Patient’s Satisfaction with Health Care Services in Erbil City/Iraq
Background and objective: Patient satisfaction is one of the most important factors to determine the success of a health care facility. It is a relative phenomenon, which evaluates the patients’ perceived needs, their expectations from a health system, and the experience of health care. Patient satisfaction is the main goal today for most health care organizations, from hospitals to physician practices and other health care agencies. This study aimed to compare patient satisfaction with the health care services provided by public and private hospitals in Erbil City.
Methods: A cross-sectional study was conducted using a non-probability purposive sample of 450 patients (225 from public and 225 from private hospitals) who were seeking health care in hospitals in Erbil City. The data were collected between the 7th of January and 15th of November 2016 by direct interviews and filling of the standardized questionnaires (Patient Satisfaction Questionnaire-18).
Results and Discussion: Most of the patients in public hospitals expressed a neutral level of satisfaction with received health services (80.9%) while 10.7% were dissatisfied and only 8.4% were satisfied with the provided health care. On the contrary, most of the patients in private hospitals (80%) were satisfied with their care, with only 20% expressing a neutral level of satisfaction with private health care services. These findings show that there is a very high statistical difference between patient satisfaction in the governmental and private hospitals in Erbil City (Mean ± Standard Deviation 45.35 ± 3.520), (56.42 ± 5.696) (p-value= <0.001).
Conclusion: Most of the patients were satisfied with private health care services but not with public hospitals health services in selected hospitals in Erbil City in Iraq.
 Crow R, Gage H, Hampson S, Hart J, Kimber A, Storey L, et al. The measurement of satisfaction with healthcare: implications for practice from a systematic review of the literature.; Health Technological Assess. 2002, 6 (32):1-244.
 Bergenmar M, Nylen U, Lidbrink E, Bergh J, Brandberg Y. Improvements in patient satisfaction at an outpatient clinic for patients with breast cancer. Acta Oncologica, 2006. 45 (5):550-8.
 Lis CG, Rodeghier M, Grutsch JF, Gupta D. Distribution and determinants of patient satisfaction in oncology with a focus on health-related quality of life. BMC Health Serves Research. 2009; 9:190.
 Freeman T. Using performance indicators to improve health care quality in the public sector: a review of the literature. Health Serves Manage Research. 2002; 15 (2):126-37.
 Kone Pefoyo AJ, Wodchis WP. Organization-al performance impacting patient satisfaction in Ontario hospitals: a multilevel analysis. BMC Research Notes. 2013; 6:509.
 RAND Health Care. Patient Satisfaction Questionnaire from RAND Health. Douglas Aircraft Company of Santa Monica, California. (Accessed on 29 April 2015). Available from: http://www.rand.org/health/surveys_tools/psq.html.
 Faiza Manzoor, Longbao Wei, Abid Hussain, Muhammad Asif, and Syed Irshad Ali Shah. Patient Satisfaction with Health Care Ser-vices; An Application of Physician’s Behavior as a Moderator. International Journal of Environmental Research and Public Health. Sep 2019; 16(18): 3318 . Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6765938/
 Anthony Janahan Thayaparan and Eamon Mahdi. The Patient Satisfaction Questionnaire Short Form (PSQ-18) as an adaptable, reliable, and validated tool for use in various settings. Medical Education Online 2013. 18: 10.3402/meo.v18i0.21747.
 Cho Y, Chung H, Joo H, Park HJ, Joh H-K, Kim JW, et al. Comparison of patient perceptions of primary care quality across healthcare facilities in Korea: A cross-sectional study. (2020), PLoS ONE 15(3): e0230034. https://doi.org/10.1371/journal.pone.0230034
 Macki M, Alvi MA, Kerezoudis P, Xiao S, Schultz L, Bazydlo M, et al. Predictors of patient dissatisfaction at 1 and 2 years after lumbar surgery. Journal of Neurosurgery. 2019 Nov 22:1-10. DOI: 10.3171/2019.8 SPINE19260.
 Park, JungKun; Ahn, Jiseon; Yoo, Weon Sang, The Effects of Price and Health Consciousness and Satisfaction on the Medical Tourism Experience. Journal of Healthcare Management. 2017, 62(6):405-417, November/December.
 Kim, Minseong. “From Servicescape to Loyalty in the Medical Tourism Industry: A Medical Clinic's Service Perspective.” Inquiry: Journal Of Medical Care Organization, Provision And Financing. (2017): vol. 54:46958017746546.DOI:10.1177/0046958017746546
 Karadaghi G, Willott C. Doctors as the governing body of the Kurdish health system: exploring upward and downward account-ability among physicians and its influence on the adoption of coping behaviours. Human Resources for Health (2015) 13:43. DOI: 10.1186/s12960-015-0039-x.
 Katherine Walker, Michael Ben-Meir. Choosing public or private emergency departments in Australia. Emergency Medicine Australasia. 2017 https://doi.org/10.1111/1742-6723.12879).
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