Health and Technology

, Volume 9, Issue 5, pp 797–804 | Cite as

The evaluation of users’ satisfaction with the Social Security Electronic System in Iran

  • Reza Khajouei
  • Fatemeh FarahaniEmail author
Original Paper


Assessing users’ satisfaction with the user interface of Healthcare Information System in order to determine their acceptance rate should be highlighted, especially at the early stages of its implementation. This study aimed to evaluate the users’ satisfaction with Social Security Electronic System (SSES), as a widely used HIS in Iran. The population of this study composed of 327 users among whom 176 were randomly selected. An adapted version of Computer System Usability Questionnaire (CSUQ) was used for collecting data. Data were analyzed using t-test, ANOVA, Spearman, Man Whitney U, and Kruskal-Wallis. In general, 140 subjects answered the questionnaire. The users’ mean scores of satisfaction with different aspects of usability and their overall satisfaction were 56.00 ± 13.00 and 3.01 ± 1.15, respectively, indicating a medium satisfaction. Overall satisfaction and satisfaction with different aspects of usability had no significant relationship with gender, age, education degree, and working experience with computers (p > 0.05). No significant relationship was observed between overall satisfaction and working experience with SSES (p > 0.05). However, the users’ satisfaction with different aspects of usability was significantly related to experience with HISs and SSES (p < 0.05). In addition, the overall satisfaction was significantly related to experience with HISs (p < 0.05). Based on the results, the users were relatively satisfied with the system. Thus, a user centered design is recommended to improve satisfaction by addressing several modifications such as providing an easier documentation process, using lower keystrockes and fewer screens, displaying appropriate messages, providing pop-ups, guiding the users, correcting the errors, and adding search functionalities.


User satisfaction Usability evaluation Hospital information systems 



The authors thank all the users who participated in this study. Moreover, special thanks go to Laleh Tajaddini, the head of Information Technology Center of Payambare-Aazam Social Security Hospital in Kerman, for her cooperation and provision of the necessary facilities.

Authors’ contribution

Both authors equally contributed to the design of the study, data collection and analysis, and interpretation of the results. Furthermore, they read and confirmed the final version of the submitted manuscript.


This research received no specific grant from the funding agencies in the public, commercial, or not-for-profit sectors.

Compliance with ethical standards

Conflict of interest

The authors declare that there is no conflict of interest in this study.

Ethical considerations

The official permission was obtained from the Social Security Organization headquarter before performing the study. Further, the present study was approved by the System Governance Office of this organizations (No: 168/95/15391 and identifier: 7575999) and the Ethics Committee of Kerman University of Medical Sciences (No: IR.KMU.REC.1396.1409).


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Copyright information

© IUPESM and Springer-Verlag GmbH Germany, part of Springer Nature 2019

Authors and Affiliations

  1. 1.Medical Informatics Research Center, Institute for Futures Studies in HealthKerman University of Medical SciencesKermanIran
  2. 2.Department of Health Information Sciences, Faculty of Management and Medical Information SciencesKerman University of Medical SciencesKermanIran
  3. 3.Health Service Management Research Center, Institute for Futures Studies in HealthKerman University of Medical SciencesKermanIran

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