Services quality for people with rheumatoid arthritis: Iranian patients′ perspective

Karimi, Saeed; Mottaghi, Peyman; Shokri, Azad; Yarmohammadian, Mohammad Hossein; Tabrizi, Jafar-Sadegh; Gholipour, Kamal; Kordi, Ayan

doi:10.4103/2347-9019.130749

Cited by 2 publications

(4 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Data was collected from January to March 2020 using a standard SQ questionnaire (the validity and reliability were already approved in similar contexts) [ 19 – 21 ]. The questionnaire included four main parts.…”

Section: Methodsmentioning

confidence: 99%

“…Cronbach’s alpha coefficient ranged from (α = 0.67) for “timeliness”, to (α = 0.83) for “dietary counseling”. Additionally, according to previous studies, an SQ score of less than “nine” indicates a failure in the quality of care and a significant gap for improvement [ 19 – 21 ]. We excluded the participants of the pilot study from the main sample size to avoid any bias.…”

Section: Methodsmentioning

confidence: 99%

See 1 more Smart Citation

Service quality: perspective of people with type 2 diabetes mellitus and hypertension in rural and urban public primary healthcare centers in Iran

Iezadi,

Gholipour,

Sherbafi

et al. 2024

BMC Health Serv Res

Self Cite

View full text Add to dashboard Cite

Objective This study aimed to assess the service quality (SQ) for Type 2 diabetes mellitus (T2DM) and hypertension in primary healthcare settings from the perspective of service users in Iran. Methods The Cross-sectional study was conducted from January to March 2020 in urban and rural public health centers in the East Azerbaijan province of Iran. A total of 561 individuals aged 18 or above with either or both conditions of T2DM and hypertension were eligible to participate in the study. The study employed a two-step stratified sampling method in East Azerbaijan province, Iran. A validated questionnaire assessed SQ. Data were analyzed using One-way ANOVA and multiple linear regression statistical models in STATA-17. Results Among the 561 individuals who participated in the study 176 (31.3%) were individuals with hypertension, 165 (29.4%) with T2DM, and 220 (39.2%) with both hypertension and T2DM mutually. The participants’ anthropometric indicators and biochemical characteristics showed that the mean Fasting Blood Glucose (FBG) in individuals with T2DM was 174.4 (Standard deviation (SD) = 73.57) in patients with T2DM without hypertension and 159.4 (SD = 65.46) in patients with both T2DM and hypertension. The total SQ scores were 82.37 (SD = 12.19), 82.48 (SD = 12.45), and 81.69 (SD = 11.75) for hypertension, T2DM, and both conditions, respectively. Among people with hypertension and without diabetes, those who had specific service providers had higher SQ scores (b = 7.03; p = 0.001) compared to their peers who did not have specific service providers. Those who resided in rural areas had lower SQ scores (b = -6.07; p = 0.020) compared to their counterparts in urban areas. In the group of patients with T2DM and without hypertension, those who were living in non-metropolitan cities reported greater SQ scores compared to patients in metropolitan areas (b = 5.09; p = 0.038). Additionally, a one-point increase in self-management total score was related with a 0.13-point decrease in SQ score (P = 0.018). In the group of people with both hypertension and T2DM, those who had specific service providers had higher SQ scores (b = 8.32; p < 0.001) compared to the group without specific service providers. Conclusion Study reveals gaps in T2DM and hypertension care quality despite routine check-ups. Higher SQ correlates with better self-care. Improving service quality in primary healthcare settings necessitates a comprehensive approach that prioritizes patient empowerment, continuity of care, and equitable access to services, particularly for vulnerable populations in rural areas.

show abstract

Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Service quality: perspective of people with type 2 diabetes mellitus and hypertension in rural and urban public primary healthcare centers in Iran

Iezadi,

Gholipour,

Sherbafi

et al. 2024

BMC Health Serv Res

Self Cite

View full text Add to dashboard Cite

show abstract

“…24 Study of Van Den Ende indicated that dynamic exercise therapy has a positive effect on physical capacity 25 and has been shown to decrease the risk of heart disease, hypertension, 26 patient-reported disability and pain 27 as well as beneficial in improving symptoms and quality of life. 28 Thus, our study suggests patient self-management education to improve customer quality and ability in managing their daily problems and conditions that leads to reduction in long-term and acute complications.…”

Section: Discussionmentioning

confidence: 86%

“…29 Based on the experts' viewpoint, service quality is also defined as Organization's ability to meet growing expectations of customer. 28 Nevertheless, scores of service quality was poor from the patient's perspectives especially in "Availability of support group" domain.…”

Section: Discussionmentioning

confidence: 99%

Assessment of the Quality of Delivered Care for Iranian patients with Rheumatoid Arthritis by Using Comprehensive Quality Measurement Model in Health Care (CQMH)

et al. 2015

Self Cite

View full text Add to dashboard Cite

Introduction: Quality of care has become increasingly critical in the evaluation of healthcare and healthcare services. The aim of this study was to assess quality of delivered care among patients with rheumatoid arthritis using a model of Comprehensive Quality Measurement in Health Care (CQMH). Methods: This cross-sectional study was conducted on 172 patients with rheumatoid arthritis (RA) who were received care from private clinics of Isfahan University of medical sciences in 2013. CQMH questionnaires were used for assessing the quality of care. Data were analyzed using SPSS for Windows. Results: The mean scores of Quality Index, Service Quality (SQ), Technical Quality (TQ), and Costumer Quality (CQ) were 72.70, 79.09, 68.54 and 70.25 out of 100, respectively. For CQ only 19.8% of participations staying the course of action even under stress and financial constraints, there is a significant gap between what RA care they received with what was recommended in the guideline for TQ. Scores of service quality was low in majority of aspects especially in "availability of support group" section. Conclusion: Study shows paradoxical findings and expresses that quality scores of service delivery for patients with arthritis rheumatoid from patient's perspective is relatively low. Therefore, for fixing this paradoxical problem, improving the participation of patients and their family and empowering them for self-management and decision should be regarded by health systems.

show abstract

Services quality for people with rheumatoid arthritis: Iranian patients′ perspective

Cited by 2 publications

References 0 publications

Service quality: perspective of people with type 2 diabetes mellitus and hypertension in rural and urban public primary healthcare centers in Iran

Service quality: perspective of people with type 2 diabetes mellitus and hypertension in rural and urban public primary healthcare centers in Iran

Assessment of the Quality of Delivered Care for Iranian patients with Rheumatoid Arthritis by Using Comprehensive Quality Measurement Model in Health Care (CQMH)

Contact Info

Product

Resources

About