Author/Authors :
Askari Fariba نويسنده Department of Midwifery, School of Nursing and Midwifery, Gonabad University of Medical Sciences, Khorasan-e-Razavi, Iran. , Hadizadeh Talasaz Zahra نويسنده School of Nursing and Midwifery,Department of Midwifery,Mashhad University of Medical Sciences,Mashhad,Iran , Maleki-Saghooni Nahid نويسنده PhD Student of Reproductive Health, Student Research Committee, Department of Midwifery, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran , Nazar Eisa نويسنده PhD Student of Biostatistics, Student Research Committee, Department of Epidemiology and Biostatistics, School of Health, Mashhad University of Medical Sciences, Mashhad, Iran , Vafaee Najar Ali نويسنده Professor, Ph.D. in Health Services Management , Social Determinants of Health Research Center, Mashhad University of Medical Sciences, Mashhad, Iran
Abstract :
Introduction: Reducing maternal and neonatal mortality requires improved care quality; the
aim of this study was to determine various dimensions of the quality of services in maternity
wards in Iran from the patient’s perspective.
Methods: In this cross-sectional study which was conducted from April to October 2017, 363
patients were selected from maternity wards of five hospitals affiliated to Mashhad University
of Medical Sciences by convenience sampling method. Data collection tools consisted
of the SERVUSE (Service Usability questionnaire), including 51 items in 6 dimensions of
services quality; its validity and reliability were determined in previous studies. Data analysis
was performed using SPSS, version 20. The analysis was performed using descriptive and
inferential statistical methods including Wilcoxon, Kruskal Wallis and Mann-Whitney tests.
The significance level in all the tests was considered 5%.
Results: The total mean scores of the patients’ expectation and perception were 19.10±2.14 and
15.11±4.25, respectively. The highest expectation and perception were related to the usability
dimension, and the lowest expectation and perception were related to reliability dimension.
The differences between the median score of perception and expectation for all dimensions
and total median score of perceptions and expectations were statistically significant (P < 0.05,
using Wilcoxon test). There were no statistically significant differences in the median score
of the gap between the patient’s expectations and perceptions at the levels of demographic
variables (P > 0.05, using Mann-Whitney and Kruskal Wallis tests).
Conclusion: It seems that the service quality of maternity ward of hospitals was approximately
unsatisfactory from the patients’ perspective, and they had high expectations in maternity
wards of hospitals. Since maternity service quality is critically important, improvement of
quality requires management, concordant participation, and efforts of the hospital and staff
at all levels of the medical facilities and convenience.
