Pub Date : 2021-09-10DOI: 10.18502/mshsj.v6i2.7178
Mohamad Amin Bahrami, H. Jafari, S. Jambarsang, Samaneh Entezarian Ardakani
Background: Patient's preferences in decision-making procedure are defined as the patient's willingness to participate in self-care management and decision-making. The aim of present study was to assess patients' preferences in decision-making procedure and perceived participation in care and their relationship with demographic in selected educational hospitals of Yazd in 2019. Methods: The study was conducted on 195 inpatients of the gynecology, internal medicine and surgery wards of teaching hospitals in Yazd of Iran. The inpatients were selected through stratified sampling method. The data was collected by 2 questionnaires: Degner and Sloan's control preferences scale and patients' perceived involvement in care scale of Lerman et al. parametric and non-parametric tests used to analyze the data. Results: In general, 49.20 % of patients preferred a relatively passive role in the decision-making process, and 36.40 % of them had high level of willingness to participate in their medical care decisions. The difference between the types of patients 'decision-making preferences was significant for education level, type of hospital and type of inpatient ward, type of basic insurance (p ≤ 0.05). The mean score of Patients' perceived participation was 62.08 ± 14.92. The difference observed in the mean score of patients' perceived participation in care for gender, type of disease, type of hospital, history of hospitalization, type of basic insurance was significant (p < 0.05). Conclusion: A large percentage of patients in the present study preferred a relatively passive role in decision-making, so it is best for health care providers to provide patients with understandable information about available treatment options and the benefits / risks associated with those choices. Also, the necessary interventions to promote shared decision-making, especially to help female patients and patients with more acute illnesses, as well as to support health care providers to participate in the shared decision-making process with patients, are of particular importance.
{"title":"Patients' Decision Making Preferences and Perceived Participation in Care: A Case Study in Selected Educational Hospitals of Yazd","authors":"Mohamad Amin Bahrami, H. Jafari, S. Jambarsang, Samaneh Entezarian Ardakani","doi":"10.18502/mshsj.v6i2.7178","DOIUrl":"https://doi.org/10.18502/mshsj.v6i2.7178","url":null,"abstract":"Background: Patient's preferences in decision-making procedure are defined as the patient's willingness to participate in self-care management and decision-making. The aim of present study was to assess patients' preferences in decision-making procedure and perceived participation in care and their relationship with demographic in selected educational hospitals of Yazd in 2019. \u0000Methods: The study was conducted on 195 inpatients of the gynecology, internal medicine and surgery wards of teaching hospitals in Yazd of Iran. The inpatients were selected through stratified sampling method. The data was collected by 2 questionnaires: Degner and Sloan's control preferences scale and patients' perceived involvement in care scale of Lerman et al. parametric and non-parametric tests used to analyze the data. \u0000Results: In general, 49.20 % of patients preferred a relatively passive role in the decision-making process, and 36.40 % of them had high level of willingness to participate in their medical care decisions. The difference between the types of patients 'decision-making preferences was significant for education level, type of hospital and type of inpatient ward, type of basic insurance (p ≤ 0.05). The mean score of Patients' perceived participation was 62.08 ± 14.92. The difference observed in the mean score of patients' perceived participation in care for gender, type of disease, type of hospital, history of hospitalization, type of basic insurance was significant (p < 0.05). \u0000Conclusion: A large percentage of patients in the present study preferred a relatively passive role in decision-making, so it is best for health care providers to provide patients with understandable information about available treatment options and the benefits / risks associated with those choices. Also, the necessary interventions to promote shared decision-making, especially to help female patients and patients with more acute illnesses, as well as to support health care providers to participate in the shared decision-making process with patients, are of particular importance.","PeriodicalId":324632,"journal":{"name":"Quarterly Journal of Management Strategies in Health System","volume":"84 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122105767","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-06-10DOI: 10.18502/mshsj.v6i1.6502
A. Eftekhari, N. Baghian
The global and Iranian pandemic crisis of the coronavirus caused the health system to face the problem of insufficient resources. Outpatient convalescence for coronavirus disease is one of the most effective ways to reduce hospital load and costs. In order to set up any position related to the issue of health, it is necessary to formulate the necessary laws, regulations, and standards, in which different levels of decision-making and implementation must play a role. Formulation of goals, laws, coordination, provision of equipment and space, manpower, and cost coverage should be considered in highlighting the role and function of convalescents by the authorities. This study aimed to review the management strategies of coronavirus patients.
{"title":"Management Strategies of Recovery Centers for Coronavirus Patients in Iran","authors":"A. Eftekhari, N. Baghian","doi":"10.18502/mshsj.v6i1.6502","DOIUrl":"https://doi.org/10.18502/mshsj.v6i1.6502","url":null,"abstract":"The global and Iranian pandemic crisis of the coronavirus caused the health system to face the problem of insufficient resources. Outpatient convalescence for coronavirus disease is one of the most effective ways to reduce hospital load and costs. In order to set up any position related to the issue of health, it is necessary to formulate the necessary laws, regulations, and standards, in which different levels of decision-making and implementation must play a role. Formulation of goals, laws, coordination, provision of equipment and space, manpower, and cost coverage should be considered in highlighting the role and function of convalescents by the authorities. This study aimed to review the management strategies of coronavirus patients. \u0000 ","PeriodicalId":324632,"journal":{"name":"Quarterly Journal of Management Strategies in Health System","volume":"8 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124322708","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-06-10DOI: 10.18502/mshsj.v6i1.6507
Hasan Ali Nejad, Mohamad Ziaaddini, A. Behjat, Mohamad Reza Hosseinipour
Background: Outsourcing in the Ministry of Health is based on the reforming the structure of the health system and improving the quality of services. Therefore, the present study wanted to present the outsourcing model of services in the Ministry of Health and Medical Education with fuzzy Delphi technique in order to improve the quality of health services with emphasizing on hospitals. Methods: The present research in terms of purpose, data research type, implementation method, was part of the exploratory research which has been done quantitatively and qualitatively in 2021. The statistical population was the outsourcing experts for a study between 59 universities of medical sciences in the country, 50 people were selected by purposive sampling method. They were selected for interviews to collect outsourcing indicators to present a suitable model. The indicators were mined data using the information gain method by Matlab software and the indicators were prioritized according to the scores given. A questionnaire was obtained from the prioritized indicators, which were summarized in 19 dimensions, and the same experts were given to complete in 2 consecutive periods. After completing the questionnaire by experts, fuzzy Delphi method was used for final analysis. Results: According to the obtained model, 44 factors are effective in outsourcing .These factors entered the Delphi poll. During 2 stages of fuzzy Delphi, consensus was reached on all 44 indicators. And the highest degree of expertise agreement with the flexibility component and the lowest level of agreement with the component of the certificate of competency to provide services were outsourced by the company. Conclusion: According to the obtained model, various factors are effective in outsourcing services that need to be considered more in the planning of health centers, especially hospitals. According to the findings, it can be said that the related dimensions with considering the outsourcing services are specifically important .Due to the possibility of outsourcing among many health care units; it can be used for flexibility in providing services and patient satisfaction to manage health centers and hospitals.
{"title":"The Outsourcing Model in the Ministry of Health and Medical Education with Fuzzy Delphi Technique in order to Improve the Quality of Health Services with Emphasis on Hospitals","authors":"Hasan Ali Nejad, Mohamad Ziaaddini, A. Behjat, Mohamad Reza Hosseinipour","doi":"10.18502/mshsj.v6i1.6507","DOIUrl":"https://doi.org/10.18502/mshsj.v6i1.6507","url":null,"abstract":"Background: Outsourcing in the Ministry of Health is based on the reforming the structure of the health system and improving the quality of services. Therefore, the present study wanted to present the outsourcing model of services in the Ministry of Health and Medical Education with fuzzy Delphi technique in order to improve the quality of health services with emphasizing on hospitals. \u0000Methods: The present research in terms of purpose, data research type, implementation method, was part of the exploratory research which has been done quantitatively and qualitatively in 2021. The statistical population was the outsourcing experts for a study between 59 universities of medical sciences in the country, 50 people were selected by purposive sampling method. They were selected for interviews to collect outsourcing indicators to present a suitable model. The indicators were mined data using the information gain method by Matlab software and the indicators were prioritized according to the scores given. A questionnaire was obtained from the prioritized indicators, which were summarized in 19 dimensions, and the same experts were given to complete in 2 consecutive periods. After completing the questionnaire by experts, fuzzy Delphi method was used for final analysis. \u0000Results: According to the obtained model, 44 factors are effective in outsourcing .These factors entered the Delphi poll. During 2 stages of fuzzy Delphi, consensus was reached on all 44 indicators. And the highest degree of expertise agreement with the flexibility component and the lowest level of agreement with the component of the certificate of competency to provide services were outsourced by the company. \u0000Conclusion: According to the obtained model, various factors are effective in outsourcing services that need to be considered more in the planning of health centers, especially hospitals. According to the findings, it can be said that the related dimensions with considering the outsourcing services are specifically important .Due to the possibility of outsourcing among many health care units; it can be used for flexibility in providing services and patient satisfaction to manage health centers and hospitals. \u0000 ","PeriodicalId":324632,"journal":{"name":"Quarterly Journal of Management Strategies in Health System","volume":"10 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133380902","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-06-10DOI: 10.18502/mshsj.v6i1.6503
A. Haghdoost, B. Larijani, M. H. Nicknam, R. Dehnavieh, M. Balochi, Khalil Kalavani
The spiritual dimension of health is the subject of much controversy; since it is not seen as a purely scientific and quantifiable aspect of health. However, it is exactly this quality of spiritual health that makes the thorough examination of the concept worthwhile. Furthermore, a comprehensive assessment of the theoretical concepts associated with it should be prioritized. The present study is a combination of a literature review followed by a series of expert interviews. First, articles addressing the different aspects of spiritual health were identified and acquired from academic databases. After a thorough assessment and evaluation, the findings were listed and prioritized in order to determine the most important aspects of spiritual health. Then, the most significant features were specified and interpreted. The interpretations were then sent to a group of experts for assessment and evaluation. The expert reviews and comments were then collected and analyzed in order to refine and improve the primary interpretations. The responsibilities of the health sector do not end with the provision and maintenance of the physical aspects of health or even the non-medical population. It includes not only promoting spiritual health in health sector graduates and personnel, but also conducting profound scientific studies, providing documentation, and interpreting the evidence for beneficiaries. However, establishing a new university major to train professionals exclusively for pursuing this objective and even adding new university credits in this field does not seem to be necessary from the point of view of experts and studies. In addition to providing the education necessary for students and personnel of each organization, providing adequate spiritual health and promoting the essential education and related skills are also the responsibilities of the health sector. Instead, it is suggested that an active secretariat be established to oversee the promotion of spiritual health in all sectors using the minimum independent facilities and manpower.
{"title":"An Overview of Spiritual Health and Experts` Viewpoints Concerning the Role of the Ministry of Health and Medical Education in Its Excellence in Community","authors":"A. Haghdoost, B. Larijani, M. H. Nicknam, R. Dehnavieh, M. Balochi, Khalil Kalavani","doi":"10.18502/mshsj.v6i1.6503","DOIUrl":"https://doi.org/10.18502/mshsj.v6i1.6503","url":null,"abstract":"The spiritual dimension of health is the subject of much controversy; since it is not seen as a purely scientific and quantifiable aspect of health. However, it is exactly this quality of spiritual health that makes the thorough examination of the concept worthwhile. Furthermore, a comprehensive assessment of the theoretical concepts associated with it should be prioritized. The present study is a combination of a literature review followed by a series of expert interviews. First, articles addressing the different aspects of spiritual health were identified and acquired from academic databases. After a thorough assessment and evaluation, the findings were listed and prioritized in order to determine the most important aspects of spiritual health. Then, the most significant features were specified and interpreted. The interpretations were then sent to a group of experts for assessment and evaluation. The expert reviews and comments were then collected and analyzed in order to refine and improve the primary interpretations. The responsibilities of the health sector do not end with the provision and maintenance of the physical aspects of health or even the non-medical population. It includes not only promoting spiritual health in health sector graduates and personnel, but also conducting profound scientific studies, providing documentation, and interpreting the evidence for beneficiaries. However, establishing a new university major to train professionals exclusively for pursuing this objective and even adding new university credits in this field does not seem to be necessary from the point of view of experts and studies. In addition to providing the education necessary for students and personnel of each organization, providing adequate spiritual health and promoting the essential education and related skills are also the responsibilities of the health sector. Instead, it is suggested that an active secretariat be established to oversee the promotion of spiritual health in all sectors using the minimum independent facilities and manpower.","PeriodicalId":324632,"journal":{"name":"Quarterly Journal of Management Strategies in Health System","volume":"4 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116814024","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-06-10DOI: 10.18502/mshsj.v6i1.6508
حسین ابراهیمی پور, الهه هوشمند, مهدی ورمقانی, سید مرتضی مجتبائیان
Background: Many organizations believe that physician involvement is important in quality and safety of health services, but they did not properly define, measure, and improve it, so because of the importance of the quality of health care and increasing the involvement of physician this study was conducted to evaluate the validity and reliability of a questionnaire on the challenges of physicians' participation in quality improvement programs. Methods: In this cross-sectional study conducted in the hospitals of Mashhad University of Medical Sciences, a researcher-made questionnaire about challenges of physicians' participation in accreditation activities used for data gathering. The content validity ratio index and content validity index were also calculated. To measure the internal consistency of the instrument, the questionnaire was distributed among 14 physicians, Cronbach's alpha coefficient was determined. For stability or reproducibility of the instrument, test - retest and correlation coefficient were calculated. By distributing questionnaires among 14 people those meeting inclusion criteria, the correlation coefficient was measured twice and at intervals of 2 weeks. SPSS 21 software was used for data analysis Results: The initial questionnaire was consisted of 61 items, which were reduced to 38 items after face and content psychometrics. The questionnaire has 12 sub-concepts. Cronbach's alpha coefficient of the questionnaire was 0.83 and the intragroup correlation coefficient in 2 measurements 2 weeks apart was 0.94. Conclusion: This questionnaire is the first and only valid and reliable dedicated tool in the field of challenges of physicians' participation in accreditation activities in Iran, which can measure and prioritize the challenges in each health center and it can be used to improve health care quality services that are performed by doctors.
{"title":"Psychometrics of Assessment Tools to Examine the Challenges of Physicians' Participation in Accreditation Programs","authors":"حسین ابراهیمی پور, الهه هوشمند, مهدی ورمقانی, سید مرتضی مجتبائیان","doi":"10.18502/mshsj.v6i1.6508","DOIUrl":"https://doi.org/10.18502/mshsj.v6i1.6508","url":null,"abstract":"Background: Many organizations believe that physician involvement is important in quality and safety of health services, but they did not properly define, measure, and improve it, so because of the importance of the quality of health care and increasing the involvement of physician this study was conducted to evaluate the validity and reliability of a questionnaire on the challenges of physicians' participation in quality improvement programs. \u0000Methods: In this cross-sectional study conducted in the hospitals of Mashhad University of Medical Sciences, a researcher-made questionnaire about challenges of physicians' participation in accreditation activities used for data gathering. The content validity ratio index and content validity index were also calculated. To measure the internal consistency of the instrument, the questionnaire was distributed among 14 physicians, Cronbach's alpha coefficient was determined. For stability or reproducibility of the instrument, test - retest and correlation coefficient were calculated. By distributing questionnaires among 14 people those meeting inclusion criteria, the correlation coefficient was measured twice and at intervals of 2 weeks. SPSS 21 software was used for data analysis \u0000Results: The initial questionnaire was consisted of 61 items, which were reduced to 38 items after face and content psychometrics. The questionnaire has 12 sub-concepts. Cronbach's alpha coefficient of the questionnaire was 0.83 and the intragroup correlation coefficient in 2 measurements 2 weeks apart was 0.94. \u0000Conclusion: This questionnaire is the first and only valid and reliable dedicated tool in the field of challenges of physicians' participation in accreditation activities in Iran, which can measure and prioritize the challenges in each health center and it can be used to improve health care quality services that are performed by doctors.","PeriodicalId":324632,"journal":{"name":"Quarterly Journal of Management Strategies in Health System","volume":"14 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127807223","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-06-10DOI: 10.18502/mshsj.v6i1.6504
R. Montazeralfaraj, Mohamad Amin Bahrami, Mohsen Hoseinzadeh, S. Jambarsang
Background: Provision of patient-centered services is one of the values of any health care system. Patient-centered means giving importance to the patient's rights and entitlements in all areas related to treatment and involving the patient in decisions throughout the process of rendering services to the patient. The purpose of this study was to translate and validate the Stewart Patient-Centered Questionnaire and to provide an appropriate and valid tool to assess the patient-centered rate in the provision of medical services. Methods: The present descriptive methodological study was conducted in 2020. Initially, Stewart patient-centered questionnaire was translated using the forward-backward method. Later, the translated version was examined by the research team to establish cultural compatibility with Iranian culture. The validity of its content was assessed by obtaining the opinions of 15 health management specialists and its face validity was assessed by 15 patients. The internal reliability of the questionnaire was assessed using the opinions of 30 patients and Cronbach's alpha coefficient was calculated using SPSS 22 software. The construct validity was assessed according to the opinions of 283 patients in the study population through STATA 15 software. Results: Based on the content validity results, all items of the main questionnaire had acceptable CVR and the CVI index was 0.87 for this questionnaire. The face validity also confirmed all the statements. Cronbach's alpha coefficient of the whole questionnaire was calculated as 0.976 and thus the internal reliability of the questionnaire was confirmed. Based on the results of the confirmatory invoice analysis GFI (0.988), RMR (0.048), and CFI (0.984), the translated questionnaire had suitable construct validity and all questions were retained. Conclusion: The questionnaire can be applied as a valid and applicable tool for assessing patient-centered care in the Iranian health care system.
{"title":"Validation of Persian Version of Stewart Patient-Centered Care Scale (2004)","authors":"R. Montazeralfaraj, Mohamad Amin Bahrami, Mohsen Hoseinzadeh, S. Jambarsang","doi":"10.18502/mshsj.v6i1.6504","DOIUrl":"https://doi.org/10.18502/mshsj.v6i1.6504","url":null,"abstract":"Background: Provision of patient-centered services is one of the values of any health care system. Patient-centered means giving importance to the patient's rights and entitlements in all areas related to treatment and involving the patient in decisions throughout the process of rendering services to the patient. The purpose of this study was to translate and validate the Stewart Patient-Centered Questionnaire and to provide an appropriate and valid tool to assess the patient-centered rate in the provision of medical services. \u0000Methods: The present descriptive methodological study was conducted in 2020. Initially, Stewart patient-centered questionnaire was translated using the forward-backward method. Later, the translated version was examined by the research team to establish cultural compatibility with Iranian culture. The validity of its content was assessed by obtaining the opinions of 15 health management specialists and its face validity was assessed by 15 patients. The internal reliability of the questionnaire was assessed using the opinions of 30 patients and Cronbach's alpha coefficient was calculated using SPSS 22 software. The construct validity was assessed according to the opinions of 283 patients in the study population through STATA 15 software. \u0000Results: Based on the content validity results, all items of the main questionnaire had acceptable CVR and the CVI index was 0.87 for this questionnaire. The face validity also confirmed all the statements. Cronbach's alpha coefficient of the whole questionnaire was calculated as 0.976 and thus the internal reliability of the questionnaire was confirmed. Based on the results of the confirmatory invoice analysis GFI (0.988), RMR (0.048), and CFI (0.984), the translated questionnaire had suitable construct validity and all questions were retained. \u0000Conclusion: The questionnaire can be applied as a valid and applicable tool for assessing patient-centered care in the Iranian health care system.","PeriodicalId":324632,"journal":{"name":"Quarterly Journal of Management Strategies in Health System","volume":"48 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129078766","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-06-10DOI: 10.18502/mshsj.v6i1.6506
Mojtaba Najib Jalali, Ali Vafaee Najar, Jamshid Jamali, Elaheh Hooshmand
Background: Understanding the "patient experience" is a key step in moving towards patient-centered care. The purpose of this study is to design a patient experience evaluation model to evaluate the effective components in the patient experience in hospitals of Mashhad University of Medical Sciences. Methods: This was a comparative descriptive study conducted using databases and information resources and based on a comprehensive review, and the models used in other parts of the world were extracted based on the research protocol and entered into a comparative matrix. The reliability of the extracted framework was verified using the agreement coefficient of the parties. In order to validate the model, the questions were prepared in the form of a questionnaire and validated by the specialists of Mashhad University of Medical Sciences during two-round Delphi using SPSS 16 software. Results: In this study, 10 models were obtained for evaluating patient experience in different countries, each of which was composed of several dimensions and some of them had overlap. The models included American model (8 dimensions), Swedish model (10 dimensions), British first model (7 dimensions), British second model (8 dimensions), Scotland model (6 dimensions), Hong Kong model (9 dimensions), Norway first model (6 dimensions), Norway second model (5 dimensions), India model (10 dimensions), and the model of Ethiopia (5 dimensions). The final model with 10 dimensions and 29 sub- dimensions was approved and validated. Conclusion: The results showed that the suitable pattern for Iran had 10 dimensions and 29 sub-dimensions. Among the dimensions, respect for the patient's privacy and dignity had the highest score and the way patients are discharged from the hospital had the lowest score.
{"title":"Developing a Model for Evaluating Patient Experience in Educational Hospitals of Mashhad University of Medical Sciences","authors":"Mojtaba Najib Jalali, Ali Vafaee Najar, Jamshid Jamali, Elaheh Hooshmand","doi":"10.18502/mshsj.v6i1.6506","DOIUrl":"https://doi.org/10.18502/mshsj.v6i1.6506","url":null,"abstract":"Background: Understanding the \"patient experience\" is a key step in moving towards patient-centered care. The purpose of this study is to design a patient experience evaluation model to evaluate the effective components in the patient experience in hospitals of Mashhad University of Medical Sciences. \u0000Methods: This was a comparative descriptive study conducted using databases and information resources and based on a comprehensive review, and the models used in other parts of the world were extracted based on the research protocol and entered into a comparative matrix. The reliability of the extracted framework was verified using the agreement coefficient of the parties. In order to validate the model, the questions were prepared in the form of a questionnaire and validated by the specialists of Mashhad University of Medical Sciences during two-round Delphi using SPSS 16 software. \u0000Results: In this study, 10 models were obtained for evaluating patient experience in different countries, each of which was composed of several dimensions and some of them had overlap. The models included American model (8 dimensions), Swedish model (10 dimensions), British first model (7 dimensions), British second model (8 dimensions), Scotland model (6 dimensions), Hong Kong model (9 dimensions), Norway first model (6 dimensions), Norway second model (5 dimensions), India model (10 dimensions), and the model of Ethiopia (5 dimensions). The final model with 10 dimensions and 29 sub- dimensions was approved and validated. \u0000Conclusion: The results showed that the suitable pattern for Iran had 10 dimensions and 29 sub-dimensions. Among the dimensions, respect for the patient's privacy and dignity had the highest score and the way patients are discharged from the hospital had the lowest score.","PeriodicalId":324632,"journal":{"name":"Quarterly Journal of Management Strategies in Health System","volume":"2 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131889458","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-06-10DOI: 10.18502/mshsj.v6i1.6509
M. Shafiei, N. Baghian, Amin Salehi, M. Ranjbar, Maryam Hajipour
Background: Perceived organizational justice is a concept used to describe job-related justice. Considering the role of perceived organizational justice in the healthcare system to increase the satisfaction, motivation, and efficiency in providing quality services, this study was conducted to investigate the situation of perceived organizational justice in the Iranian healthcare system through systematic review. Methods: In the present study, an electronic search was conducted on the Persian websites SID, Iranmedex, Medlib, civilica, Irandoc and English Web of science, Pubmed, Scopus, and Google scholar using the Persian and English keywords of ‘Justice, Equality, Equality, Organizational Justice, Perceived Justice, Health System, University of Medical Sciences, Health Centers, Hospitals. As a result, 520 articles were studied and evaluated step by step and 469 papers were removed after reading the title and abstract. Finally, the full text of 51 articles was reviewed. Finally, 30 articles that measured the average level of perceived organizational justice were selected and other articles were excluded due to lack of necessary criteria and irrelevance. To analyze the heterogeneity between the studies, the meta-analysis method was used using Stata 14 software and Q test and I2 index. Results: To study the status of perceived organizational justice in the health care system in a systematic and meta-analysis, all 30 studies were illegible. With regard to the dimensions of distributive, procedural, and interactive justice, 23 studies of 30 studies had the required conditions to enter the research. The total mean score of perceived organizational justice was obtained as 60.71 and the mean scores of 54.74, 58.52, and 62.41were calculated for dimensions of distributive, procedural, and interactive justice, respectively. Conclusion: The findings showed that the situation of perceived organizational justice in the Iranian health care system was favorable. The dimension of interactive justice, related to managers' behaviors and relationships with employees, was relatively more favorable than other dimensions of organizational justice. Moreover, the situation of perceived organizational justice and its dimensions in private hospitals was more favorable than other research environments, including public hospitals, staff units, and hospitals selected using the mixed method.
背景:组织公平感是描述工作相关公平感的一个概念。考虑到组织公平感在医疗保健系统中提高满意度、提供优质服务的动机和效率的作用，本研究通过系统回顾来调查伊朗医疗保健系统中组织公平感的情况。方法:以“Justice, Equality, Equality, Organizational Justice, Perceived Justice, Health System, University of Medical Sciences, Health Centers, Hospitals”为关键词，在波斯语网站SID、Iranmedex、Medlib、civilica、Irandoc和英文Web of science、Pubmed、Scopus和Google scholar上进行检索。结果，对520篇论文进行了逐级研究和评价，在阅读标题和摘要后，删除了469篇论文。最后对51篇文章的全文进行了综述。最后，选择了30篇测量感知组织公正平均水平的文章，其他文章由于缺乏必要的标准和不相关而被排除在外。为分析各研究间的异质性，采用meta分析方法，采用Stata 14软件、Q检验和I2指数。结果:在系统和荟萃分析中研究卫生保健系统中感知组织公正的状况，所有30项研究都是难以辨认的。在分配正义、程序正义和互动正义三个维度上，30项研究中有23项研究符合进入研究的条件。组织公平感的总平均得分为60.71分，分配公平感、程序公平感和互动公平感的平均得分分别为54.74分、58.52分和62.41分。结论:研究结果表明，伊朗卫生保健系统的组织公平感状况良好。与管理者行为和员工关系相关的互动公平维度相对于组织公平的其他维度更为有利。此外，私立医院的组织公平感及其维度状况优于其他研究环境，包括公立医院、员工单位和使用混合方法选择的医院。
{"title":"Survey the Situation of Perceived Organizational Justice in the Iranian Health Care System; A systematic review and meta-analysis","authors":"M. Shafiei, N. Baghian, Amin Salehi, M. Ranjbar, Maryam Hajipour","doi":"10.18502/mshsj.v6i1.6509","DOIUrl":"https://doi.org/10.18502/mshsj.v6i1.6509","url":null,"abstract":"Background: Perceived organizational justice is a concept used to describe job-related justice. Considering the role of perceived organizational justice in the healthcare system to increase the satisfaction, motivation, and efficiency in providing quality services, this study was conducted to investigate the situation of perceived organizational justice in the Iranian healthcare system through systematic review. \u0000Methods: In the present study, an electronic search was conducted on the Persian websites SID, Iranmedex, Medlib, civilica, Irandoc and English Web of science, Pubmed, Scopus, and Google scholar using the Persian and English keywords of ‘Justice, Equality, Equality, Organizational Justice, Perceived Justice, Health System, University of Medical Sciences, Health Centers, Hospitals. As a result, 520 articles were studied and evaluated step by step and 469 papers were removed after reading the title and abstract. Finally, the full text of 51 articles was reviewed. Finally, 30 articles that measured the average level of perceived organizational justice were selected and other articles were excluded due to lack of necessary criteria and irrelevance. To analyze the heterogeneity between the studies, the meta-analysis method was used using Stata 14 software and Q test and I2 index. \u0000Results: To study the status of perceived organizational justice in the health care system in a systematic and meta-analysis, all 30 studies were illegible. With regard to the dimensions of distributive, procedural, and interactive justice, 23 studies of 30 studies had the required conditions to enter the research. The total mean score of perceived organizational justice was obtained as 60.71 and the mean scores of 54.74, 58.52, and 62.41were calculated for dimensions of distributive, procedural, and interactive justice, respectively. \u0000Conclusion: The findings showed that the situation of perceived organizational justice in the Iranian health care system was favorable. The dimension of interactive justice, related to managers' behaviors and relationships with employees, was relatively more favorable than other dimensions of organizational justice. Moreover, the situation of perceived organizational justice and its dimensions in private hospitals was more favorable than other research environments, including public hospitals, staff units, and hospitals selected using the mixed method.","PeriodicalId":324632,"journal":{"name":"Quarterly Journal of Management Strategies in Health System","volume":"77 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123671213","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-06-10DOI: 10.18502/mshsj.v6i1.6505
M. K. Naeini, Zeynab Elahi, Abolfazl Moghimi Esfandabadi
Background: As was observed in the corona crisis, in situations, such as war or natural disasters or epidemic diseases, the intensity of the applicants for medical services causes congestion problems. In this situation, due to the limited capacity of the system, queuing phenomenon for service applicants and in some cases, rejection of clients occur. Reducing the length of hospital stays by improving performance productivity can compensate for the shortage of hospital beds. In order to increase the productivity of personnel and equipment, it is necessary to eliminate unemployment and improve service scheduling. One of the ways to achieve these goals is to optimize the distribution of beds between wards. In the present study, in the form of Markov chain approach, according to the referral rate and service rate, the existing beds were allocated to different wards of the hospital to maximize service and minimize rejection of patients. Methods: The present study is an applied study conducted in 2019 for the optimal distribution of beds between the 3 wards of Shahid Faghihi Hospital in Shiraz. The research problem was modeled in the form of Markov chain approach and assuming the referral of clients according to the continuous-time Markov chain, the model parameters value was identified. The obtained mathematical model was solved by GAMS 24.1.3 software. Results: The proposed model led to an improvement in ward performance in terms of reducing patient waiting time and increasing the number of admitted patients. The proposed model reduced patient rejection by 8.6 %. According to the patients' referral rate to the wards and the service rate of each ward, based on sensitivity analysis, the number of beds allocated to each of the 3 wards was determined. Conclusion: Queuing theory can be applied as a tool to analyze the phenomena of the treatment system and determine the features of the waiting time, queue length, and capacity of the system. Appropriate allocation of hospital beds results in improving the efficiency and decreasing the patient rejection. Therefore, it could be useful in crisis, congestion in patients, and when increasing facilities is required.
{"title":"Providing a Model for the Optimal Allocation of Hospital Beds Based on Markov Chain Approach (Case Study: Shiraz-Shahid-Faghihi Hospital)","authors":"M. K. Naeini, Zeynab Elahi, Abolfazl Moghimi Esfandabadi","doi":"10.18502/mshsj.v6i1.6505","DOIUrl":"https://doi.org/10.18502/mshsj.v6i1.6505","url":null,"abstract":"Background: As was observed in the corona crisis, in situations, such as war or natural disasters or epidemic diseases, the intensity of the applicants for medical services causes congestion problems. In this situation, due to the limited capacity of the system, queuing phenomenon for service applicants and in some cases, rejection of clients occur. Reducing the length of hospital stays by improving performance productivity can compensate for the shortage of hospital beds. In order to increase the productivity of personnel and equipment, it is necessary to eliminate unemployment and improve service scheduling. One of the ways to achieve these goals is to optimize the distribution of beds between wards. In the present study, in the form of Markov chain approach, according to the referral rate and service rate, the existing beds were allocated to different wards of the hospital to maximize service and minimize rejection of patients. \u0000Methods: The present study is an applied study conducted in 2019 for the optimal distribution of beds between the 3 wards of Shahid Faghihi Hospital in Shiraz. The research problem was modeled in the form of Markov chain approach and assuming the referral of clients according to the continuous-time Markov chain, the model parameters value was identified. The obtained mathematical model was solved by GAMS 24.1.3 software. \u0000Results: The proposed model led to an improvement in ward performance in terms of reducing patient waiting time and increasing the number of admitted patients. The proposed model reduced patient rejection by 8.6 %. According to the patients' referral rate to the wards and the service rate of each ward, based on sensitivity analysis, the number of beds allocated to each of the 3 wards was determined. \u0000Conclusion: Queuing theory can be applied as a tool to analyze the phenomena of the treatment system and determine the features of the waiting time, queue length, and capacity of the system. Appropriate allocation of hospital beds results in improving the efficiency and decreasing the patient rejection. Therefore, it could be useful in crisis, congestion in patients, and when increasing facilities is required.","PeriodicalId":324632,"journal":{"name":"Quarterly Journal of Management Strategies in Health System","volume":"34 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126577318","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-12-10DOI: 10.18502/mshsj.v5i3.4906
Y. Hamidi, O. Zare, A. Soltanian, A. Fazaeli
Background: Organizational health is a competitive advantage and an important factor with regard to the effectiveness of hospitals. Therefore, this study was conducted to investigate the relationship between organizational health and the degree of accreditation of hospitals in Kermanshah University of Medical Sciences. Method: This descriptive-analytical study was conducted cross-sectionally in 2019. The statistical population included the staff of selected hospitals affiliated to Kermanshah University of Medical Sciences. The sample size was estimated as 382 people and sampling was performed using multi-stage method. The data collection tool was the Standard Organizational Health Questionnaire. The validity of the administered questionnaire was confirmed using the experts’ opinions and reliability of these tools was calculated by Cronbach's alpha (0. 88). The hospitals’ accreditation status was obtained from the Accreditation Office of Kermanshah University of Medical Sciences and analyzed using the descriptive and inferential statistics (independent t-test and Pearson correlation coefficient) by SPSS 16 software. Results: Findings showed a significant relationship between the organizational health and the degree of accreditation (one and two) )p < 0.05(. Meanwhile, the highest mean of organizational health was related to Mohammad Kermanshahi Hospital with an average of 170.40, but the lowest mean was related to Dr. Moaven Sahneh Hospital with an average of 123.61). Conclusion: Given the significant relationship between organizational health and the degree of accreditation of hospitals, managers are recommended to make serious revisions in the accreditation process of health centers and take corrective actions regarding the points that can be improved, standard criteria, evaluation methods, and evaluators’ training.
{"title":"The Relationship between Organizational Health and the Degree of Accreditation of Hospitals in Kermanshah University of Medical Sciences","authors":"Y. Hamidi, O. Zare, A. Soltanian, A. Fazaeli","doi":"10.18502/mshsj.v5i3.4906","DOIUrl":"https://doi.org/10.18502/mshsj.v5i3.4906","url":null,"abstract":"Background: Organizational health is a competitive advantage and an important factor with regard to the effectiveness of hospitals. Therefore, this study was conducted to investigate the relationship between organizational health and the degree of accreditation of hospitals in Kermanshah University of Medical Sciences. \u0000Method: This descriptive-analytical study was conducted cross-sectionally in 2019. The statistical population included the staff of selected hospitals affiliated to Kermanshah University of Medical Sciences. The sample size was estimated as 382 people and sampling was performed using multi-stage method. The data collection tool was the Standard Organizational Health Questionnaire. The validity of the administered questionnaire was confirmed using the experts’ opinions and reliability of these tools was calculated by Cronbach's alpha (0. 88). The hospitals’ accreditation status was obtained from the Accreditation Office of Kermanshah University of Medical Sciences and analyzed using the descriptive and inferential statistics (independent t-test and Pearson correlation coefficient) by SPSS 16 software. \u0000Results: Findings showed a significant relationship between the organizational health and the degree of accreditation (one and two) )p < 0.05(. Meanwhile, the highest mean of organizational health was related to Mohammad Kermanshahi Hospital with an average of 170.40, but the lowest mean was related to Dr. Moaven Sahneh Hospital with an average of 123.61). \u0000Conclusion: Given the significant relationship between organizational health and the degree of accreditation of hospitals, managers are recommended to make serious revisions in the accreditation process of health centers and take corrective actions regarding the points that can be improved, standard criteria, evaluation methods, and evaluators’ training.","PeriodicalId":324632,"journal":{"name":"Quarterly Journal of Management Strategies in Health System","volume":"38 3","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-12-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114008932","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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