The main objective of this study was to examine the relationship between service expectations, physical environment, communication and information, participation and involvement, Interpersonal relationship between physician and patient, medicaltechnical competence and patient satisfaction. Design/Methodology/Approach: This was a quantitative study in which the data were collected from 209 patients visiting primary health centers in Kashmir India. Findings: Service expectations were found to have a strong positive relationship with patient satisfaction in the study. Patient satisfaction demonstrated a substantial and positive association with the physical environment. Patient satisfaction was linked to participation and involvement in a significant and beneficial way. Patient satisfaction demonstrated a substantial and positive relationship with medical-technical competence. Originality: In India, studies of patient satisfaction at the primary care level are mostly ignored. While a number of studies have been conducted in India to investigate the determinants of patient satisfaction in tertiary care and big hospitals, studies of patient satisfaction at the primary care level have received less attention.

Keywords : Patient satisfaction; service expectations; physical environment; communication and information; participation and involvement;physician-patient relationship; medical-technical competence; primary health care; Kashmir India.