Journal of Cardio-Thoracic Medicine

Journal of Cardio-Thoracic Medicine

Reported Satisfaction with Health and Medical Services among Mashhad Pilgrims at the End of the Safar Lunar Month

Document Type : Original Article

Authors
Maryam Saberi-Karimian 1
Somayeh Ghiasi Hafezi 2
Malihe Aghasizade 3
Shapour Badiee Aval 4
Ali Ebrahimi 5
Masoumeh Akbari 3
Najmeh Seifi 3
Seyed Javad Hoseini 6
Yasamin Rajabloo 3
Saeedeh Hoseinpour 3
Mahboubeh Akbari 3
Tayebeh Mohammadi-Esfidan 3
Naser Vahdati-Mashhadian 7
Mona Nematizadeh 8
Mohammad Sadegh Abedi 3
Marzieh Hasani 3
Mahya Nekoumanesh 8
Mobina Nekouyar 8
Elahe Hasanpour 8
Elmira Adim 8
Habibollah Esmaily 2
Monavar AfzalAghaee 2
Gordon A. Ferns 9
Mohammad Ali Kiani 10
Majid Ghayour-Mobarhan 1, 3
Nayyereh Houshyar 11
1 Metabolic Syndrome Research Center, Mashhad University of Medical Sciences, Mashhad, Iran.
2 Department of Biostatistics, School of Public Health, Mashhad University of Medical Sciences, Mashhad, Iran.
3 International UNESCO Center for Health-Related Basic Sciences and Human Nutrition, Mashhad University of Medical Sciences, Mashhad, Iran.
4 Department of Complementary and Chinese Medicine, School of Persian and Complementary Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
5 Department of Nutrition, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
6 Deputy of Health, Mashhad University of Medical Sciences, Mashhad, Iran.
7 Departments of Pharmacodynamics and Toxicology, School of Pharmacy, Mashhad University of Medical Sciences, Mashhad, Iran.
8 Department of Nutrition Sciences, Varastegan Institute for Medical Sciences, Mashhad, Iran.
9 Brighton & Sussex Medical School, Division of Medical Education, Falmer, Brighton, Sussex BN1 9PH, UK.
10 Department of Pediatrics, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
11 The Education Development Center, Mashhad University of Medical Sciences, Mashhad, Iran.
10.22038/jctm.2026.92422.1518
Abstract
Introduction: We aimed to evaluate the pilgrims’ satisfaction with the health, medical, and pharmaceutical services in Mashhad at the end of Safar.

Methods: This was a cross-sectional study conducted in the Safar Lunar Month. Pilgrims were recruited using a convenience sampling method of individuals entering Mashhad city.

Results: A total of 6497 pilgrims participated in the study. Out of those, 409 pilgrims (6.3%) required some medical services. Approximately 175 people (42.7%) rated the quality of access to medical services as average or below average. In terms of emergency services, 93 pilgrims (1.4%) required assistance, with 54.9% (n=42) reporting below average satisfaction with treatment by emergency personnel. Additionally, 1134 individuals (17.7%) expressed that the hygiene of their accommodations was average or below average.

Conclusions: Regarding the low satisfaction of pilgrims with the health and medical services during the peak of travel, it is necessary to improve the healthcare system services to empower pilgrims to access better healthcare.
Keywords
Health Services
Pharmaceutical Services
Pilgrims
Satisfaction
  1. World Health Organization. Declaration of alma-ata. World Health Organization. Regional Office for Europe; 1978.
  2.  Committee on Quality of Health Care in America. Crossing the quality chasm: a new health system for the 21st century. National Academies Press; 2001 Jul 18.
  3. Renzi C, Tabolli S, Picardi A, Abeni D, Puddu P, Braga M. Effects of patient satisfaction with care on health‐related quality of life: a prospective study. Journal of the European Academy of Dermatology and Venereology. 2005 Nov;19(6):712-8.
  4. Tsai TC, Orav EJ, Jha AK. Patient satisfaction and quality of surgical care in US hospitals. Annals of surgery. 2015 Jan 1;261(1):2-8.
  5. Doyle C, Lennox L, Bell D. A systematic review of evidence on the links between patient experience and clinical safety and effectiveness. BMJ open. 2013 Jan 1;3(1):e001570.
  6. Al-Abri R, Al-Balushi A. Patient satisfaction survey as a tool towards quality improvement. Oman medical journal. 2014 Jan;29(1):3.
  7. Coulter A, Cleary PD. Patients’ experiences with hospital care in five countries. Health affairs. 2001 May;20(3):244-52.
  8.  Aziz MM, Ji W, Masood I, Farooq M, Malik MZ, Chang J, et al. Patient satisfaction with community pharmacies services: a cross-sectional survey from Punjab; Pakistan. International journal of environmental research and public health. 2018 Dec;15(12):2914.
  9. Ford RC, Bach SA, Fottler MD. Methods of measuring patient satisfaction in health care organizations. Health care management review. 1997 Apr 1;22(2):74-89.
  10. Al-Arifi MN. Patients’ perception, views and satisfaction with pharmacists’ role as health care provider in community pharmacy setting at Riyadh, Saudi Arabia. Saudi Pharmaceutical Journal. 2012 Oct 1;20(4):323-30.
  11. Kruk ME, Freedman LP. Assessing health system performance in developing countries: a review of the literature. Health policy. 2008 Mar 1;85(3):263-76.
  12.  Batbaatar E, Dorjdagva J, Luvsannyam A, Savino MM, Amenta P. Determinants of patient satisfaction: a systematic review. Perspectives in public health. 2017 Mar;137(2):89-101.
  13. Voas D, Storm I. National context, parental socialization, and the varying relationship between religious belief and practice. Journal for the Scientific Study of Religion. 2021 Mar;60(1):189-97.
  14. Maynard E, Gorsuch R, Bjorck J. Religious coping style, concept of God, and personal religious variables in threat, loss, and challenge situations. Journal for the scientific study of religion. 2001 Mar;40(1):65-74.
  15. Akthar N, Nayak S, Pai Y. Determinants of patient satisfaction in Asia: Evidence from systematic review of literature. Clinical Epidemiology and Global Health. 2023 Sep 1;23:101393.
  16.  Bolarinwa OA. Principles and methods of validity and reliability testing of questionnaires used in social and health science researches. Nigerian postgraduate medical journal. 2015 Oct 1;22(4):195-201.
  17. Fink A, Litwin MS. How to measure survey reliability and validity. Sage; 1995.
  18.  Akbari H, Ghahreman A, Mazhari M. Meta-analysis of researches conducted in the field of travel satisfaction. Iranian Journal of Social Studies. 2013;6(3-4):27-44.]
  19.  Ganji M, Hashemianfar A. The survey of School Circumference Hygiene in Area 2 Arak City and thatâ s. Journal of Applied Sociology. 2009 Dec 22;20(4):103-34.
  20.  Yousefi M. Investigating the Environmental Health and Safety Indices among Schools in Mazandaran Province, Iran. Journal of health research in community. 2015 Jun 10;1(1):28-34.
  21. Najafi M, Mohammadikhah Z, Mahmudian MH. Investigation of Environmental Health Status of Mosques in Qom City in 2008-2009. In13th National Congress of Environmental Health 2010.
  22.  Aghalari Z, ASHRAFIAN AH, Mirzaei M, Lalehi D, Jafarian S. The survey of environmental health in public places of babol in 2015-2016: A short report.
Journal of Cardio-Thoracic Medicine
Volume 14, Issue 2
Spring 2026
Pages 1698-1708