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Introduction: The hospital is of particular importance as a place where the process of caring for and treating the patient's human body (where part of his or her body and mind is damaged) takes place. The hospital environment creates tension and stress, so any effort to reduce this tension and stress will positively result in creating a pleasant feeling and increasing the quality of the environment and a sense of satisfaction. The quality of the treatment environment has wide dimensions, and this issue can be addressed from different perspectives and paradigms. However, this study further investigates the factors of naturalism in the public space of the hospital. The use of nature in medical centers is a way to reduce environmental stress and improve the quality of the environment. The use of green space and the possibility of access to nature for the users of medical centers can provide a relaxing environment and be effective in patient's recovery, promotion of health, and satisfaction of administrative staff.  Physical-environmental and non-physical (social-psychological) elements affect human perception of the environment. The purpose of the present study was to investigate the components of environmental quality from naturalism in the therapeutic environment. The authors have considered selecting research samples (Shariati Hospital and Imam Khomeini Hospital Complex) in terms of having a green area next to the medical building. According to the research model, physical-environmental and non-physical factors evaluated the environmental quality of these treatment spaces in the interior and the area. This research aims to improve the environmental quality of treatment spaces with a naturalistic approach in line with user satisfaction.
Methodology: This research is descriptive. The questionnaire was based on the research model. Multivariate regression was used by the stepwise method . And user satisfaction assessment around 27 items, the answers were analyzed according to the Likert scale and through a one-sample t-test. The statistical population was selected from the Cochran sampling method with an error coefficient of 0.1 of about 350 people. Also, SPSS analytical-statistical software was used to analyze the answers.
Results: The results of graph analysis indicate a correlation between quality and satisfaction .
Conclusion: Also, the issue of satisfaction with environmental quality factors in Shariati Hospital has been more than Imam Khomeini Hospital

Keywords: quality of environment, satisfaction, hospital, naturalistic approach.

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