Showing 3 results for AHMADI KAHNALI
Reza Ahmadi Kahnali,
Volume 13, Issue 4 (3-2015)
Abstract
Background: The main mission of hospital is to promote care quality for patients and to meet their needs and expectations. The present study aims at identifying and prioritizing the patients’ expectations of the hospital services quality, which is considered to be the first step toward accomplishing such an important mission.
Material & Methods: The present study is descriptive and applied. The data was collected through pairwise comparisons questionnaire that was distributed among 150 patients in a public hospital in Bandar Abbas, 104 patients filled out the questionnaire. The obtained data were analyzed by the use of AHP.
Results: The results show that among the different dimensions of hospital service quality investigated in the present study, the patients listed 5 main dimensions in order of priority: accessibility (0.251), medical services(0.232), environment(0.202), administration(0.160), and relation(0.155). Among different criteria, access to medicine and blood(0.054) was the first priority and attention to the patient(0.010) was the low priority.
Conclusion: Due to the key role of the patients in defining and assessment of service quality, the present study presents a framework for evaluation of hospital service quality according which the priorities of patients were determined. The managers are advised to prioritize the quality improvement practices based on the patients’ priorities in order to satisfy the patients and make the processes customer-oriented.
Afsaneh Khademi Jolgehnejad, Dr Reza Ahmadi Kahnali, Dr Ali Heyrani,
Volume 18, Issue 2 (8-2019)
Abstract
Background: The complexity and intensity of environmental fluctuations combined with unexpected accidents and dangers have increased the probability of hospital supply chain disruptions. Supply chain resilience has been suggested as a strategy for dealing with such challenges and for continued provision of appropriate and efficient services in hospital at the time of disaster. The present study intends to identify the factors influencing hospital supply chain resilience.
Methods and Materials: This qualitative study was based on the content analysis of semi-structured interviews with 14 experts in the university hospitals in Bandar Abbas in 2018. Participants were selected through purposive and snowball sampling. The interviews continued until data saturation was reached. The obtained data from interviews were coded and analyzed using MAXQDA Software.
Results: After analyzing the data, the factors influencing hospital supply chain resilience were identified and classified into six main components and 30 themes. The main components included: staffs’ attendance, suitability, infrastructures safety, disaster management, support and capacity systems, and external factors.
Conclusion: Based on the obtained results, it can be concluded that staff training, disaster management planning, command system, and surge capacity are the key factors influencing hospital supply chain resilience. Therefore, they should be taken into consideration while planning to promote hospital supply chain resilience.
Afsaneh Khademi Jolgehnejad, Reza Ahmadi Kahnali, Ali Heyrani,
Volume 19, Issue 3 (11-2020)
Abstract
Background: Scenario planning is one of the most crucial future study methods in uncertain and complex situations. Hospital supply chain resilience also requires an understanding of future events due to the complexity of relationships and exposure to unexpected circumstances. The purpose of this study is to formulate scenarios for the future development of hospital supply chain resilience.
Materials & Methods: This research is the second stage of research with a mixed approach, and it is in the category of normative scenarios based on intuitive logic. Participants in this study were purposefully selected from the experts of two hospitals. In the first phase, the impact-uncertainty questionnaire and the effect-uncertainty diagram were used to determine the critical uncertainties. After forming the scenario team, based on the impact diagram and the scenario matrix, The cause and effect relationships of the variables were determined in the second phase.
Results: Drivers of Hospital supply chain resilience were clustered into 14 main categories, and the results of the impact-uncertainty diagram showed that "people's culture" and "accident nature" play a more significant role in scenario development as critical uncertainties. Four scenarios were developed based on the opinion of experts for these two drivers.
Conclusion: four scenarios, "compatible," "turbulent," "broken," and "combative," were developed based on the critical drivers in supply chain hospital resilience. Use the inspirational feature of these scenarios can help managers in health and crisis management be more prepared to face the crisis. Scenarios based on intuitive logic can be used for futures studies in other areas of the health system.
