title: The Health Tourists' Satisfaction Level of Services Provided: A Cross-Sectional Study in Iran.
abstract: BACKGROUND
  Patient satisfaction with provided services is used as an indicator of health care quality. Patient satisfaction is defined as patient perception of provided care compared to expected care. This study was administered to evaluate the health tourists' satisfaction of provided services in Lorestan University of Medical Sciences affiliated hospitals in 2015.
  
  
  METHODS
  In this descriptive case study, 1800 (696 (54.4 %) men and 812 (45.6 % ) women, 74.5 province native) patients were selected by random sampling from among the patients of Lorestan University of Medical Sciences affiliated hospitals in 2015 spring. The data collection instrument is a semi-structured questionnaire in this study. The questionnaire has 62 general and specific items. Each of the specific items is scaled on four points; satisfied, fairly satisfied, dissatisfied and O.K.. In order to analyze the data both descriptive and inferential statistics were used.
  
  
  RESULTS
  Poldokhtar Imam Khomeini Hospital had the highest Level of satisfaction of 68 percent in all aspects (hoteling, discharge, paramedical, nurses, medical and admission) among the studied hospitals. Kuhdasht Imam Khomeini hospital had the lowest level of satisfaction of 53 percent. The overall satisfaction level in all hospitals was 61%.
  
  
  CONCLUSIONS
  Despite the shortcomings observed in different areas, the results of the present study are in an intermediate status compared to other studies. While treating patients, patient-centered issue and patients 'need and preferences should be focused on to enhance health care quality. Considering Patients preferences not only are morally good but also lead to improved care and access to sustainable care practices. Therefore it is needed to drive organizational management approach toward the customer preferences management and needs.
authors.affiliation: . avarzi@yahoo.co.uk.
authors.forename: Ali Mohammad
authors.initials: AM
authors.lastname: Varzi
authors.forename: Koroush
authors.initials: K
authors.lastname: Saki
authors.forename: Khalil
authors.initials: K
authors.lastname: Momeni
authors.forename: Ghasem
authors.initials: G
authors.lastname: Rajabi Vasokolaei
authors.forename: Zahra
authors.initials: Z
authors.lastname: Khodakaramifard
authors.forename: Morteza
authors.initials: M
authors.lastname: Arab Zouzani
authors.forename: Habib
authors.initials: H
authors.lastname: Jalilian