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

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

2020 ◽  
Vol 15 (1) ◽  
pp. 45-52 ◽  
Author(s):  
Nastaran Niroomand ◽  
Mohsen Bayati ◽  
Mozhgan Seif ◽  
Somayeh Delavari ◽  
Sajad Delavari

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.


Author(s):  
Nasim Namiranian ◽  
Seied Saman Mansouri ◽  
Mohammad Shafiee

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  


2009 ◽  
Vol 34 (3) ◽  
pp. 76-80 ◽  
Author(s):  
Ali Kebriaei ◽  
Fayzollah Akbari

This study aims to compare quality gap of educational services at Zahedan University of Medical Sciences from students and faculties viewpoints. In a cross-sectional study, survey questionnaire was completed by two distinct groups of respondents– 230 faculty members and 384 students. Mass majority of the both groups declared there was negative gap in each of the five dimensions. Mean quality gaps from viewpoint of both groups were negative. The largest mean quality gap from students and faculty members viewpoint was in the responsiveness and tangibility dimensions respectively. The largest and smallest differences between students and faculties viewpoint were in the responsiveness and tangibility dimensions. Keywords: Education; Iran; Medical science; QualityOnline: 29-1-2009DOI: 10.3329/bmrcb.v34i3.1646Bangladesh Med Res Counc Bull 2008; 34: 76-80


2016 ◽  
Vol 8 (9) ◽  
pp. 294 ◽  
Author(s):  
Ali Mohammad Varzi ◽  
Koroush Saki ◽  
Khalil Momeni ◽  
Ghasem Rajabi Vasokolaei ◽  
Zahra Khodakaramifard ◽  
...  

<p><strong>INTRODUCTION:</strong> Patient satisfaction with provided services is used as an indicator of health care quality. Patient satisfaction is defined as patient perception of provided care compared to expected care. This study was administered to evaluate the health tourists' satisfaction of provided services in Lorestan University of Medical Sciences affiliated hospitals in 2015. </p><p><strong>METHOD:</strong> In this descriptive case study, 1800 (696 (54.4 %) men and 812 (45.6 % ) women, 74.5 province native) patients were selected by random sampling from among the patients of Lorestan University of Medical Sciences affiliated hospitals in 2015 spring. The data collection instrument is a semi-structured questionnaire in this study. The questionnaire has 62 general and specific items. Each of the specific items is scaled on four points; satisfied, fairly satisfied, dissatisfied and O.K.. In order to analyze the data both descriptive and inferential statistics were used.</p><p><strong>RESULTS:</strong> Poldokhtar Imam Khomeini Hospital had the highest Level of satisfaction of 68 percent in all aspects (hoteling, discharge, paramedical, nurses, medical and admission) among the studied hospitals. Kuhdasht Imam Khomeini hospital had the lowest level of satisfaction of 53 percent. The overall satisfaction level in all hospitals was 61%.<strong> </strong><strong></strong></p><p><strong>DISCUSSION &amp; CONCLUSION:</strong> Despite the shortcomings observed in different areas, the results of the present study are in an intermediate status compared to other studies. While treating patients, patient-centered issue and patients ‘need and preferences should be focused on to enhance health care quality. Considering Patients preferences not only are morally good but also lead to improved care and access to sustainable care practices. Therefore it is needed to drive organizational management approach toward the customer preferences management and needs.</p>


2017 ◽  
Vol 16 (1) ◽  
pp. 29-34 ◽  
Author(s):  
Ayesha Ahmad ◽  
Arifa Anwar Elahi ◽  
Aruna Nigam ◽  
Rohan Kapoor

Objectives: To evaluate the response to mentoring amongst medical students after introduction of a structured mentorship programme.Methods: This was a cross sectional study conducted at Hamdard Institute of Medical Sciences and Research, [HIMSR] New Delhi. A pre validated confidential questionnaire, designed as both open and closed ended questions was utilised to obtain responses from a sample size of 300 students, both males and females. Our questionnaire solicited the following information: clarity of the concept to the mentee, duration of being involved in the programme, preferred mentoring model, comments on intended benefits and those obtained, frequency of meetings, forms of communication used and preferred place of interaction. All students in 1st, 2nd and 3rd year at HIMSR who agreed to participate in the study were included.Results: A total of 231 students returned their questionnaire, making the response rate of 77%. Different forms of communication were being used, of which personal meeting was most frequent. Both males and females were contacting their mentors in person. Majority of students preferred the mentorship model to be 1:1 and faculty members as mentors instead of senior students. Most of the students wanted the relationship to be mutual on both the sides, with both mentors and mentees having a say in the allocation process. There was no preference to gender for most of the students.Conclusions: The mentorship programme found good acceptance with medical students.Bangladesh Journal of Medical Science Vol.16(1) 2017 p.29-34


Author(s):  
Zahra Ghorbani ◽  
Farzad Faraji-Khiavi ◽  
Effat Jahanbani ◽  
Behnaz Dindamal

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.


2013 ◽  
Vol 12 (3) ◽  
pp. 305-309
Author(s):  
RV Mohite ◽  
VR Mohite ◽  
PM Durgawale

Background: Leprosy has been a literal scourge through the history of humanity and to eradicate the disease from high endemic countries need leprosy services to be sustained and they remain of good quality. Objective: The present study aimed for getting a reasonable impression of the client’s views on a range of quality aspects of leprosy services rendered by district leprosy control unit under national leprosy eradication programme(NLEP). Methodology: Cross- sectional study was conducted in Satara district of western Maharashtra, India among registered leprosy patients under district leprosy control unit during April -July2008. A sample of 25 % of registered leprosy cases were selected by random sampling method from primary health centers and urban leprosy control units to assess the patient’s satisfaction under the functioning of NLEP. After verbal consent, participants were interviewed at home site using pre-tested structured proforma include socio -demographic and patient satisfaction variables. Data collected was compiled and analyzed by using statistical software. Results: Patient’s overall level of satisfaction was very good i.e. 88.89% with max, 46.03% cases were from age group 35 to 52 years. Max, 47.61% cases were illiterate with high case detection rate, 52.38% was seen males. The proportion of multi-bacillary (MB) and pauci-bacillary (PB) cases was 65.07 % & 34.92 % respectively. Most of the patients were satisfied with anti-leprosy drugs, health education and no physical deformity due to disease underline. 98.41 % patients were satisfied about follow- up and motivation services. Satisfaction about diagnosis of disease by doctors and starting of treatment was 96.82 % and 95.23 % respectively, however satisfaction with rehabilitative services was 14.28%. Significant statistical association was existed between age of leprosy affected cases and their level of satisfaction under NLEP services (?2=15.92,p <0.05*). Conclusion: Elimination of leprosy and very good patient satisfaction towards leprosy services in Satara district indicates successfulness of NLEP. Bangladesh Journal of Medical Science Vol. 12 No. 03 July ’13 Page 305-309 DOI: http://dx.doi.org/10.3329/bjms.v12i3.15430


2016 ◽  
Vol 15 (4) ◽  
pp. 615-620
Author(s):  
Zohreh Badiyepeymaiejahromi ◽  
Sara Shahsavari Isfahani ◽  
Nehleh Parandavar ◽  
Afifeh Rahmanian

Background: Patient education is an important component of patient care. It includes all educational activities to help patients and their families in order to make informed decisions about the disease and learn self-care skills. This study was conducted to investigate nursing students’ perspectives regarding the challenges of patient education in clinical settings.Material and Methods: This descriptive cross-sectional study was conducted on 78 third and fourth year nursing students of Jahrom University of Medical Sciences who were selected by census method. Data were collected through a valid and reliable questionnaire consisted of four parts. The first part was about demographic data, the second included 16 questions about importance of patient education, the third and fourth part contained 20 questions about challenges of patient education, 10 questions assessed barriers and 10 questions were about facilitators of patient education in clinical settings.Results: From the nursing students’ perspective, the average importance of patient education was 4.36±0.05 out of 5. The most important challenges regarding barriers of patient education were; lack of resources and educational tools, lack of enough time, inadequate knowledge and skills of the nurse, and lack of patient readiness both physically and psychologically. Also, the most important facilitators were; high skill and knowledge, having interest to education and phased implementation of patient›s education with respect to the patient›s condition. There was no relationship between academic year, sex and average grade with importance of patient education total score (p=0>05).Conclusion: Nursing managers and educational supervisors of hospitals need to pursue patients’ education programs with rely on the standards developed at national and international accreditation programs as a major strategy and provide necessary resources and educational tools.Bangladesh Journal of Medical Science Vol.15(4) 2016 p.615-620


2017 ◽  
Vol 16 (2) ◽  
pp. 233-237
Author(s):  
Mohammad Khammarnia ◽  
Aziz Kassani ◽  
Mostafa Peyvand ◽  
Fatemeh Setoodezadeh

Background: Systemic thinking can provide practice in multidisciplinary team working and improve organizational efficacy. This study aimed to determine the association between systemic thinking and working partnership in the employees of a medical sciences university in the south of Iran.Methods: A cross-sectional study was performed in Zahedan University of Medical Sciences (ZAUMS) in 2015. The study population consisted of all employees in ZAUMS; 370 participants were selected through stratified random sampling. Two standard questionnaires were used for data gathering. The data were analyzed in SPSS (v21) using Pearson, One way ANOVA and logistic regression. The level of significance was considered as 0.05.Results: In this study, 225 participants (60.8%) were female and the mean age of the participants’ was 34.7±8.7. The mean of working partnership for 362 participants was higher than the standard mean. Systemic thinking had a positive association with working partnership (p=0.001) and married status of the participants (p=0.04). Working partnership in male and older staff was more than others in ZAUMS (p<0.001 and 0.01, respectively).Conclusion: Systematic thinking had a positive association with the employees’ working partnership. Moreover, the male staff had better systematic thinking. It is recommended that the managers should promote systematic thinking in staff especially in females for better partnership and efficacy in organizations.Bangladesh Journal of Medical Science Vol.16(2) 2017 p.233-237


Author(s):  
Reham A. Mostafa

Background: Despite the numerous functions of vitamin D, there are still billions of people worldwidewho have vitamin D deficiency or insufficiency, and the highest prevalence is in the Middle East, mostly females. Aim of The Study: This study aimed to assess the knowledge and behaviors of applied medical science female students regarding vitamin D. Participants and methods: A cross- sectional study was conducted at the Faculty of Applied Medical Sciences- Umm Al-Qura University. An electronic questionnaire was assigned for (156) students from female section and chosen from an age group (18-22 years) to assess their vitamin D knowledge and attitudes. Data analysis was done using the Statistical Package of the Social Science (SPSS) version 20, using frequency and chi-square test. A p-value less than or equal to 0.05 was considered significant. Results: About 57% of the students were not aware that the overuse of sunscreen could block the ultraviolet rays from reaching the skin, thus decreased production of vitamin D. The overall knowledge of the students about vitamin D sources (fortified milk, mushrooms and eggs) was decent. Conclusion: the students had a good background of vitamin D functions, sources, and deficiency symptoms but wasn't reflected on their behavior, this gap between their knowledge and their lifestyle must be filled through health education for better health.


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