Evidence map›Paper›PMID 39846046›Full record

ReviewHealth science reports2025

Service Quality in Iranian Hospitals From Patients' Perspectives Based on the SERVQUAL Model: A Systematic Review and Meta-Analysis.

Tara Alizadeh, Marzieh Jahani Sayad Noveiry, Samad Karkhah, Ehsan Kazemnezhad Leyli, Kobra Salami Kohan, Pooyan Ghorbani Vajargah

Abstract readReview
In one paragraph

Review in Health science reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Tara AlizadehDepartment of Medical-Surgical Nursing, School of Nursing and Midwifery Guilan University of Medical Sciences Rasht Iran.ORCID 0009-0009-0412-870X
Marzieh Jahani Sayad NoveiryDepartment of Medical-Surgical Nursing, School of Nursing and Midwifery Guilan University of Medical Sciences Rasht Iran.
Samad KarkhahDepartment of Medical-Surgical Nursing, School of Nursing and Midwifery Guilan University of Medical Sciences Rasht Iran.ORCID 0000-0001-9193-9176
Ehsan Kazemnezhad LeyliDepartment of Biostatistics, School of Health, Road Trauma Research Center Guilan University of Medical Sciences Rasht Iran.
Kobra Salami KohanDepartment of Nursing, School of Nursing and Midwifery Iran University of Medical Sciences Tehran Iran.
Pooyan Ghorbani VajargahDepartment of Medical-Surgical Nursing, School of Nursing and Midwifery Guilan University of Medical Sciences Rasht Iran.ORCID 0000-0003-3365-2681

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: This study aimed to evaluate the service quality in Iranian hospitals from patients' perspectives based on the SERVQUAL model. Materials and Methods: A thorough exploration of online electronic databases, including Scopus, PubMed, Web of Science, IranMedex, and the Scientific Information Database (SID), was undertaken using keywords extracted from Medical Subject Headings such as "Quality of Health Care," "Hospital," and "Patients" spanning from the earliest available records up to August 11, 2023. Results: In the context of 25 cross-sectional studies encompassing a collective participant pool of 8021 hospitalized patients in Iranian medical facilities, an assessment of patients' perspectives on the quality of hospital services revealed a mean perception score of 3.54 (SE = 0.08). Concurrently, the mean expectation score for the quality of services was determined to be 4.43 (SE = 0.06). Using the SERVQUAL model, the overall disparity between patients' perceptions and expectations was calculated as -0.89. Subsequent examination of specific dimensions within the SERVQUAL framework revealed gaps between patients' perceptions and expectations in the tangibility dimension (-0.84), reliability dimension (-0.94), responsiveness dimension (-0.91), assurance dimension (-0.89), and empathy dimension (-0.82). Conclusion: Therefore, healthcare administrators consider the study's findings as a motivating force to initiate measures aimed at improving service quality in Iranian hospitals. Tackling the recognized shortcomings and areas requiring enhancement holds the promise of raising patient satisfaction levels and, consequently, improving overall healthcare outcomes.

Indexed as

hospitalmeta‐analysispatientsquality of healthcaresystematic review

Identifiers

PMID39846046
PMCPMC11752147

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.