A Comparative Study of the Rehabilitation Patients’ Satisfaction With Public and Private Centers
Introduction: The success of rehabilitation centers depends on several factors, one of the most important of which is patient’s satisfaction. Therefore, suitable instruments must be used to assess the quality of services in rehabilitation centers.
Materials and Methods: In this research, we used the random sampling method to select the sample and the survey research method to collect data. The statistical population included all patients visiting the selected rehabilitation centers of Tehran City. In this regard, 4 rehabilitation centers; Rofaydeh Rehabilitation Hospital (public), Shohadaye Tajrish Hospital (public), Imam Zadeh Hassan Rehabilitation Center (private), and Arman Rehabilitation Center (private) were selected. Given the infinite statistical population size, the sample size was calculated using the scientific research methodology and Cochran’s sample size formula. The statistical sample size estimated for the infinite statistical population of this research was 486 with 95% confidence level. The research variables were assessed using a researcher-made questionnaire called the “patient’s satisfaction with rehabilitation services questionnaire”. The content and face validity of the questionnaire was approved by the experts. The estimated reliability of the questionnaire was 0.83 using Cronbach's α coefficient method. The descriptive and inferential statistics methods (i.e. the independent t test and 1-way analysis of variance) were used to analyze the data.
Results: The research findings reflected the clients’ satisfaction with the rehabilitation services and their components (i.e. reception services, therapist services, and waiting time) in public and private hospitals. Also a significant difference was found between the levels of patients’ satisfaction with rehabilitation services in private and public hospitals (P≤0.005), and clients were more satisfied with the services of public hospitals than private hospitals.
Conclusion: In addition, there was no significant difference between the levels of patients’ satisfaction with rehabilitation services with respect to demographic variables (including age, education, gender, and respondent), but a significant difference was observed in terms of ward. Finally, the results of the Friedman test revealed that satisfaction with therapist services had the first rank followed by patient’s satisfaction with the waiting time and then with reception (admission) services.
Cheng Lim P, Tang NKH. A study of patients’ expectations and satisfaction in Singapore hospitals. International Journal of Health Care Quality Assurance. 2000; 13(7):290–9. doi: 10.1108/09526860010378735
Ziviar F, Ziyayi MS, Nargesian J. [Examining the effective factors on the customer satisfaction through SERVQUAL model (Persian)]. Journal of New Marketing Research. 2012; 2(3):173-186.
Guo X, Duff A, Hair M. Service quality measurement in the Chinese corporate banking market. International Journal of Bank Marketing. 2008; 26(5):305–27. doi: 10.1108/02652320810894389
Ghandehari M, Khazaei Pool J, Baharestan O. [Analysis of factors affecting the quality of dental services using integrated tools Kano and Fuzzy analytical hierarchy process (Persian)]. Health Information Management. 2013; 10(7):941-954.
Kang H, Bradley G. Measuring the performance of IT service: An assessment of SERVQUAL’S model. International Journal of Accounting Information Systems. 2002; 3(3):151-64. doi: 10.1016/s1467-0895(02)00031-3
Pirmohammadi, F. [Analysis of the satisfaction of the senior clients with the care provided in assisted living homes (Persian)] [MSc. thesis]. Tehran: Shahid Beheshti University of Medical Sciences and Health Services; 2000.
Jafari, P. [An analysis and comparison of the satisfaction of patients with the outpatient services of public and private rehabilitation centers of Kurdistan Province (Persian)] [MSc. thesis]. Tehran: University of Social Welfare and Rehabilitation Sciences; 2005.
Beattie PF, Nelson RM, Lis A. Spanish-language version of the medrisk instrument for measuring patient satisfaction with physical therapy care (MRPS): Preliminary validation. Physical Therapy. 2007; 87(6):793–800. doi: 10.2522/ptj.20060313
Boller C, Wyss K, Mtasiwa D, Tanner M. Quality and comparison of antenatal care in public and private providers in the United Republic of Tanzania. Journal of Bulletion of the World Health Organization. 2003; 81(2):116-22. PMID: 12751419
Perneger TV, Stalder H, Etter JF. Comparison of patient satisfaction with ambulatory visits in competing health care delivery settings in Geneva, Switzerland. Journal of Epidemiology & Community Health, 2004; 50(6)463-68. doi: 10.1136/jech.50.4.463
Olatunji TO, Ogunlana MO, Bello MA, Omobaanu SO. Assessment of patient satisfaction with physiotherapy care. Journal of Nigerian Society of Physiotherapy. 2008; 16(1):11-5.
Kane RL, Maciejewski M, Finch M. The relationship of patient satisfaction with care and clinical outcomes. Medical Care. 1997; 35(7):714-30. doi: 10.1097/00005650-199707000-00005
Odebiyi DO, Aiyejusunle C, Ojo T, Tella B. Comparison of patients’ satisfaction with physiotherapy, Care in private and Public Hospitals. Journal of the Nigeria Society of Physiotherapy. 2009; 17(1):23-9.
Devreux ICN, Jacquerye A, Kittel F, Elsayed E, Al- Awa B. Benchmarking of patient satisfaction with physical rehabilitation services in various hospital of Jeddah. Life Science Journal. 2012; 9(3):73-8.
Beattie PF, Pinto MB, Nelson MK, Nelson R. Patient satisfaction with ourpatient physical therapy: Instrument validation. Physical Therapy. 2002; 82(6):557-65. PMID: 12036397
Roush S, Sonstoren R. Development of Physical Therapy Outpatient Satisfaction Survey (PTOPS). Physical Therapy. 1999; 79(2):159-70. PMID: 10029056
Aragon SJ, Gesell SB. A Patient satisfaction theory and its robustness across gender in emergency departments: A multigroup structural equation modeling investigation. American Journal of Medical Quality. 2003; 18(6):229–41. doi: 10.1177/106286060301800603
Kiger P. Why customer satisfaction starts HR [Internet]. 2002 [Updated 8 August 2002]. Available from: http://www.workforce.com/2002/08/08/why-customer-satisfaction-starts-with-hr/