Patient satisfaction in the emergency department: a case of Sina hospital in Tabriz

Eshghi, Maryam; Rahmani, Farzad; Derakhti, Behjat; Abdollahi, Fariba; Tajoddini, Shahrad

doi:10.15171/jept.2015.06

Patient satisfaction in the emergency department: a case of Sina hospital in Tabriz

Document Type : Original Article

Authors

Maryam Eshghi ¹

Farzad Rahmani ²

Behjat Derakhti ³

Fariba Abdollahi ³

Shahrad Tajoddini ⁴

¹ Department of Internal Medicine, Tabriz branch, Islamic Azad University, Tabriz, Iran

² Road Traffic Injury Research Center, Tabriz University of Medical Sciences, Tabriz, Iran

³ Department of Emergency Medicine, Tabriz University of Medical Sciences, Tabriz, Iran

⁴ Kerman Neuroscience Research Center, Kerman University of Medical Sciences, Kerman, Iran

https://doi.org/10.15171/jept.2015.06

Abstract

Objective: Patient satisfaction is one of the most important indicators for measuring the quality of emergency services and health care. The purpose of this study was to evaluate the patients’ satisfaction in the emergency department (ED) of Sina hospital.
Methods: This descriptive, cross-sectional study was performed during one month in Sina hospital in 2014. Data were collected by a questionnaire which its validity and reliability were confirmed in previous studies. The questionnaire consisted of 2 parts. Part 1 included the demographic characteristics and part 2 encompassed the scales of satisfactory. Data analysis was conducted by SPSS version 15.
Results: Totally, 425 patients participated in this study. The mean age of patients was 41.6±17.6 years. The mean total score of patient satisfaction was 17.43±1.56. The maximum satisfaction was related to the knowledge of physicians and the minimum satisfaction was related to the remaining period in the ED. Additionally, there was a desirable satisfaction for nurses’ performances. In terms of satisfaction regarding the physical environment and the workflow of the ED, the results were moderate. There was a significant statistical difference regarding nurses and physicians behavior in the ED during different working shifts, vacation days, and workdays. Conclusion: Based on the results obtained, patients had good satisfaction for the received services in the ED. It is necessary to develop physical spaces and improve the workflow of patients in the ED.

Keywords

Satisfaction

Emergency Department

Hospital

Subjects

1. Sheikhi MR, Javadi A. Patients’ satisfaction of medical services in Qazvin education hospitals. The Journal of Qazvin University of Medical Sciences and Health Services 2004; 7(5): 62-6. [In Persian].

2. Feied CF, Smith MS, Handler JA, Kanhouwa M. Emergency medicine can play a leadership role in enterprise-wide clinical information systems. Ann Emerg Med 2000; 35(2): 162-7.

3. Hall MF, Press I. Keys to patient satisfaction in the emergency department: results of a multiple facility study. Hosp Health Serv Adm 1996; 41(4): 515-32.

4. Sullivan M. The new subjective medicine: taking the patient’s point of view on health care and health. Soc Sci Med 2003; 56(7):1595-604.

5. Jackson JL, Chamberlin J, Kroenke K. Predictors of patient satisfaction. Soc Sci Med 2001; 52(4): 609-20.

6. Traverso ML, Salamano M, Botta C, Colautti M, Palchik V, Pérez B. Questionnaire to assess patient satisfaction with pharmaceutical care in Spanish language. Int J Qual Health Care 2007; 19(4): 217-24.

7. Soleimanpour H, Gholipouri C, Salarilak S, Raoufi P, Vahidi RG, Rouhi AJ, et al. Emergency department patient satisfaction survey in Imam Reza hospital, Tabriz, Iran. Int J Emerg Med 2011; 4: 2. doi: 10.1186/1865-1380-1-2

8. Zahmatkesh H, Hajimoradloo N, Kazemi Malekmahmoodi S, Khoddam H. The assessment of patients satisfaction of hospital emergency department-Golestan, Iran. Journal of Gorgan University of Medical Sciences 2010; 12(3): 92-6. [In Persian].

9. Boudreaux ED, Mandry CV, Wood K. Patient satisfaction data as a quality indicator: a tale of two emergency departments. Acad Emerg Med 2003; 10(3): 261-8.

10. Trout A, Magnusson AR, Hedges JR. Patient satisfaction investigations and the emergency department. What does the literature say? Acad Emerg Med 2000; 7(6): 695-709.

11. Blumenthal D. Part 1: Quality of care--what is it? N Engl J Med 1996; 335(12): 891-94.

12. McKinley RK, Roberts C. Patient satisfaction with out of hours primary medical care. Qual Health Care 2001; 10(1): 23-28. doi: 10.1136/qhc.10.1.23.

13. Carrasquillo O, Orav EJ, Brennan TA, Burstin HR. Impact of language barriers on patient satisfaction in an emergency department. J Gen Intern Med 1999; 14(2): 82-7.

14. Lau FL. Can communication skills workshops for emergency department doctors improve patient satisfaction? J Accid Emerg Med 2000; 17(4): 251-3. doi: 10.1136/emj.17.4.251.

15. Fenton JJ, Jerant AF, Bertakis KD, Franks P. The cost of satisfaction: a national study of patient satisfaction, health care utilization, expenditures, and mortality. Arch Intern Med 2012; 172(5): 405-11. doi: 10.1001/archinternmed.2011.1662.

16. Omidvari S, Shahidzadeh Mahani A, Montazeri A, Azin SA, Harirchi AM, Soori H, et al. Patient satisfaction with emergency departments. Payesh Journal 2008; 7(2):141-152. [In Persian].

17. Kinnersley P, Anderson E, Parry K, Clement J, Archard L, Turton P, et al. Randomised controlled trial of nurse practitioner versus general practitioner care for patients requesting “same day” consultations in primary care. BMJ 2000; 320(7241): 1043-8.

18. McKinley RK, Stevenson K, Adams S, Manku-Scott TK. Meeting patient expectations of care: the major determinant of satisfaction with out-of-hours primary medical care? Fam Pract 2002; 19(4): 333-8.

19. Bryan-Brown CW, Dracup K. Outcomes, endpoints, and expectations. Am J Crit Care 1996; 5(2): 87-9.

20. Jennings N, Lee G, Chao K, Keating S. A survey of patient satisfaction in a metropolitan Emergency Department: comparing nurse practitioners and emergency physicians. Int J Nurs Pract 2009; 15(3): 213-8. doi: 10.1111/j.1440-172X.2009.01746.x.

21. Sarchami R, Sheikhi MR. Patient’s satisfaction of quality services in emergency departments. The Journal of Qazvin University of Medical Sciences 2001; 5(2): 64-8. [In Persian].