Document Type : Research articles


1 Department of Health Services Management, School of Health Management and Information Sciences, Iran University of Medical Sciences, Tehran, Iran

2 Health Management and Economics Research Center, Iran University of Medical Sciences, Tehran, Iran

3 Social Determinants of Health Research Center, Lorestan University of Medical Sciences, Khorramabad, Iran


Context: The emergency department is the first place in the hospital that patients will be referred to receive services. Patients often experience an emergency referral in their lives. Emergency care and paraclinical services are provided to patients in this depart- ment. The current study aimed at evaluating the patients’ satisfaction with the emergency departments in Iran through a system- atic 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 (strength- ening the reporting of observational studies in epidemiology) checklist was used to assess the quality of the research methodolo-
gies. 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 the 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, infor- mation, and increased human resources.