Inpatient Satisfaction in a Subspecialty Hospital

With a View to Accreditation from 2009 until 2012

 

Mohammad Gholami-Fesharaki1, Hamed Akbari*2, Mohammad javad Jamali3, Amir Adibzadeh4, Hesam Akbari2, Masome Mohamadian3, Zohreh Aghamiri3, Mahdi Habibi3

 

1Biostatistics Department, Faculty of Medical Sciences, Tarbiat Modares University, Tehran, Iran.

2Health Research Center, Baqiyatallah University of Medical Sciences, Tehran, Iran.

3 Researching and Educational Center, Najmie Hospital, Baqiyatallah University of Medical Sciences, Tehran, Iran.

4Department of Environmental Health, Faculty of Health, International Branch

Shahid Beheshti University of Medical Sciences, Tehran, Iran.

 

Received: 2013/7/25��������������� Accepted: 2014/1/14

 

Abstract

Background and Objectives: Patient satisfaction is one of the basic points in quality important systems and accreditation.

Material and Methods: This study was carried out on 1582 inpatients during years 2009 until 2012 in a subspecialty hospital with proportional stratified random sampling method.

Results: The overall inpatient satisfaction was 75%, 95%CI (73%, 78%). Result of this study shown that IPS was higher but not significant in winter rather summer season (winter p=77%, summer p=73.8%, P value=0.145). During the study percent of inpatient satisfaction increase 26% and average of this increment was 6.5% per year.

Discussion: Our study showed that accreditation can improve inpatient satisfaction.

 

Keywords: Accreditation, Inpatients Satisfaction, Subspecialty Hospital


Introduction

Accreditation is a process in which certification of competency, authority, or credibility is presented. Organizations that issue credentials or certify third parties against official standards are themselves formally accredited by accreditation bodies (such as UKAS); hence, they are sometimes known as "accredited certification bodies". The accreditation process ensures that their certification practices are acceptable, typically meaning that they are competent to test and certify third parties, behave ethically and employ suitable quality assurance. Accreditationis a voluntary method of quality assurance developed more than 100 years ago, and designed primarily to distinguish schools adhering to a set of educational standards.  One of the method which can monitor quality assurance is patient satisfaction (PS). PS is one of the basic points in quality important systems(1, 2). In recent years, Iran ministry of health and medical education emphasize on accreditation (3).

This study was conducted for evaluation percent of inpatient satisfaction during 2009-2012 in a subspecialty hospital in Tehran, Iran.

Material and Methods

This survey is an analytical-cross sectional study. The study enrolled on patients admitted due to the subspecialty hospital in Tehran, Iran. This study was done with proportional stratified random sampling in winter and summer of 2009-2012 with sample size 260, 258, 265, 287, 265, 247 in summer 2009, winter 2010, summer 2010, winter 2011, summer 2011 and winter 2012 respectively.�

In this study, the participants willingly, peacefully and anonymously answered a questionnaire and eventually the gathered data were analyzed collectively instead of individually. The subjects filled a form based on their demographic information - including age, gender and education - in addition to patients answering the self-valid researcher inpatient satisfaction questionnaire.(Cronbach's Alpha=96%).

Study was approved by the academic ethical committee, issued on 05.11.2009. Its registration number is 5271065.

Chi-square test was used to compare the categorical variables. Statistical analysis was used by SPSS version 18.

Results

This research was performed on 1582 inpatient in a subspecialty hospital. Table 1 present frequency distribution of patient characteristic by season. Most of patients are female (96.6%), with age range (21-40) and diploma degree. Table 2 and Figure 1 shows the percent of inpatient satisfaction and 95% confidence interval during 2009 - 2012 by season. Overall inpatient satisfaction during 4 Years was 75%, 95%CI (73% - 78%).


 

Table 1.Frequency distribution of patient characteristic by season

 

 

2009

2010

2011

2012

 

 

 

Summer

(n=260)

Winter

(n=258)

Summer

(n=265)

Winter

(n=287)

Summer

(n=265)

Winter

(n=247)

Total

(n=1584)

Sex

N (%)

Male

0

(0%)

6

(2.3%)

7

(2.4%)

23

(8%)

7

(2.7%)

6

(2.5%)

49(3.1%)

Female

260

(100%)

252 (97.7%)

264 (97.4%)

264

(92%)

258 (97.7%)

238

(97.5%)

1536

(96.9%)

Age

N (%)

≤20

13

(4.8%)

14 (5.5%)

8

(3.1%)

17

(5.8%)

8

(3.1%)

21 (8.3%)

81

(5.1%)

21-40

144 (55.5%)

138

(53.4%)

146 (55.1%)

151

(52.7%)

146 (55.1%)

115 (46.7%)

840

(53%)

41>

103 (39.7%)

106 (41.1%)

111

(41.7%)

119 (41.5%)

111

(41.7%)

111

(45%)

661

(41.9%)

Education

N (%)

Lower Diploma

32

(12.3%)

36

(14%)

28 (10.6%)

34 (11.8%)

28 (10.6%)

46

(18.8%)

204

(12.88%)

Diploma

121

(46.7%)

126

(48.8%)

137

(51.9%)

160

(55.9%)

137 (51.9%)

99

(40.1%)

780

(49.24%)

Associated Degree

28

(10.6%)

40

(15.5%)

36 (13.5%)

33 (11.4%)

36 (13.5%)

28

(11.4%)

201

(12.69%)

BA or upper

74 (28.6%)

47

(18.4%)

60

(22.6%)

57

(20%)

60

(22.6%)

64

(25.7%)

362

(22.84%)

MA or PHD

5

(1.8%)

9

(3.4%)

4
(1.4%)

3

(0.9%)

4

(1.4%)

10

(4%)

35

(2.35%)

Table 2.percent of inpatient satisfaction and 95% confidence interval (2009 � 2012) by season

95% CI

Inpatient Satisfaction

 

 

Upper

Lower

SE

Percent (%)

 

 

0.69

0.57

0.03

0.63

Summer

2009

0.76

0.65

0.03

0.70

Winter

2010

0.77

0.67

0.03

0.72

Summer

0.78

0.68

0.03

0.73

Winter

2011

0.90

0.82

0.02

0.86

Summer

0.93

0.85

0.02

0.89

Winter

2012

0.78

0.73

0.01

0.75

Overall

 

 

Figure 1.Percent of inpatient satisfaction (2009 � 2012) by season


Discussion

In this project, Overall inpatient satisfaction during 4 Years was 75%. This percent is in range of Khamseh et al study� with 70% in patient satisfaction(4) and Ansari et al study with 70% in patient satisfaction 72.2% (5) and lower than other� Iranian studies(6-8).

Result of this study shown that inpatient satisfaction was higher but not significant in winter rather summer season (winter p=77%, summer p=73.8%, P=0.145). During the study percent of inpatient satisfaction increase 26% and average of this increment was 6.5% per year. Our results demonstrated that accreditation can improve inpatient satisfaction.

 

References

1. Jackson JL, Chamberlin J, Kroenke K. Predictors of patient satisfaction. Social science & medicine. 2001;52(4):609-20.

2. Fujimura Y, Tanii H, Saijoh K. Inpatient satisfaction and job satisfaction/stress of medical workers in a hospital with the 7: 1 nursing care system (in which 1 nurse cares for 7 patients at a time). Environmental health and preventive medicine. 2011;16(2):113-22.

3. Emami Razavi H, Mohaghegh Mr, Razavi Ss. STANDARDS FOR ACCREDITATION OF HOSPITAL[Persian]. Tehran: Seda Publication; 2010.

4. Khamseh M, AGHILI SR, Baradaran H, Arabi A. PATIENTS SATISFACTION OF MEDICAL CARE DELIVERED IN OUTPATIENT CLINICS OF ENDOCRINOLOGY AND METABOLISM IN TEHRAN, IRAN. Payesh. 2007.

5. Ansari H, Ebadi F, Molla Sadegh IGA. Evaluation of patients satisfaction in hospitals under Iran University of Medical Sciences [Persian]. Journal of Birjand University of Medical [JBUM]. 2004;11(3):38-45.

6. Jafari H, Ainy E, Sh H, Kohyar E, Hajifathali A. Patient Satisfaction and Its related Factors in Ayatollah Taleghani Hospital in 2006. Pajoohandeh Journal. 2008;12(6):541-6.

7. Hydary A, Seidi Z. Patient satisfaction of Ghom public doctor and factors involved on it[Persian]. Journalof Medical Council of Islamic republic of iran. 2008;26(4):530-40.

8. Sadjadian A, Kaviani A, Yunesian M, Montazeri A. Patient satisfaction: a descriptive study of a breast care clinic in Iran. European journal of cancer care. 2004;13(2):163-8.


 

 

 

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