Patients Satisfaction with Quality of Care in Public Hospitals in Sulaimani City - Iraq: A Hospital-Based Study


  • Bekhal Abdalwahid Amin Maternity Nursing Department, Technical institute of Sulaimani, Sulaimani polytechnic university, Sulaimani, Kurdistan region, Iraq
  • Niaz Mustafa Kamal Pediatric Nursing Department, Technical institute of Sulaimani, Sulaimani polytechnic university, Sulaimani, Kurdistan region, Iraq
  • Bestun Ibrahim Hama Rahim Public Health Department, Technical institute of Sulaimani, Sulaimani polytechnic university, Sulaimani, Kurdistan region, Iraq
  • Kochr Ali Mahmood Faculty of Medicine, Koya university , Kurdistan region, Iraq


patient, satisfaction, Quality, care, Sulaimani, physician, Iraq, radiology


Background: Patient satisfaction is the emotional response to the perceived performance
or outcome of a healthcare service, which can result in a positive or negative evaluation
based on expectations. The study aimed to evaluate patient satisfaction with healthcare
providers and health services in the public hospital.
Methods and patients:
A cross-sectional study was conducted from November 2019 to February 2021 to assess
the satisfaction of 311 hospitalized patients with healthcare providers and hospital services
in Sulaimani City’s general hospitals. The study included patients who aged 14 years and
older and had been hospitalized for at least two days. Accompanied patients were excluded.
Data was collected using a researcher-administered questionnaire through face-to-face
interviews, utilizing standardized 4-point Likert scales.
Demographic data were analyzed using frequency analysis. The participants' mean age was
37.9 years. The median domain scores for hospital services, nursing care, and doctor care
were 80 (IQR 72.5-85), 45 (IQR 45-52.5), and 50 (IQR 42.5-57.5), respectively. A Chisquare test analyzed the relationship between categorical independent variables. 61.1% of
participants were extremely satisfied with hospital services, while 38.9% were highly
dissatisfied. Nursing care received lower satisfaction (37.7%) compared to doctor care
(62.3%). Uneducated participants showed a significant association with satisfaction with
doctor care (coefficient=0.88, P<0.01), residence, and hospital services (coefficient=0.68,
P<0.05). Overall, a higher percentage of participants (61.1%) reported satisfaction with
hospital and doctor care, while nurse care received only 40.8% satisfaction.
Conclusion, the proportion of patients who reported satisfaction with their doctor's
treatment and care, as well as with hospital services and facilities, was higher than that of
patients satisfied with nurse-led healthcare.


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