@2024 Afarand., IRAN
ISSN: 2008-2630 Iranian Journal of War & Public Health 2015;7(4):225-232
ISSN: 2008-2630 Iranian Journal of War & Public Health 2015;7(4):225-232
Satisfaction of Martyrs’ Families of Supplemental Insurance in Receiving Para-Clinical Services
ARTICLE INFO
Article Type
Descriptive & Survey StudyAuthors
Maftoon F. (1)Mousavi B. (2)
Mohammad K. (3)
Soroush M. (*)
Ganjparvar Z. (2)
(*) Janbazan Medical and Engineering Research Center (JMERC), Tehran, Iran
(1) Health Metrics Research Center, Iranian Institute for Health Sciences Research, ACECR, Tehran, Iran
(2) Janbazan Medical and Engineering Research Center (JMERC), Tehran, Iran
(3) Department of Epidemiology and Biostatistics, Health Faculty, Tehran University of Medical Sciences, Tehran, Iran
Correspondence
Address: Janbazan Medical and Engineering Research Center (JMERC), No. 17, Farokh Street, Moghadas Ardabili Street, Yaman Street, Shahid Chamran Highway, Tehran, IranPhone: +982122416699
Fax: +982122416699
soroush46@gmail.com
Article History
Received: September 6, 2015Accepted: October 23, 2015
ePublished: November 21, 2015
ABSTRACT
Aims
The main objectives of Martyrs and Veterans Foundation is to provide medical services for the martyrs and veterans’ families, high satisfaction in insurance affairs, and improve the situation of the insured persons. Then, the aim of the study was to investigate the satisfaction level of the martyrs’ families insured by the complementary insurance in receiving Para-clinical Services.
Instrument & Methods In the cross-sectional study, 325 martyrs’ family members, who formerly received Para-clinical Services, were selected via random sampling method in Tehran in 2015. The satisfaction level of the family members from the received services was investigated, using a researcher-made questionnaire. Data was analyzed in SPSS 22 software using Chi-square and Multivariate Regression tests.
Findings The most and the least used services were laboratory (52.9%) and physiotherapy (4.7%) services, respectively. The satisfaction levels of 70-91% and 58-73% of the persons were “high” or “very high” in the received services and the location presenting the services, respectively. The satisfaction level of paying for the services was 17-40%. The most important causes of dissatisfaction were services uncovered by the insurance and long lasting or incomplete refund. There was a fully significant correlation between satisfaction in the location presenting the services and the place of residence including cities and country sides (p<0.001). Nevertheless, there was no significant correlation between other demographic items and satisfaction in the services, location of receiving the services, and refund (p>0.05). In addition, as the predictive items, the demographic items did not significantly affect the satisfaction level (p>0.05).
Conclusion The satisfaction level of the martyrs’ family members receiving the complementary insurance services is relatively high in receiving Para-clinical Services. However, in the location of receiving the services and, especially, in the refund process, the satisfaction level considerably decreases.
Instrument & Methods In the cross-sectional study, 325 martyrs’ family members, who formerly received Para-clinical Services, were selected via random sampling method in Tehran in 2015. The satisfaction level of the family members from the received services was investigated, using a researcher-made questionnaire. Data was analyzed in SPSS 22 software using Chi-square and Multivariate Regression tests.
Findings The most and the least used services were laboratory (52.9%) and physiotherapy (4.7%) services, respectively. The satisfaction levels of 70-91% and 58-73% of the persons were “high” or “very high” in the received services and the location presenting the services, respectively. The satisfaction level of paying for the services was 17-40%. The most important causes of dissatisfaction were services uncovered by the insurance and long lasting or incomplete refund. There was a fully significant correlation between satisfaction in the location presenting the services and the place of residence including cities and country sides (p<0.001). Nevertheless, there was no significant correlation between other demographic items and satisfaction in the services, location of receiving the services, and refund (p>0.05). In addition, as the predictive items, the demographic items did not significantly affect the satisfaction level (p>0.05).
Conclusion The satisfaction level of the martyrs’ family members receiving the complementary insurance services is relatively high in receiving Para-clinical Services. However, in the location of receiving the services and, especially, in the refund process, the satisfaction level considerably decreases.
CITATION LINKS
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[18]Maftoon F, Aeenparast A, Montazeri A, Farzadi F, Jahangiri K. Midwives' satisfaction in family physician and referral system: A national study. Payesh. 2015;3:343-49. [Persian]
[19]Wong ST, Regan S. Patient perspectives on primary health care in rural communities: effects of geography on access, continuity and efficiency. Rural Remote Health. 2009;9(1):1142.
[20]Comer J, Mueller K. Access to health care: Urban‐rural comparisons from a midwestern agricultural state. J Rural Health. 1995;11(2):128-36.
[21]Khadivi R, Kheyri M, Davari M, Nourbakhsh SMK. Does family physician programme in Iran improve financial contribution of patients?. Int J Current Life Sci. 2014;4(8):4383-7.
[22]Kavosi Z, Mohammadbeigi A, Ramezani-Doroh V, Hatam N, Jafari A, Firoozjahantighi A. Horizontal inequity in access to outpatient services among Shiraz city residents, Iran. J Res Health Sci. 2015;15(1):37-41.
[2]National Center for Health Statistics (US). Health, United States, 2012: With Special Feature on Emergency Care. Hyattsville (MD): National Center for Health Statistics (US); 2013. Report No.: 2013-32.
[3]Hassan Nejad N. Determining the methods of financing health care costs among hospitalized diabetic patients in different types of insurances. J Hosp. 2013;12(3):83-90. [Persian]
[4]Nosratnejad Sh, Purreza A, Moieni M, Heydari H. Factors affecting the demand for private health insurance in Tehran. J Hosp. 2014;13(2):37-44. [Persian]
[5]Moghaddasi H, Hosseini A, Asadi F, Esmaeili M. Problems of health insurance systems and the need for implementation of a reform approach. J Health Adm. 2011;14(44):71-80. [Persian]
[6]Ferdowsi M, Mohammadizadeh M. The satisfaction of insurance services and complemented insurance in patients of treatment centers in Tehran. Health Inf Manag. 2005;2(1):46-53. [Persian]
[7]Karimi Poor Y, Kamran H. A statistical analysis about martyrs of war. Geographic Res. 2002;16(1-4):259-69. [Persian]
[8]Issar [Internet]. Tehran: Veterans and Martyrs Affairs Foundation [Cited 2015, 17 February]. Available from: http://www.isaar.ir/doc/news/fa/109113/
[9]Williams S WJ, Dale J. Doctor-patients communication and patient satisfaction: A review. Fam Pract Int J. 1998;15(5):480-92.
[10]Smith JK, Falvo D, McKillip J, Pitz G. Measuring Patient Perceptions of the Patient-Doctor Interaction Development of the PDIS. Eval Health Prof. 1984;7(1):77-94.
[11]Winefield HR, Murrell TG, Clifford J. Process and outcomes in general practice consultations: problems in defining high quality care. Soc Sci Med. 1995;41(7):969-75.
[12]Loblaw DA, Beziak A, Bunston T. Development and testing of a visit-specific patient satisfaction questionnaire: The Princess Margaret hospital satisfaction with doctor questionnaire. J Clin Oncol. 1999;17(6):1931-8.
[13]Kane RL, Maciejewski M, Finch M. The relationship of patient satisfaction with care and clinical outcomes. Med Care. 1997;35(7):714-30.
[14]Hosseini Farhangi S, Dortaj F, Talebi M. satisfaction of the Janbazan (veteran) from complemented insurance services and their connection with type and percentage of injury. Iran J War Public Health. 2009;1(4):14-21. [Persian]
[15]Pinquart M, Sörensen S. Spouses, adult children, and children-in-law as caregivers of older adults: A meta-analytic comparison. Psychol Aging. 2011;26(1):1-14.
[16]Siqueira FV, Facchini LA, Hallal PC. Epidemiology of physiotherapy utilization among adults and elderly. Rev de SaúdePública. 2005;39(4):663-8.
[17]Alberts JF, Sanderman R, Eimers JM, van den Heuvel WJ. Socioeconomic inequity in health care: A study of services utilization in Curaçao. Soc Sci Med. 1997;45(2):213-20.
[18]Maftoon F, Aeenparast A, Montazeri A, Farzadi F, Jahangiri K. Midwives' satisfaction in family physician and referral system: A national study. Payesh. 2015;3:343-49. [Persian]
[19]Wong ST, Regan S. Patient perspectives on primary health care in rural communities: effects of geography on access, continuity and efficiency. Rural Remote Health. 2009;9(1):1142.
[20]Comer J, Mueller K. Access to health care: Urban‐rural comparisons from a midwestern agricultural state. J Rural Health. 1995;11(2):128-36.
[21]Khadivi R, Kheyri M, Davari M, Nourbakhsh SMK. Does family physician programme in Iran improve financial contribution of patients?. Int J Current Life Sci. 2014;4(8):4383-7.
[22]Kavosi Z, Mohammadbeigi A, Ramezani-Doroh V, Hatam N, Jafari A, Firoozjahantighi A. Horizontal inequity in access to outpatient services among Shiraz city residents, Iran. J Res Health Sci. 2015;15(1):37-41.