This study was carried out in the framework of a wider research projec
t concerning the degree of patient satisfaction with the various types
of primary health care. We have studied the relationship among the ge
nder of the doctor, the gender of the patient and the type of primary
health care center involved. In 1 type of primary care center (health
centers) the medical staff work as a team, whereas in the other (ambul
atory care services), the doctor works alone. The survey was conducted
among 86 doctors and 860 patients from urban areas in Andalusia, Spai
n. The degree of patient satisfaction was tested on Likert scales. Bot
h male and female patients attended by female doctors were more satisf
ied than those attended by male doctors (P < 0.005). Both male and fem
ale patients were attended in equal proportions by both male and femal
e doctors (P > 0.20). Overall patient satisfaction values were not aff
ected by the patient's gender (P > 0.40). In comparing overall satisfa
ction among patients according with the doctor's gender and type of pr
imary health care center, there was a greater degree of satisfaction w
ith female doctors working in health centers (P < 0.01) and no differe
nce existed in ambulatory care services in this area.