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This paper examines the relationship between citizen satisfaction and wellbeing among at-risk cancer patients. Through interviews, the research identifies two distinct dynamics: ser-vice satisfaction tied to doctor-patient relationships and wellbeing linked to the formation of work alliances. While patients expressed high satisfaction with hospital doctors due to per-sonal, continuous engagement, this did not consistently translate into improved wellbeing. The findings reveal that satisfaction metrics can mislead policymakers if interpreted as indi-cators of service quality. Instead, assessing wellbeing and doctor-patient work alliances of-fers deeper insights into the impact of public services, which may advance public service quality in healthcare and beyond.