Patient satisfaction with Urban and Rural Insurance and Family Physician Program in Iran
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Abstract
Objective:The family physician program is one of the basic programs of the Fourth Plan on Economic, Social and Cultural Development in the health sector. This program more than five years old, is currently deployed in all villages and urban areas with populations less than 20,000 people in Iran. This study was conducted with the aim of measuring User's Satisfaction with Family Physician Program in Markazi Province in the fall of 2010. The main objective of this study was determining client satisfaction with family physician program in Markazi Province.
Materials and methods: This study is descriptive - analytic and cross sectional, and was conducted at 40 medical centers with family physician services in the province. Demographic characteristics of individuals, personnel behavior, time spent in consultations, guidance and training, service costs, adequacy of services, ability and skills of personnel, access to medical facilities, adequacy of facilities and equipment, were the basis of a questionnaire and interview of registered patients or their relatives, was conducted.
Results: 391 people were interviewed during the three months The average age was 38.24±17.02 years, 66.5 percent of them were women and 81.3 percent of women were married. 34.52 percent of patients in the high or very high categories were satisfied with the whole performance of health centers. This High or very high level of satisfaction was about the performance of family physicians, midwives, laboratory and pharmacy, respectively 33.1, 37.1, 36.8 and 38.3.
Conclusion: In general, the program has been successful in the province. Policymakers can achieve a higher level of satisfaction in the long term based on comments from service recipients and promoting the program and some program processes.
World Health Organization. The Bulletin series: primary health care 30 years on. WHO website. http://www.who.int/bulletin/primary_health_care_series/ en/index.html Accessed at 25 January 2010.
Khayyati F, Esmaeil Motlagh M, Kabir MJ, Kazemeini H, gharibi F, Jafari N. The role of family physician in case finding, referral, and insurance coverage in the rural areas. Iranian J Publ Health 2011; 40: 136–9.
Rahbar Mohammadreza. Primary Health Care in Islamic Republic of Iran. Series of Health Report in Islamic Republic of Iran. Ministry of Health & Medical Education, Deputy for Health. Second edition 2009.
González N, Quintana JM, Bilbao A, Escobar A, Aizpuru F, Thompson A, et al. Development and validation of an in–patient satisfaction questionnaire. International Journal for Quality in Health Care 2005; 17: 465–72.
Marcinowicz L, Chlabicz S, Grebowski R. Patient satisfaction with healthcare provided by family doctors: primary dimensions and an attempt at typology. BMC Health Services Research 2009; 9: 63.
Bernhart MH, Wiadnyana IG, Wihardjo H, Pohan I. Patient satisfaction in developing countries. Social Science & Medicine 1999; 48: 989–96.
Donabedian A. The quality of care: how can it be assessed? Journal of the American Medical Association 1988; 260: 1743–8.
Jackson JL, Chamberlin J, Kroenke K. Predictors of patient satisfaction. Social Science and Medicine 2001; 52: 609–20.
Aharony L, Strasser S. Patient satisfaction: What we know and what we still need to explore. Medical Care Review 1993; 50: 49–79.
Brown SW, Schwartz TA. A gap analysis of profess- ional service qualities. Journal of Marketing 1989; 53: 92–8.
Thompson AG, Sunol R. Expectations as determinants of patient satisfaction: concepts, theory and evidence. International Journal for Quality in Health Care 1995; 7: 127–41.
Wu CL, Naqibuddin M, Fleisher LA. Measurement of patient satisfaction as an outcome of regional anaesthesia and analgesia: A systematic review. Regional Anesthesia and Pain Medicine 2001; 26: 196–208.
Calnan M. Towards a conceptual framework of lay evaluation of health care. Social Science and Medicine 1988; 27: 927–33.
LaMonica E, Oberst M, Madea A, Wolf R. Development of a patient satisfaction scale. Research in Nursing and Health 1986; 9: 43–50.
Pascoe GC. Patient satisfaction in primary health care:A literature review and analysis. Evaluation & Program Planning 1983; 6: 185–210.
Sitzia J. How valid and reliable are patient satisfaction data? An analysis of 195 studies. International Journal for Quality in Health Care 1999; 11: 319–28.
Fung D, Cohen MM. Measuring patient satisfaction with anaesthesia care: A review of current methodology. Anesthesia and Analgesia 1998; 87: 1089–98.
Oliver RL. Satisfaction: A behavioral perspective on the consumer. New York: McGraw–Hill, 1997.
Saad AS, Siddiqui N, Khandakar H. Patient satisfaction with health services in Bangladesh. Health Policy and Planning 2007; 22: 263–73.
Antoniotti S, Baumstarck–Barrau K, Siméoni MC, Sapin C, Labarère J, Gerbaud L, et al. Validation of a French Hospitalized patient’s satisfaction questionnaire: The QSH–45. International Journal for Quality in Health Care 2009; 21: 243–52.
Calnan M, Katsouyiannopoulos V, Ovcharov VK, Pro- khorskas R, Ramic H, Williams S. Major determinants of consumer satisfaction with primary care in different health systems. Family Practice 1994; 11: 468–78.
Baker R. Characteristics of practices, general practitio- ners and patients related levels of patients’ satisfaction with consultations. Br J Gen Pract 1996; 46: 601–5.
Kersnik J. Determinants of customer satisfaction with the health care system, with the possibility to choose a personal physician and with a family doctor in a transition country. Health Policy 2001; 57: 155–64.
Margolis SA, Al–marzouq S, Revel T, Reed RL. Patient satisfaction with primary health care services in the United Arab Emirates. International Journal for Quality in Health Care 2003; 15: 241– 9.
Al–Davood KM, Elzubier AG. Patients’ expectations and satisfaction in a teaching hospital outpatient clinic, Al Khubar, Saudi Arabia. Saudi Med J 1996; 17: 245–50.
Beck EJ, Griffith R, Fitzpatrick R, Mandalia S, Carrier J, Conlon C, et al. Patient satisfaction with HIV service provision in NPMS hospitals: The development of a standard satisfaction questionnaire. NPMS steering Group. AIDS care 1999; 11: 331–43.
Hutchison B, Østbye T, Barnsley J, Stewart M, Mathews M, Campbell MK, et al. Patient satisfaction and quality of care in walk–in clinics, family practices and emergency departments: The Ontario Walk–In Clinic Study. CMAJ 2003; 15: 168: 977–83.
Mendoza Aldana J, Piechulek H, al–Sabir A. Client satisfaction and quality of health care in rural Bang- ladesh. Bull World Health Organ 2001; 79: 512–7.
Rahman MM, Shahidullah M, Shahiduzzaman M, Rashid HA. Quality of health care from patient pers- pectives. Bangladesh Med Res Counc Bull 2002; 28: 87–96.
Hjortdahl P, Laerum E. Continuity of care in general practice: Effect on patient satisfaction. BMJ 1992; 304: 1287–90.
McWhinney IR. A textbook of family medicine. 2nd rev. ed. New York: Oxford University Press, 1997.
Hall, JA, Dornan MC. What the patients like about their care and how often they are asked: A meta–analysis of the satisfaction literature. Social Science and Medicine 1988; 27: 935–9.
Backhouse S, Brown Y. Using patient satisfaction sur- vey to close the theory–practice gap. Nursing Standard 2000; 14: 32–5.
Leino–Kilpi H, Vuorenheimo J. The patient’s perspec- tive on nursing quality: Developing a framework for evaluation. International Journal for Quality in Health Care 1994; 6: 85–95.
Azoulay E, Pochard F, Chevret S, Jourdain M, Borns- tain C, Wernet A, et al. Impact of a Family Informa- tion Leaflet on Effectiveness of Information Provided to Family Members of Intensive Care Unit Patients. American journal of respiratory and critical care medicine 2002; 165: 438–42.
Merkouris A, Papathanassoglou ED, Lemonidou C. Evaluation of patient satisfaction with nursing care: Quantitative or qualitative approach? International Journal of Nursing Studies 2004; 41: 355–67.
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| Issue | Vol 5, No 1 (March 2011) | |
| Section | Original Articles | |
| Keywords | ||
| Satisfaction Family physician Rural and urban health center Arak University of Medical Sciences | ||
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