Articles

Quality of Services in Health Centers in Western Suburbs of Ahvaz by Examining the Gap Between Expectations and Perceptions

Abstract

Background: Due to the health sector’s serious mission in maintaining the health and care of the community, the quality of provided health services is of particular prominence.
Objectives: This study aims to assess the quality of services in health centers in western suburbs of Ahvaz by examining the gap between expectations and perceptions.
Methods: This was a cross-sectional study and conducted in 2018. The sample size included 291 people visiting health centers in western suburbs of Ahvaz. The data were collected through the SERVQUAL standard questionnaire for assessing the quality. This questionnaire assesses five dimensions of the quality of the provided services. These five dimensions include tangible factors, reliability, responsiveness, assurance, and empathy. Pearson correlation coefficient test was used to investigate the relationship between the variables. Independent t-test was used to compare the means. Data analysis was performed through SPSS version 22.
Results: Overall, 89.55% of the subjects were female. In all the five dimensions of quality, there was a significant difference between the ideal status and the observed status (P < 0.001). The lowest gap was related to empathy (r = 0.25), and the highest gap was reported for tangible factors (r = -0.99). There was a significant positive correlation between each of the dimensions of expectations and the same dimension in the perceptions section (P < 0.001).
Conclusions: Expectations in all the dimensions, except for empathy, were higher than perceptions, and health centers were far from ideal. Among these dimensions, expectations and perceptions in the area of reliability were higher than in other cases, and the mean scores were at a higher level. In the area of increasing the quality of care in health centers in suburbs of Ahvaz, some measures should be taken to promote the quality.

1. Matin BK, Rezaei S, Moradinazar M, Mahboubi M, Ataee M. Measurement of quality of primary health services by SERVQUAL model: evidence from urban health centers in west of Iran. Research Journal of Medical Sciences. 2016;10(5):475-80.
2. Kashf SM, Rakhshani T, Hashemi H. Evaluation the Quality of Health Services Based on SERVQUAL Model in Ahwaz Health Care Centers, Iran. Caspian Journal of Health Research. 2019 Jan 10;4(1):1-5.
3. Tebai Y, Maharani DA, Rahardjo A. Cross-cultural adaptation and psychometric properties of the Indonesian version of Servqual for assessing oral health service quality. Journal of International Dental and Medical Research. 2017 Sep 1;10(3):945-51.
4. Ghimire P, Acharya M. SERVQUAL Questionnaire based Health Service Quality Assessment in a Private Hospital of Western Nepal. Nepal Journal Of Medical Sciences. 2020 Feb 21;5(1):79-85.
5. Rahman MS, Khan AH, Haque MM. A conceptual study on the relationship between service quality towards customer satisfaction: Servqual and gronroos's service quality model perspective. Asian Social Science. 2012 Nov 1;8(13):201.
6. Hemmati nezhad Z, Hemmati nezhad M. Evaluation Educational Service Quality of Physical Education and sport sciences faculty of the university of Guilan According to SERVQUAL model. Scientific Journal Of Organizational Behavior Management in Sport Studies. 2014;1(3):11-28.
7. Parasuraman A, Zeithaml VA, Berry LL. Servqual: A multiple-item scale for measuring consumer perc. Journal of retailing. 1988;64(1):12.
8. Brown GC, Brown MM, Sharma S. Health care in the 21st century: Evidence-based medicine, patient preference-based quality, and cost effectiveness. Quality Management in Health Care. 2000;9(1):23-31.
9. Matzler K, Bailom F, Hinterhuber HH, Renzl B, Pichler J. The asymmetric relationship between attribute-level performance and overall customer satisfaction: a reconsideration of the importance–performance analysis. Industrial marketing management. 2004;33(4):271-7.
10. Hemmati F, Kakouei H, Agha-Bakhshi H, Biglarian A. Satisfaction assessment of service receivers of daily rehabilitation institutions in Tehran based on the consumerism aproach. Archives of Rehabilitation. 2001;2(3):14-21.
11. Zarei E, Arab M, Rahimi Froushani A, Rashidian A, ghazi-tabatabaie M. Service quality of private hospitals: The Iranian Patients' perspective2012. 31 p.
12. Heidarnia M-A, R-I, Sahand, Abadi A, Mohseni M. Cross cultural adaptation and assessing validity and reliability of SERVQUAL questionnaire in hospital service quality. Pejouhesh dar Pezeshki (Research in Medicine). 2014;38(2):98-105. eng.
13. Moqbel A., Mohammadi A. Assessing the quality of services provided in Fars province health care centers. Journal of Social Sciences and Humanities, Shiraz University. 2001. 19 (2). 62-54.
14. Hekmatpou D, Sorani M, Farazi A A, Fallahi Z, Lashgarara B. A survey on the quality of medical services in teaching hospitals of Arak University of Medical Sciences with SERVQUL model in Arak, 2010. J Arak Uni Med Sci. 2012; 15 (7) :1-9.
15. Aghamalaei T, Zaresh, Pudat A. Perception and expectation of primary health care recipients of service quality in Bandar Abbas health centers. Hormozgan Medical Journal. 2001. 11 (3). 179-173.
16. Nekoei-Moghadam M, AmirEsmaili M. Hospital services quality assessment: Hospitals of Kerman University of Medical Sciences, as a tangible example of a developing country. International Journal of Health Care Quality Assurance 2011; 24(1).
17. Zarei J. Assessing the quality of hospital services at Bushehr University of Medical Sciences and Health Services from the perspective of patients. Journal of New Advances in Behavioral Sciences. 2016. 2 (16): 33-21.
18. Scardina SA. SERVQUAL: a tool for evaluating patient satisfaction with nursing care. J Nurs Care Qual 1994; 8(2): 38-46.
19. Lim PC, Tang NK. A study of patients' expectations and satisfaction in Singapore hospitals. Int J Health Care QualAssurIncLeadersh Health Serv 2000; 13(6-7): 290-299.
20. Safi M., Fereydoonfar A., Arshi Sh. Assessing the quality of primary health services provided in health care centers under the auspices of Tehran North Health Center Social health. 2016; 1 (1): 54-61.
21. Hernán GM, Gutiérrez CJ, Lineros GC, Ruiz BC, Rabadán AA. Patients and quality of primary
health care services. Survey of practitioners at the Bahia de Cadiz and La Janda health centers.
Atencion primaria/Sociedad Espanola de Medicina de Familia y Comunitaria 2002;30(7):425-33.
22. Kazemnezhad L, Ghasemzade M, Mohebi S. The Quality of Maternal and Child Health Care Services with SERVQUAL Model . JHC. 2016; 18 (2) :111-119.
Files
IssueVol 4, No 4 (2020) QRcode
SectionArticles
DOI https://doi.org/10.18502/htaa.v4i4.6867
Keywords
Quality Health Care Health Center Ahvaz

Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
How to Cite
1.
Rostami borujeni N, Sarahi S, Haghighizadeh MH, Fadaei Dehcheshmeh N. Quality of Services in Health Centers in Western Suburbs of Ahvaz by Examining the Gap Between Expectations and Perceptions. Health Tech Ass Act. 2021;4(4).