Document Type : Original Article
Authors
1 Students’ Research Committee, Tabriz University of Medical Sciences, Tabriz, Iran
2 Emergency Medicine Research Team, Tabriz University of Medical Sciences, Tabriz, Iran
Abstract
Objective: Assessing patients’ satisfaction with emergency medical services (EMSs) is an important managerial point of view. The present study aimed to assess the patients’ satisfaction with EMS in Tabriz, Iran.
Methods: This is a descriptive-analytic study that was done in the prehospital emergency and disaster management center of Tabriz University of Medical Sciences. In this study, from May to December 2017, we included 659 patients who were transferred to hospitals with our prehospital emergency services. A valid and reliable questionnaire was used to evaluate the satisfaction of patients about the performance of prehospital EMSs.
Results: Data of 659 patients were evaluated. Trauma was the most common cause of contact with 115 and help request (33.83%). The results indicated that patients’ level of satisfaction was good and very good. The highest level of satisfaction was related to the treatment of patients and use of medical equipment in the ambulance (n=578 patients, 87.7%) as well as the treatment practiced by the emergency medical technicians (EMTs) (n=575 patients, 87.24%). However, the lowest level of satisfaction was related to the absence of an active EMT in the rear cabin when transferring patients to the hospital (n=337 patients, 51.14%) and transfer of the patient from the accident scene to the ambulance (n=410 patients, 62.21%).
Conclusion: Patients’ satisfaction with EMS was optimal. The minimum and maximum satisfaction rates were related to the absence of an active EMT in the rear cabin, treatment of the patient, and use of medical equipment.
Keywords
Main Subjects
2. Eshghi M, Rahmani F, Derakhti B, Robai N, Abdollahi F, Tajoddini S. Patient satisfaction in the emergency
department: a case of Sina hospital in Tabriz. J Emerg Pract Trauma 2016; 2(1): 16-20. doi: 10.15171/jept.2015.06.
3. Entezari-asl M, Motamedi F. Degree of satisfaction among patients referring to the emergency rooms of hospital of
Ardabil University of Medical Sciences, 2000. Journal of Ardabil University of Medical Sciences 2003; 3(2): 20-7. [In
Persian].
4. Bailey ED, Sweeney T, National Association of EMS Physicians. Considerations in establishing emergency medical services response time goals. Prehosp Emerg Care 2003; 7(3): 397-9.
5. Grogan S, Conner M, Norman P, Willits D, Porter I. Validation of a questionnaire measuring patient satisfaction
with general practitioner services. Qual Health Care 2000; 9(4): 210-5. doi: 10.1136/qhc.9.4.210
6. Swain AH, Al-Salami M, Hoyle SR, Larsen PD. Patient satisfaction and outcome using emergency care practitioners
in New Zealand. Emerg Med Australas 2012; 24(2): 175-80. doi: 10.1111/j.1742-6723.2011.01525.x.
7. Saberi Nia A, Nekouei Moghadam M, Mahmoudi Meymand F. Identify stressful factors causing dissatisfaction in pre-hospital emergency personnel in Kerman. Payavard Salamat 2013; 6(6): 489-97. [In Persian].
8. Bidari A, Abbasi S, Farsi D, Saeidi H, Mofidi M, Radmehr M, et al. Quality assessment of prehospital care service in
patients transported to Hazrat-e-Rasoul akram hospital. Medical Journal of Tabriz University of Medical Sciences 2007; 29(3): 43-6. [In Persian].
9. McKinley R, Roberts C. Patient satisfaction with out of hours primary medical care. Qual Health Care 2001; 10(1):
23-8. doi: 10.1136/qhc.10.1.23
10. Jaklic TK, Kovac J, Maletic M, Bunc KT. Analysis of patient satisfaction with emergency medical services. Open Med
(Wars) 2018; 13: 493-502. doi: 10.1515/med-2018-0073.
11. Bahadori M, Ghardashi F, Izadi AR, Ravangard R, Mirhashemi S, Hosseini SM. Pre-hospital emergency in Iran: A systematic review. Trauma Mon 2016; 21(2): e31382. doi: 10.5812/traumamon.31382.
12. Kuisma M, Maatta T, Hakala T, Sivula T, Nousila-Wiik M. Customer satisfaction measurement in emergency medical
services. Acad Emerg Med 2003; 10(7): 812-5.
13. Bahrami MA, Ranjbar Ezzatabadi M, Maleki A, Asqari R, Ahmadi Tehrani GH. A survey on the yazd pre-hospital emergency medical services’ performance assessment,
2009-2010. Toloo-e-Behdasht 2011; 9(4): 45-58. [In Persian].
14. Mehrabian F, Faize Sabet A, Ezatpana Abatari L. Patients satisfaction of pre-hospital emergency services in Rasht.
Journal of Guilan University of Medical Sciences 2017; 26(103): 30-6. [In Persian].
15. Heydari H, Kamran A, Zali ME, Novinmehr N, Safari M. Customers’ satisfaction about prehospital emergency
medical services in Lorestan, Iran. Electron Physician 2017; 9(3): 3974-9. doi: 10.19082/3974.
16. Price L. Treating the clock and not the patient: ambulance response times and risk. Qual Saf Health Care 2006; 15(2):
127-30. doi: 10.1136/qshc.2005.015651.
17. Malekmakan L, Haghpanah S, Moravej H, Sharifi M. The Effect of intervention on patient’s satisfaction in emergency
departments of the hospitals affiliated to Shiraz university of medical sciences. Journal of Jahrom University of Medical Sciences 2010; 7(3): 52-61. [In Persian].
18. Jafari F, Zayeri F, Johari Z. The satisfaction of those who recourse to the to the health centers of Shahid Beheshti
university of medical sciences. Daneshvar 2007; 4(66): 15- 22. [In Persian].
19. Woods SE, Heidari Z. The influence of gender on patient satisfaction. J Gend Specif Med 2003; 6(4): 30-5.
20. Williamson K, Ramesh R, Grabinsky A. Advances in prehospital trauma care. Int J Crit Illn Inj Sci 2011; 1(1): 44-50. doi: 10.4103/2229-5151.79281.
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