Author/Authors :
Alavi, Manijeh University of SocialWelfare and Rehabilitation Sciences, Tehran , Setareh Forouzan, Ameneh University of SocialWelfare and Rehabilitation Sciences, Tehran , Sajjadi, Homeira University of SocialWelfare and Rehabilitation Sciences, Tehran , Khodaie Ardakani, Mohammad Reza University of SocialWelfare and Rehabilitation Sciences, Tehran , Shati, Mohsen Department of Aging - University of SocialWelfare and Rehabilitation Sciences, Tehran , Moradi-Lakeh, Maziar Department of Community and Family Medicine - Preventive Medicine and Public Health Research Center - Iran University of Medical Sciences, Tehran
Abstract :
Background: Nowadays, change in the pattern of diseases to chronic has been with increasing use of medical imaging services.
People with physical disability require continuous diagnostic and therapeutic services.
Objectives: This studyaimedto measure the waiting time for receiving medical imaging servicesandto examine sociodemographic
factors associated with the poor experience of these people.
Patients and Methods: In a cross-sectional study to assess the responsiveness of comprehensive rehabilitation centers in Tehran in
2016 - 2017, 610 people with physical disabilities who were referred to 10 comprehensive physical rehabilitation centers for rehabilitation
services were asked whether they had used medical imaging services during their rehabilitation. The 477 participants (218
women) with positive response consisted the sample of this study. A checklist was used for data collection. T test, Chi-Square and
Multiple Logistic Regression Model were used for analytical reports.
Results: Poor experience in prompt attention of centers was reported by 26% of public diagnostic service users while 16% of private
sector users and 21.2% by total sample. Waiting time for appointment and waiting time at the center were significantly longer in
public medical imaging centers compared to the private sector (P < 0.05). Overall experience of public service users about prompt
attention was poorer than the private sector (P< 0.05). Physical status (odd ratio [OR] = 3.2; 95% confidence interval [CI] = 1.3 - 7.8) and
duration of disability (OR = 0.28; 95% CI = 0.09 - 0.9) were the predictors of poor experience of respondents about prompt attention
in public and private centers respectively.
Conclusion: From the service users’ viewpoint, private centers had better performance in prompt attention than public centers.
Attention to physical condition and duration of disability in scheduling diagnostic services is recommended.
Keywords :
Prompt Attention , Diagnostic Medical Imaging Centers , Physical Disability , Tehran