The Reasons of Teaching Hospitals Selection by patients in Yazd Province for Treatment in 2016

Subject Areas : medical documents

mohammad Ranjbar ¹ (Assistant Professor, Department of Health care Management, Shahid Sadoughi University of Medical Sciences, Yazd, Iran)
Mohammad amin Bahrami ² (Associate Professor, Department of Health care Management, Department of Health care Management, Shahid Sadoughi University of Medical Sciences, Yazd, Iran)
Najmeh Baghian ³ (Master of Healthcare Management, Shahid Sadoughi university of Medical Sciences, Yazd, Iran)
Reyhaneh Izadi ⁴ (M.A Student Health care Management, Shahid Beheshti University, Tehran, Iran)
Adel Eftekhari ⁵ (Ph.D Student Health in Disasters and Emergencies, Shahid Sadoughi University of medical Siences, Yazd, Iran)
Setareh YousefZadeh ⁶ (M.A Student Health Economics, Krman University of medical Siences, Kerman, Iran)

Received: 2017-05-01 Accepted : 2017-06-21 Published : 2017-05-22

Keywords: Patient, choice of hospital, Teaching Hospital,

Abstract :

Introduction: Regarding the role of hospitals in promoting public health, assessing the main factors that may be effective in patients' referring to a specific hospital than another one can determine hospitals' strengths and weaknesses. Therefore, in this study the factors affecting patients' selection of training hospitals of Yazd were scrutinized. Methods: This analytic, cross-sectional study was carried out on 226 patients hospitalized in hospitals of Yazd. A two-part questionnaire was then administered to collect data; one part consisted of demographic characteristics and the other pat investigated the effect of different factors on selection of hospitals. For data analysis, SPSS16 software and -kruskal, Mann-whitney, t-test, and ANOVA statistical procedures were used. Results: Among the three studied hospitals, factors related to "physicians' health" with an average of 15/27±3.13 and "personal effects" with a mean of 12.06±3.17 had the most important role in Shahid Sadoughi hospital. In Shahid Rahnemmon hospital, "factors related to nurses" with an average of 2/05±14/7and "factors related to the hospital" with a mean of 7/14±2/05were the most frequent factors. Finally, in Afshar hospital "factors related to physicians' health (16/18±3/47) and "factors related to the hospital" with average of 14/97± 3/30 had the most important role in patients' choices. Conclusion: patients who selected training hospitals of Yazd to improve their health, stated that “factors related to the hospital” was the most important factor in their choice. “Factors related to the treating physician” and “personal factors” played the next important roles in this regard. The findings of this study can be used by health system stakeholders to plan, organize, and evaluate health care services.  

References:

1- Karami S, Comparison of hospital indicators in the public and private sectors Farabi Hospital. MS.c Thesis, Tehran University of Medical Sciences and Health Services; 1995

2- Malley J JF. Ultimate patient satisfaction: Designing, implementing or rejuvenating an effective patient satisfaction. Mc GrawHill; 1997: 36-61.

3- Sahn DE, Younger SD, Genicot G. The demand for health care services in rural Tanzania. Oxford Bulletin of Economics and Statistics, 2003; 65(2): 241-60.

4- Asef Zadeh S, Rezapour A, Health Care Management, Qazvin University of Medical Sciences and Health Services; 2006.

5- Dor-A, Getler-p, Non price rationing and choice of medical provistion in rural Cote, d'Ivoire, Journal if health economics, 1987: 6(4): 291-304.

6- Heller- P. A model of the demand for medical health services in Peninsula Malaysia, Social science & medicine, 1982: 16(3): 267-84.

7- Hooshang tehrani M, Measurment of inpatient satisfaction Hotelling services of educational Hospital. Iran University of Medical Sciences; 1998.

8- Yaghoobi M AZ, Ferdosi M, Javadi M. Study of relationship between organization structure and system attitude with market orientation in selected hospital of Isfahan in 2010 - 2011.

9- Varmaghani M, Arab M, Zeraati A, Sari A. Factors affecting the choice of public and private hospitals in Tehran for treatment in 2008. Hospital Quarterly, 2011; 10 (1): 45-52.

10- Obeidi Dizchi H. The comparative study of selected hospitals in Tabriz for treatment: Iran University of Medical Sciences; 2000.

11- Amery H, Panahi M, Jafari A, Khalafi A, Alizadeh H, Abbaspour R. The Reasons of Private Hospital Selection by patients in Yazd Province for Treatment. Journal of Torbat Heydarieh University of Medical Sciences, 2013; 1(3): 37-43.

12- Ghazanfari Z, Tiregi B. Effective Factors on Selection of Public or Private Hospitals by Patients in Need of Surgery Referring to Kerman Hospitals, Nursing and Midwifery Health Care Steps, Journal of Razi Nursing and Midwifery Faculty, 2014; 1(1): 37-43.

13- Sadeghi R.The survey of effective factors on selection of governmental or private hospital with surgical patients, the thesis of MSc health care management, Shiraz University of medical sciencse, 2006

14- Behboodi F. Effective Factors On Selection of Governmental or Private Hospital with Surgical Patients. Medical Journal of Guilan University of Medical Sciences, 2000; 9(35-36): 34-40.

15- Amaghionyeodiwe LA. Determinants of the choice of health care provider in Nigeria. Health Care Management Science, 2008; 11 (3): 215-27.

16- Gamache G, Rosenheck RA, Tessler R. Factors predicting choice of provider among homeless veterans with mental illness. Psychiatric Services, 2007; 51(8): 1024-8.