Patient Preferences for Hospital Quality: Case Study of Iran


Yasser Jouyani 1 , Mina Bahrampour 2 , Mohsen Barouni 3 , *

1 Health Management and Economics Research Center, Facyulty of Health Management and Information Sciences, Tehran University of Medical Sciences, Tehran, IR Iran

2 Medical Informatics Research Center, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, IR Iran

3 Research Center For Health Services Management, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, IR Iran

How to Cite: Jouyani Y, Bahrampour M, Barouni M. Patient Preferences for Hospital Quality: Case Study of Iran, Iran Red Crescent Med J. Online ahead of Print ; 15(9):804-8. doi: 10.5812/ircmj.12851.


Iranian Red Crescent Medical Journal: 15 (9); 804-8
Published Online: August 31, 2013
Article Type: Research Article
Received: June 10, 2013
Accepted: July 24, 2013




Background: Due to the importance and uniqueness of the characteristics of the health sector, one of the most important priorities of the Ministry of Health is measuring the efficiency and quality of services which are provided for the people who refer to the health sectors. In all health systems, responding to the needs and wishes of patients is a crucial priority.

Objectives: The main purpose of this study is to prioritize the features of the services from the perspective of patients, by applying the Logit model.

Materials and Methods: This study is a descriptive cross-sectional study and in terms of results it can be classified to an applied study. Data were collected by a questionnaire filled by 330 patients in Imam Khomeini hospital, and for estimating the utility function the software STATA version 10 was applied. In this study the preferences of patients who admitted to hospitals were identified by calculating the marginal utility of the characteristics, where we also used Marginal Rate substitutions (MRS).

Results: Determination of the marginal utility characteristics shows that the first priority in receiving hospital services is the type of examination, and the last priority in the cleaning service of the sections and restrooms . Waiting time between hospital arrivals and admission has a negative sign which indicates a negative impact on patient preference.

Conclusions: The results of this study are consistent with studies by Kara Hanson and Barbara Mc Clean, where in their study they showed that by the patients perspective, hospital examination is the most important quality characteristic (coefficient = 2.78). In other words, the ultimate purpose of the hospital visit is the quality of service and examination, where many patients are willing to wait longer or pay higher costs to get the best services.


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© 2013, Author(s). This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License ( which permits copy and redistribute the material just in noncommercial usages, provided the original work is properly cited.

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