Showing 3 results for Hospital Management
Dr Edris Hasanpoor, Dr Ali Janati, Dr Masumeh Gholizadeh, Dr Elaheh Haghgoshayie,
Volume 17, Issue 3 (11-2018)
Abstract
Background: Evidence-based Management (EBMgt) has been developed as a management model to improve the quality of management decisions. Hospital managers’ decisions can have a significant impact on service effectiveness and hospital success. Hence, this study aimed to survey sources of evidence among public hospitals' managers for decision-making in Iran.
Materials and Methods: This cross-sectional study was conducted with 183 managers of public hospitals in eight educational centers of the Ministry of Health and Medical Education in 2017. The research tool was an evidence-based management questionnaire with 20 items and 6 main domains. Data analysis was performed using descriptive and inferential tests by SPSS21.
Results: One hundred seventy-two (94%) out of 183 participants were male. The mean age and work experience were 45.28 and 19.30 years, respectively. The lowest score was related to "the academic journals" (52.56%), While managers relied heavily on "Ministry of Health programs" (80.98%). The average use of scientific-research evidence, fact and hospital information, political-social development plans, managers’ professional expertise and ethical-moral evidence and values and expectations of all stakeholders were 59.70%, 62.43%, 75.30%, 71.36%, 71.83% and 73.7%, respectively.
Conclusion: The study results revealed that hospital managers utilized the scientific-research evidence less than other evidence, which it is a matter of concern; so, managers need to improve their education and research level. Using hexagon of evidence sources, managers can identify the best available evidence for hospital decisions and they make the best decision in the process of evidence-based decision making.
Sara Karami Parsa, Leila Nazarimanesh, Mahmood Mahmoodi Majd Abadi Farahani,
Volume 19, Issue 3 (11-2020)
Abstract
Background and Purpose: The importance of hospital quality services in order to best utiliz available resources are not unknown to managers. This is especially important in the maternity sector due to the high density of referrals. Implementation of LDR (Labor, Delivery, Recovery) is one of the new approaches to improve delivery services in the country. The purpose of this study was to evaluate the effectiveness of LDR system on quality of delivery services in two selected hospitals of Qom.
Methods and Materials: This is a descriptive-survey study. Data were collected with a cross-sectional approach to compare the quality of service indicators of a hospital with LDR system as a case and a hospital without LDR system as a control group. Data were collected using a standard questionnaire by Poisson sampling and analyzed by SPSS software.
Results: There was no significant difference between the two hospitals except for LDR implementation. There was no significant association between LDR implementation in delivery sector with overall quality of service indicators (3 vs. 2.5) , input, process and output quality indices. However, LDR implementation had a significant effect on some items of these indices (level of significance = 0.05).
Conclusion: According to the research findings, implementation of LDR did not have a significant effect on overall quality of services, but it did affect the subscales of these indices. Therefore, it seems clear that there is a need for proper management policy to control the costs involved in implementing this system.
Hamid Mohammadi, Shahram Tofighi, Mostafa Rajabi, Hamidreza Izadbakhsh, Bahar Hafezi,
Volume 20, Issue 2 (9-2021)
Abstract
Background: The outlook for hospital care is changing rapidly. Supply and demand stimuli in the health service system are changing dramatically. The health department of the Social Security Administration has also been challenged by the growing number of patients. This study was conducted to help this organization with the aim of designing a conceptual causal model of the interaction between supply and demand of health care.
Materials and Methods: This research is a qualitative study that was conducted in 2020. It presented a conceptual model in two steps in the first step, semi-structured interviews were used to extract important factors in the supply and demand of health services in hospitals. In the second step, the system simulation approach was used and the feedback relationships between the patient's routes to the hospital and the provision of medical services were presented.
Results: According to the study hypothesis, the prevalence of disease and budget allocation as an indicator of medical need and expected medical demand, positively affect the number of visits to hospitals of the Social Security Organization. Accordingly, four sub-models of patient flow, health care budget, treatment staff (physician, nurse) and hospital capacity were extracted.
Conclusion: Medical budgets allocated to hospitals to improve medical facilities and increase the number of staff, have created positive expectations among social security insured regarding the use of hospital services. Paying attention to providing sufficient manpower (doctor, nurse) and bed capacity with the budget which is spent for this service are the indicators of improving the quality of services.
