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Factors that determine parents’ satisfaction with the care given to their children in two Greek public hospitals

Published: Apr 3, 2022
parent’s satisfaction pediatric care family-centered care healthcare quality
Elizabeth Xenodoxidou
Panagiotis Theodorou
Roxani Karagianni
Georgios Intas
Charalampos Platis

Background: Patient satisfaction is a valuable measure of the healthcare quality, which in turn is the most necessary condition for effective healthcare services.

Aim: To evaluate the inpatient children’s parental satisfaction, in order to assess the quality and outcomes of the public healthcare services.

Method and Material: A cross-sectional study was conducted, on a random sample of 120 parents of children who were hospitalized in the two major public pediatric hospitals of Athens, using the Greek version of the Swedish Pyramid Quality of Care Questionnaire - Parents version.

Results: Parental satisfaction was at high levels (overall index 80.2%), mainly due the medical and nursing staff attitudes (93.11%), medical & nursing care (92.32%) and information about the child’s illness / condition provided (84.75%). Low satisfaction observed due the accessibility of health services (66.16%) and the working environment of the staff (68.14%), and also in respect of waiting times for clinical and laboratory tests, in low-moderate severity cases.

Conclusions: The high levels of parents' satisfaction with hospital pediatric care is a result of the attitudes, knowledge and skills of the medical and nursing staff.

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Alexiadis A, Sigalas J. Health Care Management – Hospital Management. Experiences, trends and perspectives. Hellenic Open University editions: Patra, 1999
Papanicolas I. International frameworks for health system comparison. In: Papanicolas I, Smith P (eds.): Health system performance comparison: An agenda for policy, information and research. European observatory on health systems and policies. Open University Press: New York, 2013, 31-75
WHO (Quality of care network). Quality of care in the context of Universal Health Coverage (UHC), 2017. Network launch meeting, 14–16 February 2017, Lilongwe, Malawi. Available at:
WHO. Quality of care: a process for making strategic choices in health systems, 2006. Available at:
Papanicolaou V. Introducing and maintaining a total quality / continuous quality improvement program in hospital care: Developing standards and performance measures, in: Kyriopoulos J, Lionis Ch., Souliotis C., Tsakos G. (2006). Quality in Health care Services, Themelio editions: Athens, 153-176.
Berkowitz, B. The patient experience and patient satisfaction: Measurement of a complex dynamic. Online J Issues Nurs 2016, 21:1. DOI: 10.3912/OJIN.Vol21No01Man01
Health Boards Executive (HeBE). Measurement of patient satisfaction guidelines: health strategy implementation project 2003.Available at:
WHO. Client satisfaction evaluations. WHO-UNDCP-EMCDDA: Workbook 6, 2000. Available at:;jsessionid=743FB61ECB9E9CBA3CD013B6746C6164?sequence=7
Pecacz A, Kadalska E, Skozylas A, Targowski T. Patient satisfaction as an element of healthcare quality - a single-center Polish survey. Reumatologia 2019, 57:135‐144DOI: 10.5114/reum.2019.86423
Mikkelsen G, Frederiksen K. Family-centred care of children in hospital - a concept analysis. J Adv Nurs 2011, 67:1152–1162. DOI: 10.1111/j.1365-2648.2010.05574.x
Khajeh M, DehghanNayeriN, BahramnezhadF, Sadat HoseiniAS. Family centered care of hospitalized children: A hybrid concept analysis in Iran. Health Promot Perspect 2017, 7:210‐215. DOI:10.15171/hpp.2017.37
Ygge BM, Arnetz JE. Quality of paediatric care: application and validation of an instrument for measuring parent satisfaction with hospital care. Int J Qual Health Care 2001, 13:33-43. DOI: 10.1093/intqhc/13.1.33
Solheim E, Garratt AM. Parent experiences of inpatient pediatric care in relation to health care delivery and sociodemographic characteristics: results of a Norwegian national survey. BMC Health Serv Res 2013, 13:512. DOI:10.1186/1472-6963-13-512
Toomey SL, Phil M, Zaslavsky AM, Elliott MN, Gallagher PM, Fowler Jr
FJ et al. The development of a pediatric inpatient experience of care measure: Child HCAHPS. Pediatrics 2015, 136: 361-369. DOI: 10.1542/peds.2015-0966
Commodari E. Children staying in hospital: a research on psychological stress of caregivers. Ital J Pediatr 2010, 36:40. DOI: 10.1186/1824-7288-36-40
Peeler A, Fulbrook P, Edward K-L, Kinnear FB. Parents’ experiences of care in a paediatric emergency department: A phenomenological inquiry. Australas Emerg Care2019, 22:113-118. DOI: 10.1016/j.auec.2018.12.004
Hagen IH, Iversen VC, Nesset E, Orner R, Svindseth MF. Parental satisfaction with neonatal intensive care units: a quantitative cross-sectional study. BMC Health Serv Res 2019, 19:37. DOI:10.1186/s12913-018-3854
Segers E, Ockhuijsen H, Baarendse P, van Eerden I, van den Hoogen A. The impact of family centred care interventions in a neonatal or paediatric intensive care unit on parents’ satisfaction and length of stay: A systematic review. Intensive Crit Care Nurs 2019. 50: 63-70. DOI: 10.1016/j.iccn.2018.08.008
Moumtzoglou A, Dafogianni C, Karra V, Michalilidou D, Lazarou P, Bartsocas C. Development and application of a questionnaire for assessing parent satisfaction with care. Int J Qual Health Care 2000, 12: 331-337. DOI: 10.1093/intqhc/12.4.331
Papagiannopoulou V, Pierracos G, Sarris M, Yfantopoulos J. Measuring satisfaction with health care services in an Athens pediatric hospital. Archives of Hellenic Medicine 2008, 25(1):73–81ISSN 11-05-3992
Boutopoulou B, Petsios K, Mavridi F, Vlachioti E, Konstantakaki E, Matziou V. Parent Satisfaction with the Hospital Care provided to Hospitalized Children. NOSILEFTIKI 2010, 49: 264-273
MatziouV, Boutopoulou B, Chrysostomou A, Vlachioti E, Matziou T, Petsios K. Parents’ satisfaction concerning their child’s hospital care. Jpn J Nurs Sci 2011, 8: 163–173. DOI: 10.1111/j.1742-7924.2010.00171.x
Tsironi S, Tsoumakas K, Giannakopoulou M, Boutopoulou B, Matziou V. Parents’ satisfaction concerning neonatal hospital care, NOSILEFTIKI, 2011, 50 (3): 297-306
Galanis P, Bilali A, Pouliou K, Matziou V. Factors associated with parents' satisfaction with care provided in a neonatal intensive care unit in Greece. J Neonatal Nurs 2016, 22:177-184. DOI:10.1016/j.jnn.2016.01.005
Tsironi S, Koulierakis G. Measuring the degree of parental satisfaction with the quality of care provided to hospitalized children. Hellenic Journal of Nursing science 2017, 10: 13-26
Regulation (EU) 2016/679 of the European Parliament and of the Council of 27 April 2016 on the protection of natural persons with regard to the processing of personal data and on the free movement of such data, and repealing Directive 95/46/EC (General Data Protection Regulation)
Law 4624/2019. Personal Data Protection Authority, implementation of the Regulation (EU) 2016/679 of the European Parliament and of the Council of 27 April 2016 on the protection of natural persons with regard to the processing of personal data and on the free movement of such data, and transposition into national law of Directive2016/680 of the European Parliament and of the Council of 27 April 2016 and other measures. Government Gazette Α' 137/Α/29.8.2019
WMA (World Medical Association): Declaration of Helsinki - ethical principles for medical research involving human subjects, 18th WMA General Assembly, Helsinki, Finland: June 1964 Available at:
Bitzer EM, Volkmer S, Petrucci M, Weissenrieder N, Dierks M-L. Patient satisfaction in pediatric outpatient settings from the parents’ perspective - The Child ZAP: A psychometrically validated standardized questionnaire. BMC Health Serv Res 2012, 12:347. DOI: 10.1186/1472-6963-12-347
Weissenstein A, Straeter A, Villalon G, Luchter E, BittmannS.Parent satisfaction with a pediatric practice in Germany: A questionnaire-based study. Ital J Pediatr 2011, 37:1-6. DOI: 10.1186/1824-7288-37-31
Ye G, Rosen P, Collins B, Lawless S. One size does not fit all: pediatric patient satisfaction within an integrated health network. Am J Med Qual 2016, 31: 559– 567. DOI: 10.1177/1062860615607989
Jurić M, Luetić F, Kolačko S, Hošnjak A-M, Begić N, Anić D. Parent satisfaction with children’s health care in the Children’s Hospital Zagreb. Croat Nurs J 2019, 3: 49-59. DOI:10.24141/2/3/1/4
Jang HY, Kwak YH, Park JO, Kim DK, Lee JH. Parental satisfaction with pediatric emergency care: a nationwide, cross-sectional survey in Korea. Korean J Pediatr2015, 58: 466‐471. DOI: 10.3345/kjp.2015.58.12.466
Toomey SL, Elliott MN, Zaslavsky AM, Klein DJ, Ndon S, Hardy S et al. Variation in family experience of pediatric inpatient care as measured by Child HCAHPS. Pediatrics 2017, 139:e20163372. DOI: 10.1542/peds.2016-3372
Kemp KA, Ahmed S, Quan H, Johnson D, Santana MJ. Family experiences of pediatric inpatient care in Alberta, Canada: Results from the Child HCAHPS Survey. HospPediatr 2018, 8:338-344. DOI: 10.1542/hpeds.2017-0191
Bruyneel L, Coeckelberghs E, Buyse G, Casteels K, Lommers B, Vandersmissen J et al. Validation of the Child HCAHPS survey to measure pediatric inpatient experience of care in Flanders. Eur J Pediatr 2017, 176: 935-945. DOI: 10.1007/s00431-017-2919-7
Ygge BM. Parental involvement in pediatric hospital care - Implications for clinical practice and quality of care. Comprehensive Summaries of Uppsala Dissertations from the Faculty of Medicine, 1326. Acta Universitatis Upsaliensis, Uppsala, 2004 ISBN 91-554-5884-X
Fidanci BE, Arslan F, Fidanci K. Parents’ Expectations and satisfaction on pediatrics clinic. Translational Medicine 2014, 4: 1-4. DOI: 10.4172/2161-1025.1000137
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