[Patient satisfaction before and after implementation of paying per case for employees]

ABSTRACT

Paying per case approach is being applied at Iranian Hospitals as one of the important levers of management, but, the payment rate is not proportionate to the services provided by each staff. The aim of this study was to compare patients' satisfaction of a hospital before and after the implementation of the method of paying per case based on the services provided by each staff. This before-after quasi-experimental study was conducted on two independent groups of hospitalized patients at Shahid Beheshti Hospital of Yasouj city. The sample, before and after intervention was 500 and 660, respectively. The sampling method was purposive. Data collection tool was questionnaire and data were analyzed using descriptive and analytical statistical methods. The results showed that the mean and standard deviation of the age of the subjects, before and after intervention were 28.15 +/- 13.77 and 29.33 +/- 14.68, respectively. Based on the results, no statistically significant relationship was found between the gender and satisfaction before and after intervention. The education level of samples had statistically significant relationship with their total satisfaction of services before intervention [P<0.05], while, this relationship was not significant after intervention. The patients' satisfaction of nurses' performance and total services was statistically increased after intervention [P<0.05]. Implementing the method of paying per case based on the services provided by each staff, may increase satisfaction rate of patients