سامانه مدیریت نشریات علمی دانشگاه علوم پزشکی مشهد

Yousefi, Maysam, Ali Asghar, Eshrati, Eslami, Andisheh, Mehri, Milad, Behzadi, Anahita. (1403). Investigating the Quality of Waiting Time and Visits of Patients Referring to Comprehensive Health Centers using the Structure, Process, and Outcome Standards: A Case Study of Northeast Iran, 2022. , 13(1), 57-65. doi: 10.22038/psj.2025.84990.1453
Maysam Yousefi; Eshrati Ali Asghar; Andisheh Eslami; Milad Mehri; Anahita Behzadi. "Investigating the Quality of Waiting Time and Visits of Patients Referring to Comprehensive Health Centers using the Structure, Process, and Outcome Standards: A Case Study of Northeast Iran, 2022". , 13, 1, 1403, 57-65. doi: 10.22038/psj.2025.84990.1453
Yousefi, Maysam, Ali Asghar, Eshrati, Eslami, Andisheh, Mehri, Milad, Behzadi, Anahita. (1403). 'Investigating the Quality of Waiting Time and Visits of Patients Referring to Comprehensive Health Centers using the Structure, Process, and Outcome Standards: A Case Study of Northeast Iran, 2022', , 13(1), pp. 57-65. doi: 10.22038/psj.2025.84990.1453
Yousefi, Maysam, Ali Asghar, Eshrati, Eslami, Andisheh, Mehri, Milad, Behzadi, Anahita. Investigating the Quality of Waiting Time and Visits of Patients Referring to Comprehensive Health Centers using the Structure, Process, and Outcome Standards: A Case Study of Northeast Iran, 2022. , 1403; 13(1): 57-65. doi: 10.22038/psj.2025.84990.1453

Investigating the Quality of Waiting Time and Visits of Patients Referring to Comprehensive Health Centers using the Structure, Process, and Outcome Standards: A Case Study of Northeast Iran, 2022

Journal of Patient Safety & Quality Improvement
دوره 13، شماره 1، فروردین 2025، صفحه 57-65    اصل مقاله (351.92 K)
نوع مقاله: Research Paper
شناسه دیجیتال (DOI): 10.22038/psj.2025.84990.1453
نویسندگان
Maysam Yousefi1؛ Eshrati Ali Asghar2؛ Andisheh Eslami2؛ Milad Mehri3؛ Anahita Behzadi* 4
1Research Center of Tropical and Infectious Diseases, Kerman University of Medical sciences, Kerman, Iran.
2MSc in Healthcare Management, Department of Health Management, Policy and Economics, Faculty of Management and Medical Informatics Sciences. Kerman University of Medical Sciences, Kerman, Iran.
3MSc in Healthcare Management, Department of Health Management and Economics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran
4Health Services Management Research Center, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran. Department of Health Management, Policy and Economics, Faculty of Management and Medical Informatics Sciences. Kerman University of Medical Sciences, Kerman, Iran.
چکیده
Introduction:
Patients’ satisfaction levels are influenced by how well their expectations are met and the success of their treatment. Both patient satisfaction and successful treatment are critical components of healthcare quality. This study aimed to investigate the quality of waiting times and consultations for patients visiting comprehensive health centers in Northeast Iran, utilizing structure, process, and outcome standards.
Materials and Methods:
This study was conducted in two phases. The quantitative phase involved 429 patients visiting comprehensive health centers in Mashhad from May to August 2022. Data was collected through a three-part questionnaire assessing structure, process, and outcome standards and analyzed using SPSS version 24. In the qualitative phase, using purposive sampling and semi-structured interviews, factors influencing waiting times and consultation durations based on physicians’ perspectives were examined. The qualitative data analysis was performed using MAXQDA version 20.
Results:
The quality of visits at comprehensive health centers in Mashhad was favorable, with structure scores at 15.09 (SD = 1.71) and process scores at 5.9 (SD = 0.95), indicating medium quality. Physicians believe longer visits and reduced waiting times enhance prescriptions, patient satisfaction, and trust while decreasing errors and costs.
Conclusion:
The comparative analysis of the quality of waiting time and visit length using structural, process, and outcome standards in comprehensive health centers in Mashhad showed a desirable level of quality, which shows that the standards have been correctly established. However, due to the shorter visit length, it is recommended that standards be implemented to increase patient safety in terms of diagnosis accuracy.
کلیدواژه‌ها
Quality of visit؛ patient satisfaction؛ comprehensive health centers؛ waiting time؛ Structural؛ process؛ and outcome standards
مراجع
  1. Ferdosi M, Raeisi A, Ganji H, Vesal S, Jannesari A, Yazdi H. Investigating The Effects Of Quality Improvement Package Of Outpatient Visit From Iran Health Transformation Plan In Alzahra University Hospital, Isfahan, Iran (2014-2015). Health Information Management. 2016;13(4):-.
  2. Narenjiha M, Haghighat S, Bahador H, Shajari J, Haji Mhf. Patients’satisfaction From Physicians’communication: A Survey In Ghods Clinic In Tehran. 2012.
  3. Matzler K, Bailom F, Hinterhuber HH, Renzl B, Pichler JJImm. The asymmetric relationship between attribute-level performance and overall customer satisfaction: a reconsideration of the importance–performance analysis. 2004; 33(4): 271-7.
  4. Care WWGJIJfQiH. The principles of quality assurance. 1989;1(2-3):79-95.
  5. Nikpour B, Majlesi FJTTU. Evaluating the quality of health services. 2002;105.
  6. Bangoli A, Ahmadikahnali R, HoseinianNodushan SK. Evaluating hospital service quality through using FAHP. Journal of Modern Medical Information Sciences. 2016; 2(2): 28-37.
  7. Geraghty EM, Franks P, Kravitz RL. Primary care visit length, quality, and satisfaction for standardized patients with depression. Journal of general internal medicine. 2007;22(12):1641-7.
  8. Kazemeini K, Zare Mehrjardi M, Samiyezargar A, Raghebian M, Dehghan AJNjotV. Patient satisfaction referred to three specialized and ultraspecialized clinics of Yazd after the implementation of health Sector Evolution. 2017; 4(11): 35-45.
  9. Hasanpoor E, Delgoshaei B, Abolghasem Gh, Khoshkam M, Sokhanvar M. Surveying standard of visit time of outpatient at general hospitals: A case study in Qazvin. 2015.
  10. Khiavi FF, Qolipour M, Farouji DA, Mirr I. Relationship between outpatients’ visit time and physicians’ prescription quality in teaching hospitals of Ahvaz: 2015. Global journal of health science. 2016;8(11):83.
  11. Khori V, Changizi S, Biuckians E, Keshtkar A, Alizadeh A, Mohaghgheghi A, et al. Relationship between consultation length and rational prescribing of drugs in Gorgan City, Islamic Republic of Iran. EMHJ-Eastern Mediterranean Health Journal, 18 (5), 480-486, 2012. 2012.
  12. World Health Organization. Quality of care: a process for making strategic choices in health systems: World Health Organization; 2006.
  13. Maftoon F, Farzadi F, Aeenparast AJP. Time spent during outpatient visits in family physician and referral system: Providers’ perspectives. 2015 ;14(6):623-8.
  14. Jadidi A, Safarabadi M, Irannejhad B, Harorani M. Level of patients’ satisfaction from emergency medical services in Markazi province; a cross sectional study. Iran J Emerg Med. 2016; 3(2):58-65.
  15. Almanasreh E, Moles R, Chen TF. Evaluation of methods used for estimating content validity. Research in Social and Administrative Pharmacy. 2019;15(2):214-21.
  16. Hsieh H-F, Shannon SE. Three Approaches to Qualitative Content Analysis. Qualitative Health Research. 2005;15(9):1277-88.
  17. Lincoln YS, Guba EG. Establishing dependability and confirmability in naturalistic inquiry through an audit. 1982.
  18. Heydari, A. and Seydi, M. (2008) Patient Satisfaction of General Practitioners in the City of Qom and Its Influencing Factors 2005-2006. Journal of Medical Council of Islamic Republic of Iran, 26, 530-540.
  19. Barikani A, Ahmed K. Surveying the satisfaction of clients to the health care centers of Iran University of Medical Sciences. journal of medical council of islamic republic of iran. 2003; 21(4): 266-71.
  20. Ramezanpoor M, Jamali M, Roshanravan M. Relationship between Organizational Justice and Responsiveness to Patients in Selected Hospitals in North Khorasan Province, Iran %J Journal of health research in community. 2021;7(2):9-19.
  21. Janati A, Hasanpoor E, Aslani F, HaghGoshayie E, Hassanzadeh E. Evaluating visit quality in plan of health sector evolution in Iran: A local survey from Tabriz. International Journal of Epidemiologic Research. 2017;4(1):69-77.
  22. Nguyen STT, Yamamoto E, Nguyen MTN, Le HB, Kariya T, Saw YM, et al. Waiting time in the outpatient clinic at a national hospital in Vietnam. Nagoya journal of medical science. 2018; 80(2): 227.
  23. Oche M, Adamu H. Determinants of patient waiting time in the general outpatient department of a tertiary health institution in North Western Nigeria. Annals of medical and health sciences research. 2013;3(4):588-92.
  24. Croft A, Lynch P, Smellie J, Dickinson C. Outpatient waiting times: indicators of hospital performance? Journal of the Royal Army Medical Corps. 1998;144(3):131.
آمار
تعداد مشاهده مقاله: 138
تعداد دریافت فایل اصل مقاله: 71