جستجوی مقالات مرتبط با کلیدواژه « رضایتمندی بیماران » در نشریات گروه « پزشکی »

Today, patient' satisfaction is considered one of the important indicators in the quality of health services by healthcare organizations. Therefore, considering the importance of the topic, this study was conducted to investigate patients' satisfaction with the waiting time in the General operating room of Imam Khomeini Hospital to start surgery.

The current study is a descriptive-analytical and cross-sectional epidemiological study that was conducted on 165 patients of the General Operating Room of Imam Khomeini Hospital in 1402 using a 2-part questionnaire containing demographic information and 30 questions on patient satisfaction.

Among the 165 patients who participated in our study: 43.6% Their age range was 30-39, 53% were women, 47% were Sir, 45% were unemployed, 66% were Married, 75% were Under diploma, 30% They are obstetric women's surgery, 48% Had a History of surgery and 50% They had a history of anesthesia. The average waiting time was 57 minutes. 60% in the field of information, service 73.3%, staff-patient communication 9.67%, fear and concern 13.9% And in general56.4%, they were very satisfied. The satisfaction of male patients was higher than that of females in all sub-areas except the area of fear and concern. The statistically significant difference according to education in the field of fear and worry, service delivery, information, and according to the job in the field of personnel-patient communication, service delivery, information, and overall satisfaction, according to the history of anesthesia in the field of fear and worry, and according to the type of surgery in all areas, fear and concern, communication with personnel, service delivery, information, and overall satisfaction was seen. A significant relationship was seen between overall satisfaction with waiting time in the operating room, information, services, and staff-patient relationship.

Most of our participants were satisfied with the services provided to them. Lack of sufficient information before surgery, and fear of adverse consequences of surgery were the most important factors in reducing overall patient satisfaction.

There are different definitions of patient satisfaction provided by researchers. In general, the definition of patient satisfaction includes the patient's expectations and the excellence of health care and medical services (1). Various factors are involved in creating patient satisfaction, which include nursing care, medicine, support and various organizational departments (2). Information related to patient satisfaction can be used in many health-care facilities and designs and be effective in improving the quality of health care (1). The importance of patient satisfaction is that if this is achieved, the patient will establish a better and more appropriate relationship with the treatment team, and in this way, recovery will be accelerated. By building trust towards hospital personnel, the patient will be more cooperative in treatment procedures (3). According to the above content, it is clear that firstly, the level of patients' satisfaction with hospitals is very low compared to the rest of the world, and on the other hand, the conducted researches have considered other dimensions that are contrary to the dimensions of the present research. In the context of the subject, it has not been done in Gorgan hospitals, so in this study, we investigated the level of patients' satisfaction with the health and treatment services of Gorgan Philosophical Hospital in order to add a point to the existing information in this field in order to solve the existing deficiencies. For this purpose, a satisfaction questionnaire was completed by the patients and the obtained information was analyzed.

The current research is a descriptive-cross-sectional type that was conducted in 1401. For this purpose, from among the patients who were admitted in the departments of internal medicine and male surgery (Milad), neurology and psychology (Aghaz), CCU, general department (Pegah), internal medicine and female surgery (Shafaq) and maternity ward, available during a 173 patients were selected as samples. Then, the satisfaction level of referring patients was investigated using a questionnaire whose validity and reliability were confirmed by the professors of Golestan University of Medical Sciences. The questionnaire contained demographic information including age, gender, level of education and the department where the patient was admitted. Questionnaire topics include security with one question, reception with two questions, department secretary with one question, medical staff with 5 questions, nursing staff with 8 questions, nutrition with 5 questions, laboratory with 3 questions, pharmacy with one question, discharge and cashier with 4 questions, imaging with 3 questions and amenities with 13 questions.

Out of 173 patients included in the study, 13 patients were excluded due to the incompleteness of the questionnaires and their lack of consent to participate in the study. A total of 160 patients were examined. The demographic information of the patients is presented in Table 1. According to the information obtained, the age of men was higher than the age of women, while the number of female participants was higher than that of men. The educational level of most of the participating patients (38%) was diploma and most of the patients (25%) from Milad department of the hospital participated in this study.The frequency distribution of patients based on different health and treatment services provided in Philosophical Hospital is presented in Table 1. The most satisfied was with "doctors' encounter" where 129 people (80.62 percent) gave an excellent answer. The lowest level of satisfaction was "providing necessary training regarding the amount of tariffs and service insurance coverage" where 83 people (51.87%) gave an excellent answer. Of course, the lowest level of satisfaction was related to "how to provide ambulance services" that not all patients used this service. The most weak answer was related to the question of "providing necessary information for admission" and 7 people (4.37) gave this answer.

Based on the results, more than 50% of patients had an excellent opinion on all the services provided. In general, in the medical staff department with 5 services, on average, 73.25% of patients had an excellent opinion and 19.50% had a good opinion. In general, patients' satisfaction with the services of the nursing staff was slightly lower than that of the medical staff. The importance of satisfaction with nursing services is to the extent that it affects patients' satisfaction with the entire hospital services (6). In this regard, Aiken et al. (2018), in an extensive study on patients discharged from 161 British hospitals, point out the important role of the quality of nurses' work and the presence of the right number of professional and experienced nurses in patients' trust in nurses and doctors (7). In the nutrition department, on average, 63.22% of the patients gave an excellent response and 29.37% gave a good response to the service. The highest level of satisfaction was related to "time of food distribution" and the highest level of satisfaction was related to food quality. In the laboratory department, on average, 58.33% of patients gave an excellent response and 28.33% gave a good response to the service. In this department, the percentage of patients with no response was increasing. This result is worth considering. In the departments of pharmacy, discharge and fund, imaging and comfort facilities, the satisfaction of the patients gradually decreased, which should be noticed by the hospital officials. In the security department, reception and department secretary, the responses were mostly excellent and good. But the presence of 7 weak answers in "providing the necessary information at the time of admission" was significant and requires more cooperation of the admission staff. In this context, Moin et al. (2016) investigated the satisfaction of 400 patients with the emergency services in Shahid Mostafa Khomeini Hospital, Tehran. The findings showed that 91.3% of patients had satisfactory satisfaction. The highest level of satisfaction was with the medical staff. The lowest level of satisfaction was reported in the received costs, the facilities of the emergency department compared to the comfort facilities and park clinic affairs. They stated that the status of health insurances, activating hospital staff, equipping comfort facilities and finding committed and experienced human resources were the things that needed more attention from the managers of the mentioned hospital (3). In our study, similar to the study of Moin et al., satisfaction with the medical staff (doctors and nurses) was more than other services. Overall, patient satisfaction is one of the factors that increase patients' loyalty to the hospital and its services. In this regard, Yousefi et al. (2017), in the study of the factors affecting the loyalty of patients to the hospital brand in the educational and therapeutic hospitals of Shiraz University of Medical Sciences, named three factors affecting the increase of loyalty, which are patient satisfaction, trust and commitment. to the relationship in the hospital (14).

Nursing care and patient satisfaction are the two basic components of nursing and the result is the promotion of public health and faster recovery of patients. Therefore, the aim of this study was to determine patients' satisfaction with nursing care in university hospitals. Medical sciences were performed in Birjand.

In this descriptive-analytical study, 249 patients were admitted to Birjand hospitals in 1398 were selected by multi-stage method and the data collection tool was a questionnaire developed by the Deputy Minister of Nursing of the Ministry of Health and Medical Education. Data were analyzed using SPSS 22 statistical software and descriptive statistics and Chi-square test at the significant level of 0.05.

In this study, the majority of patients were female (58.2%), married (93.2%), aged 41-50 years (20.5%), undergraduate education (55%), resident of the city (63.9%) and possessed good experience from previous hospitalization (49.2%). Their level of satisfaction in general and its components is moderate. The highest mean score of patient satisfaction is related to the component of moral and emotional competence (3.56 61 0.61) and the lowest mean is related to the component of patient education (2.89. 0.82). The mean total patient satisfaction score was 3.31. 0.63.

In this study, patients' satisfaction with nursing care and the dimensions of medical care, patient education, therapeutic communication and moral and emotional ability was moderate. With the planning of managers and nurses, a step can be taken to improve the quality of nursing care and satisfaction Patients harvested.

Elderly people have a disability in daily activities such as talking, eating and so on and needing prosthetic treatment. Patient satisfaction with complete dentures should be the primary goal of their treatment. The lack of awareness of the dentistry specialists is one of the reasons for the problems. The aim of this study was to assess the satisfaction of patients with dentures made by general practitioners, as well as experimental students and practitioners, in order to improve the success of prosthetic treatment and improve the quality of life of patients.

In this descriptive analytical cross-sectional study, 120 patients were randomly assigned to participate in the study by random sampling and participated in four groups A, B, C, D. Data analysis was performed using descriptive statistics, ANOVA and Tukey post hoc test. SPSS Version 18.0 (Inc., Chicago, IL, USA) software and R Version 3.2.2 software were used with dunn.test package. The significance level in this study was considered 0.05.

Significant differences were found between the groups (P <0.001) and Dentist overall satisfaction, Patients overall satisfaction, Esthetics, Ability to masticate, Ability to speak, Ease of cleaning, Comfort, Stability, Retention, and Functional limitation. . Also, there was a significant difference between the groups in the field of physical pain, psychological discomfort, physical disability, psychological disability, social disability (p <0.001).

There was a statistically significant difference between the basins in the study groups.

 Considering the important role of moral intelligence in changing people's attitudes towards different behaviors, it seems necessary to pay attention to the importance of this variable in different jobs especially in the medical profession due to constant and direct contact with human clients. Therefore, the purpose of the present study was to investigate The Role of Moral Intelligence of Emergency Physicians in Predicting Satisfaction of Patients Referred to Ardabil Hospitals.

 The present study was a descriptive-analytical and cross-sectional study. The study population consisted of all physicians and patients referring to the emergency department of Ardabil hospitals. In this study, 56 physicians working in 4 teaching hospitals of Ardabil city and 392 corresponding patients were selected by Available sampling method. For data collection Lennick and Kiel’s (2005) Moral Intelligence Questionnaire and Salami S & Samouei (2012) Patient Satisfaction Questionnaire were used. Data were analyzed by Pearson correlation coefficient and multivariate regression using SPSS 22 statistical software.

 The obtained data from this study showed that there is a significant positive correlation between physicians 'moral intelligence and patients' satisfaction (r=0.528, p=0.001). Also, the results of regression Analysis showed that physicians 'moral intelligence can predict the 26/6 percentage of patients' satisfaction (p<0/001).

Ethical Considerations: In the process of conducting this research, all ethical considerations related to human studies such as obtaining informed consent and maintaining the confidentiality of the participants in the research were observed.

 According to the results of the present study, it can be said that moral intelligence is an important factor in patients' satisfaction of received medical services, therefore, it is suggested that skills training such as communication enrichment, empathy, responsibility and compassion therapy be used in physicians' training courses.

The main goal of health system reform plan, was to provide financial support for health costs of citizens, organize hospital services and improve their quality, and provide fair access to health care. Therefore, this study aimed to evaluate patients’ satisfaction in emergency department (ED) of Imam Hossein Hospital, Tehran, after health system reform plan implementation in Iran.

The study was performed in Imam Hossein Hospital, affiliated with Shahid Beheshti University of Medical Sciences. Satisfaction of 2000 patients or their relatives was evaluated using a questionnaire designed based on topics announced by the Ministry of Health for evaluating patient satisfaction.

The highest rate of satisfaction from emergency services in the ED belonged to medical and ethical principles. Other studied topics were ranked in the following order: support during and after providing services, overall perception, products and services, and loyalty. In the treatment processes carried out in ED, services provided and preparations made for treatment can be evaluated from physical and emotional aspects, and the satisfaction in the physical aspect is significantly higher than the emotional aspect. Taking this into account can be of great help in improvement of the conditions.

Overall, after the implementation of health system reform plan, patients have been less satisfied with emotional aspect of treatment, which could be due to lack of personnel, lack of proper training, ED overcrowding, and sometimes human errors or negligence of staff. Price indices and rapid reduction of pain were among the most important items that increased overall satisfaction.

Long after the implementation of the “Health System Transformation Project”, no comprehensive assessment of patient and nurse satisfaction rate has been carried out in Iran based on available databases. Thus, this review study was designed and performed to answer this question: “How is the evaluation of the Health System Transformation Project in nurse and patient satisfaction dimensions.”

A systematic review of related studies based on preferred reporting items for systematic reviews and meta-analyses (PRISMA) guidelines was performed via keywords such as “Health System Transformation Project”, “Transformation Project”, “health”, “Iran”, “challenges”, “physician”, “nurse”, “patient”, and “satisfaction” to search Iranian (Magiran and Scientific Information Database, SID) and international databases (PubMed, ISI web of knowledge, Scopus, Google Scholar, and ProQuest) with OR and AND operators from March 2014 to April 2019. Also the quality of studies was assessed using STROB checklist (special for cross-sectional studies). Then required information (for example type of studies, sample size, mean age of participants and satisfaction score) were gathered from studies.

From 43 articles that were gathered from primary stages, 18 articles were selected after passing different screening levels. On average, the level of patiaent satisfaction with the Health System Transformation Project was acceptable. Ghazvin province was seems more successful in satisfaction of patients against of other provinces. However, various positive and negative reports were found about the satisfaction of nursing groups. Generally, it seems that Tehran province (at the center of Iran) was more successful in performing the Health System Transformation Project (from the aspect of satisfaction of different groups).

Based on obtained results, patient’s satisfaction was appropriate in most of studies and also in nursing group was under average level.

Colonoscopy is the most important diagnostic and therapeutic method for colorectal diseases. Patients' satisfaction with such aggressive procedures is an important criterion for assessing the quality of health care. The purpose of this study was to determine the effect of compilation education through video tutorials and visual aids on satisfaction in patients undergoing colonoscopy.

This quasi-experimental study was performed on 180 outpatient colonoscopy candidates referred to Imam Khomeini Hospital in Urmia in 2018. The participants were selected by convenience sampling method and they were randomly assigned to control and intervention groups. Training videos and educational charts on colonoscopy before colonoscopy and on colonoscopy day were screened for the candidates of the colonoscopy, and the additional information and patient questions were provided. Patients' satisfaction after intervention was assessed by GHAA-9 questionnaire. SPSS software version 16 was utilized and descriptive and inferential methods were used for data analysis.

The mean score of satisfaction was 46.07 ± 5.03 in the intervention group and 24.72 ± 7.94 in the control group. The independent t-test results showed that there was a significant difference between the two groups after the intervention (p <0.0001).

The combination of education through educational videos and video cards significantly increased patient satisfaction, therefore the colonoscopy unit staff are recommended to improve the quality of care and patient satisfaction by using such methods.

Patients’ satisfaction is a key factor in the evaluation of health system’s quality in developed countries. The purpose of the presnt study was to investigate Patients’ satisfaction with services provided at pharmacies in the city of Kashan and related elements.

In a cross- sectional study, 440 patients who referred to pharmacies in the city of Kashan were surveyed randomly. The questionnaire was composed of 44 items and focused on four dimensions: patients’ expectations from the pharmasict, pharmacist’s communication skills, consultations offered by the pharmacist, and the location and physical environment of the pharmacy. In order to analyze the data of this study, SPSS software version 20, and parametric and ANOVA tests were used.

Patients’ highest expectations were courteous behavior from the pharmacist and the personnel (92/7%), low wating time (92%), explanation for medication indications (85%), and explanation on how to use the medications (82/5%). Patients’ satisfaction elements with the highest score were cordial and pleasant attitude of the pharmacist (78.9%), labeling the medications by the pharmacist (78%) and the illumination inside the drugstores facility (93%).

The city of Kashan has variable levels of satisfaction with the quality of pharmacy services. To increase levels of satisfaction, it is necessary to provide appropriate training in pharmacies and quality of services promted in all domains.

The health care industry and its sensitive environment, improving nurse's perception of internal marketing and its emphasis on employees empowerment and their jobs, can enhance the internal environment of the hospitals and the patient satisfaction. The purpose of this study was to determine the perception of internal marketing by surgical nurses and its role in service-centered encounter and patient satisfaction in hospitals. The present study was a descriptive study that its statistical population consisted of the nurses of the surgical department of hospitals in Fars province. This research began in October 2017, which was distributed by purposive sampling method in a total of 684 questionnaires distributed and after deleting the questionnaires with incomplete answers, the number of questionnaires was 546. To collect data, “Internal Marketing Perception Questionnaire”, “Service-Centered Encounter Questionnaire" and" Patient Satisfaction Questionnaire” were used. The validity of the instruments were measured by Content Validity Index (CVI) and reliability by Cronbach's alpha method. Data was analyzed by SPSS 18.0. The value of F was equal to 44.692 which was significant at 1% level. As a result, service-oriented exposure is positively correlated with patient satisfaction. Also, understanding the internal marketing among nurses in the surgical unit has a significant positive moderating effect on the service- centered encounter and patient satisfaction (F = 31. 074, P < 0.001) and (F = 37.256, P < 0.001). Service-centered encounter has a positive correlation with patient satisfaction, and internal marketing perception has a positive moderating effect on service-oriented encounter and patient satisfaction. It is suggested that by implementation of performance-based encounter assessment, emphasize on the patient needs by nurses.

Patient satisfaction in the emergency department is one of the important indicators to assess the quality of hospital services. This study aimed to investigate the factors affecting the triple dimensions of satisfaction (technical-professional care, trust, and patient education) in patients referred to the emergency department. This cross-sectional study was performed in 378 patients presenting at the emergency department of Zanjan hospitals, Iran, in 2017. Demographic data were recorded. A Patient Satisfaction Questionnaire was used to examine the patient's satisfaction in three dimensions: technical-professional care, trust, and patient education. Data were analyzed using SPSS version 18. The mean age of the patients was 48.2±19.6 years. Most patients were men and married. The mean±SD score of satisfaction in patients referred to the emergency department was 84.57±25.69, which was considered moderate. In assessing the dimensions of satisfaction, technical-professional care had the highest mean, and training to the patient had the lowest score. There was a significant relationship between satisfaction and trust with hospitalization and age (p=0.004). The variables of gender, marital status, education level and employment status with satisfaction and dimensions were not significant. Patient satisfaction was moderate. It seems that there is a need for planning in order to increase satisfaction and its dimensions in patients who have frequent visits.

The importance of considering patients’ satisfaction with the health system development plan has an effective role in management planning. The purpose of this study was to determine the satisfaction rate of hospitalized patients in Tehran’s public hospitals as a reduction in the rate of payment for patients in the health system reform plan.
This was a descriptive cross-sectional study conducted in the first half of 1394. The research community is the patients of the Tehran State hospital. A multi-stage sampling (500 patients) was performed. The data gathering tool was a researcher made questionnaire whose validity and reliability were confirmed. Data analysis was done by SPSS software version 22 using correlation, factor analysis, and Friedman test.
Based on the findings of the research, it can be concluded that reducing the amount of hospitalized patients to make vitality, reducing illness due to the insignificant costs of treatment, and enhancing equity in health is a positive consequence of the program. As a result, the health system development plan plays an important role in patient satisfaction and has reduced the health concerns of people.

Patient satisfaction is an important indicator of health care quality. With regard to the implementation of the healthcare reform plan aims to provide optimal service to patients, Pay attention to patient satisfaction of the implementation of this project, is of great importance.
this study aimed to determine the level of patient satisfaction into three specialized and ultra-specialized clinics of Yazd after the implementation of healthcare reform has been carried out.
This cross-sectional study was conducted in 1394.The study population included all patients referred to three clinics in Yazd (Khatamolanbia, Imam Ali and Baghaeipoor) that were also referred to these clinics before the implementation of the development plan (period 92-89). 1760 patients in proportion to each clinic were selected by multistage random and with concurrent controls. Data were collected by a questionnaire that was analyzed with SPSS 22 software.
In this study 52.1% of patients were endemic and 47.9% of patients were non-native. Overall, the average satisfaction with the favorable situation of clinics was 78.1%, average was 15.7% and 6.2% were dissatisfied. Finally, 96.3% of patients referred to the clinics announced re-elect these clinics due to the presence of senior doctors, quality of service and low-cost health.
According to the satisfaction of patients from clinics due to increased features and benefits that the implementation of the development plan for patients in clinics are provided as well as increased presence of non-native in Yazd province seems to be in the coming years more patients are referred to the clinic

Emergency department (ED) is one of the most important wards in a hospital and its function can deeply affect the function of other wards and patient satisfaction. Therefore, the speed of providing services in ED is of great importance in order to decrease mortality and disabilities. Thus, the present study was done with the aim of evaluating timing of services in 2 teaching hospitals in Arak.
In this crosssectional study, researchers were present in the hospitals for 3 months in various working shifts and recorded the time of the patients’ presentation to triage unit. They also recorded the times of physician’s visit, sending samples to laboratory and receiving their results, radiography performance, and decision making in a checklist using a chronometer.
In the present study, 200 patients with the mean age of 45.8 ± 2.5 years participated (53.5% male). The findings of the study showed that mean time interval between triage and physician’s visit was 8.1 ± 4.3 minutes, time between visit and the first treatment measure was 8.7 ± 2.3 minutes, time between ordering a test and receiving results was 60.9 ± 17.5 minutes, time between ordering radiography and getting the results was 55.4 ± 18.1 minutes, time between ordering electrocardiography and getting the results was 5.4 ± 2.3 minutes and the patient’s length of stay in ED was 6.9 ± 3.3 hours.
It seems that although the timing of providing the studied services is less than similar studies in some cases, it is still far from the international standards.

Services quality is a distinctive factor and the most powerful competitive weapon where most of servicing organizations have in their properties. Offering services improvement causes productivity, costs reduction and so increasing patients’ satisfactory.
This correlation description study performed on 405 in-patients of 3 hospitals related to Islamic Azad University, Tehran Medical Branch, in 2015. They were chosen by available sampling. Information gathering was performed by a questionnaire, including 3 parts of demographic specifications, patients’ satisfaction questions and services quality evaluation (SERVQUAL).
there was significant relation between patients’ satisfaction and hospital services quality on the basis of SERVQUAL model (p Customer satisfaction is owed to services quality. Services quality analysis makes hospital management system to be able to assign financial resources for performance improvement in fields that are more effective on customer comprehension of services quality.

Patients often suffer from inadequate treatment of postoperative pain. The aim of this study was to investigate effect of PCA on postoperative pain management and patients’ satisfaction from use of PCA.
In this prospective study, between 2010 to 2011, patients presented by orthopedic specialists to acute and chronic pain service of Akhtar Hospital. A satisfaction questionnaire was given on discharge to this patients, were asked to fill out it . Then collected by ward nurse.
patients’ satisfaction from pain relief with use of PCA was high ( 94.9% ). In this patient pain relief at third day after surgery and require analgesic was low, significantly (p=0.0001). Significant patients’ satisfaction from effect of PCA in pain control and products support was high (p=0.0001).
Patient controlled analgesia is a safe, effective and noninvasive method for post operative pain management and in this study patients’ satisfaction for pain management was high for use of PCA and pain service.

One way of evaluating medical services is through assessment of patient satisfaction. Patient satisfaction is a concept that has become so important in medical care nowadays and is even more important in pre-hospital emergency. Therefore, the present study was carried out aiming to evaluate patient satisfaction from pre-hospital emergency services in cities under supervision of Arak University of Medical Sciences.
In this cross-sectional study to evaluate patient satisfaction, a valid and reliable questionnaire of satisfaction scale from pre-hospital emergency care was used. The questionnaire consisted of 33 questions, 9 of which evaluated demographic data and the rest assessed satisfaction in various fields including condition of the ambulance, behavior, expertise and performance of the technicians, efficiency of care, and one question regarding the overall satisfaction with pre-hospital emergency care. Finally, gathered data were analyzed using SPSS and descriptive statistics and proper tests.
During the study period, 12564 missions were accomplished. The highest frequency belonged to Arak city (65%) and lowest frequency belonged to Ashtian city (9%). 366 patients participated in this study, most of which were male (59%) and had an education level less than high school diploma. In addition, most (52%) had no history of hospitalization and the number of those who were married was higher than singles (71%). The overall satisfaction score correlated with sex (p = ), marital status (p = ), education level (p = ), place of living (p = ), and history of using emergency services. Based on the results, women, those who were married, less educated people and those who had used emergency services before had reported a higher satisfaction rate. Mean satisfaction score from emergency service of Arak University of Medical Sciences was 0.7 ± 14.5 regarding condition of the ambulance, 83.7 ± 15.5 for technician behavior, 83.4 ± 15 for their expertise, 82.7 ± 14 for performance of the technicians, 89.7 ± 4 for efficiency of care, and the overall satisfaction score was 82.5 ± 14. The overall satisfaction score in cities under supervision of Arak University of Medical Sciences varied significantly (p The results of the present study showed that patient satisfaction rate from pre-hospital emergency service, was desirable. This rate was higher in women, married people, less educated people, trauma patients and in city bases compared to others. The highest satisfaction rate belonged to the professional performance and the lowest belonged to efficiency of technicians.

The aim of this study was to investigate the effect of Medical Student Training on patients satisfaction referred to the internal medicine clinics.
This is a cross sectional descriptive study. 200 outpatients referred to the internal medicine clinic Imam Khomeini Hospital were selected by convenient sampling. The participants were divided into two groups. The group which firstly visited by a specialist and the group which firstly visited by intern and then a specialist. In this study, researcher made questionnaire was used for measuring the patient satisfaction. Data were analyzed by using one-sample t-test, independent t-test and pair-t test.
The finding showed that patients are satisfied of the presence and performance of medical interns in clinics and they preferred to be visited by intern and a specialist rather than only by a specialist (p It can be concluded that the training medical students in internal medicine clinic of hospitals can be an effective strategy for the rate of satisfaction level of patients from their treatment.

Background and Satisfaction is an important indicator in measuring the quality of services. Improving the quality of services provided in subspecialized clinics requires an appropriate understanding of the situation and the problems that different sectors are faced with. This study aimed to determine the patients’ satisfaction level from services provided in Sari Tooba Clinic and associated factors using Hotelling's T2. This analytical cross-sectional study was performed in 603 patients attending Sari Tooba clinic in 2015. The research instrument was a researcher-made questionnaire. The reliability and validity of the questionnaire was determined. Data analysis was conducted in SPSS V.20. The overall levels of satisfaction were found to be poor (20%), moderate (27%), and good (52%). No significant relationship was found between patients’ satisfaction levels and place of residence, insurance, marital status, and age. Among five investigated dimensions, the patients were only satisfied with physicians and demonstrated significantly poor levels of satisfaction in other dimensions. The services provided to patients in Sari Tooba clinic was found to be relatively satisfactory, however, in the pharmacy (waiting time) and amenities (quiet area) high levels of dissatisfaction were observed. Therefore, more measurements should be taken to make a more relaxed environment. Also, increasing the number of staff in pharmacy could shorten the waiting time, thus increasing patients’ satisfaction.