Aim: Quality of care is a strategic priority of any management approach in order to meet users’ expectations of health care systems. This study tried to define the role of patient satisfaction surveys and the place of user in the quality of care project. Methods: The results of patient satisfaction surveys conducted between 2010 and 2012 and the draft quality of care project were analysed. Results: Patient satisfaction surveys from 2010 to 2012 focused on logistic shortcomings. No comment was formulated about health care. Comments and suggestions did not provide any contribution in terms of patient involvement in the health care process. Conclusion: The multiple perspectives of quality of care include clinical care and other social objectives of respect for the individual and attention to the patient. User satisfaction as assessed by patient satisfaction surveys or patients’ experiences only reflect the health professionals’ representation. However, the objective is to measure what the user perceives and feels and his/her representation of the attention provided. These approaches, conducted outside of the quality of care strategic plan, only provide a basis for actions with limited or no effectiveness.