Hospital Managers' Perception of Recent Health Care Reform in Teaching Hospitals of Qazvin, Iran

M. Kiaei, R. Moradi, E. Hasanpoor, M. Mohammadi, Aniseh Taheri, M. Ahmadzadeh
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引用次数: 16

Abstract

Background: The main purpose of any government from a healthcare reform is to improve the service quality and raised public satisfaction. Objectives: As the important role of managerial human resources in any organizational changes, this paper tried to examine the point of view of this group about the recent reform in governmental hospitals of Qazvin. Patients and Methods: This cross-sectional study was conducted in January 2015. The statistical population consisted of 50 executive managers of Qazvin teaching hospitals. The data gathering instrument was a research-made questionnaire with approved reliability and validity (α = 0.84). Data analyse was performed in SPSS version 20 using descriptive and analytic statistics (analysis of variance (ANOVA), Pearson correlation test and one sample t-test). Results: A total of 43.2% of managers believed that this reform was a good restrictor for malpractices in healthcare and 31.8% believed that it will not be so useful to improve the society health status. The average score of resource preparation, insurance companies coordination, changing the routine workflows, and finally achieving the goals, had a meaningful difference (P ˂ 0.05) and the average score of these fields were upper than average. Conclusions: The findings showed that based on the managers’ point of view, the reform plan was able to achieve its primary goals; however, it could not meet their exceptions in improving the society health status. Therefore, it is necessary to design some interventions for changing this perception.
伊朗加兹温教学医院管理人员对近期医疗改革的看法
背景:任何政府从医疗改革的主要目的是提高服务质量和提高公众满意度。目的:由于管理人力资源在任何组织变革中的重要作用,本文试图考察这一群体对最近加兹温公立医院改革的观点。患者和方法:本横断面研究于2015年1月进行。统计人群为加兹温教学医院行政管理人员50人。资料收集工具为自制问卷,信度和效度均为认可(α = 0.84)。使用SPSS version 20进行数据分析,采用描述性统计和分析统计(方差分析(ANOVA)、Pearson相关检验和单样本t检验)。结果:共有43.2%的管理者认为该改革对医疗卫生不正之风起到了很好的制约作用,31.8%的管理者认为该改革对改善社会健康状况没有太大作用。资源准备、保险公司协调、改变常规工作流程和最终实现目标的平均得分差异有统计学意义(P依据0.05),且平均得分高于平均水平。结论:研究结果表明,从管理者的角度来看,改革方案能够实现其主要目标;然而,它不能满足他们在改善社会健康状况方面的例外情况。因此,有必要设计一些干预措施来改变这种看法。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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