[Factors affecting patients' satisfaction with nursing management and health care system]

ABSTRACT

New and effective health care needs a cooperation between doctor and patient. patients' satisfaction is necessany for a good Doctor-patient relationship, this study evaluate factors affecting patients content. A descriptive- analytical survey was performed from November to December 2010. The study sample consisted of 100 patients hospitalized in the emergency wards of Imam Khomeini and Mustafa Hospitals in Ilam- Iran. Subjects were selected by simple random sampling method. Data were collected by questionnaire and it's reliability was checked using Cronbach alpha coefficient. Factorial analysis technique was used to find the most important factors affecting patients' satisfaction. Normal distribution for factor scores was assessed using the Kolmogorov-Smimov test. Data were analyzed using the Mann-Whitney test and Spearman correlation coefficient. P< 0.05 was considered significant. Explanatory factor analysis showed that the patient's satisfaction is affected by six factors including satisfaction of physician, nursing staff, presence of students, method of reception and discharge, deciding for cure and knowing the position of therapist. According to the results of factorial analysis, role and patient's satisfaction of physician was the most important issue. There was an statistically significant relationship between occurrence time with patients' satisfaction [r=0.23, P=0.027], number of visit and satisfaction [r=0.27, P=0.00], and occurrence time with number of visit [r=0.36, P=0.000], and time of visits and satisfaction of physician [X2=1013, P=0.016]. since there is a direct relationship between number and time of physician visit with patient's satisfaction, therefore it recommended to aware physician about this issue