Masoomeh Saadati - Corresponding Author, MD - Surgical, Medical Faculty of Neyshapur university,
mansoure Zaghari Tafreshi - PHD –Nursing. Medical Faculty of Shahid Beheshti University,
Froozane Atashzadeh - PHD –Nursing. Medical Faculty of Shahid Beheshti University,
Hamid Alavi majd - PhD in Statistics faculty of Shahid Beheshti University,

Background and objective: Patient satisfaction is an important factor in the improvement of service quality measurement. Today, the attitude of customer orientation is considered as a fundamental principle in the success of any organization. This study examines the relationship between organizations’ characteristics and patient satisfaction.Methods: in this descriptive - correlation survey 156 managers and 203 patients admitted to the medical and surgical ward of selected training hospitals covered by two universities of Medical Sciences in Tehran and Health Services of Shahid Beheshti University through stratified Classification Sampling. The validity of the questionnaire was determined by content validity and face validity and reliability was evaluated by both internal consistency and test-retest methods and data were analyzed using spss software version 17.Result: 36/4 % of hospitals were small or large and 90% were also first class. Results showed that the hospitals have low formalization; centralization and complexity in terms of the structural dimensions and dominant strategy in their prospective mission of these hospitals are the dominant organizational culture. None of the hospitals in the study of organizational culture is desirable. Most patients were satisfied with the hospital environment and facilities, with a mean (4/15) and the lowest levels of satisfaction with a mean of laboratory personnel (3/98), respectively. The finding has significant correlation between structural, organizational culture, size of hospital patient satisfaction scores. But strategy and the proportion of staff with patient satisfaction were significantly associated (P <0/05).