A comprehensive evaluation of the satisfaction rate related to implementation of health transformation plan in southern Iran in 2015

Authors

Abstract

Background and Objective: Need for health has changed regarding economic, social and political conditions. Responsiveness to these changes was one of the main reasons for establishment of Health Transition (Transformation) Reform (HTR) in Iran.
 
Materials and Methods: This research was a cross-sectional study that was conducted in Shahid Chamran Hospital in Shiraz in 2015. Five questionnaires were applied for each of the study population consisting managers, physicians, nurses, official workers and patients. The source of these questionnaires was in national center of research. Reliability of the questionnaires was confirmed (α>0.7). The study ample was calculated by Cochrane and about 295 participants were included. SPSS19 was applied through ANOVA, t-test and Pearson correlation for analyzing data.
 
Results: The least rate of satisfaction was belonged to physicians (1.62±0.56), official workers (2.82±0.88), nurses and clinical workers (2.84±0.25), managers (3.09±0.48) and patients (3.44±0.30). The mean of satisfaction was significantly different among physicians according to their marital status (p=0.038), the patients satisfaction was also different significantly according to their level of education (p=0.008).
 
Conclusion: In spite of all the advantages of Health Transformation Reform, it had some disadvantages in different aspects that may lead to dissatisfaction and it is recommended to evaluate and periodical monitoring.

Keywords


1. Hashemi B, Baratloo A, Forouzafar MM, Motamedi M, Tarkhorani M. Patient Satisfaction Before and After Executing Health Sector Evolution Plan. Iranian Journal of Emergency Medicine 2015;2(3): 127-33. 2. Donelan K, Blendon R J, Schoen C, Davis K , Binns K. The Cost of Health System Change: Ppublic Discontent in Five Nnations. Health Afairs 1999;18(3): 206-16. 3. Merce JR, Hsiao W, Berman P, Reich MR. Getting Health Reform Right: a Guide to Improving Performance and Equity. 2008: Oxford University Press:8-19. 4. Tarin EK. Health Sector Reforms: Factors Influencing the Policy Process for Government Initiatives in the Punjab (Pakistan) Health Sector 1993-2000. 2003, University of Leeds. 5. Collection Guidelines for Health System Reform Plan. Health Deputy: Iranian Ministry of Health and Medical Education, 2014 6. Homedes N, UgaldeA. Why Neoliberal Health Reforms Have Failed in Latin America. Health policy 2005; 71(1): 83-96. 7. Rao KD, Arora R, Ghaffar A. Health Systems Research in the Time of Health System Reform in India: A Review. Health Res Policy Syst 2014;9(12):12-37. 8. Haghdoost AA, Mehrolhassani M, Khaje Kazemi R, Fallah M, Dehnavieh R. Monitoring Indicators of Iranian Health System Reform Plan. Hakim Research Journal 2013; 16(3): 171- 81[In Persian]. 9. Williams B. Patient Satisfaction: A Valid Concept? Social Science & Medicine 1994; 38(4): 509-16. 10. Akhoonzadeh Sh. Health Transformation Plan; Opportunity or Threat for Physicians. Onesthesiology and Pain Journal 2015; 5(1):1-2 [In Persian]. 11. Bankauskaite V, Saarelma O. Why are People Dissatisfied with Medical Care Services in Lithuania? A Qualitative Study Using Responses to Open-ended Questions. International Journal for Quality in Health care 2003; 15(1): 23-29. 12. Wright G, Causey S, Dienemann J, Guiton P, Coleman FS, Nussbaum M. Patient Satisfaction with Nursing Care in an Urban and Suburban Emergency Department. Journal of Nursing Administration 2013; 43(10): 502-8. 13. Sitzia J, Wood N. Patient Satisfaction: A Review of Issues and Concepts. Social Science & Medicine 1997; 45(12): 1829-43.