موانع اجرایی حاکمیت بالینی در بیمارستان های استان خوزستان
فصلنامه علمی پژوهشی بهداشت در عرصه,
دوره 4 شماره 4,
1 January 2017
,
صفحه 44-56
https://doi.org/10.22037/jhf.v4i4.13826
چکیده
زمینه و اهداف: شناسایی موانع اجرای حاکمیت بالینی و اقدام برای رفع آنها به اجرای موفق حاکمیت بالینی کمک میکند. این پژوهش با هدف شناسایی موانع اجرای حاکمیت بالینی در بیمارستانهای استان خوزستان در سال 1393 انجام شد.
مواد و روشها: برای انجام این پژوهش بنیادی از یک پرسشنامه با روایی و پایایی بالا استفاده شد که موانع اجرایی حاکمیت بالینی در بیمارستانها را در 5 محور موانع مدیریتی، فرهنگی، انسانی، فرایندی و ساختاری میسنجید. پرسشنامهها توسط کارشناسان مسئول حاکمیت بالینی 40 بیمارستان استان خوزستان تکمیل شد. تحلیل دادهها، در دو سطح آمار توصیفی و استنباطی انجام شد. ملاحظات اخلاقی نظیر جلب رضایت آگاهانه، محرمانه تلقی کردن اطلاعات شخصی شرکت کنندگان در پژوهش و بیطرفی پژوهشگر در این پژوهش رعایت شد.
یافتهها: میانگین موانع اجرایی حاکمیت بالینی در بیمارستانهای استان خوزستان برابر با 2/92از 5 امتیاز بوده است. موانع ساختاری و موانع مدیریتی به ترتیب بیشترین و کمترین موانع را در اجرای حاکمیت بالینی ایجاد کردند. عدم مشارکت پزشکان در حاکمیت بالینی، کمبود منابع مالی برای اجرای حاکمیت بالینی و بروکراسی همراه با حاکمیت بالینی بیشترین مانع را در اجرای حاکمیت بالینی ایجاد کردند.
نتیجهگیری: مدیران بیمارستانها قبل از اجرای تکنیکهای مدیریت کیفیت مانند حاکمیت بالینی باید موانع موجود را برطرف کنند و ساختار و فرهنگ سازمانی مناسبی را برای تسهیل اجرای موفقیتآمیز حاکمیت بالینی ایجاد کنند. سیاستگذاران بهداشت و درمان باید با در نظر گرفتن ساختار و فرهنگ سازمانی و میزان بلوغ سازمانی کارکنان، مدل مناسب حاکمیت بالینی را برای این سازمانها توسعه و برای اجرا پیشنهاد کنند.
- حاکمیت بالینی، مدیریت کیفیت، موانع حاکمیت بالینی، بیمارستان
ارجاع به مقاله
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