The disenchantment of professionals in a new, implemented model of primary health care in Spain: A structural equations model

Abstract A new model of primary health care has been progressively implemented in Spain. Previous research (Peiro and Gonzalez-Roma 1991) suggested that the implementation of this new model has produced a kind of disenchantment—that is, an experience of negative surprise—among health care professionals involved. In the present paper, a structural equations model about the antecedents and consequences of the experience of surprise is tested in a sample of 432 health care professionals working in 44 Primary Health Care Teams (PHCT). The results obtained showed that the number of uncovered functions in the PHCTs, the discrepancy between actual and desired time allocation, and the assessment of…