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Introduction: Patient satisfaction is one of the basic points in quality improvement systems. One of the services delivered to the patients is admission and its related aspects. The patient satisfaction from admission has a great impact on their satisfaction from the succeeding services they receive during the hospitalization. Patient satisfaction has different aspects including the personnel behavior, the waiting time for hospitalization, medical staff behavior, financial problems and hospitalization in the ward without problems. This study aimed to evaluate the above mentioned points in TUMS (Tehran University of Medical Sciences) hospitals.

Methods: To obtain data, patients were interviewed at the time of discherge. Hence, 1378 patients were interviewed during two consequent months. The data was analyzed using descriptive and analytic models employing version 10 of SPSS software.

Results: The findings are as follows: 66.6% didn't have any waiting time for hospitalization but 26.8% did. For 56.3% of patient, the length of time between coming into the emergency room and entering the proper ward wasn't long whereas 11.7% of patients weren't satisfied of the admission personnel behavior and 4.7% weren’t satisfied. The rate of contact satisfaction with admission's employees was 82.4%. 91.3% of patients have found the wards immediately after the admission. 80.5% of patients have said they would come back for treatment to the same facility again (if necessary) while 13.6% didn't show any tendency to the same place again. 78.7% of patients would recommend the center to their relatives while 14.1% wouldn’t do so. The patient overall satisfaction of the admission process was: 76% satisfied, 14.6% partially satisfied and 9.4% dissatisfied. There was a significant relation between educational level of the patients (p=0.007) the waiting time for hospitalization (p=0.004) and to have insurance notebook (p= 0.046) others as sex, age and marital status had no effect on the satisfaction rate.

Conclusion: We conclude that some hospitals have greater satisfaction rate than the others. It can be used benchmarking method to increase this rate. Other processes of admission should be improved including decrease of waiting admission time and increase of social insurance coverage.

 

Hakim Research Journal 2005 8(3) 31-37.

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Introduction: The purpose of this research was to determine the most important factors that people in city of Yazd place on in their choice of a physician when they become sick.

Methods: A total of 493 males and females of various age and educational groups were assessed through cluster sampling from 25 zones of Yazd city. Data collection was performed using the Hill and Garner's 19-factor checklist with two statements added by the research team. This questionnaire assesses the degree of importance in patients' choice of the physician by three parts of (A) personal characteristics of the physician, (B) physician- patient communication factors, and (C) the quality of medical service, each part of which comprised of seven statements. Statistical methods used were descriptive statistics and Kruskal- Wallis and Mann- Whitney nonparametric tests.

Results: Based on the findings, the first seven factors were: knowledgeability and proficiency (personal characteristic of physicians), spending enough time for examination (communicative factor), being particularly attentive to the patient's problem (communicative factor), using competent assistants (service factor), avoiding dealing with other matters during the visit (communicative factor), easing the patient with an initial brief greeting (communicative factor), and avoiding attendance of other patients during the visit (service factor). These seven factors had mean scores of importance above the determined cut-off point (3.5), and while resending in the upper third of the distribution, were expressed as the most important factors in physician choice. All the personal characteristics of the physicians were rated as the least important factors, except knowledge and competency. Moreover, although no significant difference was found between males' and females' opinions, the differences among the age and educational groups in the two parts of communicative and service quality factors were significant (p<0.05).

Conclusion: Physicians’ knowledge is of the most important factors that patients place on in choosing doctors. Specific attention to scientific competence, communicative skills, and factors related with the quality of medical services, contribute to more successful performance of the physicians and more satisfaction of the patients.

Hakim Research Journal 2007 10(3): 22- 27.

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  Ravaghi H¹ (PhD), Sajadi HS² * (PhD)

 

  ¹ Health Management and Economics Research Center, Department of Health Services Management, School of Health Management and Information Sciences, Iran University of Medical Sciences, Tehran, Iran.

  ² Health Management and Economics Research Center, Isfahan University of Medical Sciences, Isfahan, Iran .

 

  Received: 30 Jul 2013, Accepted: 12 Nov 2013

 

 

  Abstract

    

  Introduction: Given the need of doing researches related to patient safety, conducting applicable studies in this field, and making evidences, this study aimed to recognize and define the research priorities in patient safety fields.

  Methods: This study was carried out using Modified Classis Delphi technique in 2013. The study participants were all policy-makers, planners, managers and officials of healthcare organizations as well as faculty members involved in patient safety issue. Purposive sampling was employed to select 45 participants. Data was gathered using three questionnaires. The first questionnaire was prepared on the base of the review literature and the other questionnaire was designed on the base of the previous results. The validity of used questionnaire was confirmed by experts. Collected data were analyzed using SPSS-16.

  Results: Four themes were identified including "epidemiology of threatening factors of patient safety" (with 14 subthemes), "root analyzing of threatening factors of patient safety" (with 5 subthemes), "patient safety improvement" (with 21 subthemes) and "evaluation and feedback of patient safety solutions" (with 5 subthemes). The most important subtheme (first priority) was the study of medical errors in using drugs (drug errors) and the less important subtheme (last priority) was the study of educational and non-educational healthcare centers and patient safety.

  Conclusion: Our findings indicated the Iran’s research needs in patient safety field. This could help policy-makers, researchers and related organizations to choose suitable and applicable topics to investigate on the patient safety issues. Also, it makes possible utilizing available capacities to satisfy patients and society needs. It is suggested that the identified research properties to be given to relevant stakeholders in order to organize efforts of providing sufficient evidence in patient safety field.

 

  Key words: Research priority, patient safety, Modified Classic Delphi, Iran

  

   

  Please cite this article as follows:

  Ravaghi H, Sajadi HS. Research Priorities for Patient Safety in Iran. Hakim Research Journal 2014 16(4): 358- 366.

 

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  Arab M¹ (PhD), Khabiri R¹ (PhD), Pouragha B² (PhD), Movahed Kor E¹ * (PhD),  Mohammadzadeh Jamalian M³ (MSc)

 

  ¹ Department of Health Management and Economics, School of Public Health,

  Tehran University of Medical Sciences, Tehran, Iran

  ² School of Public Health, Alborz University of Medical Sciences, Alborz, Iran

  ³ I.R.Iran National Institute of Health Research, Tehran, Iran

 

  Received: 11 Jan 2014, Accepted: 21 Apr 2014

 

 

  Abstract

 

  Introduction: Hospitals are the most important healthcare organizations. The aim of the present study was to develop a questionnaire for assessing outpatients’ satisfaction in hospitals of Tehran University of Medical Sciences.

  Methods: In this cross-sectional study, we selected 400 outpatients admitted to the hospitals of Tehran University of Medical Sciences. The preliminary items were gathered using a systematic review of the related literature. Data were analyzed using the correlation matrix, t-test, ANOVAs and confirmatory factor analysis.

  Results: Totally, 66.2% of the outpatients were satisfied with the clinics’ healthcare services. The Cronbach’s alpha was calculated as 0.81. According to the component matrix, the most loads (0.148, 0.147) were related to recommendation of the clinics to others, and total satisfaction with clinics’ healthcare services (item 12 and 14). Furthermore, the least load (0.05) was related to satisfaction with the waiting time (item 2). There was a statistically significant correlation between the outpatients’ satisfaction and other factors including gender, type of hospital, education, age and employment.

  Conclusion: The findings of the present study can help to identify weaknesses, threats, strengths and opportunities in providing healthcare services in hospitals.

 

  Keywords: questionnaire, validity, satisfaction, outpatients

  

 

 

  Please cite this article as follows:

  Arab M, Khabiri R, Pouragha B, Movahed Kor E. Development of an Outpatients’ Satisfaction Questionnaire for Hospitals of Tehran University of Medical Science. Hakim Health Sys Res 2014 17(1): 127- 137.

 

 

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  * Corresponding Author: Department of Health Management and Economics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran. Tel:+98-937-0331080, Fax: +98- 21- 88989129, E-mail: movahedelham@yahoo.com

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Abstract
 
Introduction: Successful implementation of clinical governance improves the quality and safety of healthcare services and enhances the accountability of managers and employees. This study aimed to examine the success of clinical governance implementation in Tehran hospitals.
Methods: A valid and reliable questionnaire was used for the aim of this study. 144 questionnaires were distributed among the hospital managers. Data analysis was performed using SPSS software and descriptive and analytical statistics.
Results: 92 questionnaires were returned and analyzed. Clinical governance implementation was moderately successful in Tehran hospitals (the mean score of 2.82 out of 5). The most and least success were achieved in patient involvement and clinical audit respectively. Managers and employees’ commitment in implementing clinical governance was assessed as moderate. The involvement of about 70 percent of physicians was less than average. There was a statistical meaningful correlation between managers’ commitment and clinical governance success.
Conclusion: Implementation of clinical governance in Tehran city hospitals was not successful. Using an appropriate model for implementing clinical governance, management and leadership commitment, clinical staff involvement and information and process management are necessary for successful implementation of clinical governance.
 
Key words: Clinical Governance, Success, Hospital, Quality Management, Patient Safety
 
 
   

Please cite this article as follows:
Mosadeghrad AM, Arab M, Shahidi Sadeghi N. A survey of clinical governance success in Tehran hospitals Hakim Health Sys Res 2017; 19(3): 129- 140.
 
 
 
 

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Mona Omidi (Student MSc) ¹, Mojtaba Hosseini (MD, PhD) ^2*, Ali Maher  (PhD) ³

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Zahra Toosi ^{1 2}, Elaheh Soori ^{3 *}, Latif Zamanian ⁴, Gholamhosein Fallahinia ^5
1Program Headquarters, Hamadan University of Medical Sciences, Hamadan, Iran
²Health Services Management, Tehran University of Medical Sciences, Tehran, Iran
³Department of Treatment, University of Medical Sciences and Health Services, Hamadan, Iran
⁴Faculty of Nursing and Midwifery, University of Medical Sciences, Hamadan, Iran
⁵Internal Nursing and Surgery, Faculty of Nursing, University of
Medical Sciences and Health Services, Hamadan, Iran

Abstract  

Background: The increasing costs of health care, the limited capacity of financial systems, and the inefficiency of the traditional health sector practices led to more government investment in health and paved the way for necessary reforms through the implementation of the health system reform plan by the Ministry of Health. The aim of this study was to evaluate the implementation of health system reform plan in two contexts of “promoting vaginal delivery” and “reducing the payment of hospitalized patients” in Hamadan University of Medical Sciences affiliated hospitals in 2014.
Methods: This cross-sectional study was conducted in 2015. Information about the bills of hospitalized patients and the statistics of the delivery type in 15 hospitals was extracted from the registration forms of admitted patients and vaginal delivery data system. The plan was evaluated by comparing the data before and after the implementation of the plan and by concerning the criteria set by the Ministry.
Results: The results showed that the program for promoting vaginal delivery led to a 2.3% decrease in cesarean section cases. In addition, out-of-pocket payment of hospitalized patients in university hospitals dropped to 8.86%.
Conclusions: The implementation of the health care reform plan has been successful in hospitals of Hamadan University of Medical Sciences and has achieved its goals. However, in some cases, it is possible to achieve the full success of the program by taking serious measures to identify and resolve the existing problems.
Keywords: Health System Reforms; Cesarean Section; Out-of-Pocket Payment of Hospitalized Patients

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Please cite this article as follows:
Toosi Z, Soori E, Zamanian L, Fallahinia Gh. Investigating the implementation of the health system reforms plan in two contexts of “Promoting Natural Delivery and Reducing Payments for Hospitalized Patients” in Hamadan University of Medical Sciences affiliated hospitals. Hakim Health Sys Res 2018; 21(3): 173-179.

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*Corresponding Author: M.Sc., Department of Treatment, University of Medical Sciences and Health Services, Hamadan, Iran. Email: darman_neonatal@yahoo.com

 

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Quality of Outpatient Visits in Selected Public and Private Clinics in Tabriz City in 2018
Raana Gholamzadeh Nikjoo¹, Mobin Sokhanvar², Khadijeh Motahari rad^*3, mohamad taghi khodayari^4
1Faculty member. School of Management & medical informatics, Iranian center of excellence in health management, health services management research center, Tabriz University of medical sciences, Tabriz, Iran.
²Ph.D. Candidate in Health Services Management, Iranian Center of Excellence in Health Management (ICEHM), Tabriz University of Medical Sciences, Tabriz, Iran.
³B.Sc. Student in Health Services Management, School of Management & medical informatics, Iranian center of excellence in health management, Tabriz University of medical sciences, Tabriz, Iran. (Corresponding Author).
⁴Assistant professor of Biostatistics, Department of Biostatistics & Epidemiology, Tabriz University of Medical Sciences, Tabriz, Iran.
Abstract
Introduction: An outpatient visit is the start of the treatment process, the accuracy of which determines the outcome of patient treatment.
Objectives: The purpose of this study was to investigate the quality of visits in selected public and private clinics in Tabriz.
Methods: This is a descriptive-analytic study conducted in the clinics of Imam Reza Hospital, Sheykh Al-Raees, and Shahid Taleghani Hospital (public sector) and the clinics of Behboud Hospital and Tabriz International Hospital (private sector) in 2018. The sample size was 384 patients. A standard quality questionnaire was used for data collection. Data were analyzed using SPSS version 22 software.
Results: The mean values of structural quality in public and private clinics were 75.60% ± 18.90 and 50.26% ± 15.10, respectively. The mean value of process quality was 84.08% ± 6.70 in public clinics and 81.05% ± 8.77 in private clinics. Moreover, 77.45% ± 18.45 of patients in public clinics and 77.60% ± 16.76 of patients in private clinics were satisfied with the outcomes of visits. The overall quality of services was 79.04% ± 10.05 in public clinics and 69.64% ± 9.26 in private clinics.
Conclusion: The overall quality of services was at a moderate level. The average quality of visits was better in public clinics than in private ones. Officials can adopt measures to improve the service quality, such as infrastructure development in private clinics, the use of the Internet and telephone reception systems, time-based scheduling programs, and requiring physicians to attend the clinic regularly.
Keywords: Quality; Visit; Outpatient Clinics; Private; Public
 

Please cite this article as follows: Gholamzadeh Nikjoo R, Sokhanvar M, Motahari rad KH, Khodayari MT. Quality of outpatient visit in selected public and private clinics of Tabriz city in 1397. Hakim Health Sys Res. 2019; 22(3): 249-257.

 
*Corresponding Author: B.Sc. Student, Iranian Center of Excellence in Health Management, School of Management & Medical Informatics, Tabriz University of Medical Sciences, Tabriz, Iran. Tel: +98-9145251816, Email: khadijeh.motahari@gmail.com
 

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Please cite this article as follows: Mosadeghrad AM, Jaafaripooyan E, Hajihashemi S. Effect of Iran Health Transformation Plan on patient satisfaction. Hakim Health Sys Res. 2020; 23(2): 228-237.

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Introduction: In recent years, among managers and designers of healthcare spaces, there has been a growing tendency to move towards hospital design by combining patient perceptions and expectations of the physical environment of the care area. The main question of the research was how to adapt the objective perception to the patient’s mental perception to create a sense of place in the hospital space.
The purpose of this study is to investigate the patient’s perception of the factors affecting the sense of place in the hospital space to assess how they perceive the components of the hospital location.
METHODS: This was qualitative research with a phenomenological approach conducted between July and December 2020. Purposeful sampling was performed on 23 patients that waz admitted in surgical ward of Pirooz and Ghaem hospitals in Gilan province and the participants were interviewed in depth.The data, analyzed by the Colaizzi method.
RESULTS:  consisted of 530 primary codes, 57 sub-themes, and seven main themes. The main themes were hospital location, access to hospital, hospital identity, hospital dependency, hospital attachment, human interactions in the hospital, and hospital evaluation.
CONCLUSION:  A successful treatment with human interactions within the hospital between patients and users and companions in a complete hospital with efficient space through fixed features of the environment ,and a healing environment with the help of environmental variable features and hospitalization in a suitable position in the city which its easy accessibility, and identification were effective in creating a general sense of the patient towards the hospital.
 

Please cite this article as follows:
Pagiri Ghalehnoei M, Massoud M, Yarmohammadian  MH. Hospital Architecture Design with a Patient-centered Approach: Identifying factors affecting the patient’s lived experience of the sense of place in the therapeutic space. Hakim Health Sys Res. 2020; 23(4):435-448.

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