title: Developing Indicators of Service Quality Provided for CardiovascularPatients Hospitalized in Cardiac Care Unit.
abstract: BACKGROUND
  Cardiovascular diseases are among the most prevalent chronic diseases leading to high degrees of mortality and morbidity worldwide and in Iran. The aim of the current study was to determine and develop appropriate indicators for evaluating provided service quality for cardiovascular patients admitted to Cardiac Care Units (CCU) in Iran.
  
  
  METHODS
  In order to determine the indicators for evaluating provided service quality, a four-stage process including reviewing systematic review articles in premier bibliographic databases, interview, performing two rounds of Delphi technique, and holding experts panel by attendance of experts in different fields was adopted. Finally, after recognizing relevant indicators in resources, these indicators were finalized during various stages using ideas of 27 experts in different fields.
  
  
  RESULTS
  Among 2800 found articles in the text reviewing phase, 21 articles, which had completely mentioned relevant indicators, were studied and 48 related indicators were extracted. After two interviews with a cardiologist and an epidemiologist, 32 items of the indicators were omitted and replaced by 27 indicators coping with the conditions of Iranian hospitals. Finally, 43 indicators were added into the Delphi phase and after 2 rounds of Delphi with 18 specialists, 7 cases were excluded due to their low scores of applicability. In the experts' panel stage, 6 items were also omitted and 10 new indicators were developed to replace them. Eventually, 40 indicators were finalized.
  
  
  CONCLUSIONS
  In this study, some proper indicators for evaluating provided service quality for CCU admissions in Iran were determined. Considering the informative richness of these indicators, they can be used by managers, policy makers, health service providers, and also insurance agencies in order to improve the quality of services, decisions, and policies.
authors.affiliation: Tabriz Health Services Management Research Center, Faculty of Management and Medical Informatics, Tabriz University of Medical Sciences, Tabriz, Iran.
authors.forename: Saber
authors.initials: S
authors.lastname: Azami-Aghdash
authors.forename: Samad
authors.initials: S
authors.lastname: Ghaffari
authors.forename: Homayoun
authors.initials: H
authors.lastname: Sadeghi-Bazargani
authors.forename: Jafar-Sadegh
authors.initials: JS
authors.lastname: Tabrizi
authors.forename: Alireza
authors.initials: A
authors.lastname: Yagoubi
authors.forename: Mohammad
authors.initials: M
authors.lastname: Naghavi-Behzad
keywords: Cardiac Care Unit; Cardiovascular Diseases; Delphi Technique; Indicator; Service Quality