scholarly journals The Importance-Performance Analysis of the Quality of Services Provided for Patients in Hospitals Affiliated to Ahvaz Jundishapur University of Medical Science

2021 ◽  
Author(s):  
Zahra Ghorbani ◽  
Farzad Faraji-Khiavi ◽  
Effat Jahanbani ◽  
Behnaz Dindamal
Keyword(s):  
Performance Analysis ◽  
Physical Environment ◽  
Medical Science ◽  
Cross Sectional Study ◽  
Quality Of Services ◽  
Sustainable Competitive Advantage ◽  
Quality Factors ◽  
Medical Sciences ◽  
Cross Sectional

Background: Quality is a key factor in the distinction of services, and it is a potential source of sustainable competitive advantage to increase productiveness and patient satisfaction. The identification of strengths and weaknesses in quality of provided services can help to recognize priorities and develop improvement strategies. Objectives: Using importance-performance analysis (IPA) method, this study aimed to evaluate the quality of services provided in hospitals affiliated to Ahvaz Jundishapur University of Medical Sciences, Iran. Methods: Using stratified random sampling, this descriptive-analytical and cross-sectional study included 307 patients admitted to five Educational Hospitals affiliated to Ahvaz Jundishapur University of Medical Sciences in 2016. Data collection tool was a standard questionnaire proposed by Tomes & Chee Peng Ng (1995), which included demographic information and questions regarding the quality of services provided in seven factors. In addition to IPA, data were analyzed using descriptive statistics, analysis of variance (ANOVA), Pearson’s correlation, and chi squared test in SPSS software version 21. Results: Total scores of quality factors were estimated as “important” in our research. In quality performance, “food”, “physical environment” and “dignity” factors were estimated as “relatively inappropriate” by mean scores of 2.50 ± 0.95, 2.90 ± 0.97 and 2.94 ± 1.05, respectively. These three factors were located in the second region of the IPA matrix. While the other four factors, including “empathy”, “relationship of mutual respect”, “understanding of illness” and “religious needs,” with mean scores higher than 3 were estimated as “appropriate” and located in the first region of this matrix. In all quality factors, scores of performance were lower than importance, and the gap between importance and performance in these seven factors ranged from 0.82 to 1.52. There was a significant relationship between age and education of respondents with the quality of services. Conclusions: Given that the largest gap was related to the tangible dimensions of quality (including food and physical environment) and in order to improve the quality of services and competitive position, hospital managers must consider tangible dimension as a priority. Keywords: Quality of Services; Importance-Performance Analysis; Hospital; Hospital Services.

scholarly journals Evaluating the quality of educational services from the perspective of learners at Mashhad University of Medical Sciences in 2018

2021 ◽  
Author(s):  
Zahra Jahantab ◽  
Masoud Yousefi ◽  
Masoume MohammadHoseinzadeh ◽  
Majid Khadem-Rezaiyan
Keyword(s):  
Undergraduate Students ◽  
Cross Sectional Study ◽  
T Test ◽  
Educational Services ◽  
Quality Of Services ◽  
Native Students ◽  
Medical Sciences ◽  
Cross Sectional ◽  
Five Dimensions

Introduction: Students are the main recipients of educational services in universities. By investigating their expectations and perceptions of educational performance, we can provide the context for program developing to improve educational quality of services. In previous studies, the quality of services was reported from the perspective of undergraduate students. Since the expectations and the type of education are various in different stages, the current study investigates the quality of educational services based on the SERVQUAL model in postgraduate and graduate students. Methods: This cross-sectional study was conducted on 321 students at Mashhad University of Medical Sciences (58 bachelor, 67 masters, 58 PhD and 134 residents) by a questionnaire to evaluate the quality of educational services based on SERVQUAL model in 2018. Participants were selected by convenient sampling method and by answering the questionnaire, their opinions in five dimensions of service quality (Reliability, Responsiveness, Empathy, Assurance, Tangibles with a score range from 1 to 4 and the gap between the current situation and the desired between -3 to +3) were determined. Data analysis was performed using SPSS software version 26, paired t-test, independent sample t-test and ANOVA. Result: The results of current study indicated that there was a negative gap between students' expectations and perceptions in all five dimensions. ). In general, the largest gap was in the response dimension (-1.1 ± 0.76) and the lowest was in the confidence dimension (-0.78 ± 0.69). Among different levels of students, the largest gap  is from the perspective of undergraduate students (-1.1 ± 0.7) and the smallest gap possess to the PhD students (-0.69 ± 0.57), and the total service gap from the viewpoint of the non-native students (-1.0 ± 0.6) was higher than native students (-0.85 ± 0.67). Conclusion: According to this study, the quality of services has been lower than students' achievements in all dimensions. This requires specific planning in priority areas for quality improvement.

scholarly journals Patients’ Views on Service Quality in Selected Iranian Hospitals: An Importance-Performance Analysis

2020 ◽  
Vol 21 (9) ◽  
Author(s):  
Ehsan Zarei ◽  
Ali Bagheri ◽  
Abbas Daneshkohan ◽  
Soheila Khodakarim
Keyword(s):  
Performance Analysis ◽  
Service Quality ◽  
Average Length ◽  
Cross Sectional Study ◽  
Hospital Services ◽  
Medical Sciences ◽  
Cross Sectional ◽  
The Mean ◽  
And Performance

Background: One of the basic steps to quality improvement in hospitals is to obtain patients’ feedback. Objectives: The aim of this study was to assess the quality of hospital services from patient’s perspective in hospitals affiliated with the Dezful University of Medical Sciences (DUMS), Dezful, Iran. Methods: In this cross-sectional study, 400 patients were selected from six hospitals of DUMS. The data was collected using the SERVQUAL questionnaire including 22 pairs of questions (organized in two aspects of service importance and performance) in 5 dimensions of tangibility, reliability, responsiveness, assurance and empathy. The importance-performance analysis (IPA) was used to determine the weaknesses of service quality and prioritizing the aspects requiring improvement. Results: The mean age of the patients was 38.5, 32% (n = 128) had academic degrees, 55% (n = 220) were self-employed, and 16.5% (n = 66) did not have health insurance. The average length of day was 7.8 ± 8.3 days. The mean score of the importance and performance were 4.37 ± 0.75 and 3.72 ± 0.94, respectively. The service quality gap was -0.65. Tangibility (-0.68) had the largest negative gap while the smallest gap was related to the reliability (-0.63). The gap between importance and performance was significantly negative in all attributes and dimensions (P < 0.001). The results of the IPA showed that the tangibility was located in the Q VI, reliability and assurance in the Q I, and the responsiveness and empathy in the Q III quadrants. Conclusions: Quality of hospital services did not meet patients’ expectations and there is a room for improvement and obviate the gaps. Decision-makers can further use the results of the IPA to effectively allocate limited resources giving special attentions to the organizational weaknesses.

scholarly journals Implementation of Importance-Performance Analysis (IPA) for Improving Medical Students’ Quality of Service in Teaching Hospital

2020 ◽  
Vol 8 (1) ◽  
Author(s):  
Siska Nia Irasanti ◽  
Ieva Baniasih Akbar ◽  
Yani Dewi Suryani
Keyword(s):  
Quality Of Service ◽  
Medical Students ◽  
Performance Analysis ◽  
Management Strategies ◽  
Cross Sectional Study ◽  
Quality Of Services ◽  
Cross Sectional ◽  
Purposive Sampling ◽  
Education Management

One of the most relevant elements for improving the quality of an organization is the recognition of customer satisfaction and perceived quality of services. During their clerkship, medical students are required to work with different medical specializations in rotation and treat patients under the supervision of the attending physicians. The purpose of the study is to explore the medical students' quality of service using the importance-performance analysis (IPA) diagram that focused on the conformance level (CLi) between the actual service performance score and patient expectation score. This was a cross-sectional study involving 160 patients and patient caregivers at the Department of Pediatric of West Java Provincial Al-Ihsan Regional General Hospital Bandung, who was a purposive sampling method to participate in the study during January 2018. Results showed that the total CLi was less than 100%. The CLi scores for responsiveness, empathy, assurance, and reliability components were 84.57%, 84%, 83.56%, and 83.45%, respectively. It can be concluded that the services provided were good, but have not yet been able to meet the expectation of the patients. Overall, the IPA is useful to identify areas for strategic focus in improving the quality of services provided by medical students to help the hospital managers and faculty of medicine develop education management strategies. PENERAPAN IMPORTANCE-PERFORMANCE ANALYSIS (IPA) UNTUK MENINGKATKAN KUALITAS PELAYANAN MAHASISWA SELAMA KEPANITERAAN DI RUMAH SAKIT PENDIDIKANSalah satu elemen yang paling relevan untuk meningkatkan kualitas organisasi adalah mengetahui kepuasan dan kualitas layanan yang dirasakan oleh konsumen. Selama kepaniteraan, mahasiswa kedokteran diwajibkan untuk berotasi melalui berbagai spesialisasi medis dan merawat pasien di bawah pengawasan dokter. Tujuan penelitian ini mengetahui kualitas pelayanan mahasiwa kedokteran dengan menggunakan diagram importance-performance analysis (IPA) yang berfokus pada tingkat kesesuaian (Tki) antara skor kinerja layanan aktual dan skor harapan pasien. Penelitian ini merupakan penelitian cross-sectional yang melibatkan 160 pasien dan penunggu pasien di Departemen Ilmu Kesehatan Anak di RSUD Al-Ihsan Provinsi Jawa Barat Bandung dengan metode purposive sampling selama bulan Januari 2018. Hasil penelitian menunjukkan bahwa total Tki kurang dari 100%. Skor Tki untuk komponen respons, empati, assurance, dan reliabilitas masing-masing adalah 84,57%, 84%, 83,56%, dan 83,45%. Dapat disimpulkan bahwa faktor layanan yang diberikan baik, tetapi belum memenuhi harapan pasien. Meskipun demikian, IPA berguna untuk mengidentifikasi area untuk fokus strategis dalam meningkatkan kualitas layanan yang diberikan mahasiswa kedokteran untuk membantu manajer rumah sakit dan fakultas kedokteran mengembangkan strategi manajemen pendidikan.

Depression frequency in Urmia University of medical sciences, Iran

2011 ◽  
Vol 26 (S2) ◽  
pp. 596-596
Author(s):  
N. Aghakhani ◽  
S. Eghtedar
Keyword(s):  
Medical Science ◽  
Data Gathering ◽  
Cross Sectional Study ◽  
The Body ◽  
Medical Sciences ◽  
Cross Sectional ◽  
Prevalence Of Depression ◽  
Depression Level ◽  
West Azerbaijan

BackgroundA depressive disorder is an illness that involves the body, mood, thoughts, and behaviors. It affects the way a person eats, feels, sleeps and thinks about things. A research about depression in Urmia University of medical sciences was done to propose some methods for solving of problems of the students. This study aimed to identify the presence of depression among medical studentsMethodsThis study designed to determine prevalence of depression in student of Urmia, Iran. A descriptive cross-sectional study was conducted on 700 undergraduate medical and basic students in Urmia University of medical science, west Azerbaijan Province, Iran. BDI questionnaire has been used for data gathering.ResultsMean score of students was 10.4 ± 0.8 and 52.6% of students scored under the threshold of Beck depression inventory questionnaire indicating depressed. 2% of them have a major depression. Results didn’t observe any significant relationship between ages, education, sex, rank of birth, duration of education. Depression level in Urmia medical science university was very high that can affect on the quality of education and social behavior of the students.ConclusionIt is important to research the causes of depression and plan to omit them. Establishment of consulting and recreation and problem solving centers that they will have in the future can be helpful.

SERVICE QUALITY OF PUBLIC AND PRIVATE PHYSIOTHERAPY INSTITUTES: A COMPARATIVE STUDY IN LAHORE

2019 ◽  
Author(s):  
Roohi Abbas
Keyword(s):  
Physical Therapy ◽  
Service Quality ◽  
Cross Sectional Study ◽  
Quality Of Services ◽  
Sectional Study ◽  
Cross Sectional ◽  
Public And Private ◽  
Quality Dimensions ◽  
Service Quality Dimensions

Background: Ever since quality of services is gaining importance in every industry as it is the indicator of consumer/customer satisfaction, it is of utmost importance to measure service quality of educational institutes to determine the satisfaction of students. Thus, the study aimed to determine the important factors in service quality dimensions which contribute to the satisfaction of students. Methods: This was a Comparative Cross Sectional study in which final year department of physical therapy (DPT) students were included from three private and three public physiotherapy institutes. Results: The largest mean Positive Gap scores for Public Physiotherapy Institutes was 0.18 for accessibility and affordability 0.18. The largest negative mean gap score for Private Physiotherapy domain was “Accessibility and Affordability” found to be -1.96. Conclusion: Students were satisfied with service quality of private institutes in all domains except for the “Accessibility and Affordability” whereas, in Public Institutes largest negative quality gaps were found in “Empathy” and “Assurance”.

scholarly journals Factors Associated with the Quality of Life of People Living with HIV/AIDS

10.3823/2627 ◽  
2020 ◽  
Vol 13 ◽  
Author(s):  
Maria Sandra Andrade ◽  
Clarissa Mourão Pinho ◽  
Aline Ferreira Targino Soares ◽  
Eduardo Tavares Gomes ◽  
Cynthia Angélica Ramos de Oliveira Dourado ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Social Relations ◽  
Physical Environment ◽  
Sample Selection ◽  
Cross Sectional Study ◽  
People Living With Hiv ◽  
Cross Sectional ◽  
Stepwise Method ◽  
Living With Hiv

Purposes: Evaluate the quality of life and the associated factors in people living with HIV. Methods: This is a cross-sectional study with a quantitative approach and random sample selection, carried out in two Specialized Assistance Services, with 356 people living with HIV. The comparison between the domain scores was performed using the student t test, ANOVA and Pearson’s correlation. Multiple linear regression was used to assess the contribution of variables to the outcome quality of life using the stepwise method. Results: The domains that showed the best results in averages were Psychological (17.0), Social Relations (14.9) and Level of Independence (14.0). The domain that had the greatest determination was the Psychological (R² = 0.49), followed by Social Relations (R² = 0.434), the lowest determination was the Spirituality domain (R² = 0.270). No domain had a score considered high. Conclusion: The quality of life presented unsatisfactory results, especially in the Physical, Environment and Spirituality domains. The need to formulate strategies aimed at coping with HIV and increasing the quality of life of people living with HIV is evident.

scholarly journals Association between Hospital Accreditation and Patient Satisfaction: A Survey in the Western Province of Iran

2017 ◽  
Vol 16 (1) ◽  
pp. 77-84 ◽  
Author(s):  
Rafat Mohebbifar ◽  
Sima Rafiei ◽  
Asghar Mohammadpoor Asl ◽  
Mohammad Ranjbar ◽  
Mona Khodayvandi
Keyword(s):  
Patient Satisfaction ◽  
Medical Science ◽  
Cross Sectional Study ◽  
Physical Structure ◽  
Information Communication ◽  
Medical Sciences ◽  
Hospital Accreditation ◽  
Cross Sectional ◽  
Strong Relation ◽  
Education Medical

Background: In recent years accreditation programs have been developed to assess the quality of care and patient safety in hospitals. Quality is a multidimensional concept with patient satisfaction as one of the important facets. This study aimed to test any relationship between patient satisfaction and hospital accreditation.Material and Methods: A cross-sectional study of seven hospitals in Hamadan, Iran, was conducted in 2013. Patient satisfaction was analyzed through a self-made questionnaire and data on hospitals’ accreditation scores were obtained from the Curative Deputy of Hamadan University of Medical Sciences. Statistical analysis was done using SPSS 20.Results: Our research found out a strong relation between satisfaction scores and length of stay, hospital type, human resources condition, information, communication and education, medical equipment and physical structure, accessibility to clinical services, emotional support, management and coordination of care. Findings also revealed a significant negative association between hospital accreditation and patient satisfaction except for the domain of emotional support.Conclusion: Findings support healthcare managers with helpful information about the variables that are related to patient satisfaction. This understanding will make them capable to meet needs and preferences of patients more effectively. Study also confirmed the importance of developing an accreditation system based on outcome parameters and providing responsive services to patients which can positively impact their satisfaction.Bangladesh Journal of Medical Science Vol.16(1) 2017 p.77-84

Self-medication Pattern and Prevalence Among Iranian Medical Sciences Students

2020 ◽  
Vol 15 (1) ◽  
pp. 45-52 ◽  
Author(s):  
Nastaran Niroomand ◽  
Mohsen Bayati ◽  
Mozhgan Seif ◽  
Somayeh Delavari ◽  
Sajad Delavari
Keyword(s):  
Medical Science ◽  
Cross Sectional Study ◽  
Medical Sciences ◽  
Negative Effects ◽  
Self Medication ◽  
Medication Usage ◽  
Chi Square ◽  
Cross Sectional ◽  
Over The Counter ◽  
Negative Results

Background: Self-medication could be risky behavior and has negative effects. While Over the Counter (OTC) drugs are available at drugstores, the behavior has become prevalent among the general population. Objective: This study aimed at surveying self-medication behavior among medical sciences students of Shiraz, Iran. Methods: A sample of 396 students from medical, paramedical, and health sciences disciplines were included in this cross-sectional study. They were asked to fill a questionnaire about their demographics and socioeconomic status, medication usage and self-medication in the last six months, information about the correct use of medication, and information about negative results of selfmedication. Data were analyzed using chi-square, t-test and logistic regression model using R statistical software. Results: Almost 72% of participants reported self-medication in the past sixth months. The main reasons included trust in their own diagnosis (59.9%), mildness of the disease (56.6%), and having previous experience about the disease (56%). Cough or cold (84.5%), headache (66.3%), and body pain (60.2%) were the most frequent diseases that led to self-medication. The majority of the participants (77.7%) reported they select their medicine on their own decision. Furthermore, self-medication was highly related to having medicine stock at home (OR=2.692), having less information about negative results of self-medication (OR=0.835), and more non-syllabus study time (OR=1.041). Conclusions: Although, medical science students have information about the treatment of illnesses, they should be more informed about negative results and side-effects of self-medication. They should also share their knowledge with society to decrease self-medication.

scholarly journals An Evaluation of Internet Addiction and Its Related Factors among the Students of Yazd University of Medical Science

2020 ◽  
Author(s):  
Nasim Namiranian ◽  
Seied Saman Mansouri ◽  
Mohammad Shafiee
Keyword(s):  
Medical Students ◽  
Internet Addiction ◽  
Medical Science ◽  
Cross Sectional Study ◽  
Statistical Relationship ◽  
Medical Sciences ◽  
Chi Square ◽  
Related Factors ◽  
Cross Sectional ◽  
Significance Level

Introduction: Considering the increase in Internet addiction rate, we tried to investigate the rate of internet addiction among medical students of Shahid Sadoughi University of Medical Sciences in Yazd in 2016. Methods: This analytic-cross-sectional study was performed on 350 students of Shahid Sadoughi University of Medical Sciences in Yazd. The data collection tool was a demographic questionnaire, and Yang's Internet addiction inventory. The questionnaire contains 20 questions, according to which the person is placed in one of four classes: normal, mild, moderate, and severe. After collecting the data, the data were entered into SPSS 16 software and analyzed using Chi-square and independent t-tests. The significance level was considered less than 0.05. Results: According to Internet addiction, students were 65% normal, 33.3% border lip and 1.7% were addicted to the Internet. The results also showed that there was a significant statistical relationship between the prevalence of internet addiction among students and sex, smoking, and registration in cyberspace (p<0.05), and there was no significant statistical relationship between the prevalence of internet addiction and marital status, place of residence and birthplace (p>0.05). Conclusion: According to the results of the study, it can be concluded that by increasing the awareness of medical students, the rate of Internet addiction in them can be minimized  

scholarly journals Determinants of Self-referral among Outpatients at Referral Hospitals in East Wollega, Western Ethiopia

2019 ◽  
Author(s):  
Edosa Tesfaye Geta ◽  
Yibeltal Siraneh Belete ◽  
Elias Ali Yesuf
Keyword(s):  
Health Care Providers ◽  
Data Entry ◽  
Severity Of Illness ◽  
Cross Sectional Study ◽  
Health Facilities ◽  
Quality Of Services ◽  
Care Providers ◽  
Cross Sectional ◽  
Referral Hospitals

BackgroundPatient self-referral is a condition when patients refer themselves to higher level health facilities without having to see anyone else first or without being told to refer themselves by health professional. Despite the expansion in the number of health facilities, it has been seen when patients routinely accessed referral hospitals. The study aims to determine the magnitude and identify determinants of outpatient self-referral at referral hospitals.MethodsFacility based cross sectional study design was used to collect data from December 01- 30; 2017.The sample size was determined by using single population proportion formula. Data entry and analysis were made using SPSS version 20. Descriptive statistics of frequency, bivariate and multivariate logistic regression were performed.ResultsA total of 404 outpatients were included making response rate 96.8%. Among 391 outpatients interviewed 330(84.4%) were self-referred.The factors significantly associated with outpatient self-referral were referral information (AOR and 95%CI=0.324(0.150-0.696), illness severity (AOR and 95% CI=3.496(1.473-8.297), confidence of patients to get providers (AOR and 95 CI=3.027(1.510-6.070), availability of laboratory (AOR and 95%CI=4.966(2.199-11.216) and drugs (AOR and 95%CI=2.366(1.013-5.526) and quality of services (AOR and 95%CI=2.996(1.418-6.328).ConclusionThe proportion of outpatients’ self-referral was high and that associated with referral information, patient confidence to get health care providers, severity of illness, availability of laboratory and drugs, and quality of services. There should be monitoring system of referral linkage of health facilities at all levels and the health facilities should create awareness in the community about referral linkages of health facilities.

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