RT journal article T1 Impact of COVID-19 prevention measures on health service quality, perceived value and user satisfaction. A structural equation modelling (SEM) approach A1 Gómez Carmona, Diego A1 Paramio Leiva, Alberto A1 Cruces Montes, Serafín Jesús A1 Marín Dueñas, Pedro Pablo A2 Marketing y Comunicación K1 Satisfaction K1 COVID-19 protocol K1 Quality K1 Perceived value K1 Prevention AB Objective: To explain using a structural equation model to patient satisfaction by analysing confidence in preventive measures against COVID-19 as an antecedent of this satisfaction and the effect that these measures have on the antecedents of service quality and perceived value. Design: An observational cross-sectional study. Site: Online survey was sent via social networks for recruiting citizens resident in Spain. Participants: The final sample consisted of 149 women and 122 men. The mean age of the participants was 36.73 years, all of whom were health service users. Interventions: No interventions were conducted in the study. Main measurements: The study variables for the development of the structural equation model were: confidence in COVID-19 safety protocol, perceived value, quality and user satisfaction. Results: The results showed a direct and positive effect of confidence in COVID-19 safety protocol on the quality of services provided, perceived value and user satisfaction. Conclusions: The study is expected to be of interest to those in charge of designing protective measures against the spread of diseases, health centre managers and marketing professionals interested in the improvement user satisfaction, affected as a result of the current pandemic. (c) 2021 The Authors. Published by Elsevier Espana, S.L.U. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). PB EDICIONES DOYMA S A SN 0212-6567 YR 2022 FD 2022-02 LK http://hdl.handle.net/10498/26533 UL http://hdl.handle.net/10498/26533 LA eng DS Repositorio Institucional de la Universidad de Cádiz RD 08-nov-2026