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Volume 8, Issue 3 (10-2005)
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.
Volume 9, Issue 3 (10-2006)
Introduction: In recent years, researchers have become interested in evaluating mediator as well as family variables. The purpose of this study was to assess relationship between family variables (parents mental disorder, child rearing patterns and marital satisfaction), adolescent self understanding and conduct disorders.
Methods: The relationship among family variables (mental problems , child rearing pattern, marital satifaction), self- understanding and conduct disorders in youth were assessed in 57 young subjects and their parents (29 normal and 28 with conduct disorders). The parents compeleted MMPI short form, child rearing patterns qustionniare and Enrich marital satisfaction qustionniare. Twenty- nine normal and 28 conduct disorder yougsters were interviewed using self- understanding interview (SUI).
Results: Stepwise regression suggested that there were significant relations among conduct disorders, parents’ mental problems, child rearing pattern and youth self- understanding. The variables which entered the model were father’s schizophrenia, continue dimension, social dimension, father’s depression, father’s paranoia, father’s despot, mother’s despot and father’s authoritative pattern. Path analysis suggeseted that self- understanding plays the role of a mediator among marital satisfacion, child rearing patterns, parents’ mental disorders with conduct disorders.
Conclusion: Self- understanding is a mediator between parental mental disorders and children ’s conduct disorders. Parent s’ mental disorders and despot child rearing affect self- understanding and predispose to conduct disorders. Father ’s mental disorder and despot child rearing more than mother ’s can product conduct disorders.
Hakim Research Journal 2006 9(3): 32- 38.
Volume 11, Issue 1 (4-2008)
Introduction : Client satisfaction with services is an important factor and one of the main elements in continuous service quality assurance and improvement. The goal of the present study was to determine and compare the client satisfaction and its components in governmental and private addiction treatment centers in Kordestan province.
Methods: In a cross-sectional descriptive-analytic study, 377 subjects were selected with a stratified random method from clients of all addiction treatment centers in Kordestan province (five private and two governmental centers) who had an active treatment record. Our data collection tool was a researcher-developed questionnaire. The second part of the questionnaire contained the main satisfaction assessment questions, which were five-level Likert type. Chi square, Mann-Whitney U, Kolmogorov-Smirnov, Kruskal-Wallis, and Spearman's correlation coefficient were used for statistical analysis.
Results: The most important results were that satisfaction with the physical environment, accessibility, personnels' communication skills, medical services, and psychological consultation services were significantly higher in private centers than those in governmental centers while satisfaction with social-work services, cost of services, and the”general satisfaction” of clients were significantly higher in governmental centers. The “overall satisfaction” which was the sum of different components of satisfaction, except the general satisfaction, did not show any significant difference between the private and governmental centers.
Conclusion: It seems that the importance and weight of the different components of satisfaction vary in the opinion of clients. Those services that are more supportive in nature, have a more positive influence on satisfaction of patients and weigh more than other components. In fact this explains the difference between the results of ”overall satisfaction” and ” general satisfaction”.
Hakim Research Journal 2008 11(1): 48- 53.
Volume 17, Issue 2 (7-2014)
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.
* 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
Volume 20, Issue 3 (10-2017)
Medical Sciences and Health Services, Yazd, Iran
2 Associated Professor, University President, Shahid Sadoughi University of
Medical Sciences and Health Services, Yazd, Iran
3 Deputy Treatment, Shahid Sadoughi University of Medical Sciences and
Health Services, Yazd, Iran
4 Clinical Psychology, Deputy Treatment, Shahid Sadoughi University of
Medical Sciences and Health Services, Yazd, Iran
5 Executive Mamagement, Deputy Treatment, Shahid Sadoughi University of
Medical Sciences and Health Services, Yazd, Iran
6 Traditional Medicine, Deputy Treatment, Shahid Sadoughi University of
Medical Sciences and Health Services, Yazd, Iran
Introduction: The main axis in the hospital is the patient and all hospital services are carried out to serve him. His satisfaction can show the right performance service, which cannot be obtained merely with high technology, but rather be achieved from public services and effective relationships between physicians and
staff with patient. Recent evaluations have become more relevant due to the implementation of the health transformation plan in order to increase quality of care and access as well as financial protection of people. Therefore, the present study was conducted to evaluate the satisfaction of patients in university hospitals from hospital services after the implementation of healthcare reform in Yazd.
Methods: This cross-sectional study was conducted in June 2015. The study population included all patients referred to university hospitals in Yazd province that were referred to hospitals before HTP (Period 1392- 1389). A total of 162 patients were randomized and participated in this study. The data collection tool was a questionnaire that was analyzed with the SPSS 21 software.
Results: During the survey, 91% of patients were more satisfied than before the implementation of HTP of the hospital environment, 95.7% of nurse’s behaviors and services, 85.4% of emergency services, and 88.3% of improving health and quality of services. Also, 100% of patients stated that they have paid no money as complementary to their insurance services and kickbacks to doctors. Ultimately, 96.9% of the patients were not sent out of the hospital to purchase their medication or medical equipments.
Conclusions: According to the results, it can be evaluated that patient satisfaction of hospital services after the implementation of health transformation plan is high.
Keywords: Patient Satisfaction; Quality of Care; Health System Reform Plan
*Corresponding Author: Deputy Treatment, Shahid Sadoughi University of Medical Sciences and Health Services, Yazd, Iran. Tel: +98-9131546103, E-mail: sk_kazemeini@yahoo.com
Volume 20, Issue 4 (1-2018)
1 Health Care Management, Department of Health Services Management,
College of Management and Social Science, Tehran North Branch, Islamic Azad University, Tehran, Iran
2 Department of Health Services Management, College of Management and
Social Science, Tehran North Branch, Islamic Azad University, Tehran, Iran
3 Assistant Professor, School of Medical Education, Shahid Beheshti
University of Medical Sciences & Assistant Professor,Department of Health
Services Management North Tehran Branch, Islamic Azad University, Tehran, Iran
Introduction: The importance of considering patients’ satisfaction with the health system development plan has an effective role in management planning. The purpose of this study was to determine the satisfaction rate of hospitalized patients in Tehran’s public hospitals as a reduction in the rate of payment for patients in the health system reform plan.
Methods: This was a descriptive cross-sectional study conducted in the first half of 1394. The research community is the patients of the Tehran State hospital. A multi-stage sampling (500 patients) was performed. The data gathering tool was a researcher made questionnaire whose validity and reliability were confirmed. Data analysis was done by SPSS software version 22 using correlation, factor analysis, and Friedman test.
Results: Based on the findings of the research, it can be concluded that reducing the amount of hospitalized patients to make vitality, reducing illness due to the insignificant costs of treatment, and enhancing equity in health is a positive consequence of the program. As a result, the health system development plan plays an important role in patient satisfaction and has reduced the health concerns of people.
Keywords: Healthcare Reform Plan; Franchise; Patient Satisfaction; Public Hospitals
Please cite this article as follows:
*Corresponding Author: Department of Health Services Management, Ground Floor, Faculty of Management, Tehran North Branch, Islamic Azad University, Hakimeh, Babaee Highway. Tel: +98-9123276975, E-mail: hosseinisch@yahoo.com
Volume 23, Issue 2 (6-2020)
Methods: The present study was conducted with a quantitative approach. The data collection tool was a researcher-made questionnaire. The statistical population consisted of all households covered by the plan in Larestan city. A sample of 383 people was selected using the Cochran formula. Data were analyzed by SPSS21 software using Pearson analysis, regression analysis, and T-test. The face validity and Cronbach’s alpha were used to assess the validity and reliability of the research instrument, respectively.
Results: The overall satisfaction with the family physician plan was moderate to high (62.7%). There was no relationship between gender (P=0.074), occupation (P=0.424), and residential homeownership (P=0.338), and satisfaction with the plan. There were significant direct relationships between residence place, marital status, age, education, insurance coverage, income, level of service coverage, medical costs, physician’s clinical expertise, and access to physician, and satisfaction with the plan. The results of multivariate regression analysis showed that service coverage (r=0.925), treatment costs (r=0.928), age (r=0.930), and clinical expertise (P=0.931) explained a total of 86% of changes in the satisfaction with the family physician plan (P<0.001).
Conclusion: The quality of services and satisfaction with the plan can be increased by allocating resources, implementing educational programs for increasing physician skills, holding training courses for villagers to get them acquainted with the goals of the plan, and careful monitoring and surveillance of the program.
| Please cite this article as follows: Shafiei N, Hajihoseini S. Survey of satisfaction of people in urban and rural areas with the family physician plan. Hakim Health Sys Res. 2020; 23(2): 238-245. |
*Corresponding Author: Larestan University of Medical Sciences, Karmandan street, North Ghadir Blvd, Shahr e Jadid, Larestan, Fars. Postal code: 74318896629, Tel: (+98)9173811673, Fax: (+98)7152255484. E-mail: shajihoseini@yahoo.com
Volume 23, Issue 2 (6-2020)
Methods: A retrospective, descriptive-analytical research was conducted using patient satisfaction data from 2012 to 2016 in a specialized hospital in Isfahan, Iran. About 538 and 873 patients were examined before and after the HTP implementation, respectively. A 29-item questionnaire was used to measure patients’ satisfaction with medical, nursing, supportive, and welfare services. Data were analyzed using SPSS-V24.
Results: Patient satisfaction increased from 84% in 2012 to 89.7% in 2016. The HTP implementation increased patient satisfaction by 6.3%, which was statistically significant (p<0.05). Patient satisfaction was increased in all medical, nursing, supportive, and welfare dimensions. The most increase occurred in supportive and welfare services and the least increase happened in nursing services. Patient satisfaction increased by 5.5%, 0.37%, and 0% after one, two, and three years of HTP implementation in the hospital.
Conclusion: Patient satisfaction increased in the hospital following HTP implementation. Evaluating the HTP effects regularly reveals its strengths and weaknesses and policy-makers can apply necessary and on-time changes to sustain its positive results.
| 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. |
*Corresponding Author: Health Economics and Management Department, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran. Tel: (+98)2142933006, E-mail: shajihashemi@yahoo.com
Volume 23, Issue 4 (12-2020)
Introduction: Improving the health is one of the responsibilities of medical universities. Examining the employment status of graduates in universities can help the process of growth and quality development of education. The purpose of this study was to determine the employment status of medical graduates of Ahvaz jundishapur University of Medical Sciences.
Methods: This retrospective cross – sectional study was conducted in the medical graduates of 2012-2016. Data gathering instrument was a questionnaire, consisted of personal, employment and job satisfaction details. Data were collected by phone. For data collection a researcher-made questionnaire was used which validity and reliability had been confirmed. Data analysis was performed by spss-18 software and descriptive statistics and Chi-square test.
Introduction: Examining the employment s tatus of graduates of universities can help the improvement of quality of education. The purpose of this study was to investigate the employment s tatus of medical graduates of Ahvaz jundishapur University of Medical Sciences.
Methods: This cross – sectional study was conducted among the medical graduates between 2012 and 2016. Data gathering instrument was a researcher-made questionnaire which validity and reliability had been confirmed. Data were collected through telephone-based interview. Data analysis was performed by SPSS-18 software and descriptive statistics and Chi-square tes t.
Results: Two thirds (66.7%) of participants were female and one third (33.3%) were male with a mean age of 32.2±1.8 years. The results indicated that 42.4% of medical graduated were employed at one of the public or private organization, 13.1% were unemployed and 39.4% admitted for continue in residency training. 5.1% had also emigrated abroad. The majority (84%) of the graduates were satisfied with their occupation in the medical profession and 94.6% evaluated the quality of university education as medium and good. Chi-square test showed that there was no statistically significant difference between employment of male and female graduates (p = 0.10). The success rate of female graduates in the residency entrance exam was significantly higher than male graduates
(p = 0.015).
Conclusion: Medical graduates were in good condition in terms of employment, continuing education and passing the residency entrance exam. The majority of graduates were satisfied with their occupation in the medical profession and the quality of university education.
Results: The access rate to medical graduates was 60%(198/330). Two thirds (66.7%) were female and one third (33.3%) were male with a mean age of 32.2±1.8 years. The mean age of medical graduates was years and their age ranged 29-37 years. The results indicated that 42.4% of medical graduated were employed at one of the public or private organization, 13.1% were unemployed and 39.4% admitted for continue in residency education. 5.1% had also emigrated abroad. The majority (84%) of the graduates were satisfied with their employment in the medical profession and 94.6% evaluated the quality of university education as good and average.
Conclusion: Medical graduates are in good condition in terms of employment, continuing education and passing the residency exam. The majority of graduates were satisfied with their employment in the medical profession and the quality of university education.
Please cite this article as follows:
Seyedian SS, Shakurnia A, Oraki M, Sharifat M. Employment status and satisfaction of medical graduated in Ahvaz Jundishapur University of Medical Sciences, 2012-16. Hakim Health Sys Res. 2020; 23(4):425-434.
Volume 24, Issue 1 (5-2021)
Introduction: Nurses job satisfaction is one of the effective factors in improving the quality of nursing care. The aim of this study was to determine the factors affecting job satisfaction of nurses who working in emergency departments in public hospitals, affiliated to Tehran University of Medical Sciences.
Methods: This study was a cross-sectional study conducted in the emergency departments of 14 hospitals that affiliated to Tehran University of Medical Sciences. The data collection tool, including a demographic questionnaire and a Herzberg Worksheet Satisfaction Questionnaire. The study sample consisted of 665 nurses working in the emergency department who entered the study by census method. The obtained data were analyzed using descriptive and analytical statistical tests (Mean ±SD and Chi square) and Version 18 SPSS software.
Results: The Mean ±SD of job satisfaction in nurses (141.58±36.831) was moderate to low and the highest level of satisfaction in two dimensions, respectively, communication with colleagues and patients (48.3درصد) and job status (27.7%) and the lowest level of satisfaction were in two dimensions, salary and benefits (62.4درصد) and work situation (49.3%), respectively.
Conclusion: In all organizations, job satisfaction has been identified as an important factor in creating employee motivation, efficiency and responsibility. Job satisfaction in nurses, improve the quality of nursing care and reduce their retirement.
Keywords: Job satisfaction, nurse, emergency department, effective factors
Please cite this article as follows:
Rezaee M, Mirbazegh SF, Kordbagheri MR, Varae SH. Factors affecting Job satisfaction in nurses who working in the emergency department. HAKIM Health Sys Res 2021; (24):65-75.
Volume 24, Issue 1 (5-2021)
Introduction: The most important guarantee for the success of the health transformation plan is to pay attention to the service providers of that plan. Therefore, the present study was conducted about six years after its implementation.
Methods: This descriptive cross-sectional study was performed on 384 staff of hospitals affiliated to Isfahan University of Medical Sciences in 2019. Data collection tools were the Standard Job Satisfaction Questionnaire JDI (Job Descriptive Index), with the first section containing demographic information and the second section containing 30 questions to measure satisfaction. For data analysis, descriptive and analytical statistics were used in SPSS software version 16.
Results: The results of the study showed that the overall score of job satisfaction after the implementation of the health transformation plan was moderate and equal to87.8±10.4. Among the various dimensions of job satisfaction, the highest score was the share of satisfaction with colleagues equal to 21.7±3.0 and the lowest score for the satisfaction of salaries and payments was 10.9±2.7.
Only relationship between the age and score the dimension of the nature of the job satisfaction after the implementation transformation plan was significant (p = 0.003).
Conclusions: Despite the measures taken after the implementation of the health system transformation plan to improve the satisfaction of the medical staff, their satisfaction is still not acceptable, especially in terms of promotion and salaries. This can affect the quality of the care team’s work, which seems to need more attention from the authorities.
Please cite this article as follows:
Armoeyan M. shahroudi P, Ghadami A. Investigating the satisfaction of medical personnel after the implementation of the health system transformation plan in hospitals affiliated to Isfahan University of Medical Sciences in 2019. Hakim Health Sys Res.2021;(24): 94-103.
Volume 25, Issue 2 (9-2022)
Methods: This study combined three research studies on the quality of life of family physicians, with a total sample size of 251 people. It utilized a linear model with random effects at a significance level of 95% in the Comprehensive Meta-Analysis software.
Results: The average pooled quality of work-life among family physicians was 53.1%. Among the dimensions, the work-home interface had the lowest pooled effect at 45.9%, while the general well-being status had the highest, estimated at 58.2%.
Conclusion: Due to the inadequate quality of the working conditions for family physicians in all aspects, policymakers must prioritize the quality of their working lives and implement suitable solutions to enhance their overall well-being.
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