شكاف كيفيت خدمات بهداشتي اوليه ارايه شده در مراكز بهداشتي شهرستان كاشان

Survey on quality gap in primary health care in Kashan health centers

Background: The first basic step in formulating any quality improvement program is recognizing consumersʹ perceptions and expectations of service quality and determining the quality gap, then adopting guidelines to eliminate the gap. Objective: To assess the service quality gap in Kashan district health centers, based on consumersʹ perceptions and expectations. Methods: A sample of 300 femalesʹ health care consumers completed the research questionnaire. The SERVQUAL instrument administrated to assess the quality of services provided by health centers. To analyze data, descriptive and analytic statistic and correlation coefficient were applied. Findings: Results indicated that there was an overall service quality gap between respondentsʹ perceptions and expectations. The smallest gap was in tangibility dimension and the largest in responsiveness. Age and literacy respectively had direct and indirect significant correlation to quality gap. Conclusion: There was a quality gap in services. Thus, improvements are required across all the five dimensions, namely; tangibility, reliability, responsiveness, assurance and empathy.