基于重要性-绩效模式的健康促进医院变革策略:2022 年亚兹德医院案例研究

Roohollah Askari, Zahra Afkhami Ardakani, Motahareh Sadat Pourrazavi, Zeinab Alizadeh
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摘要

背景:考虑到医院在提高健康、员工和社区水平方面的关键作用,在医院实施标准和推广活动对于实现这一重要目标十分必要。因此,本研究旨在探讨基于重要性-绩效模式的保健医院方法变革策略。研究方法本描述性横断面研究于 2022 年在伊朗亚兹德省的部分医院进行。通过普查方法选取了 56 名医院管理人员和官员。数据收集采用了世界卫生组织(WHO)关于促进健康医院(HPH)标准的调查问卷,其中包含 69 个问题。数据使用 SPSS26 进行分析,并计算了 HPH 标准的重要性和绩效的平均分和标准差。使用重要性-绩效分析矩阵对所研究医院的 HPH 标准状况进行了调查。结果显示结果表明,从研究对象的角度来看,人类保健卫生标准的重要性处于中等水平(3.89±0.76);在对研究医院在人类保健卫生标准方面的绩效进行考察时,研究人员对标准的执行情况处于中等水平(3.28±0.51)。根据重要性-绩效分析矩阵,所有标准都被认为是所研究医院保持良好工作状态的要点。结论为了完全达到标准并改善医院条件,改变医院管理者和医疗服务政策制定者对 HPH 计划的看法,在为患者和员工提供培训和干预方面制定具体一致的政策和指导方针是必要且有效的。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Strategies for Changing the Approach of Health Promoting Hospitals Based on the Importance-Performance Model: A Case Study in Yazd Hospitals in 2022
Background: Considering the key role of hospitals in improving the level of health, staff and community, implementing standards and promoting activities in hospitals is necessary to realize this important goal. Therefore, the study purpose to examine the strategies for changing the approach of health hospitals based on the importance-performance model. Methods: The present descriptive and cross-sectional study was conducted in 2022 in selected hospitals of Yazd province, Iran. 56 hospital managers and officials were selected by census method. Data was collected using the World Health Organization (WHO) questionnaire regarding HPH (health promoting hospital) standards which contains 69 questions. The data was analysed using SPSS26, and mean score and standard deviation of importance and performance of HPH standards were calculated. The status of HPH standards in the studied hospitals was investigated using the importance-performance analysis matrix. Results: The results showed that HPH standards had a moderate importance from the point of view of the studied people (3.89±0.76) and in the examination of the performance of the studied hospitals regarding HPH standards, the researchers implemented the standards in a moderate level (3.28±0.51). All the standards were identified as the points for keeping up the good work points based on importance-performance analysis matrix in the studied hospitals. Conclusion: In order to fully achieve the standards and improve the condition of hospitals, changing the views of hospital managers and health service policy-makers towards the HPH plan, creating specific and consistent policies and guidelines in the field of training and interventions provided to patients and employees is necessary and effective.
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