Volume 1, Issue 4 (9-2016)                   J. Hum. Environ. Health Promot. 2016, 1(4): 227-236 | Back to browse issues page

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Mohammadi A, Masoumi Jahandizi H, Kamali K. Patients’ Satisfaction in Zanjan Educational Hospitals and its Relationship with Responsiveness. J. Hum. Environ. Health Promot.. 2016; 1 (4) :227-236
URL: http://zums.ac.ir/jhehp/article-1-53-en.html
1- Department of Public Health, School of Public Health, Zanjan University of Medical Sciences, Zanjan, Iran.
Abstract:   (2160 Views)

Background; Measuring patients’ satisfaction shows the efficacy of care providers to meet patients' expectations and supplies the valuable data for health policy makers. This study was conducted to assess patients’ satisfaction from hospital services and its relationship with responsiveness.Methods; This cross-sectional study was carried out at Zanjan University of Medical Sciences in 2013 -2014. A total of 486 were selected and World Health Survey (WHS) questionnaire data was used.
Results; Most of the inpatients (76. 4 %) and more than half of outpatient (54.2 %) rated overall hospitals services at level of average and high satisfaction. The most favorable dimension in terms of patients' satisfaction was quality of care from both group patients point of view. There was statistically significant relationship between responsiveness domains and patients' satisfaction (p < 0.01). The findings of this study showed that the majority of inpatients and half of outpatients were overall satisfied with hospitals services.
Conclusion;Both inpatients and outpatients were satisfied with quality of delivered care, but there was low satisfaction from participation in decision- making for inpatients and access to services in outpatients.

Full-Text [PDF 633 kb]   (324 Downloads)    
Type of Study: Research Article |
Received: 2016/06/5 | Accepted: 2016/07/31 | Published: 2016/09/20

1. The World Health Report 2000: Health Systems: Improving Performance. Geneva: WHO; 2000.
2. Rice N, Robone S, Smith P. The Measurement and Comparison of Health System Responsiveness. HEDG Working. 2008: 5-8.
3. Naseer M, Zahidie A, Shaikh B T. Determinants of Patient's Satisfaction with Health Care System in Pakistan: A Critical Review. Pak J Public Health. 2012; 2(2): 56- 63.
4. Jenkinson C, Coulter A, Bruster, S. The Picker Patient Experience Questionnaire: Development and Validation Using data from In-patients Surveys in Five Countries. Int J Qual Health Care. 2009; 14: 353-8. [Crossref]
5. Awwab Khan O, Iqbal M, Waseem AG. Patients’ Experience and Satisfaction with Healthcare at Pakistan Railways Hospital. Ann Pak Inst Med Sci. 2012; 8(2): 122-4.
6. Adekanye AO, Adefemi SA, Okuku AG, Onawola KA, Adeleke IT, James JA. Patients' Satisfaction with the Healthcare Services at a North Central Nigerian Tertiary Hospital. Niger J Med. 2013; 22 (3): 218 -25.
7. Schoenfelder T, Klewer J, Kugler J. Determinants of Patient Satisfaction: a Study among 39 Hospitals in an In-Patient Setting in Germany. Int J Qual Health Care. 2011; 23(5): 503–9. [Crossref]
8. Thiedke CC. What do We Really Know about Patient Satisfaction? Fam Pract Manag. 2007; 14(1): 33-6.
9. Ebrahimipour H, Vafaei Najjar A, Khani Jahani A, Pourtaleb A , Javadi M, Rezazadeh A, et al. Health System Responsiveness: A Case Study of General Hospitals in Iran. Int J Health Policy Manag. 2013; 1(1): 85-90. [Crossref]
10. Nys H, Goffin T. Mapping National Practices and Strategies Relating to Patient Rights. European Observatory on Health Systems. 2011: 159-216.
11. Busse RV, Ginneken E, Worz M. Access to Health Services within and between Countries of European :::union:::. European Observatory on Health Systems. 2011: 47- 90.
12. Coulter A, Jenkinson C. European Patients' Views on the Responsiveness of Health Systems and Healthcare Providers. Eur J Public Health. 2005; 15 (4): 355-60. [Crossref]
13. Mukhtar F, Anjum A, Bajwa MA, Shahzad S, Hamid S, Masood Z, Mustafa R. Patient Satisfaction; OPD Services in a Tertiary Care Hospital of Lahore. Prof Med J. 2013; 20(6): 973-80.
14. Bamidele AR, Hoque ME, Van der Heever H. Patient Satisfaction with the Quality of Care in a Primary Health Care Setting in Botswana. S Afr Fam Pract. 2011; 53(2):170-5. [Crossref]
15. Hana A, Martin R. Quality of Primary Health Care in Saudi Arabia: A Comprehensive Review. Int J Qual Health Care. 2005; 17: 331-46. [Crossref]
16. McMullen M, Netland PA. Wait Time as a Driver of Overall Patient Satisfaction in an Ophthalmology Clinic. Clin Ophthalmol. 2013; 7: 1655–5.
17. Michael M, Schaffer SD, Egan PL, Little BB, Pritchard PS. Improving Wait Times and Patient Satisfaction in Primary Care. J Health Care Qual. 2013; 35(2): 50-60. [Crossref]
18. Dormohammadi T, Asghari F, Rashidian A. What Do Patients Expect from Their Physicians? Iran J Public Health. 2010; 39(1): 70-7.
19. Hsu CC, Chen L, Hu YW, Yip W, Shu CC. The Dimensions of Responsiveness of a Health System: A Taiwanese Perspective. BMC Public Health. 2006; 6: 72. Available from: URL:
20. Peltzer K. Patient Experiences and Health System Responsiveness in South Africa. BMC Health Serv Res. 2009; 9: 117. Available from: URL:
21. Afzal M, Rizvi F, Azad AH, Rajput AM, Khan A, Tariq N. Effect of Demographic Characteristics on Patient’s Satisfaction with Health Care Facility. JPMI. 2014; 28(2): 154-60.
22. AlQahtani M, AlDahi SK. Satisfaction with Nursing Care from the Inpatients’ Perspective in Prince Salman Armed Forced Hospital Tabuk, Saudi Arabia. World Fam Med J. 2015; 13(2): 13 -7. [Crossref]
23. Rashidian A, Kavosi Z, Majdzadeh R, Pourreza Agh, Pourmalek F, Arab M, et al. Assessing Health System Responsiveness: A Household Survey in 17th District of Tehran. IRCMJ. 2011; 13(5): 302-8.
24. Silva A, Valentine N. Measuring Responsiveness: Results of a Key Informants Survey in 35 Countries. GPE Discussion Paper Series: No. 21, WHO. 2001.
25. Mohammadi A, Kamali K. Responsiveness in the Healthcare Settings: A Survey of Inpatients. Int J Hosp Res. 2014; 3(3): 123-32.
26. Habibullah S. Responsiveness of the Federal Health System to the Needs of 18-45 Year Old Adults with Physical Disabilities in Islamabad, Pakistan. Graduate School Theses and Dissertations. Univ South Florida. 2012. Available from: URL: http://scholarcommons.usf.edu/etd/4059.
27. Gostin L, Hodge JVN, Nygren-Krug H. The Domains of Health Responsiveness -A Human Rights Analysis. Geneva: WHO; 2002.

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