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Vol. 5 No. 1 (2017)

July 2017

Service Quality in Emergency Departments of the Public and Private Hospitals from the Patient’s Perspective

  • Ehsan Zarei
  • Abbas Shamsaddini – Lori

Irtiqa Imini Pishgiri Masdumiyat (Safety Promotion and Injury Prevention), Vol. 5 No. 1 (2017), 1 July 2017 , Page 8 - 1
https://doi.org/10.22037/meipm.v5i1.17615 Published: 2017-07-01

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Abstract

Background and Objectives: Patient's perspective of service quality has attracted much attention for evaluating service quality in recent years. Therefore, the objective of this study was to compare the quality of services offered in emergency departments of public and private hospitals affiliated to Shahid Beheshti University of Medical Sciences (SBMU) in Tehran 2015, from the patients’ perception.

Material and Methods: In this cross-sectional study, 373 discharged patients from four public and four private hospitals were selected by convenient sampling method. A validated questionnaire consisted of 20 items, was used for data collection. For data analysis, descriptive statistics, Mann-Whitney and regression tests were used through SPSS.22 Software.

Results: Two factors such as patient's education before discharge and prompt attention received in the emergency wards, had the lowest scores and considered as weaknesses of service quality. Quality of basic amenities, and patient care received the highest scores and ranked as strengths of emergency department service quality. The mean score of service quality was (4.3) in private hospitals, which was higher than public hospitals (3.9); and this difference was statistically significant (p<0.001). There was a significant relationship between service quality and patient education on arrival, age, residence area and patients’ health status at discharge (p<0.05).

Conclusion: Service quality of emergency department in private hospitals was better than public hospitals. The hospital management should pay more attention to the aspects of services such as patient education before discharge and fast delivery of services. Providing patients with educational booklet at discharge and telephone tracking, and reducing waiting times through re-engineering of patient care processes, are recommended to improve satisfaction of the patients.

How to cite this article:Zarei E, Shamsaddini A. Service Quality in Emergency Departments of the Public and Private Hospitals from the Patient’s Perspective.Irtiqa Imini Pishgiri Masdumiyat (Safety Promotion and Injury Prevention). 2017; 5(1):1-8.

Keywords:
  • Patient`s Perception, Emergency Department, Services Quality
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How to Cite

1.
Zarei E, Shamsaddini – Lori A. Service Quality in Emergency Departments of the Public and Private Hospitals from the Patient’s Perspective. Irtiqa Imini Pishgiri Masdumiyat [Internet]. 2017 Jul. 1 [cited 2026 Jul. 25];5(1):8-1. Available from: https://journals.sbmu.ac.ir/spip/article/view/17615
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References

Taner T, Antony J. Comparing public and private hospital care service quality in Turkey. Leadership in Health Services. 2006;19(2):1-10.[pubmed]

Parasuraman A, Zeithaml V, Berry L. SERVQUAL: a multiple-item scale for measuring consumer perceptions of service quality. In: Findlay A, Sparks L, editors. Retailing: critical concepts. London: Taylor & Francis; 2002. p. 140.

Wu C-C. The impact of hospital brand image on service quality, patient satisfaction and loyalty. African Journal of Business Management 2011;5(12):4873-82.

Zeithaml VA, Berry LL, Parasuraman A. The behavioral consequences of service quality. Journal of Marketing. 1996;60(2):31-46.

De Man S, Gemmel P, Vlerick P, Van Rijk P, Dierckx R. Patients' and personnel's perceptions of service quality and patient satisfaction in nuclear medicine. European Journal of nuclear medicine and molecular imaging. 2002;29(9):1109-17.[pubmed]

World Health Organization. Quality of care: a process for making strategic choices in health systems. Geneva: World Health Organization; 2006.

Eriksson U, Svedlund M. Struggling for confirmation–patients’ experiences of dissatisfaction with hospital care. Journal of Cinical Nursing. 2007;16(3):438-46.[pubmed]

Cleary P, Edgman-Levitan S. Health care quality: incorporating consumer perspectives. Jama. 2007;278(19):1608-12.[pubmed]

Bos N, Sturms L, Schrijvers A, Stel H. The consumer quality index (CQ-index) in an accident and emergency department: development and first evaluation. BMC health services research. 2012;12(1):284.[pubmed]

Khankeh H, Khorasani-Zavareh D, Azizi-Naghdloo F, Hoseini M, Rahgozar M. Triage effect on wait time of receiving treatment services and patients satisfaction in the emergency department: Example from Iran. Iranian Journal of nursing and Midwifery Research. 2013;18(1):79-83.[pubmed]

Heisler E, Tyler N. Hospital-Based Emergency Departments: Background and Policy Considerations. Congressional Research Service. 2014;3(5):57-63.

Haghparast-Bidgoli H, Hasselberg M, Khankeh H, Khorasani-Zavareh D, Johansson E. Barriers and facilitators to provide effective pre-hospital trauma care for road traffic injury victims in Iran: a grounded theory approach. BMC emergency medicine. 2010;10:20.[pubmed]

Lecky F, Benger J, Mason S, Cameron P, Walsh C, Bodiwala G, et al. The International Federation for Emergency Medicine framework for quality and safety in the emergency department. Emergency Medicine Journal. 2014;31(11):926-9.[pubmed]

Bos N, Seccombe IJ, Sturms LM, Stellato R, Schrijvers AJ, Stel HF. A comparison of the quality of care in accident and emergency departments in England and the Netherlands as experienced by patients. Health Expectations. 2014;19(3):773-84.[pubmed]

Ramez WS. Comparing Patients’ satisfactions towered service quality of public and private hospitals in Bahrain. International Business and Management. 2014;8(1):72-82.

Al Khattab S, Aborumman AH. Healthcare service quality: Comparing public and private hospitals in Jordan. International Business Management. 2011;5(5):247-54.

Alijanzadeh M, MoosaniayeZare SA, Rajaee R, MousaviFard SM, Asefzadeh S, Alijanzadeh M, et al. Comparison Quality of Health Services between Public and Private Providers: The Iranian People’s Perspective. Electronic physician. 2016;8(9):2935-41.[pubmed]

Hashemi B, Motamedi M, Etemad M, Rahmati F, Forouzanfar MM, Kaghazchi F. An Audit of Emergency Department Accreditation Based on Joint Commission International Standards (JCI). Emergency. 2014;2(3):130-3.[pubmed]

Mollaoğlu M, Çelik P. Evaluation of emergency department nursing services and patient satisfaction of services. Journal of clinical nursing. 2016;25(19-20):2778-85.[pubmed]

Zohrevandi B, Tajik H. A Survey of Patients' Satisfaction in Emergency Department of Rasht Poursina Hospital. Emergency 2014;2(4):162-5.[pubmed]

Mitsungnern T, Kotruchin P, Phu-ngoen P, Prasanson T, Sumritrin S, Lathum K. Customers’ Satisfaction and Causes of Satisfaction in Emergency Room Srinagarind Hospital. Srinagarind Medical Journal. 2016;31(4):202-12.

Hosseininejad M, Aminiahidashti H, Pashaei SM, Khatir IG, Montazer SH, Bozorgi F, et al. Determinants of prolonged length of stay in the emergency department: A mixed method study from Iran. Emergency. 2017;5(1):268-73.[pubmed]

Messina G, Vencia F, Mecheroni S, Dionisi S, Baragatti L, Nante N. Factors affecting patient satisfaction with emergency department care: an Italian rural hospital. Global journal of health science. 2015;7(4):30-9.[pubmed]

Crouch R, Cooke M. Making care count: introducing the Emergency Department quality indicators. International Emergency Nursing 2011;19:67-68.[pubmed]

Zarei E. Service quality of hospital outpatient departments: patients’ perspective. International journal of health care quality assurance. 2015;28(8):778-90.[pubmed]

Ebrahimipour H, Vafaei Najjar A, Khanijahani A, Pourtaleb A, Javadi M, Rezazadeh A, et al. Health system responsiveness: a case study of general hospitals in Iran. International Journal of Health Policy and Management. 2013;1(1):99-105.[pubmed]

Curran J, Cassidy C, Chiasson D, MacPhee S, Bishop A. Patient and caregiver expectations of emergency department care: A scoping literature review. International Emergency Nursing. 2016;32:62-9.[pubmed]

Reihani H, Pishbin E, Abbasi Shaye Z, Ebrahimi M, Bolvardi E, Talebi Delooi M, et al. Patient Satisfaction Analysis in Emergency Department in Imam Reza Hospital of Mashhad. Journal of Patient Safety & Quality Improvement. 2015;3(1):179-83.

Basu S, Andrews J, Kishore S, Panjabi R, Stuckler D. Comparative performance of private and public healthcare systems in low-and middle-income countries: a systematic review. PLoS med. 2012;9(6):e1001244.[pubmed]

Batbaatar E, Dorjdagva J, Luvsannyam A, Savino MM, Amenta P. Determinants of patient satisfaction: a systematic review. Perspectives in public health. 2016;137(2):89-101.[pubmed]

Zarei A, Arab M, Froushani AR, Rashidian A, GhaziTabatabaei SM. Service quality of private hospitals: The Iranian Patients' perspective. BMC Health Services Research. 2012;12:31.[pubmed]

Carlucci D, Renna P, Schiuma G. Evaluating service quality dimensions as antecedents to outpatient satisfaction using back propagation neural network. Health care management science. 2013;16(1):37-44.[pubmed]

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