The quality assessment of family physician service in rural regions, Northeast of Iran in 2012

Najar, Ali Vafaee; Nejatzadegan, Zohreh; Pourtaleb, Arefeh; Kaffashi, Shahnaz; Vejdani, Marjan; Molavi-Taleghani, Yasamin; Ebrahimipour, Hossein

doi:10.15171/ijhpm.2014.35

Cited by 11 publications

(11 citation statements)

References 17 publications

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“…Vafaee-Najar et al (16) showed, in their study, that empathy had the lowest gap, which was similar to our results. However, Zarei et al (1) and Bahadori et al (8) reported that empathy had the highest gap when compared to all of the other dimensions.…”

Section: Discussionsupporting

confidence: 93%

“…The highest gaps in this study were in the tangibles (-0.33) and reliability (-0.30), and Vafaee-Najar et al (16) showed similar results. However, Aghamolaei et al showed that the gaps in the responsibility and empathy were higher than in the other dimensions (2).…”

Section: Discussionsupporting

confidence: 80%

“…An important component of the empathy dimension is paying attention to the patients' values and emotions, which can have a significant impact on the improvement of their perceptions about the quality of the services provided (16). More empathy from the medical personnel can create more satisfaction in their patients (29).…”

Section: Discussionmentioning

confidence: 99%

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Analyzing the Quality Gapsin the Services of Rehabilitation Centers Using the SERVQUAL Technique in Ahvaz, Iran

Torabipour

Sayaf

Salehi

et al. 2016

Jundishapur J Helath Sci

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Background: The SERVQUAL (service quality) technique is one of the best techniques to evaluate customers' expectations and perceptions of the quality of the services they have received.Objectives: This study aimed to assess the quality gap in the services provided by rehabilitation centers in Iran using the SERVQUAL technique. Patients and Methods: This was a cross-sectional study conducted in Ahvaz, Iran. The study sample was composed of 255 patients randomly selected from 5 rehabilitation centers. The research data was collected using a valid questionnaire, consisting of 22 items and 5 dimensions of service quality. Results: Most of the patients included in this study were female (72.9%), and the mean age of the patients was 40 ± 13.2 years. The total mean scores of the patients' expectations and perceptions were 3.73 (SD = 0.3) and 3.56 (SD = 0.5), respectively. According to the gap analysis, there was a negative quality gap in each of the five SERVQUAL dimensions, but in the assurance dimension, this gap was very low, and not found to be significant. The quality gap was more negative in the tangiblesfactor (-0.33) and reliability (-0.30) than in the other factors. Conclusions: There was a negative gap between the patients' expectations and what they actually perceived in the studied rehabilitation centers (with the exception of one public clinic); therefore, improvements are needed across all five dimensions.

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Section: Discussionsupporting

confidence: 93%

Section: Discussionsupporting

confidence: 80%

See 1 more Smart Citation

Analyzing the Quality Gapsin the Services of Rehabilitation Centers Using the SERVQUAL Technique in Ahvaz, Iran

Torabipour

Sayaf

Salehi

et al. 2016

Jundishapur J Helath Sci

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“…Today, the PHC in Iran has many achievements and various successes in promoting health indexes (18). Despite these achievements, the country is facing emerging challenges related to demographic transition including population aging, changes in people needs, the unsustainability of resources, and hospital-centered health services (19,20). Therefore, these factors bring about an urgent need to accentuate elderly health needs in Iran.…”

Section: Introductionmentioning

confidence: 99%

Process evaluation of a national elderly nutrition care program in Iran: Perspectives of clients and providers

Kheirouri

Alizadeh

Foroumandi

et al. 2020

Preprint

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Background The rapid growth of Iran elderly population highlights the importance of more attention to nutritional needs of this age group. Process evaluation study on the nutritional part of the national Elderly-Integrated Care Program was conducted to examine degree of exposure and satisfaction of the targets with the program components, and assess the reach, delivery, fidelity, and external contexts of the program.Methods To evaluate perspectives of clients on elderly integrated nutrition care program (EINCP) implementation process, a self-administrated questionnaire was constructed, validated, and applied to 256 individuals with the age of above 60 years attending the program at 57 health care centers of Tabriz metropolitan area of East Azerbaijan province in Iran using convenience sampling method. Another valid questionnaire was also applied to investigate viewpoint of the perceptions of 76 staffs of these health care centers as the program providers around the EINCP.Results The reach rate of the clients was reported 20.0%. Delivery of the educational components to entire program providers was accomplished (100.0%); however, the delivery of some parts of the program to the clients had some main weaknesses. The fidelity of the program tools was considered inadequate from perspectives of both clients and providers. 77.5% of the clients had exposure to the program. Clients’ satisfaction rate was varied from 4.2 to 34.7% with various available services, but 42.8% of the clients had high satisfaction with overall parts of the EINCP. The program also suffered from some external contexts such as the lack of financial support of program providers.Conclusion The format of the EINCP and strategies related to recruitment of the clients should be improved in order to minimize the barriers highlighted in this study. The providers should focus on raising the compliance of clients to receive a higher reach rate. It is suggested that program planners add periodic monitoring and evaluation of the program.

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“…The most important of these challenges are the changing of disease patterns from infectious to chronic, the population aging, unsustainability of resources, hospital-centered health services, use of untrained physicians in managerial positions, deterioration of health centers' building, changes in people's needs, increasing urbanization and growing marginal areas of cities with special health needs. 7,8 Therefore, the need for fundamental reforms in the management and provision of PHC, especially in urban areas, seems unavoidable. 9 Today, different strategies have been used to cope with the challenges of health care system in different countries.…”

Section: Introductionmentioning

confidence: 99%

Analysis of Public-Private Partnership in Providing Primary Health Care Policy: An Experience From Iran

Gharaee

Tabrizi

Azami-Aghdash

et al. 2019

J Prim Care Community Health

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Background: This study aims to analyze the public-private partnership (PPP) policy in primary health care (PHC), focusing on the experience of the East Azerbaijan Province (EAP) of Iran. Methods: This research is a qualitative study. Data were gathered using interviews with stakeholders and document analysis and analyzed through content analysis. Results: Participants considered political and economic support as the most important underlying factors. Improving system efficiency was the main goal of this policy. Most stakeholders were supporters of the plan, and there was no major opponent. Implementing the health evolution plan (HEP) was an opportunity to design this policy. Participants considered the lack of provision of infrastructure as the main weakness, changing the role of the public sector as the main strength, and promoting social justice as the main achievement of policy. The results of the quantitative data review showed that following the implementation of this policy, health indicators have been improved. Conclusions: Based on the results of this study, the PPP model in EAP is a new and successful experience in PHC in Iran. Supporting and developing this policy may improve the quality and quantity of providing care.

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The quality assessment of family physician service in rural regions, Northeast of Iran in 2012

Cited by 11 publications

References 17 publications

Analyzing the Quality Gapsin the Services of Rehabilitation Centers Using the SERVQUAL Technique in Ahvaz, Iran

Analyzing the Quality Gapsin the Services of Rehabilitation Centers Using the SERVQUAL Technique in Ahvaz, Iran

Process evaluation of a national elderly nutrition care program in Iran: Perspectives of clients and providers

Analysis of Public-Private Partnership in Providing Primary Health Care Policy: An Experience From Iran

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