[Assessment of satisfaction rate among the working staff of Mazandaran University of supplemental insurance company in 2005]

The range of medical services is so large that rendering services under the support of medical insurance is not possible for the insurance companies. Many of the patients need the supplemental insurance, specially when this type of insurance completes the general medical insurance. Clients' consent with the health service center is undeniable nowadays. This study was performed to determine the rate of working staff's consent at Mazandaran University of Medical Sciences of the supplemental insurance company in Sari. In a descriptive study, 120 out patients and hospitalized patients who had benefitted from the supplemental insurance for once company underwent the study. Data collected by questionnaire were confirmed on account of P validity to be used in the pilot study. Also, data were analyzed in descriptive method with SPSS software. The obtained results were as follows; 63 [%52.5] were male, 79 subjects aged 30-49 years [65.8%], 63 had higher education [52.5%], 90 were married [75%]. 54 [%45] subjects were hospitalized with cardiovascular disease and digestive problems. Also 72 subjects [%60] had the history of 3 days hospitalization. Sonography was the method of treatment [43%] that was used for%43 of them. Regarding the purpose of the study, many of the subjects under the study, [51.7%], were satisfied with the supplemental insurance company in terms of behavior, 64 subjects [%53.3] with insurance compancy's cooperation and finally 59 subjects [%49.2] were pleased with the organization's commitment to its responsibility. The X2 test showed that there is significant relationship among the age, education number of hospitalization, the reason of hospitalization, diagnostic procedures, and the rate of satisfactions p<0.001. This finding indicates knowledge, relation with the medical care centers, type and quality of rendered services. Therefore, it is suggested that a logical planning be conducted by the authorities of the insurance company to achieve the utmost degree of satisfaction

[Anaesthesiologists H attitude towards preoperative patients education needs in 2005]

lack of information about anaesthisia and fear of post operation contiousness, pain, nausea and vomiting increases the patientsH anxiety. There are various reports about patiensH desire for preoperation information in Iran and other countries. However, there is no study related to anaesthesiologistsH view about patientsH needs before anaesthesia and operation in the literature. This descriptive [cross- sectional] study was done in 2005 on 110 anaesthesiologists working in hospitals of Mazandaran province. Questionnaire containing 4 questions about demographic and 18 questions related to anaesthesia was prepared. Attitude of the anaesthesiologists was divided into 5 categories based on Likert rating scale as follows: completely agreed, agreed, partially agreed, not agreed, completely not agreed. Chi-square test was used for the statistical analysis of the data. Results of this study showed that the most positive attitude of anaesthesiologists about patient teaching was related to the proper explanation about duration of N.P.O before operation [%97.3].%52.7 of anaes the siologists were against giving explanation of the duration of N.P.O and post operation possible problems. In this regard no significant difference was observed between educational and non educational hospitals [P<0.018]. No significant difference in terms of attitude was observed between anaesthesiologists at different level of education [P<0.07]. Considering the positive attitude of the anaesthesiologists towards education and preoperation of the patients, it is recommended that such education be implemented and the patients be charged for preoperation consultation in order to give explanation about anaesthesia at proper time, when needed