title: Customers' complaints and its determinants: the case of a training educational hospital in iran.
abstract: BACKGROUND
  Today, despite the efforts of the medical community and healthcare staff along with the advancements in medical technology, patients' dissatisfaction and complaints have been increased. The present study aimed at making a survey on the patients' complaints in a large training hospital affiliated to Mashhad University of Medical Sciences (MUMS).
  
  
  METHODS
  This descriptive, cross-sectional study was conducted on written and verbal complaints of patients and their relatives in a tertiary (specialty and sub-specialty) training hospital. All the recorded patients' complaints, from March to December 2012, were reviewed. Data were categorized and analyzed using descriptive statistics by Microsoft Excel 2007.
  
  
  RESULTS
  A total of 233 complaints were reviewed, of which 46.35%, 31.34% and 22.31%, respectively, were verbal, written and made on the phone. The main reasons for complaints were accessibility to medical staff (21.46%), communication failures (20.17%) and dissatisfaction with the provided care (14.59%). Thirty one (13.31%) cases were solved at first place, 194 (83.26%) referred to the complaints from the committee and 3.43% referred to the legal authorities. The average response time was about six to seven days.
  
  
  CONCLUSIONS
  The findings of the study suggest that sufficient availability of medical staff, improvement in communication skills and paying attention to the patients' needs and expectations may reduce complaints from public health facilities.
authors.affiliation: Health Sciences Research Center, Department of Health and Management, School of Health, Mashhad University of Medical Sciences, Mashhad, Iran.
authors.forename: Hossein
authors.initials: H
authors.lastname: Ebrahimipour
authors.affiliation: Health Sciences Research Center, Department of Health and Management, School of Health, Mashhad University of Medical Sciences, Mashhad, Iran.
authors.forename: Ali
authors.initials: A
authors.lastname: Vafaee-Najar
authors.affiliation: School of public Health, Zanjan University of Medical Sciences, Zanjan, Iran.
authors.forename: Ahmad
authors.initials: A
authors.lastname: Khanijahani
authors.affiliation: Health Sciences Research Center, Department of Health and Management, School of Health, Mashhad University of Medical Sciences, Mashhad, Iran.
authors.forename: Arefeh
authors.initials: A
authors.lastname: Pourtaleb
authors.affiliation: Ghaem Educational, Research and Treatment Center, Mashhad University of Medical Sciences, Mashhad, Iran.
authors.forename: Zoleykha
authors.initials: Z
authors.lastname: Saadati
authors.affiliation: Health Sciences Research Center, Department of Health and Management, School of Health, Mashhad University of Medical Sciences, Mashhad, Iran.
authors.forename: Yasamin
authors.initials: Y
authors.lastname: Molavi
authors.affiliation: Departement of Health and Management, School of Health, Shiraz University of Medical Sciences, Shiraz, Iran.
authors.forename: Shahnaz
authors.initials: S
authors.lastname: Kaffashi
keywords: Hospitals; Mashhad University of Medical Sciences; Patients; Patients’ Complaints