Ethics code: IR.SSU.SPH.REC.1403.122
Elahe Rahmani1 
, Elnaz Haiery1 , Atiyeh Dehghan Niri1 , Zahra Raisi1 , Najmeh Baghian2 , Farnoosh Ghomi3 , Tahereh Shafaghat *1
, Elnaz Haiery1 , Atiyeh Dehghan Niri1 , Zahra Raisi1 , Najmeh Baghian2 , Farnoosh Ghomi3 , Tahereh Shafaghat *1
1- Department of Health Management and Economics, School of Public Health, Shahid Sadoughi University of Medical Sciences, Yazd, Iran
2- Clinical Research Development Center, Shahid Rahnemoon Hospital, Shahid Sadoughi University of Medical Sciences, Yazd, Iran
3- Yazd Cardiovascular Research Center, Institute of Non-Communicable Diseases, Shahid Sadoughi University of Medical Sciences, Yazd, Iran
2- Clinical Research Development Center, Shahid Rahnemoon Hospital, Shahid Sadoughi University of Medical Sciences, Yazd, Iran
3- Yazd Cardiovascular Research Center, Institute of Non-Communicable Diseases, Shahid Sadoughi University of Medical Sciences, Yazd, Iran
Abstract: (18 Views)
Objective(s): Patient rights encompass addressing the physical, psychological, spiritual, and social needs of patients in a legitimate and reasonable manner, which, when observed, leads to patient satisfaction. On the other hand, hospital services must be of high quality as they significantly impact patient satisfaction and enhance hospital productivity. Therefore, this study aimed to assess the adherence to the Patient Rights Charter and its effect on the quality of provided services from the perspective of inpatients at Rahnemoon Hospital in Yazd in 2024.
Methods: This applied study was descriptive-analytical and conducted as a cross-sectional survey. A total of 160 inpatients were selected using a cluster random sampling method. The Mosadeghrad HEALTHQUAL questionnaire was used to evaluate patients’ perceptions of service quality, and the Parsapoor questionnaire was employed to assess compliance with the Patient Rights Charter. Data analysis was performed using Mann-Whitney, Kruskal-Wallis, and Spearman correlation tests in SPSS software (V.26).
Results: The level of compliance with the Patient Rights Charter was moderate (46.3%) to good (46.9%), with the highest compliance observed in respecting patients and protecting their privacy and the lowest in the patient complaint handling system. Patients’ perception of the quality of services provided by the hospital was rated as good (88.8%), with the highest perception related to the effectiveness and the lowest related to efficiency. Additionally, a significant positive correlation was found between perceived service quality and the level of adherence to the Patient Rights Charter.
Conclusion: Observing the Patient Rights Charter is not only an ethical principle in providing healthcare services but also a step towards improving treatment quality and enhancing patient health. Therefore, implementing measures such as training healthcare professionals and increasing patients’ awareness of their rights is essential to improve public health and gain patient satisfaction.
Methods: This applied study was descriptive-analytical and conducted as a cross-sectional survey. A total of 160 inpatients were selected using a cluster random sampling method. The Mosadeghrad HEALTHQUAL questionnaire was used to evaluate patients’ perceptions of service quality, and the Parsapoor questionnaire was employed to assess compliance with the Patient Rights Charter. Data analysis was performed using Mann-Whitney, Kruskal-Wallis, and Spearman correlation tests in SPSS software (V.26).
Results: The level of compliance with the Patient Rights Charter was moderate (46.3%) to good (46.9%), with the highest compliance observed in respecting patients and protecting their privacy and the lowest in the patient complaint handling system. Patients’ perception of the quality of services provided by the hospital was rated as good (88.8%), with the highest perception related to the effectiveness and the lowest related to efficiency. Additionally, a significant positive correlation was found between perceived service quality and the level of adherence to the Patient Rights Charter.
Conclusion: Observing the Patient Rights Charter is not only an ethical principle in providing healthcare services but also a step towards improving treatment quality and enhancing patient health. Therefore, implementing measures such as training healthcare professionals and increasing patients’ awareness of their rights is essential to improve public health and gain patient satisfaction.
type of study: Descriptive |
Subject:
Helath Services Management
Received: 2024/12/21 | Accepted: 2026/02/7 | ePublished ahead of print: 2026/06/8
Received: 2024/12/21 | Accepted: 2026/02/7 | ePublished ahead of print: 2026/06/8
References
1. Sharifi T, Gooshki ES, Mosadeghrad AM, Jaafaripooyan E. Practicing patients' rights in Iran: a review of evidence. Journal of Medical Ethics and History of Medicine 2021;5:1-17 [DOI:10.18502/jmehm.v14i28.8284]
2. OS R, Borhani F, Abas zadeh A. Awareness of patient rights, the observance of nurses and the factors influencing it in Kerman. Hist Medical Journal 2013; 5:38-62
3. Mousavi Bazaz N, Rakhsha N, Mousavi bazzaz m. Satisfying Patient's Rights according to Patient Bill of Rights in the Internal Medicine Departments of Ghaem & Imam Reza Hospitals, Mashhad University of Medical Sciences, Mashhad, Iran. North Khorasan University of Medical Sciences 2022;13:74-80 [Persian] [DOI:10.52547/nkums.13.4.74]
4. Kalroozi F, Dadgari F, Zareiyan A. Patients' satisfaction from health care groupin patient's bill of right observance. Iranian Journal of Military Medicine 2022;12:143-148 [Persian]
5. Byrne L, Baldwin A, Harvey C. Whose centre is it anyway? Defining person-centred care in nursing: An integrative review. PLoS One 2020;15:1-21 [DOI:10.1371/journal.pone.0229923]
6. Zare Shanheh F, Rafati S, Rejeh N, Davati A, Taqizadeh Maleki A, Keshavarzi M. Medical students' knowledge about patients' bill ofrights in universities of medical sciences in Tehran. Daneshvar Medicine 2023;31:67-75 [Persian]
7. Ebrahimi S, Fozooni H, Hosseini S. Knowledge on Patients' Rights in Medical Interns: A Crucial Stage of Doctor's Initiation. Thrita 2017;6:1-7 [Persian] [DOI:10.5812/thrita.57837]
8. Ghaljeh M, Zakeri Z, Rezaee N, Abedzadeh R. Physicians and nurses awareness and function about patients right charter in Zahedan. Iranian Journal of Medical Ethics and History of Medicine 2010;3:69-75 [Persian]
9. Mosavi MR, Habibifar S, Zahedi A, Malmir Z, Ezati E, Rostam M. The Relationship between Nurses' Awareness of the Patient Bill ofRightsand the ExtentofCompliance with It from the Perspective ofHospitalized Patients: A Cross-Sectional Study. Medical Ethics 2024;18:1-14
10. Sokhanvar M, Mosadeghrad A. An evaluation of quality of services in Tehran Hospitals using the HEALTHQUAL model. Journal of Medical Council of Islamic Republic of Iran 2017;35:9-19 [Persian]
11. Mosadeghrad A, Sokhanvar M. Measuring the quality of services of educational and medical hospitals in Tehran using the HEALTHQUAL tool. Razi Journal of Medical Sciences 2018;25:1-11 [Persian]
12. parsapoor A, Bagheri A, Larijani B. Review of revolution of patient's right charter. Iranian Journal of Medical Ethics and History of Medicine 2010;3:39-47 [Persian]
13. Vakili M, Pirdehghan A. Observance Rate of the Rights of Patients by Providers Care and its Necessity from View ofPatients in Shahid Sadooghi Hospital in Yazd 2012. Tebvatazkiye 2014;13:58-69 [Persian]
14. Astaraki P, Mahmoudi GA, Anbari K, Hosseini N. Evaluation of respect for patient's rights from the viewpoint of hospitalized patinents in Shohada Ashayer hospital of khorramabad city in 2013-2014. Scientific MagazineYafte 2015;17:5-14 [Persian]
15. Mohammadi K, Rahimi Froshani A. Investigating Patient Rights and Associated Demographic and Hospital Factors Using Approach of Two-Level Linear Regression Models In the Hospitals of Tehran University of Medical Sciences. Iranian Journal of Medical Ethics and History of Medicine 2020;13:649-662 [Persian]
16. Kolahi A, Sohrabi M. Examining the awareness of patients referring to Imam Hossein (a.s.) hospital about the bill of rights of patients in 2016. Tebvatazkiye 2017;17:65-76 [Persian]
17. Basiri Moghadam K, Basiri Moghadam M, Moslem A, Ajam Zibad H, Jamal F. Health Providers and Patients' Awarness on Patient Bill of Rights and Its Observing Rate in 22 Bahman Hospital. Internal Medicine Today 2011;17:45-54 [Persian]
18. Mossadeghrad A, Esna Ashari P. Patients And Physicians Awareness Of Patients' Rights And Its Implementation At Beheshti Hospital In Isfahan. Iranian Journal of Medical Education 2004;4:45-54 [Persian]
19. Rangerz Jedi F, Rabiei R. The rate of compliance with the Charter of Patients' Rights in Kashan State Hospitals (2005). Journal of Kermanshah University of Medical Sciences 2005;9:1-13 [Persian]
20. Jahani MA, Bazzi HR, Mehdizadeh H, Mahmoudi G. Assessment of hospital preparedness and mangersâ awareness against disaster in southeast Iran in 2017. Journal of Military Medicine 2022;21:538-546 [Persian]
21. Vaskooei Eshkevari K, Karimi M, Asnaashari H, Kohan N. The assessment of observing patients' right in Tehran University of Medical Sciences' hospitals. Iranian Journal of Medical Ethics and History of Medicine 2009;2:47-54 [Persian]
22. Hajibabaee F, Jooj R, Haghighizade MH, Zarea K, Ashrafizadeh H. Awareness of the rights of psychiatric patients and its observance from the perspective of patients and nurses: a descriptive study. Iranian Journal of Nursing Research 2021;16:89-100 [Persian]
23. Kuzu N, Ergin A, Zencir M. Patients' awareness of their rights in a developing country. Public Health 2006;120:290-296 [DOI:10.1016/j.puhe.2005.10.014]
24. Kalhor M, Kaveii B, Samiee-Rad F. Evaluating Patients awareness and satisfaction of implementing Patients' Rights Charter at Kowsar Hospital in Qazvin. Research in Medical Education 2017;9: 37-29 [Persian] [DOI:10.29252/rme.9.3.37]
25. Anbari Z, Mohammadi M., Taheri M. Satisfying patients' rights in Iran: Providing effective strategies. Iranian Journal of Nursing and Midwifery Research 2015;20:184-189 [Persian]
26. Handayani PW, Hidayanto AN, Sandhyaduhita PI, Ayuningtyas D. Strategic hospital services quality analysis in Indonesia. Expert Systems with Applications 2015;42:3067-3078 [DOI:10.1016/j.eswa.2014.11.065]
27. Arab M, Rashidian A, Pourreza A, Tajvar M, Khabiri Nemati R, Akbari Sari A, et al. Developing a Persian inpatient satisfaction questionnaire. International Journal of Health Care Quality Assurance 2014;27:4-14 [Persian] [DOI:10.1108/IJHCQA-10-2011-0059]
28. Zarei A, Arab M, Froushani AR, Rashidian A, Ghazi Tabatabaei SM. Service quality of private hospitals: The Iranian Patients' perspective. BMC Health Services Research 2012;12:1-3 [Persian] [DOI:10.1186/1472-6963-12-31]
29. Lin DengJuin LD, Li YaHsin LY, Pai JarYuan PJ, Sheu IngCheau SI, Glen R, Chou MingJen CM, et al. Chronic kidney-disease screening service quality: questionnaire survey research evidence from Taichung City. Health and Quality of Life Outcomes 2009;9:1-11 [DOI:10.1186/1472-6963-9-239]
30. Lin D-J, Sheu I-C, Pai J-Y, Bair A, Hung C-Y, Yeh Y-H, et al. Measuring patient's expectation and the perception of quality in LASIK services. Health and quality of life outcomes 2009;7:1-8 [DOI:10.1186/1477-7525-7-63]
31. Bakar C, Seval Akgün H, Al Assaf A. The role of expectations in patient assessments of hospital care: an example from a university hospital network, Turkey. International Journal of Health Care Quality Assurance 2008;21:343-355 [DOI:10.1108/09526860810880144]
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