Background and purpose: One of the aims of health systems is to promote the health of people which is obtained by providing appropriate healthcare services. This study was conducted to survey the inpatient satisfaction level from Health System Transformation Project (HSTP) in educational hospitals in Mazandaran province, Iran.

Materials and methods: A cross-sectional study was done in 2015 on 1200 patients going to be discharged from eight educational hospitals in Mazandaran province. The hospitals were selected using random sampling. Data was collected using a demographic questionnaire and a questionnaire measuring satisfaction levels of HSTP parameters.

Results: The patients’ satisfaction level was found to be good in majority of the participants (50.2%). There was a significant difference between the mean score for patients’ satisfaction level and marital status (P=0.002), educational level (P<0.001), and occupation (P<0.001).

Conclusion: According to this study the patients were rather satisfied with HSTP. Our results indicated that various factors affect the level of patient’s satisfaction.