Akademik Veri Yönetim Sistemi
HUMANITIES & SOCIAL SCIENCES COMMUNICATIONS, ss.1-24, 2026 (AHCI, SSCI, Scopus)
Healthcare satisfaction is a key performance indicator for health systems and reflects both individual experiences and systemic effectiveness. Andersen’s Behavioral Model of Health Services Use is frequently employed to explain healthcare satisfaction, yet few studies have extended the model to include institutional and structural determinants in publicly funded systems, especially in middle-income countries. This study investigates the determinants of healthcare satisfaction in Türkiye by applying an extended version of Andersen’s model, incorporating trust in government and access barriers index as additional explanatory factors. Data were drawn from the latest three waves of the European Quality of Life Survey. An ordered probit model with stepwise specification was used to estimate the marginal effects of key predisposing, enabling, and need-related variables. Trust in government and a PCA-derived barrier index were sequentially added to assess their contribution. Sample weights were applied throughout the analysis. Key predictors of healthcare satisfaction included age, education, employment status, self-rated health, and household size. Trust in government was positively associated with higher satisfaction, while increased barriers to access significantly decreased satisfaction. These effects were robust across all three survey waves. This study contributes to the literature by empirically extending Andersen’s model to include institutional trust and structural access barriers. Findings highlight the relevance of both individual-level and system-level factors in shaping healthcare satisfaction in a publicly financed healthcare context.