Review Article

The Quality of Educational Services from Students’ Viewpoint in Iran: A Systematic Review and Meta-analysis


Background: Students' view is an important factor in assessing the quality of universities. Servqual pattern is regarded as the most prominent for services quality measurement. This study aimed to review systematically studies that investigated the quality of educational services.

Methods: A systematic review and meta-analysis of studies evaluating students’ viewpoint about quality of educational services were conducted. Required data were collected from PubMed, Embase, Scopus, Science Direct, Google Scholar, SID, Magiran, and Iranmedex, without time restriction. Computer software CMA, ver. 2 was applied to estimate the total mean score of students’ perception and expectation of services quality and the gap between them.

Results: The 18 eligible studies were entered into study. The studies were conducted between 2004 and 2014. Based on the random effect model, the total mean score of students’ perception, students’ expectation and the gap between them were estimated 2.92 (95% CI, 2.75 - 3.09), 4.18 (95% CI, 3.98 - 4.38), respectively and -1.30 (95% CI= -1.56, -1.04).

Conclusion: The studied students' expectation level is higher than the current quality of educational services. There is a tangible difference between their expectations and the current quality, which requires officials' efforts to improve quality in all dimensions and effective steps can be taken towards improving the quality of educational services through appropriate training planning and training for empowering employees in colleges and universities.


Keywords: Servqual, Services quality, Student, Meta-analysis, Iran

Abdullah F (2006). Measuring service quality in higher education: three instruments compared. Int J Res Meth Educ, 29: 71-89.

Clow KE, Vorhies DW (1993). Building a competitive advantage for service firms: measurement of consumer expectations of service quality. J Serv Mark, 7 (1): 22-32.

Aghamolaei T, Zare S (2008). Quality gap of educational services in viewpoints of students in Hormozgan University of medical sciences. BMC Med Educ, 8: 34.

Sahney S, Banwet D, Karunes S (2006). An integrated framework for quality in education: Application of quality function deployment, interpretive structural modelling and path analysis. Total Qual Manag Bus, 17 (2):265-285.

Bose K, Sarker S, Hossain D (2013). Comparing the outcome of SERVQUAL and SERVICESCAPE model in evaluating customer satisfaction-A case study on EXIM bank limited. Univers. J Mark Bus Res, 2 (2): 44-63.

Bahreini M, Momeni Danaei S, Shahamat S, Khatoni A, Ghodsi S, Hashemi M (2012). The Quality of Educational Services: Gap between Optimal and Actual Status according to Dentistry Students. Iran J Med Educ, 11 (7): 685-695.

Tsinidou M, Gerogiannis V, Fitsilis P (2010). Evaluation of the factors that determine quality in higher education: an empirical study. Qual Assur Educ, 18 (3): 227-244.

Bayraktaroglu G, Atrek B (2010). Testing the superiority and dimensionality of SERVQUAL vs. SERVPERF in higher education. Qual Manag J, 17 (1): 47-59.

Kebriaei A, Akbari F (2006). Quality gap of primary health care services at Kashan District Health Centers, Iran. J Med Sci, 6 (3): 393-399.

Parasuraman A, Zeithaml V, Berry L (1988). SERVQUAL: a multiple item scale for measuring consumer perceptions of service quality. J Retailing, 64 (1): 12-40.

Jahandideh S, Asefzadeh S, Jahandideh M, Asadabadi EB, Jafari A (2013). The comparison of methods for measuring quality of hospital services by using neural networks: A case study in Iran (2012). Int J Healthc Manag, 6 (1): 45-50.

Tan KC, Kek SW (2004). Service quality in higher education using an enhanced SERVQUAL approach. Qual High Educ, 10 (1): 17-24.

Faganel A (2010). Quality perception gap inside the higher education institution. Int J Acad Res, 2 (1): 213-215.

Kebriaei A, Roudbari M (2005). The quality gap in educational services at Zahedan University of Medical Sciences: based on student’perceptions and expectations. Iran J Med Educ, 5 : 53-61.

Abbasian M, Chaman R, Mousavi S, Amiri M, Gholami Taromsari M, Maleki F, Raei M (2013). Gap Analysis between Students' Perceptions and Expectations of Quality of Educational Services Using Servqual Model. Qom Univ Med Sci J, 7(Suppl 1): 2-9.

Agha Moulaei T, Zare S, Kebriaei A, Poudat A (2008). Quality Gap In Primary Healthcare Services In Bandar Abbas: Women's Perspective. Payesh, 7 (2): 121-127.

Rasoolabadi M, Shafieian M, Gharibi F (2013). Assessment of the quality of educational services by the SERVQUAL Model: viewpoints of the students at Kurdistan University of Medical Sciences. Sci J Kurdistan Univ Med Sci, 18 (1): 104-112.

Tofighi S, Sadeghifar J, Hamouzadeh P, Afshari S, Forouzanfar F, Taghavi Shahri SM (2011). Quality of educational services from the viewpoints of students; SERVQUAL model. Educ Strategy Med Sci, 4 (1):21-26.

Enayati T, Modanloo Y, Behnamfar R, Rezaei A (2013). Measuring service quality of Islamic Azad University of Mazandaran using SERVQUAL model. IJMS, 6 (1): 99-116.

Ayatollahi J, Sharifi MR, Marjani N, Ayatollahi F (2012). Assessing quality of education services at Yazd University of Medical Sciences in 2010. Med Educ Dev, 7 (2): 21-30.

Mohebbifar R, Atighechian G, Gholamalipoor S (2013). Analysis of educational services quality from viewpoints’ of Health & Paramedical students in Qazvin University of Medical Sciences, Using SERVQUAL Model in 2011. Jundishapur J Health Res, 4 (3): 255-262.

Bahadori M, Mousavi SM, Sadeghifar J, Haghi M (2013). Reliability and Performance of SEVQUAL Survey in Evaluating Quality of Medical Education Services. Int J Hosp Res, 2 (1): 39-44

Yazdi Feyzabadi V, Komsari S, Nozar Nakhaee M, Amiresmaili S (2014). Analyzing the Quality Gap of Clinical Educational Services in Hospitals Affiliated with Kerman University of Medical Sciences Using SERVQUAL Method. Future Med Educ J, 4 (3): 13-17

Gholami A, Gazerani A, Behfar K, Asghari A, Mohammadzadeh H, Samadi A, Foroozanfar Z (2014). Quality evaluation of educational services gap in Neyshabur Faculty of Medical Sciences based on service quality scale. Shiraz E-Med J, 15 (3): e21869.

Haresabadi M, Bibak B, Abbasi Z (2013). Quality Gap in Educational Services at North Khorasan University of Medical Sciences(2011): Students Viewpoints about Current and Optimal Condition. J North Khorasan Univ Med Sci, 5 (4): 715-721.

Bakhshi H, Jafarzadeh A, Alimohammadi Abdolabadi T (2011). Viewpoints of Students Towards Educational Services Quality Presented by (Expectations and Perceptions) Rafsanjan University of Medical Sciences (2008-2009). J Rafsanjan Univ Med Sci, 10 (2): 31-40

Goharinezhad S, Maleki M, Khajehkazemi R (2011). The measurement of education quality from the viewpoints of master students in Tehran University of Medical Sciences. J Med Edu Dev, 4 (6): 55-62.

Arbouni F, Shoghli A, Badriposhteh S, Mohajery M (2008). The Gap between Students’ Expectations and Educational Services Provided for them, Zanjan University of Medical Sciences, 2007. Strides Dev Med Educ, 5 (1): 17-25.

Nabilou B, Khorasani-Zavareh D (2014). The Bridge Between Real and Ideal: Students Perception on Quality Gap in Reality and Their Educational Expectations. Iran Red Crescent Med J, 16 (9): e14254.

Miri S, Nickban M, Javadi M, Abbaszadeh A, Borhani F (2010). The survey of Kerman University nursing students' viewpoints about educational services quality provided for them. J Qual Res Health Sci, 9 (1-2): 20-27.

Barnes BR (2007). Analysing service quality: The case of post-graduate Chinese students. Total Qual Manag Bus, 18 (3): 313-331.

Moher D, Liberati A, Tetzlaff J, Altman DG (2009). Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. J Clin Epidemiol, 62 (10): 1006-12.

Vandenbroucke JP, Von Elm E, Altman DG, Gøtzsche PC, Mulrow CD, Pocock SJ, Poole C, Schlesselman JJ, Egger M (2007). Strengthening the Reporting of Observational Studies in Epidemiology (STROBE): explanation and elaboration. PLoS Med, 4 (10): e 297.

Mohseni M, Alikhani M, Tourani S, Azami-Aghdash S, Royani S, Moradi-Joo M (2015). Rate and Causes of Discharge against Medical Advice in Iranian Hospitals: A Systematic Review and Meta-Analysis. Iran J Public Health, 44 (7): 902-912.

RanjbarEzzatabadi M, Bahrami M, h Z, Nasiri S, Arab M, Hadizadeh F, Hataminasab S (2010). Gap analysis between perceptions and expectations of service recipients through Servqual approach in Yazd, Afshar Hospital. Toloo e Behdasht, 29 (2): 75-86.(In Persian)

Tarrahi M, Hamouzadeh P, Bijanvand M, Lashgarara B (2012). The quality of health care services provided in health care centers of Khorramabad using SERVQUAL model in 2010. Yafteh, 14 (1): 13-21.

AbolghasemGorji H, Tabatabaei S, Akbari A, Sarkhosh S, Khorasan S (2013). Using the service quality gap's model (SERVQUAL) in Imam Khomeini teaching hospital: 2012. J Health Adm, 16 (51): 7-18.

Jabraeily M, Rahimi B, Khodayari R, Goli Farhodi G, Mohamadi A (2012). Assessment of inpatient satisfaction with quality services in training centers of Urmia University of Medical Sciences with the servequal model. Health Inf Manage, 7 (2): 19-24.

Hekmatpou D, Sorani M, Farazi AA, Fallahi Z, Lashgarara B (2012). A survey on the quality of medical services in teaching hospitals of Arak University of Medical Sciences with SERVQUL model in Arak, 2010. J Arak Univ Med Sci, 15 (7): 1-9.

Mohammadi A, Shoghli A (2009). Survey on Quality of Primary Health Cares in Zanjan District Health Centers. J Zanjan Univ Med Sci, 16 (65): 89-100.

Gholami A, Nori AA, Khojastehpour M, Askari M (2011). Quality gap in primary health care in Neyshabour health care centers. Daneshvarmed, 18 (92): 5-14.

Ghanbari S, Ramezankhani A, Mohammadi G, Keyhan MR, Mehrabi Y (2013). Quality Gap in Family Planning Service in Health Care Centers of Shahid Beheshti University of Medical sciences. J Nurs Midwifery Shahid Beheshti Univ Med Sci, 22 (79): 17-28.

Aghamolaei T, Eftekhaari TE, Rafati S, Kahnouji K, Ahangari S, Shahrzad ME, Kahnouji A, Hoseini SH (2014). Service quality assessment of a referral hospital in Southern Iran with SERVQUAL technique: patients' perspective. BMC Health Serv Res, 14: 322.

Chin K-S, Pun K-F (2002). A proposed framework for implementing TQM in Chinese organizations. Int J Qual Reliab Manag, 19 (3): 272-294.

Donnelly M, Wisniewski M, Dalrymple JF, Curry AC (1995). Measuring service quality in local government: the SERVQUAL approach. IJPSM, 8 (7): 15-20.

Lim PC, Tang NK (2000). The development of a model for total quality healthcare. Manag Serv Qual, 10 (2): 103-111.

Tyran CK, Ross SC (2006). Service quality expectations and perceptions: Use of the SERVQUAL instrument for requirements analysis. Issues in Information Systems, 7 (1): 357-62.

Karydis A, Komboli-Kodovazeniti M, Hatzigeorgiou D, Panis V (2001). Exp-ectations and perceptions of Greek patients regarding the quality of dental health care. Int J Qual Health Care, 13 (5): 409-416.

Rohi G, Nasiri H, Hesam M, Mirkarimi F, Asaiesh H (2009). Quality of primary health services in Gorgan health care services centers. J Res Dev Nurs Midwifery, 6 (2): 9-17.

Sabahi-Bidgoli M, Mousavi SGA, Kebriaei A, Seyyedi SH, Shahri S, Atharizadeh M (2011). The quality of hospital services in Kashan educational hospitals during 2008-9: the patients' viewpoint. FEYZ, 15 (2): 146-152

IssueVol 46 No 4 (2017) QRcode
SectionReview Article(s)
Servqual Services quality Student Meta-analysis Iran

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How to Cite
MOOSAVI A, MOHSENI M, ZIAIIFAR H, AZAMI-AGHDASH S, GHARASI MANSHADI M, REZAPOUR A. The Quality of Educational Services from Students’ Viewpoint in Iran: A Systematic Review and Meta-analysis. Iran J Public Health. 2017;46(4):447-455.