جستجوی مقالات مرتبط با کلیدواژه « کیفیت خدمات بهداشتی » در نشریات گروه « پزشکی »

Providing quality services and meeting the needs of clients in the health system of countries are emphasized by policy makers. In order to stay competitive, it is important to introduce the organization to others. Therefore, this study was conducted to investigate the relationship between accountability and quality of health services and their relationship with organizational prestige in public hospitals in Abadan and Khorramshahr in 2019.

This descriptive-analytical study was performed by the census method in three hospitals under the auspices of Abadan University of Medical Sciences. Data were collected using a questionnaire of health care quality from patients and questionnaires of fast-response organizations and organizational prestige from hospital staff. Data analysis was performed by SPSS software using descriptive statistics and Pearson’s correlation test.

The quality of medical services in the studied hospitals was moderate (63.54±15.42). Findings also showed that the response rate of hospitals was very good (62.12±15.59). Finally, the status of organizational prestige has been evaluated very well in terms of hospital staff (26.44±5.45). There was no statistical relationship among organizational prestige, service quality, and accountability.

In summary, in addition to responding quickly to patients' needs, improving the quality of services for hospital recognition and hospital prestige is also important and should be considered.

Prolonged length of stay and failure to timely disposition of patients in the emergency department (ED) lead to negative impact on the quality of service presentation, increasing dissatisfaction, and finally violence. Therefore, assessing the causes of pro longed length of stay for patients in this ward and presenting some applicable solutions against it, can significantly help improving the quality of services and more satisfaction of patients. The present study was designed with the aim of evaluating the c auses of prolonged length of stay for patients in the ED.
In a cross - sectional study, the causes of prolonged length of stay for admitted patients were assessed in the ED of Alzahra Hospital, Esfahan, Iran, during the fall 2010. A checklist was pr epared with 11 cases included: age, gender, triage level, the time of receiving admission code and discharging from ED, the chief compliant of patient, hospitalization and discharge services, date of hospitalization, and the outcome for all patients. The l ack of available bed in the ward, request for doing tests and unnecessary consultations, delay in entering the samples to the laboratory, delay in visit and disposition of patients by senior resident on duty, need to therapeutic proceedings by another service, delay in informing the resident of the related service, lack of coord ination between the other wards and ED for patient's transportation, and financial inability of the patient were considered as the probable causes of prolonged length of stay. Finally, gathered data was analyzed by using SPSS version 18.
95 (18. 8%) patients had prolonged ED length of stay (>6 hours) with the hospitalization mean of 10.4±5.5 hours. Prolonged length of stay cases were significantly higher in patients under 30 years old (p=0.0001), in weekends (p=0.05), and second level triage (p=0. 01). The most mean of prolonged length of stay were related to the surgery service with 20.0±21.2 hours, multi - service hospitalization with 16.7±12.1, neurosurgery with 15.6±15.1, internal with 14.2±16.1, orthopedic with 13.09±5.7, infectious with 13.4±13. 1, and neurology with 6.7±3.0 (p=0/001). The most common causes of prolonged length of stay for patients were related to prolonged consultation time, need to a therapeutic performance by another service, lack of available bed in other ward, and delay in disposition of patients by other services (p=0.03).

The quality of services and customers satisfaction is the most controversial aspects of today’s management service organizations. Customer orientation is the core strategy of all the organizations in the world. The aim of this study was to compare the quality of the presented services in public and collaborative health sites under the coverage of health network of Rey city، Iran in 2011-2012.

This cross-sectional descriptive study was performed randomly on 400 people who referred to public and collaborative health sites. Data gathering was conducted with SERVQUAL questionnaire by face to face interview.

There was a significant difference between the average gap of perception and service quality expectations of tangible and physical aspects (P = 0. 001)، service guarantee commitments (P = 0. 009) and sympathy (P = 0. 007) among the two sites. The gap between perception and expectations in the mentioned aspects was more in the public health sites compared to the collaborative health sites.

Service quality gap in public health sites was more compared to the collaborative health sites. It is necessary to improve the public health services by applying interventions to improve the physical environment، ensure service commitments، increase sympathy with the clients، and receive feedback on issues and treatment results from the clients.