Volume 27, Issue 4 (10-2019)                   Avicenna J Nurs Midwifery care 2019, 27(4): 281-291 | Back to browse issues page


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Gholipour R, Shahoei R, Ghaderkhani G, Zakaryaee S, Bahmani S. The Quality of Postpartum Care from the Perspective of the Recipients of the Comprehensive Health Center Service Using the SERVQUAL Pattern. Avicenna J Nurs Midwifery care. 2019; 27 (4) :281-291
URL: http://nmj.umsha.ac.ir/article-1-1985-en.html
1- MSc. Student, Faculty of Nursing and Midwifery, Kurdistan University of Medical Sciences, Sanandaj, Iran
2- Associate Professor, Clinical Care Research Center, Faculty of Nursing and Midwifery, Kurdistan University of Medical Sciences, Sanandaj, Iran , rshaho@yahoo.com
3- Faculty Member, Faculty of Nursing and Midwifery, Kurdistan University of Medical Sciences, Sanandaj, Iran
Abstract:   (3145 Views)

Introduction: Postpartum delivery care, considered as one of the most important health care activities, is a very important factor in preventing unwanted maternal outcomes. This course is an ideal time to intervene in order to im-prove their health. Nowadays, the most important way to improve the quality of care is to evaluate the quali-ty. Therefore, the present study aimed to determine the quality of postpartum care from the viewpoint of re-cipients using the SERVQUAL pattern in Sanandaj comprehensive health centers in 2018.
Methods: This descriptive-analytic study was conducted on 384 women who referred to the comprehensive health cen-ters of Sanandaj for postpartum care. Sampling was done by classification. Data was collected by the standard SERVQUAL questionnaire, which measures the quality gap in 5 dimensions of the service (tangibility, relia-bility, assurance, accountability and empathy) and measures 22 questions. Data was analyzed by SPSS 23 us-ing descriptive statistics, t-test and ANOVA.
Results: In all five dimensions of quality of services there was a negative quality gap. The highest mean quality was in the reliability dimension (-1.82) and the lowest mean gap was related to the responsiveness dimension (-1.55). Also, there was no significant relationship between age, education level and number of children and quality gap (P> 0.05).
Conclusion: The results showed that there is a gap between expectations and perception of service providers, and efforts to meet needs and achieve expectations are necessary.

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 ✅ The results showed that there is a gap between expectations and perception of service providers, and efforts to meet needs and achieve expectations are necessary.


Type of Study: Research | Subject: Midwifery
Received: 2019/01/6 | Accepted: 2019/03/29 | Published: 2019/03/29

References
1. Cunningham G, Leveno K, Bloom S, Hauth J, Rouse D, Spong C. Translated By Ghazi Jahani B, Ghotbi R, Aghsa M. Williams Obstetrics. 24th Ed. Tehran:Golban;2014. (Persian)
2. Mirmolaei S, Amelvalizadeh M, Mahmoudi M,Tavakol Z. Effect Of Home Postpartum Care On Quality Of Life Of Low Risk Mothers. Hayat 2011;17 (2): 42-51. (Persian).
3. Hollins Martin C, Fleming V. The birth satisfaction scale. International journal of health care quality assurance. 2011 Feb 8;24(2):124-35. [DOI:10.1108/09526861111105086] [PMID] [DOI:10.1108/09526861111105086] [PMID]
4. Mirzaee K, Taghi Shakeri M. Maternal knowledge on postpartum care in healthcare centers of Mashhad, Iran in 2013. Journal of Midwifery and Reproductive Health. 2015 Oct 1;3(4):456-64.
5. Ghodsbin F, Yazdani K, Jahanbin I. Impact of supportive efforts on the quality of life of pri-miparous women in the first six weeks after delivery. The Iranian Journal of Obstetrics, Gynecol-ogy and Infertility. 2012;15(17):17-24.
6. Mansour Lamadah S, El-Nagger NS. Mothers' satisfaction regarding quality of postpartum nursing care and discharge teaching plan at ain shams maternity and gynecological hospital. Int J Curr Res. 2014;6(7):7545-51.
7. Varghese J, Rajagopal K. A study to evaluate the level of satisfaction perceived by postnatal mothers following nursing care in postnatal wards as expressed by themselves: pilot study. Jour-nal of Biology, Agriculture and Healthcare. 2012;2(6):101-11.
8. Tabibi SJ, Gohari MR, Shahri S, Aghababa S. Assessment of Health Care Services in outpa-tient clinics based on SERVQUAL model in Hospitals of Tehran. Journal of Payavard Salamat. 2012 Jan 15;5(4):49-56.
9. Bamidele AR, Hoque ME, Van der Heever H. Patient satisfaction and factor of importance in primary health Care Services in Botswana. African Journal of Biomedical Research. 2011;14(1):1-7.
10. Mohammadnia M, Delgoshaei B, Tofighi SH, Riahi L, Omrani A. Survey on nursing service quality by SERVQUAL at Tehran Social Security Organization hospitals. Journal of Hospital. 2010 Feb 15;8(3):68-73.
11. Jamali R. Provide A Model For Improving The Quality Of Education In Higher Education Institutions SERVQUAL And QFD Approach To Fuzzy Graduate Students At Yazd Universi-ty. Master's Thesis executive Management 2011. Yazd University. (Persian).
12. Bonsu LO-M and Mensah GA. An Examination Of Customer Evaluation Of Banking Ser-vice Quality In Ghana Banking Industry. Master's Thesis In Business Administration. Lulea University Of Technology 2013; P:10
13. Heffler S, Smith S, Keehan S, Clemens MK, Zezza M, Truffer C. Health Spending Projec-tions Through 2013: Growth is projected to slow in 2003 after six consecutive years of accelera-tion. Health Affairs. 2004;23(Suppl1):W4-79. [DOI:10.1377/hlthaff.W4.79] [PMID] [DOI:10.1377/hlthaff.W4.79] [PMID]
14. Yaghoobifar MA, Maskani K, Akaberi A, Shahabipoor F. The Rate Of Inappropriate Admis-sions And Staying Of Patients In Hospitals Of Sabzevar, Iran. Sabzevar University Of Medical Sciences Journal. 2011:18(13): 224-32. (Persian).
15. Manias E. Medication communication: a concept analysis. Journal of advanced nursing. 2010 Apr;66(4):933-43. [DOI:10.1111/j.1365-2648.2009.05225.x] [PMID] [DOI:10.1111/j.1365-2648.2009.05225.x] [PMID]
16. Belaid H, Bouchenafa A, Barich AE, Maazouzi K. The quality of health services in Bechar public hospital institution. International Journal Of Social Sciences. 2015;4(2):1-4.
17. Abuosi AA, Atinga RA. Service quality in healthcare institutions: establishing the gaps for policy action. International journal of health care quality assurance. 2013 Jun 7;26(5):481-92. [DOI:10.1108/IJHCQA-12-2011-0077] [PMID] [DOI:10.1108/IJHCQA-12-2011-0077] [PMID]
18. Parasuraman A, Zeithaml VA, Berry LL. A conceptual model of service quality and its impli-cations for future research. Journal of marketing. 1985 Sep;49(4):41-50. [DOI:10.1177/002224298504900403] [DOI:10.1177/002224298504900403]
19. Ajam M, Sadeghifar J, Anjomshoa M, Mahmoudi S, Honarvar H, Mousavi SM. Assessing quality of healthcare service by the SERVQUAL model: A case study of a field hospital. Jour-nal Mil Med. 2014 Feb 15;15(4):273-9.
20. Safi MH, Fereydounfar AA, Arshi S. Quality of primary health services in the clinics of sho-mal health center of Tehran. Community Health (Salāmat-i ijtimāī). 2014;1(1):54-61.
21. Parasuraman A, Zeithaml Va, Berry LA. A multiple-item scale for measuring consumer per-ceptions of service quality. Retailing. 1988;64(1):12-44.
22. Motaghed Z, Mahboobi-Ardakan P, Meskarpour-Amiri M. Comparative study of patients' satisfaction with nursing service in major units of selected training hospitals in tehran. JHPR. 2016;1(1):33-6. [DOI:10.20286/hpr-010133] [DOI:10.20286/hpr-010133]
23. Tabatabaei SM, Behmanesh Pour F, Share Mollashahi S, Sargazi Moakhar Z, Zaboli M. The Quality Gap In The Services Provided By Rural Maternity Units In Southeast Of Iran. J Health Scope. 2015; 4(4): 12-19. [DOI:10.17795/jhealthscope-25344] [DOI:10.17795/jhealthscope-25344]
24. Tarrahi M J, Hamouzadeh P, Bijanvand M, Lashgarara B. The Quality Of Health Care Ser-vices Provided In Health Care Centers Of Khorramabad Using SERVQUAL Model In 2010. Yafte. 2012; 14 (1):13-21. (Persian).
25. Gheorghe IR, Gheorghe CM, Purcărea VL. Measuring the perceived quality of ophthalmolo-gy services in private organizations. A marketing perspective. Romanian journal of ophthalmolo-gy. 2018 Jan;62(1):54. [DOI:10.22336/rjo.2018.8] [PMID] [PMCID] [DOI:10.22336/rjo.2018.8] [PMID] [PMCID]
26. Baghiani MM, Esfandiari R, Nazari M. Comparison Of The Effect Of Written Or Speech Communication Skills Training Of Health Staff On Clients' Satisfaction Of Shiraz Health Cen-ters. Toloo-E-Behdasht 2012; 11(1):32-40. (Persian).
27. Esmaeili Shahmirzadi S, Shojaeizadeh D, Moradian Sorkhklaei M, Lashgarara B, Tarahi MJ, Taheri G. Comparing The Quality Of The Provided Services In Public Health Sites With Collabo-rative Health Sites. The Journal Of Health Syst Res. 2013;8(7): 1225-34. (Persian)
28. Baradaran Kazemzadeh R, Sepehri M, Firouzi Jahantigh F. Department of Industrial Engi-neering, Faculty of Engineering, Tarbiat Modares University, Tehran, Iran. Journal of Hospital. 2014 Mar 15;12(4):41-50.
29. Sadiq Sohail M. Service quality in hospitals: more favourable than you might think. Managing Service Quality: An International Journal. 2003 Jun 1;13(3):197-206. [DOI:10.1108/09604520310476463] [DOI:10.1108/09604520310476463]
30. Taner T, Antony J. Comparing public and private hospital care service quality in Turkey. Leadership in health services. 2006 Apr 1;19(2):1. [DOI:10.1108/13660750610664991] [PMID] [DOI:10.1108/13660750610664991] [PMID]
31. Kebriaei A, Akbari F, Hosseini M, Eftekhar Ardabili H, Pourreza A. Survey on quality gap in primary health care in Kashan health centers. J Qazvin Univ Med Sci. 2004;31:82.
32. Mohammadi A, Eftekhar Ardebffi H, Akbari Haghighi F, Mahmoudi M, Poorreza A. EVALUATION OF SERVICES QUALITY BASED ON THE PATIENTS'EXPECTATIONS AND PERCEPTIONS IN ZANJANHOSPITALS. Journal of School of Public Health and Insti-tute of Public Health Research. 2004 May 15;2(2):71-84.
33. Lee MA, Yom YH. A comparative study of patients' and nurses' perceptions of the quality of nursing services, satisfaction and intent to revisit the hospital: A questionnaire survey. Interna-tional journal of nursing studies. 2007 May 1;44(4):545-55. [DOI:10.1016/j.ijnurstu.2006.03.006] [PMID] [DOI:10.1016/j.ijnurstu.2006.03.006] [PMID]
34. Lin DJ, Li YH, Pai JY, Sheu C, Glen R, Chou MJ, Lee CY. Chronic kidney-disease screen-ing service quality: questionnaire survey research evidence from Taichung City. BMC health ser-vices research. 2009 Dec;9(1):239. [DOI:10.1186/1472-6963-9-239] [PMID] [PMCID] [DOI:10.1186/1472-6963-9-239] [PMID] [PMCID]
35. Ghobadi H, Mehrnoush N, Hamidkholgh G, Amani F. Measuring the quality of services pro-vided for outpatients in Kowsar Clinic in Ardebil City based on the SERVQUAL Model. Jour-nal of Ardabil University of Medical Sciences. 2014 Dec 15;14(4):387-79.
36. Manulik S, Rosińczuk J, Karniej P. Evaluation of health care service quality in Poland with the use of SERVQUAL method at the specialist ambulatory health care center. Patient prefer-ence and adherence. 2016;10:1435. [DOI:10.2147/PPA.S108252] [PMID] [PMCID] [DOI:10.2147/PPA.S108252] [PMID] [PMCID]
37. Ameryoun A, Dopeykar N, Nasiri T, Meskarpour Amiri M, Gholami Fesharaki M, Karamali M. Assessment the Gap between Patients' Expectations and the Services Provided to them in Selected Hospitals of Tehran in 2012. Journal of Police Medicine. 2013;2(1):1-0.
38. Shafiq M, Naeem MA, Munawar Z, Fatima I. Service quality assessment of hospitals in Asian context: An empirical evidence from Pakistan. INQUIRY: The Journal of Health Care Organiza-tion, Provision, and Financing. 2017 Jun 21;54:0046958017714664. [DOI:10.1177/0046958017714664] [PMID] [PMCID] [DOI:10.1177/0046958017714664] [PMID] [PMCID]
39. Motaghed Z, Monfared ED, Torabi SM, Mousavi A, Eshraghi R, Nemati I, Rezaie S, Ebrahimi H. Assessment of quality of services in health centers from the perspective of clients by SERVQUAL method. Health Research. 2016;2(1):49-55. [DOI:10.18869/acadpub.hrjbaq.2.1.49] [DOI:10.18869/acadpub.hrjbaq.2.1.49]
40. Papanikolaou V, Zygiaris S. Service quality perceptions in primary health care centres in Greece. Health expectations. 2014 Apr;17(2):197-207. [DOI:10.1111/j.1369-7625.2011.00747.x] [PMID] [PMCID] [DOI:10.1111/j.1369-7625.2011.00747.x] [PMID] [PMCID]
41. Mohebbifar R, Barikani A, Hasani H. Measuring Hospital Service Quality Gap From The Viewpoint Of Inpatients In Educational Hospitals Of Qazvin University Of Medical Sciences (2012-13). J OF HOSPITAL. 2015, 14(52): 97-104. (Persian).
42. Gholami A, Salarilak S, Gharaaghaji R, Sadaghiyanifar A, Moosavi Jahromi L. Quality gap in primary health care in Urmia health care centers, 2009. Urmia Medical Journal. 2010 Dec 15;21(4):347-53.
43. Wisniewski M, Wisniewski H. Measuring service quality in a hospital colposcopy clinic. In-ternational Journal of Health Care Quality Assurance. 2005 May 1;18(3):217-28. [DOI:10.1108/09526860510594776] [PMID] [DOI:10.1108/09526860510594776] [PMID]
44. Rohi G, Nasiri H, Hesam M, Mirkarimi F, Asaiesh H. Quality of primary health services in Gorgan health care services centers. J Res Dev Nurs Midwifery. 2009;6(2):9-17.
45. Ayoubian A, Dopeykar N, Mehdizadeh P, Hoseinpourfard M, Izadi M. Surveying the Quali-ty of care services in a military health center according to the SERVQUAL model. Journal Mil Med. 2015 Mar 15;16(4):225-9.
46. Oliaee Z, Jabbari A, Ehsanpour S. An investigation on the quality of midwifery services from the viewpoint of the clients in Isfahan through SERVQUAL model. Iranian journal of nursing and midwifery research. 2016 May;21(3):291. [DOI:10.4103/1735-9066.180377] [PMID] [PMCID] [DOI:10.4103/1735-9066.180377] [PMID] [PMCID]
47. Gholami M, Kavosi Z. Services quality in emergency department of Nemazee Hospital: Using SERVQUAL model. Journal of Health Management and Informatics. 2016 Oct 1;3(4):120-6.
48. Nabilou B, Rasouli J. Quality of family health services in selected cities of west azerbaijan province health posts from reality to expectations of service consumers. The Journal of Urmia University of Medical Sciences. 2013;24(4):277-85.
49. Matin BK, Rezaei S, Moradinazar M, Mahboubi M, Ataee M. Measurement of quality of primary health services by SERVQUAL model: evidence from urban health centers in west of Iran. Research Journal of Medical Sciences. 2016;10(5):475-80.
50. Kazemnezhad L, Ghasemzadeh M.J, Mohebi S. The Quality of Maternal and Child Health Care Services with SERVQUAL Model.The Journal of Health and Care. 2016;18(2):111-19. (Persian).
51. Essiam JO. Service quality and patients satisfaction with healthcare delivery: Empirical evi-dence from patients of the out patient department of a public university hospital in Ghana. Euro-pean journal of business and management. 2013;5(28):52-9.
52. Haghshenas E, Arab M, Rahimi A, Movahed E. Assessing the quality of services provided at outpatient clinics among hospitals affiliated to Tehran University of Medical Sciences based on SERVQUAL Model in 2015. Journal of Hospital. 2017 Jul 15;16(2):9-17.
53. Bahmei J, Rahimi H, Rahgoshay I, Kavosi Z. Quality evaluation of emergency department services of Nemazee Hospital from the Patients' Viewpoint. Depiction of Health. 2016;7(1):18-26.
54. Gholami A, Nori Aa, Khojastehpour M, Askari M, Sajjadi H. Quality Gap in Primary Health Care in Neyshabour Health Care Centers. J Of Daneshvar Medicine. 2011; 18 (92):5-14. (Per-sian).
55. Abdelgadir, M. Measuring the Quality of Health Services In Government Hospitals In Su-dan, From The Point Of View Of Patients And Reviewers. (A Field Study on The Major Teach-ing Hospitals in Khartoum State). Jordan Journal of Business and Administration. 2015; 11(4): 899-920.

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