Asefzadeh Saeed, Gholami Soheyla, Rajaee Roya, Najafi Marziye, Alijanzadeh Mehran
Ph.D. of Health Care Management, Professor, Social Determinants of Health Research Center, Qazvin University of Medical Sciences, Qazvin, Iran.
M.Sc. of Health Care Management, Health Information Management Research Center, Hormozgan University of Medical Sciences, Bandar Abbas, Iran.
Electron Physician. 2016 Mar 25;8(3):2073-80. doi: 10.19082/2073. eCollection 2016 Mar.
Quality is the center of attention in all service providing organizations that are effective in promoting satisfaction of patients who are referred to medical centers. The aim of this study was to investigate the quality of health service providers in a case study of Qazvin, Iran, in 2014.
This descriptive study was conducted on 1,002 people who were residents of Qazvin Province (Iran) in 2014. The people were selected randomly from the population of the study area. The main variables studied were education, perceptions, expectations, and gaps in service quality. The data collection tool was the standard Servequal questionnaire. To determine the reliability of the research tool, we used Cronbach's Alpha coefficient and the test-retest method. Statistical analyses were conducted using SPSS and the ANOVA test.
The mean age of people included in the study was 32 ± 9.9 years, and the average waiting time to receive services was 73 ± 47 minutes. Hospitals and doctors' offices had the highest quality gap of -1.420 ± 0.82 and -1.01 ± 0.75, respectively. The service quality gaps in medical centers, health providers of rural area, and health providers of urban area were -0.883 ± 0.67, -0.882 ± 0.83, and -0.804 ± 0.62, respectively. There was a significant relationship between peoples' perceptions and expectations concerning the quality of health services and their educational levels.
The higher gaps in quality in hospitals and in doctors' offices require more attention. Managers and policy makers should consider developing and implementing plans to reduce these gaps in quality and to promote better health services in these two sectors.
在所有有效提升转诊至医疗中心患者满意度的服务提供组织中,质量都是关注的核心。本研究的目的是在2014年伊朗加兹温的一个案例研究中调查医疗服务提供者的质量。
本描述性研究于2014年对1002名加兹温省(伊朗)居民进行。这些人是从研究区域的人口中随机选取的。研究的主要变量包括教育程度、认知、期望以及服务质量差距。数据收集工具是标准的服务质量调查问卷。为确定研究工具的可靠性,我们使用了克朗巴哈系数和重测法。使用SPSS和方差分析进行统计分析。
纳入研究的人员平均年龄为32±9.9岁,接受服务的平均等待时间为73±47分钟。医院和医生办公室的质量差距最高,分别为-1.420±0.82和-1.01±0.75。医疗中心、农村地区医疗服务提供者和城市地区医疗服务提供者的服务质量差距分别为-0.883±0.67、-0.882±0.83和-0.804±0.62。人们对医疗服务质量的认知与期望和他们的教育水平之间存在显著关系。
医院和医生办公室较高的质量差距需要更多关注。管理者和政策制定者应考虑制定和实施计划,以缩小这些质量差距,并在这两个部门促进更好的医疗服务。