Indicators. Paris: OECD Publishing; 2025. https://doi.org/10.1787/8f9e3f98-en
21. Zakrzewski KM, Mularczyk-Tomczewska P, Koweszko T, et al. Patterns of healthcare use and disease burden among older adults in Poland: a large-scale retrospective study of primary care utilization. Geriatrics (Basel). 2025;10(6):150. https://doi.org/10.3390/geriatrics10060150
22. Wang C, Kuo HC, Cheng SF, et al. Continuity of care and multiple chronic conditions impact frequent use of outpatient services. Health Informatics J. 2020;26(1):318-327. https://doi.org/10.1177/1460458218824720
23. Hajek A, König HH. Which factors lead to frequent attendance in the outpatient sector among individuals in the second half of life? Evidence from a population-based longitudinal study in Germany. BMC Health Serv Res. 2018;18(1):645. https://doi.org/10.1186/s12913-018-3487-x
24. Golinelli D, Sanmarchi F, Guarducci G, et al. Gender differences in healthcare utilization across Europe: evidence from the European Health Interview Survey. Health Policy. 2025;162:105448. https://doi.org/10.1016/j.healthpol.2025.105448
25. Prütz F, Rommel A. Utilization of outpatient medical care in Germany. J Health Monit. 2017;2(2):82-87. https://doi.org/10.17886/RKI-GBE-2017-127
26. Centrum e-Zdrowia. Internetowe Konto Pacjenta i aplikacja mobilna mojeIKP w liczbach. Warszawa: CeZ; 2024. Available from: https://cez.gov.pl/sites/default/files/2024-01/raport_ikp_i_mojeikp_w_liczbach.pdf [cited 2026 Jul 7]
27. Centrum Badania Opinii Społecznej. Korzystanie ze świadczeń i ubezpieczeń zdrowotnych. Komunikat z badań nr 101/2023. Warszawa: CBOS; 2023. Available from: https://www.cbos.pl/SPISKOM.POL/2023/K_101_23.PDF [cited 2026 Jul 7]
28. AlShareef SM, AlWabel AA. A comparison of the convenience, quality of interaction, and satisfaction of virtual and in-person healthcare consultations: a nationwide study. J Clin Med. 2024;13(17):5203. https://doi.org/10.3390/jcm13175203
29. Pochrzęst-Motyczyńska A, Ostrowski J, Sys D, et al. Patient satisfaction in primary and specialised ambulatory healthcare: a web-based cross-sectional study in the Polish population. Healthcare (Basel). 2025;13(10):1147. https://doi.org/10.3390/healthcare13101147
30. Centrum Badania Opinii Społecznej. Opinions on the functioning of the healthcare system. Research Announcement No. 86/2025. Warszawa: CBOS; 2025. Available from: https://www.cbos.pl/SPISKOM.POL/2025/K_086_25.PDF [cited 2026 Jul 7]
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