Aghaei Hashjin Asgar, Bagherzadeh Rafat, Faraji Amrollah, Rouzbahani Mahtab, Farrokhi Pouria
School of Health Management and Information Sciences, Iran University of Medical Sciences, Tehran, Iran.
Health Department, Faculty of Medical Sciences, Shahrekord Islamic Azad University, Shahrekord, Iran.
Med J Islam Repub Iran. 2024 Feb 6;38:12. doi: 10.47176/mjiri.38.12. eCollection 2024.
BACKGROUND: The likelihood of poor health outcomes for refugees is increased due to a variety of complicated causes. Lack of access to high-quality care during resettlement is frequently cited by migrants. Therefore, this study was carried out to assess the quality of primary care services from the perspective of refugees and migrants. METHODS: This cross-sectional study was conducted in three health networks affiliated with Iran University of Medical Sciences in 2021. Data were collected by using a self-administrative questionnaire, the validity and reliability of which were checked and confirmed. The questionnaires were randomly completed by 280 migrants and refugees. Data were analyzed by using Kruskal-Wallis, Mann-Whitney U, Spearman correlation, exploratory factor analysis, and Cronbach's α with SPSS 22. RESULTS: According to the results, the overall service quality was 3.86 out of 5. The highest and lowest mean scores were related to efficiency (4.12 ±0.64) and tangibility (3.28 ±0.39). Furthermore, there was a significant relationship between the perception of service quality and gender, education, residence area, and the rate of center visits ( < 0.05). CONCLUSION: The quality of services was generally rated favorably by the refugees. Managers and decision-makers are recommended to allocate enough funds to equip and upgrade the amenities at health centers to increase the quality of services.
背景:由于多种复杂原因,难民健康状况不佳的可能性增加。移民经常提到在重新安置期间难以获得高质量的医疗服务。因此,本研究旨在从难民和移民的角度评估初级保健服务的质量。 方法:这项横断面研究于2021年在伊朗医科大学附属的三个卫生网络中进行。通过使用自填式问卷收集数据,该问卷的有效性和可靠性经过检查和确认。280名移民和难民随机填写问卷。使用SPSS 22软件进行Kruskal-Wallis检验、Mann-Whitney U检验、Spearman相关性分析、探索性因子分析和Cronbach's α分析。 结果:结果显示,整体服务质量评分为3.86(满分5分)。最高和最低平均分分别与效率(4.12±0.64)和有形性(3.28±0.39)相关。此外,服务质量感知与性别、教育程度、居住地区和中心就诊率之间存在显著关系(P<0.05)。 结论:难民对服务质量的总体评价较好。建议管理人员和决策者分配足够资金,用于配备和升级卫生中心的设施,以提高服务质量。
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