en Community Health Community Health Original Research Original Research <p><strong>&nbsp;&nbsp;</strong><strong>&nbsp; Background: </strong>Providing fair access to high-quality healthcare services is one of the most important goals of health systems. This study was conducted between 2012 and 2013 to determine the level of equity in the quality of hospital services in Iran.<br> <strong>&nbsp;&nbsp; Methods: </strong>In this cross-sectional study, 1,003 patients were chosen from 100 hospitals in Iran with multi-stage random cluster sampling. Concentration index was calculated to determine equity of healthcare quality from patients&rsquo; viewpoint. Furthermore, the equity of hospital services&rsquo; quality was investigated from experts&rsquo; perspective by calculating Gini index based on the hospitals&rsquo; accreditation scores. Analyzing the related factors was done by logistic regression. The significance level was set at &alpha;=0.05. Data were analyzed using Excel v.2010, SPSS v.21, and Stata v.8.<br> <strong>&nbsp;&nbsp; Results: </strong>There was a significant inequity in the quality of hospital services in both patients&rsquo; and experts&rsquo; point of view. In fact, concentration index (95% confidence interval) for the quality of healthcare was significant, 0.128 (0.080, 0.176), indicating better quality of services for those with higher economic status from patients&rsquo; point of view. Furthermore, Gini index (95% confidence interval) for hospitals&rsquo; accreditation scores was 0.166 (0.156, 0.176), meaning that there was inequity in hospital services quality from experts&rsquo; point of view.<br> <strong>&nbsp;&nbsp; Conclusion: </strong>The significant inequality observed in the quality of hospital care based on the economic status of the patients highlights the necessity of the supportive policies aiming at reduction of this condition.<br> &nbsp;</p> Equity, Equality, Quality, Socio-economic status, Iran, Hospital, Healthcare services 735 739 http://mjiri.iums.ac.ir/browse.php?a_code=A-10-3377-1&slc_lang=en&sid=1 Leila Jamshidi :jamshidi.l @health.gov.ir 200319475328460035222 200319475328460035222 No Mental and Social Health office, Ministry of Health, Tehran, Iran. Mojdeh Ramezani ramezani93146@yahoo.com 200319475328460035223 200319475328460035223 Yes Preventive Medicine and Public Health Research Center, Department of Community Medicine, Iran University of Medical Sciences, Tehran, Iran. Seyed Sajad Razavi S.razavi@sbmu.ac.ir 200319475328460035224 200319475328460035224 No Department of Anesthesiology, Mofid Pediatric Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran. Leila Ghalichi ghalighi.l@iums.ac.ir 200319475328460035225 200319475328460035225 No Mental Health Research Center, Iran University of Medical Sciences, Tehran, Iran.