新冠肺炎大流行期间参考军队医院运营管理挑战调查

IF 0.1 Q4 MEDICINE, GENERAL & INTERNAL
Mahboubeh Rouhollahei, Esmat Davoudi-Monfared, A. Shahriyari, M. S. Isfeedvajani
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引用次数: 0

摘要

“导言:在世界许多地区爆发冠状病毒危机之后,这一流行病在包括伊朗在内的大多数国家迅速加剧,并将大量需要医疗服务的患者送往医院。本研究旨在探讨新冠肺炎大流行期间某参考军队医院运营管理面临的挑战。方法:本研究采用内容分析的定性研究方法,采用演绎和引导的方法。数据收集采用半结构化访谈法,根据医院事故指挥系统(HICS)的管理功能设计问卷。本研究的目标抽样方法和参与者为参考医院2020年组织岗位的中高层管理人员,在新冠肺炎大流行组织岗位期间就业。采用MAXQDA 2018软件进行分类和编码。结果:本研究的发现以优势、劣势和挑战的形式进行了探讨。不足之处包括猝不及防、过早和非传教性地进入COVID-19危机,缺乏适当的仓库和即时管理,对患者和工作人员的培训不足,危机管理系统功能不佳,监测不足,以及心理支持提供不足。其优势在于医务人员和管理人员的无私奉献、总部的财政支持、本组织管理团队的有效实地调研以及志愿部队的妥善管理。最重大的挑战是与包括总部、国防组织和卫生部在内的有关组织协调不力。结论:研究结果表明,在新冠肺炎大流行高峰期,促进医院的业务管理,坚持组织的总体政策,与内部和外部组织进行结构化协调,有组织地管理设备和人力资源,形成健全的文件结构和基于证据的决策,有效和实际地使用危机管理系统;对工作人员和患者进行系统的培训,优先考虑患者和工作人员的安全,有组织的信息传播,系统的监测和评估是应对疫情危机的最重要的一点。”
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Investigating the Operational Management Challenges of a Reference Military Hospital in the COVID-19 Pandemic
"Introduction: Following the crisis of coronavirus outbreak in numerous regions of the world, this epidemic enhanced promptly in most countries, including Iran, and sent a host of patients in need of medical services to hospitals. This study aimed to investigate the challenges of operational management of a reference military hospital during the pandemic COVID-19. Methods: This research is a qualitative study with the content analysis method with a deductive and guided approach. Data collection was conducted through a semi-structured interview method and utilizing a questionnaire designed based on the management functions of the Hospital Incident Command System (HICS). The targeted sampling method and participants in this study included senior-middle managers working in organizational positions of the reference hospital in 2020 employed during the organizational position in Covid-19 Pandemic. Classifications and coding were performed employing MAXQDA 2018 software. Results: The findings of this study were explored in the form of strengths, weaknesses, and challenges. Weaknesses included taking surprise, early and non-missionary entry into the COVID-19 crisis, lack of appropriate depot, instant management, deficiencies in the training of patients and staff, poor functioning of the crisis management system, deficiencies in monitoring, and poor provision of psychological support. The strengths were the devoted and altruistic presence of the medical staff and managers, the financial support of the headquarters, the effective field research of the management team of the organization, and the proper management of the volunteer forces. The most significant challenge was the poor coordination with the relevant organizations, including the headquarters, the Defense Organization, and the Ministry of Health. Conclusions: The findings of this study demonstrate that in the peak period of the COVID-19 pandemic to promote the operational management of the hospital, sticking to the general policies of the organization, structured coordination with internal and external organizations, organized management of equipment and human resources, generating a robust documentation structure and decision-making based on the evidence, effective and practical use of the crisis management system, systematic training of staff and patients, prioritizing the safety of patients and staff, organized dissemination of information and systematic monitoring as well as evaluation are the most significant points to deal with the epidemic crisis. "
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来源期刊
Romanian Journal of Military Medicine
Romanian Journal of Military Medicine MEDICINE, GENERAL & INTERNAL-
自引率
33.30%
发文量
2
审稿时长
12 weeks
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