A Comparative Study of Satisfaction With Physicians Among Patients at Outpatient Departments Affiliated to Isfahan University of Medical Sciences, Iran



Ghasemi G¹ ; Valiollah Pooramiry S² ; Yavari P² ; Mehrabi Khoushki A² Show Affiliations
Source: Journal of Isfahan Medical School Published:2013

Abstract

Background: Several studies have shown that gender concordance between patient and physician led to a better relationship between them. Moreover, lack of gender concordance may lead to decrease in quality of this relationship, and finally to the lack of contribution of patients in diagnosis and treatment of the diseases. Gender concordance is very important in the several aspects such as medicine, psychology, religion, culture, and society. Lack of concordance can cause different aspects of the disease to remain hidden and dissatisfaction of the patient. Thus, the aim of this study was to compare male and female patients' satisfaction of physicians. Methods: This is a cross-sectional study conducted in general and specialized medical centers of Isfahan, Iran, during 2012-2013. The target population was patients who referred to the above centers. The sample of this study was selected by sequential method from general, specialized, and highly specialized patient centers affiliated to Isfahan University of Medical Sciences. Patient satisfaction was measured by the patient contribution questionnaire Perceived involvement in care scale (PICS). After collection, the data were analyzed by SPSS software and applying of Student t-test and chi-square. Findings: 423 patients were studied, among 231 (54%) of which gender concordance existed. 83% of male and 70% of female patients were referred to male physicians, and there was a statistical difference between males and females in physician gender selection (P < 0.001). Total patients satisfaction is low, but it was higher among patients with gender concordance; no statistical difference was observed between concordance and non-concordance groups (P = 0.26). Conclusion: According to results of this study, gender concordance between patients and physician is not at a suitable level in Isfahan medical centers. In addition, there is not enough contribution between patient and physician. This problem led to a decrease in patient satisfaction and information transferred between doctor and patient. As a result, their diagnosis and treatment encountered some problems. Thus, suitable decisions and programs may be needed for medical staff distribution in different areas and the dissemination of the culture of equality of male and female doctors' capability.