Identifying Effective Factors on the Quality of Services Provided To Hemodialysis Patients in Iranian Hospitals

Subject Areas : medical documents

Fatemeh Paeen resketi ¹ , shaghayegh vahdat ² , somayeh hesam ³

1 - MSC, Department of Health Services Management, Marvdasht Branch, Islamic azad University, Marvdasht, Iran
2 - Assistant professor, Department of Health Services Management, South Tehran bBranch, Islamic Azad University, Tehran, Iran
3 - Assistant professor, Department of Health Services Management, South Tehran branch, Islamic Azad University, Tehran, Iran

Received: 2019-08-19 Accepted : 2019-10-09 Published : 2019-07-23

Keywords: hemodialysis section, hemodialysis patients, Quality of Service,

Abstract :

Introduction: Considering the importance of the effect of chronic renal failure on various aspects of patients' life, the purpose of the study was to determine the factors affecting the quality of services provided to hemodialysis patients. Methods: The research was carried out using a mixed method. Samples were targeted at the qualitative stage and included 24 experts from hemodialysis section from 6 provinces of the country. In the quantitative phase, 150 employees in the hemodialysis department were examined. The information gathering tool in the first step was a library and in the second step was a questionnaire. The researcher-made questionnaire was designed with 6 elements; validity and reliability of the questionnaire were also evaluated using goodness of fit. The analysis in the descriptive statistics section included frequency, percentage, mean and standard deviation, and was used in the inferential statistics of exploratory and confirmatory factor analysis. Exploratory factor analysis was performed using SPSS 21 software and confirmatory factor analysis through Laser Level software. Results: Six factors influencing the quality of hemodialysis services were identified, and based on the importance were: human resources (0.866), management (0.874), information technology (0.749), equipment (0.731), facilities (0.683) and physical space (0.628). The fittest indices also showed that effective factors have suitable fit and can be mentioned as factors affecting the quality of hemodialysis services in Iran. Conclusion: Due to the low quality of life in hemodialysis patients, appropriate strategies should be taken to prevent the loss of resources and improve the patients' life quality by using the result.

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