What is it about?
This study looks at how the quality of services in government primary healthcare centers in the United Arab Emirates affects how patients feel about their care. In simple terms, it asks three key questions: Are patients satisfied? Do they feel happy after their visit? And are they likely to return to the same center in the future? To answer these questions, adult patients attending six major primary healthcare centers across different Emirates were invited to share their experiences through a survey. The questions covered practical issues such as cleanliness, waiting times, communication with doctors, privacy, and ease of getting appointments, as well as overall feelings of happiness and trust in healthcare staff. The findings show that most patients had a positive experience. A large majority reported being satisfied with the care they received, feeling happy after their visit, and trusting the healthcare team enough to return for future care. Clean facilities, respectful and friendly doctors, clear explanations, and privacy during care were among the strongest contributors to positive experiences. Areas such as appointment availability and feeling rushed during consultations were identified as aspects that could still be improved. Importantly, the study found that when patients are satisfied with healthcare services, they are much more likely to feel happy, and this sense of happiness strongly influences whether they remain loyal to the healthcare center. This means that good service quality does more than meet clinical needs—it helps build trust, positive emotions, and long-term relationships between patients and healthcare providers. Overall, the study highlights that listening to patients’ experiences is essential for improving primary healthcare services. By focusing on service quality and patient-centered care, healthcare providers and policymakers in the UAE can strengthen patient satisfaction, enhance well-being, and encourage continued use of primary healthcare services
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Why is it important?
Why is it important? This study is important because it highlights that the success of primary healthcare is not determined only by medical treatments, but also by how patients experience the care they receive. Primary healthcare centers are usually the first point of contact for people seeking medical help, so the quality of these encounters strongly shapes patients’ trust in the healthcare system as a whole. The findings show that when patients feel satisfied and happy with their care, they are more likely to trust healthcare providers, follow medical advice, and return for future care. This continuity is essential for better health outcomes, especially for people with chronic conditions who require long-term follow-up. In contrast, negative experiences—such as long waiting times, rushed consultations, or feeling unheard—can discourage patients from seeking care early, which may worsen health problems over time. From a health system perspective, understanding patient satisfaction, happiness, and loyalty helps policymakers and healthcare leaders identify what is working well and where improvements are needed. In a country like the United Arab Emirates, which invests heavily in healthcare quality and aims to meet international standards, patient feedback provides a critical measure of whether these investments translate into meaningful benefits for the population. Importantly, the study demonstrates that patient happiness plays a key role in fostering loyalty. This means that improving the human aspects of care—such as communication, respect, and emotional support—is just as important as improving infrastructure or technology. By using patient experiences as a guide, primary healthcare centers can design more patient-centered services, strengthen public trust, and ensure sustainable use of healthcare resources. In summary, this research matters because it shows that listening to patients is not optional—it is central to improving healthcare quality, strengthening health systems, and ultimately improving population health outcomes in the UAE
Perspectives
From my perspective, this study is particularly meaningful because it places patients’ voices at the center of primary healthcare evaluation, rather than treating satisfaction as a secondary or symbolic outcome. As both a clinician and a researcher, I view patient satisfaction, happiness, and loyalty not as abstract concepts, but as practical indicators of how well healthcare systems align with people’s real needs, expectations, and lived experiences. What stands out to me is the clear demonstration that technical competence alone is not sufficient to build trust or long-term engagement with primary healthcare services. The findings reinforce that respectful communication, adequate time with clinicians, privacy, and feeling listened to are fundamental elements of quality care. These are often underestimated in busy primary care settings, yet this study shows they strongly influence how patients feel and whether they remain loyal to the system. I also find the emphasis on happiness especially important. Measuring happiness moves beyond traditional satisfaction metrics and acknowledges the emotional dimension of healthcare encounters. This is highly relevant in the UAE context, where the population is diverse and expectations of service quality are high. Recognizing and addressing emotional well-being during routine healthcare visits can strengthen continuity of care and improve long-term outcomes. Finally, I see this work as a valuable baseline for future improvement and research. It provides evidence that can inform service redesign, staff training, and policy decisions aimed at strengthening patient-centered care. Personally, I hope it encourages healthcare leaders and clinicians to view patient feedback not as an audit requirement, but as a powerful tool for learning, reflection, and meaningful system improvement
Dr. Zainab Alameeri
Emirates Health Services
Read the Original
This page is a summary of: The Effect of Service Quality on Patient Satisfaction, Happiness, and Loyalty in Primary Healthcare Centers in the United Arab Emirates: A Cross-sectional Study, Dubai Medical Journal, December 2025, Knowledge E,
DOI: 10.18502/dmj.v8i4.20481.
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