Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2013;5(1):23-8.
doi: 10.5681/jcvtr.2013.005. Epub 2013 Mar 18.

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

Saber Azami-Aghdash  1 , Samad Ghaffari, Homayoun Sadeghi-Bazargani, Jafar-Sadegh Tabrizi, Alireza Yagoubi, Mohammad Naghavi-Behzad
Affiliations

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

Saber Azami-Aghdash et al. J Cardiovasc Thorac Res. 2013.

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.

Keywords: Cardiac Care Unit; Cardiovascular Diseases; Delphi Technique; Indicator; Service Quality.

PubMed Disclaimer

Conflict of interest statement

Competing interests:The authors declare that they have no competing interests, and did not receive funding for this article.

Similar articles

See all similar articles

Cited by

See all "Cited by" articles

References

    1. Braunwald E. Approach To The Patient With Cardiovascular Disease. Harrison's Principles Of Internal Medicine. New York: Mcgraw-Hill; 2005. p. 1301-4.
    1. JCAHO. The measurment mandate: On the road to performance improvement in health care. Joint commission Accreditation on Health care Organizations 1993.
    1. Lohr K. Medicare: A Strategy for Quality Assurance. I-II, editor. Washington: National Academy Press; 1990.
    1. Putnam W, NicolBower K, Cox J, Twohig P, Pottie K, Jackson L. et al. Quality indicators for cardiac care: national standards in a community context. Journal of Health Services Research & Policy . 2006;11:5–12. - PubMed
    1. Azizi F, Hatami H, Janghorbani M. Epidemiology of prevalent diseases in Iran. 2, editor. Tehran-Iran: Eshtiagh Publication; 2003.

LinkOut - more resources