title: The role of expectations in patients' hospital assessments: a Turkish university hospital example.
abstract: OBJECTIVE
  This paper aims to conduct a preliminary assessment of patient attitudes regarding important aspects of service dimensions using SERVQUAL.
  
  
  METHODS
  The SERVQUAL scale is routinely used at the Baskent University Hospitals Network, Turkey. The study consisted of 550 randomly chosen patients who presented to any member of the hospital network during January and February 2006 and received treatment as inpatients or outpatients at those healthcare facilities.
  
  
  RESULTS
  The patients' perceived scores were higher than expected for an ordinary hospital but lower than expected for a high-quality hospital. Young patients had a high-expected service score gap and a low adequate service score difference. Highly educated patients had a high-expected service score difference. Uninsured patients had a low adequate service score difference.
  
  
  CONCLUSIONS
  Baskent University multidisciplinary healthcare teams have performed periodic patient satisfaction surveys in order to identify strengths and problem areas, formulate the quality improvement objectives and monitor progress towards achieving these objectives. However, patient satisfaction survey results are often highly positive. In these cases, improving care is not easy because measures are not sensitive enough to changes. Therefore a more sensitive measurement tool based on the SERVQUAL scale was developed. The authors believe that patient opinions are extremely important because they provide information that is not necessarily emphasized by managers or health care professionals, resulting in a more complete assessment of past performance and a clearer road map for future action.
authors.affiliation: Department of Public Health, School of Medicine, Ba kent University, Ankara, Turkey.
authors.forename: Coskun
authors.initials: C
authors.lastname: Bakar
authors.forename: H Seval
authors.initials: HS
authors.lastname: Akgün
authors.forename: A F
authors.initials: AF
authors.lastname: Al Assaf
mesh_terms: D000293:Adolescent; D000328:Adult; D001294:Attitude to Health; D005260:Female; D019538:Health Care Surveys; D006785:Hospitals, University; D006801:Humans; D008297:Male; D008875:Middle Aged; D017060:Patient Satisfaction; D011787:Quality of Health Care / Q000592:standards*; D014421:Turkey