بررسی میزان رضایتمندی مراجعه کنندگان به واحد اورژانس مرکز آموزشی درمانی پورسینا در سال 1402
محورهای موضوعی : حقوق پزشکیکوروش دل پسند 1 * , اَمیر فخرایی 2 , زهره کاظم پور کلشتری 3 , عنایت الله همایی راد 4 , درین آقاجانی 5 , شیرین معافی کلورزی 6 , محمد نوریان 7 , معصومه آزادگان 8
1 - دانشیار اخلاق پزشکی،گروه اخلاق پزشکی، دانشکده پزشکی، دانشگاه علوم پزشکی گیلان، رشت، ایران
2 - واحد توسعه تحقیقات بالینی رازی، دانشگاه علوم پزشکی گیلان، رشت، ایران.
3 - هسته تحقیقات صیانت از حقوق بیمار، دانشکده داروسازی، دانشگاه علوم پزشکی گیلان، رشت، ایران.
4 - مرکز تحقیقات ترومای جاده ای، دانشگاه علوم پزشکی گیلان، رشت، ایران.
5 - مرکز تحقیقات عوامل موثر اجتماعی بر سلامت، دانشگاه علوم پزشکی گیلان، رشت، ایران.
6 - واحد توسعه تحقیقات بالینی رازی، دانشگاه علوم پزشکی گیلان، رشت، ایران.
7 - کارشناسی ارشد حقوق بشر، پژوهشگاه قوه ی قضائیه ، مرکز وکلا کارشناسان و مشاوران خانواده قوه قضائیه، تهران، ایران.
8 - کارشناسی ارشد حقوق بشر، پژوهشگاه قوه ی قضائیه ، مرکز وکلا کارشناسان و مشاوران خانواده قوه قضائیه، تهران، ایران.
کلید واژه: رضایت بیماران, دپارتمان اورژانس, کیفیت خدمات , حقوق بیمار ,
چکیده مقاله :
رضایت بیماران یکی از شاخص های مهم اثر بخشی، کارایی و بهره وری کیفیت خدمات بهداشتی و درمانی است. لذا این مطالعه با هدف بررسی میزان رضایتمندی مراجعه کنندگان به واحد ا ورژانس مرکز آموزشی‌درمانی پورسینا در سال ۱۴۰۲ صورت گرفت. در این مطالعه ی مقطعی‌توصیفی، اطلاعات 300 مراجعه کننده به واحد اورژانس مرکز آموزشی‌درمانی پورسینا در سال ۱۴۰۲ از طریق پرسشنامه جمع آوری شد. ابتدا پرسشنامه دموگرافیک تکمیل شد. در مرحله بعد پرسشنامه رضایتمندی مقیاس کوتاه رضایت بیماران واحد اورژانس (BEPSS) توسط داوطلبین تکمیل شد. برای توصیف داده‌ها از آماره های توصیفی همچون فراوانی، میانگین و انحراف معیار استفاده شد و سطح معنی داری نیز برای مقادیر 05/0P< در نظر گرفته شد. یافته های این مطالعه نشان داد بیشترین نمره رضایت در حیطه (EDS) و کمترین نمره در حیطه ( EDE) بدست آمد. نمره کلی رضایت 51/10 ± 31/59 از 80 بود. ارتباط معناداری بین امتیازات کسب شده از سوالات حیطه (EDS)"، ( EDE)"، (GPS)" ،" (PFS)" ,(BEPSS)و (PCS)" بر حسب رده های سنی، سن مراجعین، وضعیت تاهل، محل سکونت، سطح تحصیلات و سابقه¬ی بستری مراجعین مورد تحقیق دیده نشد درحالیکه رضایت بیشتر بطور معناداری در زنان، افراد با مدت زمان بستری کمتر و وضعیت ترخیص بدون رضایت شخصی دیده شد. نتایج به دست آمده از این بررسی نشان داد که میزان رضایت مراجعین در حد قابل قبولی بوده اما با این وجود نیاز به برنامه جهت ارتقا خدمات ارائه شده وجود دارد.
Patient satisfaction is one of the important indicators of effectiveness, efficiency and quality of health care services. Therefore, this study was conducted to investigate the satisfaction of patients visiting the emergency department of PourSina Educational-Medical Center in 2023. In this cross-sectional descriptive study, information from 300 patients visiting the emergency department of PourSina Educational-Medical Center in 2023 was collected through a questionnaire. First, the demographic questionnaire was completed. In the next step, the Patient Satisfaction Scale-Short Form (BEPSS) questionnaire was completed by volunteers. Descriptive statistics such as frequency, mean and standard deviation were used to describe the data and a significant level of 0.05 was considered for P values. The findings of this study showed that the highest satisfaction score was obtained in the area of (EDS) and the lowest score was in the area of (EDE). The overall satisfaction score was 51.10±31.59 out of 80. There was no significant relationship between the scores obtained from the questions in the areas of (EDS), (EDE), (GPS), (PFS), (BEPSS) and (PCS) based on age groups, patient age, marital status, place of residence, education level and hospitalization history of the patients under study. However, significantly higher satisfaction was observed in women, patients with shorter hospitalization time and those who were discharged without personal consent. The results of this study showed that the level of patient satisfaction was acceptable, but there is still a need for a program to improve the services provided.
1. Tefag MR, Nikbakht Nasrabadi AR, Mehran A.(2005). Dinmohammadi N. Investigation of the ethical practice in medication process among nurses. Hayat. 2005;10(4):77–85. [In Persian]
2. Sheikhtaheri A, Jabali MS, Dehaghi ZH.(2016). Nurses’ knowledge and performance of the patients’ bill of rights. Nurs Ethics. 23(8):866–76. [In Persian]
3. Karro J, Dent AW, Farish S.(2005). Patient perceptions of privacy infringements in an emergency department. Emerg Med Australas. 17(2):117–23.
4. Joolaee S, Nikbakht AR, Parsa Z.(2009). Factors affecting Patients’ Rights. Iran J Nurs.60(5):28–41. [In Persian]
5. Mosadegrad A.(2003). A comparative review of patient’s bill of rights in selected countries and Iran. Soc Secur J. (3):14.
6. Frich JC, Ramleth Ø.(2004). Patient satisfaction as quality indicator of specialist health services. Tidsskr den Nor laegeforening Tidsskr Prakt Med ny raekke.124(1):88.
7. Otani K, Buchanan PR, Desai SP, Herrmann PA.(2016). Different combining process between male and female patients to reach their overall satisfaction. J patient Exp. 3(4):145–50.
8. Mercer MP, Hernandez-Boussard T, Mahadevan S V, Strehlow MC. (2014). Physician identification and patient satisfaction in the emergency department: are they related? J Emerg Med.46(5):711–8.
9. Boudreaux ED, Mandry C V, Wood K. (2003)Patient satisfaction data as a quality indicator: a tale of two emergency departments. Acad Emerg Med. 10(3):261–8.
10. Trout A, Magnusson AR.(2000).Hedges JR. Patient satisfaction investigations and the emergency department: what does the literature say? Acad Emerg Med. 7(6):695–709.
11. Yekehfallah L.(2006). Evaluation of quality and nursing skills in emergency department. [In Persian]
12. Mahmood M, Mahmood N, Mohammadreza A. (2013).Determining the Level of Hospitalized Patients Satisfaction of Hospitals: A Systematic Review and Meta-Analysis. Hosp J. 12(1):34–6. [In Persian]
13. Gilleard C, Reed R.(1998). Validating a measure of patient satisfaction with community nursing services. J Adv Nurs.28(1):94–100.
14. Vahidi RG, Kaffashi SH, Narimani MR, Sadeghifar J, Raadabadi M, Nazari A, et al. (2013).Correlation between knowledge and satisfaction of patients from patient-physician relationship. J Heal Promot Manag.2(3):66–73. [In Persian]
15. Thygeson M, Morrissey L, Ulstad V.(2010). Adaptive leadership and the practice of medicine: a complexity‐based approach to reframing the doctor–patient relationship. J Eval Clin Pract.16(5):1009–15.
16. Mosadegrad A, Asnaashari P.(2004). Awareness and practice of patients’ right from patients and physician perspective in Beheshti hospital of Isfahan. J Educ Med.4(11):45–54. [In Persian]
17. Astaraki P, Hosseini N.(2015). Evaluation of respect for patient’s rights from the viewpoint of hospitalized patinents in Shohada Ashayer hospital of khorramabad city in 2013-2014. yafte.17(1). [In Persian]
18. Ghazikhanlo Sani K, Farzanegan Z.(2016). Evaluation of patient’s right charter observance in view point of personnel and patients in Radiology Wards of Hamadan’s educational hospitals in 2015. Pajouhan Sci J.14(4):70–8. [In Persian]
19. Bostani Khalesi Z, Masole S, Abedinzade M. (2012).Evaluation of the patients, doctors and nurses view points about patient bill of rights in Rasht public hospitals. J Adv Biomed Sci. 2(2):91–5. [In Persian]
20. Masood S, ur Rahman M, Mahmood H, Nisar S, Mohsin S.(2016). Awareness among hospitalized patients of their rights: a cross sectional survey from tertiary care hospital of Rawalpindi. Pakistan Armed Forces Med J. 66(5):651–6. [In Persian]
21. Epstein RM, Fiscella K, Lesser CS, Stange KC. (2010).Why the nation needs a policy push on patient-centered health care. Health Aff.29(8):1489–95.
22. Soleimanpour H, Gholipouri C, Salarilak S, Raoufi P, Rajaei Ghafouri R PM.(2012).ASSESSMENT OF PATIENT SATISFACTION WITH EMERGENCY DEPARTMENT SERVICES IN IMAM KHOMEINI HOSPITAL, TABRIZ, IRAN. Stud Med Sci.23(1):22–31. [In Persian]
23. Hatamabadi H AH.(2008). Reasons for long-stay admission in a typical overcrowded emergency of a teaching hospital in Tehran capital city. Pajoohandeh Journal.13(1):71–5. [In Persian]
24. Mastaneh Z ML.(2011). Health information position in the new reform of American health care system. Heal Inf Manag.8(1):97–101. [In Persian]
25. Schoen C DM. (2004).Inequities in access to medical care in five countries: findings from the 2001 Commonwealth Fund International Health Policy Survey. Health Policy (New York).67(3):309–22.
26. Bankauskaite V SO.(2003). Why are people dissatisfied with medical care services in Lithuania? A qualitative study using responses to open-ended questions.15(1): 23-029. Int J Qual Heal Care. 2003;15(1):23–9.
27. Rahmati F, Gholamalipoor H, Hashemi B, Forouzanfar MM HF.(2015). The reasons for emergency department patients’ dissatisfaction. Ṭibb-i urzhāns-i Īrān.2(2):59–63. [In Persian]
28. Lovato E, Minniti D, Giacometti M et al.(2000). Humanisation in the emergency department of an Italian hospital: new features and patient satisfaction. Emerg Med J. 30(6):487–91.
29. Cooke T, Watt D, Wertzler W QH. (2006).Patient expectations of emergency department care: phase II–a cross-sectional survey. Can J Emerg Med.8(3):148–57.
30. Carter AJ CA. (2007).A systematic review of the impact of nurse practitioners on cost, quality of care, satisfaction and wait times in the emergency department. Can J Emerg Med.9(4):286–95.
31. Omidvari S, Shahidzadeh A, Montazeri A, Azin SA, Harirchi AM, Soori H, et al. (2008).Patient satisfaction with emergency departments. Payesh (Health Monit.7(2):0. [In Persian]
32. Shaikhi MR JA.(2004). Patient satisfaction survey in medical services in Qazvin University of medical Sciences, Qazvin, Iran. J Qazvin Univ Med Sci.29(1):62–6. [In Persian]
33. Ebrahimnia, M, Amerion, A, Azizabadi M, Khodami H.(2009) Patients’ satisfaction with emergency care services in military hospitalsp. 15–22. [In Persian]
34. Taylor C, Benger JR. (2004).Patient satisfaction in emergency medicine. Emerg Med J. 21(5):528–32.
35. R, Sarchami, M.R S. (2001).Patients’ satisfaction of the quality services in emergency departments. J Qazvin Univ med sc. 18(1):64–8. [In Persian]
36. Hall MF PI. Keys to patient satisfaction in the emergency department: results of a multiple facility study. Hosp Heal Serv Adm. 41(4):515–32.