Journal of health research in community

Introduction and Purpose: Patient satisfaction is a primary indicator for evaluating the quality of healthcare services. In rural and border areas, limitations in human resources and infrastructure can affect both service quality and accessibility. This study aimed to assess the level of satisfaction among service recipients and identify the associated factors within rural comprehensive health centers in Abadan and Khorramshahr counties. 
Methods: This cross-sectional descriptive–analytical study was conducted in 2024 on 120 service recipients. Data were collected using the standardized SERVQUAL questionnaire covering five dimensions of service quality, measured on a 5-point Likert scale. Cochran’s Q test was used to compare the dimensions, and logistic regression analysis was employed to identify associated factors. Data analysis was performed using SPSS software, version 27 at a significance level of 0.05. 
Results: The mean overall satisfaction score was 4.3 out of 5, with 79.2% of participants classified as satisfied. No significant differences were observed between SERVQUAL dimensions (P=0.34). Logistic regression analysis revealed that higher satisfaction was associated with residing in Khorramshahr (OR = 3.92; 95% CI: 1.30–11.79), being under 30 years old (OR=6.7; 95% CI: 1.35–27.64), having an education level ranging from guidance school to diploma (OR=6.19; 95% CI: 2.04–19.6), and having a low income (OR=5.27; 95% CI: 1.08–25.8). Within the SERVQUAL dimensions, the lowest score was recorded in the “tangibles” domain. 
Conclusion: Overall satisfaction among service recipients in rural comprehensive health centers was acceptable; however, demographic disparities and infrastructural limitations highlight the need for equity-oriented interventions sensitive to population characteristics. Enhancing staff communication skills and improving infrastructure may contribute to increased satisfaction and service quality.