اثر طرح تحول نظام سلامت بر شا خص های عملکردی و کیفیتی بیمارستان قدس شهر پاوه

نوع مقاله : مقاله پژوهشی

نویسنده

سلامت و رفاه اجتماعی، دانشکده علوم اجتماعی، داننشگاه پیام نور، تهران، ایران

10.22038/mjms.2025.87329.4979

چکیده

زمینه و هدف: اعتباربخشی یکی از اقدامات مهم در ارزشیابی خدمات بهداشتی و درمانی می باشد. الذا پژوهش حاضر با هدف تعیین تاثیر اعتباربخشی بر مهم ترین شاخص های عملکردی و کیفیتی بیمارستان قدس شهر پاوه می باشد.
مواد و روش ها: مطالعه کیفی حاضر به صورت مقطعی در ماه های مهر، آبان و آذر سال 1398صورت گرفت. داده ها با استفاده ازمصاحبه نیمه ساختار یافته جمع آوری گردید. واحدهای نمونه در این پژوهش با استفاده از نمونه گیری هدفمند انتخاب شده اند که پس از انتخاب 28 مصاحبه(7 نفر پرسنل، 7 نفر پرستار، 14 نفر بیمار) حجم نمونه به اشباع رسید. اغلب مصاحبه های صورت گرفته ضبط و پس از پیاده سازی با استفاده از تحلیل داده مورد تجزیه و تحلیل قرار گرفت.
یافته ها: پس از اجرای طرح تحول سلامت و کاهش هزینه های درمانی، بیمارستان قدس پاوه با افزایش مراجعه بیماران و ضریب اشغال تخت مواجه بوده است. نتایج نشان داد که دستورالعمل کاهش پرداختی از جیب مردم به طور معنادار نسبت به شش دستورالعمل دیگر طرح تحول نظام سلامت، بهتر اجرا شده است و این دستورالعمل در اجرا مفید بوده است. اما کمترین دستاوردها در اجرا در محورهای مقیم بودن پزشکان، ترویج زایمان طبیعی و نیز ارتقای کیفیت خدمات بوده است.
نتجه گیری: افزایش حجم کاری بیمارستان، عدم تأمین فضای فیزیکی، امکانات و نیروی انسانی موردنیاز متناسب با افزایش بار مراجعات برای ارائه مراقبت ها از شایعترین علل کاهش کیفیت خدمات در بیمارستان قدس پاوه می باشد.

کلیدواژه‌ها

عنوان مقاله [English]

The Effect of the Health System Transformation Plan on Performance and Quality Indicators of Qods Hospital in Paveh

نویسنده [English]

  • rahmat mirzaei
Health and Social Welfare, Faculty of Social Sciences, Payam Noor University, Tehran, Iran
چکیده [English]

Background and Objective: Accreditation is one of the important measures in the evaluation of health and medical services. . Therefore, the present study aims to determine the impact of accreditation on the most important performance and quality indicators of Qods Hospital in Paveh.
Materials and Methods: The present qualitative study was conducted cross-sectionally in the months of October, November and December 2019. Data were collected using semi-structured interviews. The sample units in this study were selected using purposive sampling, and after selecting 28 interviews (7 staff, 7 nurses, 14 patients), the sample size reached saturation. Most of the interviews were recorded and analyzed after implementation using data analysis.
Findings: The findings show that after the implementation of the Health Transformation Plan and the reduction of medical costs, Qods Hospital in Paveh has faced an increase in patient referrals and bed occupancy rates. The results showed that the guideline for reducing out-of-pocket payments was significantly better implemented than the other six guidelines of the Health System Transformation Plan, and this guideline was useful in implementation. However, the least achievements in implementation were in the areas of physician residency, promotion of natural childbirth, and improvement of service quality.
Conclusion: Increasing hospital workload, lack of physical space, facilities, and human resources required in proportion to the increase in referrals to provide care are among the most common causes of reducing service quality in Qods Paveh Hospital.

کلیدواژه‌ها [English]

  • Health Transformation Plan
  • Performance Indicators
  • Service Quality
  • Ghods Hospital
  • Paveh

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مجله دانشکده پزشکی دانشگاه علوم پزشکی مشهد
دوره 68، شماره 6
بهمن-اسفند1404
بهمن و اسفند 1404
صفحه 1664-1673

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