بررسی اجرای قانون ارتقاء بهره‌وری و طرح پرداخت مبتنی بر عملکرد بر رضایت‌مندی بیماران بستری در بیمارستان‌های دولتی استان‌های کرمان و سیستان و بلوچستان (جنوب شرق ایران) در سال 1395

Background and Objective: Satisfaction is one of the health dimensions and in lack of attention to patient's satisfaction, health system has acted contrary to its mission. The patient's satisfaction is apparent and doing measures to increase job satisfaction in nurses can improve the quality of care and patient's satisfaction. The aim of this study was to evaluate the role of law enforcement of productivity improvement and performance based pay plan in patients' satisfaction. Materials and Methods: In this descriptive study, in two stages within 4 years, 500 patients’ satisfaction was measured by Patient Satisfaction Instrument (PSI) before and after the law enforcement of productivity improvement and performance based pay plan and the impact of this legislation on patients' satisfaction was evaluated. Independent t-test was used to evaluate the overall average of patients' satisfaction before and after implementing the rules. Results: The study findings showed that the average of overall patients' satisfaction of nursing care before (3.19±0.41) and after (3.57±0.16) the law enforcement of productivity improvement and performance based pay plan had not increased significantly (P=0.721). Conclusion: Probably law enforcement of productivity improvement and performance based pay plan does not have significant impact on patients' satisfaction of nursing care while in explaining the principles of these laws, one of the intended purposes is increasing the efficiency and effectiveness of health measures. It seems that implementation of such rules could not create an incentive for nursing staff to enhance their effectiveness and thereby increase patients' satisfaction. Key words: Productivity Improvement Law, Performance based pay plan, Patients' satisfaction, South east of Iran     Funding: This research was funded by Research Committee of Bam University of Medical Sciences. Conflict of interest: None declared. Ethical approval: The Ethics Committee of Bam University of Medical Sciences approved the study (Ethical code: MUBAM.REC.1395.24).   How to cite this article: Khoshab H, Seyed bagheri S.H, Piri A, Mahdizadeh M, Khoshab M, Sayadi A. Evaluating the Role of Law Enforcement of Productivity Improvement and Performance Based Pay Plan in Patients' Satisfaction in Kerman and Sistan and Balouchestan (South East of Iran) State Hospitals in 2016. J Rafsanjan Univ Med Sci 2017; 16(6): 529-40. [Farsi]