Abstract

Cancer is one of the major public health challenges in urban societies, with its high prevalence increasing the need for effective responses from healthcare and social institutions. As cancer is not only an individual crisis but also a social and even environmental crisis within urban contexts, the issue of therapeutic justice in cities has gained growing importance. In this regard, the concept of a "Cancer Patient-Friendly City" emerges as a novel approach to achieving therapeutic justice, aiming to create a supportive space that provides equal access to healthcare and supportive services, considering the specific needs of cancer patients. In this context, organizations such as Mehraneh, as prominent models of social commitment, play a key role in promoting therapeutic justice. Thus, the main objective of this study is to analyze the impact of Mehraneh's activities on the access to and quality of healthcare and support services for cancer patients in Zanjan city and neighboring provinces. This research is quantitative and conducted through a survey. Data was collected using a SERVQUAL model-based questionnaire to assess service quality. Random sampling was performed among 40 cancer patients under the care of Mehraneh in 2024. Structural equation modeling was used for data analysis. The results showed that assurance and reliability directly and significantly impact the perceptions and expectations of the patients. This influence leads to increased patient satisfaction with the healthcare services provided by Mehraneh. Therefore, enhancing these two components is crucial for building patient trust in service quality and increasing their satisfaction.Cancer is one of the major public health challenges in urban societies, with its high prevalence increasing the need for effective responses from healthcare and social institutions. As cancer is not only an individual crisis but also a social and even environmental crisis within urban contexts, the issue of therapeutic justice in cities has gained growing importance. In this regard, the concept of a "Cancer Patient-Friendly City" emerges as a novel approach to achieving therapeutic justice, aiming to create a supportive space that provides equal access to healthcare and supportive services, considering the specific needs of cancer patients. In this context, organizations such as Mehraneh, as prominent models of social commitment, play a key role in promoting therapeutic justice. Thus, the main objective of this study is to analyze the impact of Mehraneh's activities on the access to and quality of healthcare and support services for cancer patients in Zanjan city and neighboring provinces. This research is quantitative and conducted through a survey. Data was collected using a SERVQUAL model-based questionnaire to assess service quality. Random sampling was performed among 40 cancer patients under the care of Mehraneh in 2024. Structural equation modeling was used for data analysis. The results showed that assurance and reliability directly and significantly impact the perceptions and expectations of the patients. This influence leads to increased patient satisfaction with the healthcare services provided by Mehraneh. Therefore, enhancing these two components is crucial for building patient trust in service quality and increasing their satisfaction.Cancer is one of the major public health challenges in urban societies, with its high prevalence increasing the need for effective responses from healthcare and social institutions. As cancer is not only an individual crisis but also a social and even environmental crisis within urban contexts, the issue of therapeutic justice in cities has gained growing importance. In this regard, the concept of a "Cancer Patient-Friendly City" emerges as a novel approach to achieving therapeutic justice, aiming to create a supportive space that provides equal access to healthcare and supportive services, considering the specific needs of cancer patients. In this context, organizations such as Mehraneh, as prominent models of social commitment, play a key role in promoting therapeutic justice. Thus, the main objective of this study is to analyze the impact of Mehraneh's activities on the access to and quality of healthcare and support services for cancer patients in Zanjan city and neighboring provinces. This research is quantitative and conducted through a survey. Data was collected using a SERVQUAL model-based questionnaire to assess service quality. Random sampling was performed among 40 cancer patients under the care of Mehraneh in 2024. Structural equation modeling was used for data analysis