Socioeconomic Status and Satisfaction with Public Healthcare System in Iran
Background: The users’ satisfaction is a method for evaluating the efficacy of healthcare system. We aimed to evaluate the association between the users’ socioeconomic status (SES) and satisfaction with the healthcare system in Shiraz, Iran. Methods: This cross-sectional study was conducted from De...
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Shiraz University of Medical Sciences
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doaj-cfddfaed21fb415d9fce87ca05ae9e0e2020-11-25T03:20:17ZengShiraz University of Medical SciencesInternational Journal of Community Based Nursing and Midwifery2322-24762322-48352017-01-01512229Socioeconomic Status and Satisfaction with Public Healthcare System in IranNajmeh Maharlouei0Mojtaba Akbari1Maryam Akbari2Kamran B. Lankarani3Health Policy Research Center, Shiraz University of Medical Sciences, Shiraz, Iran;Department of Epidemiology, School of Health and Nutrition, Shiraz University of Medical Sciences, Shiraz, IranHealth Policy Research Center, Shiraz University of Medical Sciences, Shiraz, Iran;Health Policy Research Center, Shiraz University of Medical Sciences, Shiraz, Iran;Background: The users’ satisfaction is a method for evaluating the efficacy of healthcare system. We aimed to evaluate the association between the users’ socioeconomic status (SES) and satisfaction with the healthcare system in Shiraz, Iran. Methods: This cross-sectional study was conducted from December, 2013 to March, 2014, in Shiraz, Iran. 3400 households were recruited by multi-stage cluster random sampling. Information about demographic, insurance status, and users’ satisfaction was derived from face-to-face interviews. Satisfaction with healthcare system was assessed by using 5-point Likert scale statements, which ranged from “very dissatisfied” to “very satisfied”. All statistical analyses were performed using SPSS-21. Results: Overall, 1.6% (55) of the respondents were very satisfied, while 6% (203) were very dissatisfied with healthcare system. Participants were classified into high SES (26.3%), middle SES (47.9%) and low SES (25.8%). It was discovered that the better the SES, the more frequent were the respondents dissatisfied with healthcare system (P<0.001). Also, dissatisfied respondents were significantly older (P=0.036). Moreover, women were more dissatisfied with healthcare system (P=0.005). Also, dissatisfied respondents had significantly a higher level of education than satisfied ones (P<0.001). Furthermore, logistic regression revealed that age (P=0.04), marital status (P=0.01), insurance status (P<0.001), SES (P<0.001), and having supplemental insurance (P=0.02) were determinant factors of satisfaction with healthcare system. Conclusion: This study demonstrated that users’ sex, age, educational level, and SES were related to dissatisfaction with healthcare system. Meanwhile, clients’ age, SES, insurance status and marital status were recognized as determinant factors. http://ijcbnm.sums.ac.ir/index.php/ijcbnm/article/view/644/143Healthcare systemSatisfactionSocioeconomic statusIran |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Najmeh Maharlouei Mojtaba Akbari Maryam Akbari Kamran B. Lankarani |
spellingShingle |
Najmeh Maharlouei Mojtaba Akbari Maryam Akbari Kamran B. Lankarani Socioeconomic Status and Satisfaction with Public Healthcare System in Iran International Journal of Community Based Nursing and Midwifery Healthcare system Satisfaction Socioeconomic status Iran |
author_facet |
Najmeh Maharlouei Mojtaba Akbari Maryam Akbari Kamran B. Lankarani |
author_sort |
Najmeh Maharlouei |
title |
Socioeconomic Status and Satisfaction with Public Healthcare System in Iran |
title_short |
Socioeconomic Status and Satisfaction with Public Healthcare System in Iran |
title_full |
Socioeconomic Status and Satisfaction with Public Healthcare System in Iran |
title_fullStr |
Socioeconomic Status and Satisfaction with Public Healthcare System in Iran |
title_full_unstemmed |
Socioeconomic Status and Satisfaction with Public Healthcare System in Iran |
title_sort |
socioeconomic status and satisfaction with public healthcare system in iran |
publisher |
Shiraz University of Medical Sciences |
series |
International Journal of Community Based Nursing and Midwifery |
issn |
2322-2476 2322-4835 |
publishDate |
2017-01-01 |
description |
Background: The users’ satisfaction is a method for evaluating the efficacy of healthcare system. We aimed to evaluate the association between the users’ socioeconomic status (SES) and satisfaction with the healthcare system in Shiraz, Iran.
Methods: This cross-sectional study was conducted from December, 2013 to March, 2014, in Shiraz, Iran. 3400 households were recruited by multi-stage cluster random sampling. Information about demographic, insurance status, and users’ satisfaction was derived from face-to-face interviews. Satisfaction with healthcare system was assessed by using 5-point Likert scale statements, which ranged from “very dissatisfied” to “very satisfied”. All statistical analyses were performed using SPSS-21.
Results: Overall, 1.6% (55) of the respondents were very satisfied, while 6% (203) were very dissatisfied with healthcare system. Participants were classified into high SES (26.3%), middle SES (47.9%) and low SES (25.8%). It was discovered that the better the SES, the more frequent were the respondents dissatisfied with healthcare system (P<0.001). Also, dissatisfied respondents were significantly older (P=0.036). Moreover, women were more dissatisfied with healthcare system (P=0.005). Also, dissatisfied respondents had significantly a higher level of education than satisfied ones (P<0.001). Furthermore, logistic regression revealed that age (P=0.04), marital status (P=0.01), insurance status (P<0.001), SES (P<0.001), and having supplemental insurance (P=0.02) were determinant factors of satisfaction with healthcare system.
Conclusion: This study demonstrated that users’ sex, age, educational level, and SES were related to dissatisfaction with healthcare system. Meanwhile, clients’ age, SES, insurance status and marital status were recognized as determinant factors.
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topic |
Healthcare system Satisfaction Socioeconomic status Iran |
url |
http://ijcbnm.sums.ac.ir/index.php/ijcbnm/article/view/644/143 |
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