BACKGROUND Health care systems are aware of the importance of being responsive to citizens’ expectations and needs. There are many efforts across Europe to measure the progress of health care systems’ responsiveness. One measure that could inform on how successfully we are closing the gap between citizens’ expectations of care and the actual health care provided is that of a patient’s assessment of their consultation with a doctor. However, there are yet many shortcomings on the linkages between patients’ perception of the quality of a consultation and their experiences of care, and these may vary with patients’ characteristics. OBJECTIVE To explore determinants of patients’ overall perception of the quality of an outpatient consultation in Hungary, with special focus on health status and measures of the care experience. METHODS § Cross-sectional online survey among a representative sample (n=1000) of Hungary’s adult population. Focus on a subsample (n=732) that have had an outpatient consultation in the past 12 months. § Overall perception of the quality of the consultation was measured with a 5-item scale (very poor/poor/good/very good/excellent). For regression purposes, the bottom two categories were merged. § Respondents’ characteristics, self-reported health (very bad/bad/fair/good/very good), EQ-5D-5L (the value set for England was used), EQ VAS, and type of provider (GP/specialist/allied health professional; public/private) were recorded. § Patient-reported experience measures (PREMs) recommended by the OECD (a doctor spending enough time in consultation, providing easy to understand explanation, giving opportunity to ask questions, patient involvement in decision making, and waiting times) were applied. § Ordinal logistic regression was used to explore associations between overall perception of the quality of an outpatient consultation and PREMs, health measures and respondents’ characteristics. RESULTS § The median rating for the quality of the consultation was very good (average: 3.8, SD: 1.1). § Based on the ordinal logistic regression results (Table 1), respondents with fair or bad/very bad health were 26% and 20% less likely to rate the consultation as excellent, compared to those that have reported a very good health. § Those who have reported positive care experiences with 1) the doctor spending enough time in consultation (25%), 2) involvement in decision making (23%), 3) opportunity to ask questions (21%), and 4) provide easy to understand explanations (17%) were more likely to rate the consultation as excellent. § Waiting time at a doctor’s office was a significant predictor of poorer ratings (e.g. odds ratio = 0.4 for a waiting period between 30 – 60 minutes). Specialist consultations at private facilities were significantly more likely to receive better ratings. IMPLICATIONS Respondents’ self-reported health status and experiences of care were found to be important determinants of the overall perception of the quality of an outpatient consultation, in Hungary. Positive experiences of care with the time a doctor spends in the consultation and the extent to which patients are involved in decision making contributed most to the overall perception of the quality of the consultation. Conversely, waiting time at a doctors office had a significant negative effect on patients’ perception of the quality of the consultation. These aspects deserve priority when planning interventions to improve quality of care, within a value-based health care framework. Patients’ perception of the quality of consultations modelled by patient-reported experience and health-related quality of life measures Monday, Nov 4, 2019 Research Poster Session 1 (10:30 – 14:00) PNS397 This project has received funding from the European Union’s Horizon 2020 research and innovation programme under grant agreement No 765141. Innovative Training Network for Healthcare Performance Intelligence Professionals Covariate OR CI Sociodemographic Sex (1: Wo