Patients' Satisfaction with Medical Emergency Services in Iran from 2000 to 2017: A Systematic Review and Meta-Analysis

Ravaghi, Hamid and Salemi, Morteza and Behzadifar, Masoud and Mirghaed, Masood Taheri and Behzadifar, Meysam and Farhadi, Zeynab (2018) Patients' Satisfaction with Medical Emergency Services in Iran from 2000 to 2017: A Systematic Review and Meta-Analysis. IRANIAN RED CRESCENT MEDICAL JOURNAL, 20.

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Abstract

Context: Emergency department is the first place in the hospital that patients refer to receive services, and patients often experience an emergency referral in their lives. Emergency care and paraclinical services are provided to patients in this department. The current study aimed at evaluating the patients' satisfaction with emergency department in Iran through a systematic review and meta-analysis. Evidence Acquisition: The databases including Web of Science (WOS), Embase, PubMed, Scopus, Ovid, as well as the Iranian databases such as Irandoc and Magiran in the Persian and English languages were searched from 2000 to 2017. The STROBE(strengthening the reporting of observational studies in epidemiology) checklist was used to assess the quality of the research methodologies. The random model was used to determine the mean value of satisfaction and the results were reported with the confidence interval (CI) of 95%. Also, sensitivity analysis, subgroup and meta-regression were conducted. The Egger test was used to investigate the publication bias in the studies. Results: Based on the random model, the mean of satisfaction with emergency services in Iran was 70.52% (95% CI: 63.81 - 77.23). The results of sensitivity analysis showed no change before and after the analysis of the results. Highest and lowest rates of patient satisfaction were reported in the Eastern (79.17%) and Northern regions (67.15%) of Iran, respectively. Conclusions: The current study findings showed that patients' satisfaction with emergency services in Iran was high compared with the neighboring countries. Health policymakers should increase patients' satisfaction through appropriate training, information, and increased human resources.

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