Patient satisfaction is an important indicator for health care system and exploring its predictors provides important information for the healthcare system. Therefore, this study aims to identify the factors affecting healthcare perception by patients in North Macedonia and their relationship with patient satisfaction. It seeks to provide insights that could support strategic decision making and marketing in healthcare. Data collection involves survey completed by 435 participants. The results show that there is a significant relationship between overall satisfaction and age, revealing that satisfaction tends to increase with patient age. However, other demographic variables (income, education) show no significant association with satisfaction. These discoveries are intended to assist policymakers in shaping future healthcare policies and strategies. Drawing from these pertinent findings, the paper proposes recommendations for healthcare policy development, focusing on evaluating patients’ perceptions of satisfaction with healthcare services. Age as a predictor of patient satisfaction has significant practical implications for healthcare systems and policies reflected in customizing healthcare services, distributing resources effectively, providing trainings, shaping policies, enhancing quality, and ensuring long-term sustainability of the healthcare system. The results contribute to existing knowledge and are useful for domestic healthcare and marketing policy-makers.