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J Cardiovasc Thorac Res. 2013;5(1):23-28.
doi: 10.5681/jcvtr.2013.005
PMID: 24251005
PMCID: PMC3825381
  Abstract View: 430
  PDF Download: 623

Original Article

Developing Indicators of Service Quality Provided for Cardiovascular Patients Hospitalized in Cardiac Care Unit

Saber Azami-Aghdash 1, Samad Ghaffari 2, Homayoun Sadeghi-Bazargani 3 * , Jafar-Sadegh Tabrizi 1, Alireza Yagoubi 2, Mohammad Naghavi-Behzad 4,5

1 Tabriz Health Services Management Research Center, Faculty of Management and Medical Informatics, Tabriz University of Medical Sciences, Tabriz, Iran
2 Cardiovascular Research Center, Tabriz University of Medical Sciences, Tabriz, Iran
3 Traffic Injury Prevention Research Center, Tabriz University of Medical Sciences, Tabriz, Iran
4 Students’ Research Committee, Tabriz University of Medical Science, Tabriz, Iran
5 Liver & Gastrointestinal Disease Research Center, Tabriz University of Medical Sciences, Tabriz, Iran

Abstract

Introduction: Cardiovascular diseases are among the most prevalent chronic diseases leading to high degrees of mortality and morbidity worldwide and in Iran. The aim of the current study was to determine and develop appropriate indicators for evaluating provided service quality for cardiovascular patients admitted to Cardiac Care Units (CCU) in Iran. Methods: In order to determine the indicators for evaluating provided service quality, a four-stage process including reviewing systematic review articles in premier bibliographic databases, interview, performing two rounds of Delphi technique, and holding experts panel by attendance of experts in different fields was adopted. Finally, after recognizing relevant indicators in resources, these indicators were finalized during various stages using ideas of 27 experts in different fields. Results: Among 2800 found articles in the text reviewing phase, 21 articles, which had completely mentioned relevant indicators, were studied and 48 related indicators were extracted. After two interviews with a cardiologist and an epidemiologist, 32 items of the indicators were omitted and replaced by 27 indicators coping with the conditions of Iranian hospitals. Finally, 43 indicators were added into the Delphi phase and after 2 rounds of Delphi with 18 specialists, 7 cases were excluded due to their low scores of applicability. In the experts’ panel stage, 6 items were also omitted and 10 new indicators were developed to replace them. Eventually, 40 indicators were finalized. Conclusion: In this study, some proper indicators for evaluating provided service quality for CCU admissions in Iran were determined. Considering the informative richness of these indicators, they can be used by managers, policy makers, health service providers, and also insurance agencies in order to improve the quality of services, decisions, and policies.
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