Document Type : Original Article
Authors
1 PhD in Health Services Management, Sari Branch, Islamic Azad University, Sari, Iran
2 Associate Professor, Health Sciences Research Center, Mazandaran University of Medical Sciences, Sari, Iran
3 Associate Professor, Hospital Administration Research Center, Sari Branch, Islamic Azad University, Sari, Iran
Abstract
Introduction: An appropriate and applicable model of hospital performance assessment can potentially lead to accountability, quality of service, and patient satisfaction. The purpose of this study was to identify the effective factors on hospital performance assessment.
Methods: In this qualitative study, in order to elucidate the experts’ experiences of hospital performance assessment, based on purposive sampling, individual semi-structured interviews were conducted with 27 health services management professors, university and hospital managers, national accreditors, and the authorities in charge of quality improvement of hospitals in Mazandaran Province. Interviews were recorded, transcribed, codified, classified, and analyzed based on the conventional content analysis approach.
Results: The participants’ experiences indicated the need to take into account all dimensions influencing performance assessment as well as a balanced measurement of the structure, process, outcome, control, and context of the hospital that provides services. Totally, 5 main themes and 18 sub-themes were extracted from the data analysis.
Conclusion: The results of this study indicated that a comprehensive performance assessment system needs to measure all dimensions of hospital performance. It is therefore recommended that in hospital performance assessment, in addition to traditional attention paid to resources and facilities, hospital processes, the outcomes of proper implementation of processes, control, and the context in which the hospital provides services also be taken into account.
Keywords
- Jalilibal Z, Kianpour M, Jolai F. Assessing the public and private hospital performance based on considering resilience engineering indices: an integrated simulation and decision making approach. Journal of Hospital 2015; 14(4):9-20. [In Persian].
- Yousefi S, Vafaeenajar A, Esmaily H, Hooshmand E. Evaluation of general educational hospitals affiliated to Mashhad University of Medical Sciences based on the standards of health-promoting hospitals. Iranian Journal of Health Education and Health Promotion 2017; 5(4):320-7. doi: 10.30699/acadpub.ijhehp.5.4.320. [In Persian].
- Papanicolas I, Smith PC, Mossialos E. Principles of performance measurement. Euro Observer 2008; 10(1):1-5.
- Tabibi SJ, Maleki MR, Mozhdehkar R. Performance evaluation of Ayatollah Kashani Hospital based on Baldrige Organizational Excellence Model. Journal of Medical Council of Islamic Republic of Iran 2009; 27(1):23-30. [In Persian].
- Eghbal F. Assessment of human resource management performance at Isfahan Medical Science based on European Foundation for Quality Management [dissertation]. Isfahan: Isfahan University; 2008.
- Veillard J, Champagne F, Klazinga N, Kazandjian V, Arah OA, Guisset AL. A performance assessment framework for hospitals: the WHO regional office for Europe PATH project. Int J Qual Health Care 2005; 17(6):487-96. doi: 10.1093/intqhc/mzi072.
- Taslimi MS, Zayandeh M. Challenges of hospital performance assessment system development: literature review. Hakim Research Journal 2013;16(1):35-41. [In Persian].
- Groene O, Skau JK, Frolich A. An international review of projects on hospital performance assessment. Int J Qual Health Care 2008; 20(3):162-71. doi: 10.1093/intqhc/mzn008.
- Smith PC, Mossialos E, leatherman S, Papanicolas I. Performance measurement for health system improvement: experiences, challenges and prospects. UK: Cambridge University Press; 2009.
- Rahimi Z, Payameni A, Anbari K. The performance evaluation of Shahid Rahimi hospital in Khorramabad based on the organizational excellence model. Yafteh 2015; 17(3):87-94. [In Persian].
- Younesi Far M, Shahin A, Sanayeei A. Performance evaluation of sadoghi hospital based on «EFQM» organizational excellence model. Journal of Shahid Sadoughi University of Medical Sciences and Health Services 2013; 21(1):37-44. [In Persian].
- Minvielle E, Sicotte C, Champagne F, Contandriopoulos AP, Jeantet M, Préaubert N, et al. Hospital performance: competing or shared values? Health Policy 2008; 87(1):8-19.
- Jahangiri A, Jahangiri M. Performance evalution of hospital by using dynamic multiple attribute decision making (DMADM): a case study in imam khomini hospital affilited to social security organization in arak. Journal of Healthcare Management 2017; 8(1):91-102. [In Persian].
- Fitzpatrick J, Sanders J, Worthen B. Program Evaluation: Alternative Approaches And Practical Guidelines. 4th ed. USA: Pearson; 2010.
- Tregunno D, Ross Baker G, Barnsley J, Murray M. Competing values of emergency department performance: balancing multiple stakeholder perspectives. Health Serv Res 2004; 39(4 Pt 1):771-91. doi: 10.1111/j.1475-6773.2004.00257.x.
- Yüksel I, Dagdeviren M. Using the fuzzy analytic network process (ANP) for Balanced Scorecard (BSC): A case study for a manufacturing firm. Expert Systems with Applications 2010; 37(2):1270-8. doi: 10.1016/j.eswa.2009.06.002.
- Mehrolhassani MH, Barfeh T. Performance assessment for teaching hospitals affiliated to Kerman University of Medical Sciences and Kerman social security hospitals by using the balanced scorec. Quarterly Journal of Sabzevar University of Medical Sciences 2015; 22(3):461-71. [In Persian].
- Nasiripour A, Tabibi S, Raeisi P, Amiri M. Designing an operational planning model for level-one iranian primary health care systems. Knowledge and Health 2008-2009; 3(3-4):9-14 .[In Persian].
- Salehi Z, Payravi H. Challenges in the implementation accreditation process in the hospitals: a narrative review. Iran Journal of Nursing 2017; 30(106):23-34.
- Ahmadi M, Khoshgam M, Mohammadpoor A. Comparative study of the Ministry of Health standards for hospitals with Joint Commission International hospital accreditation standards. Hakim Research Journal 2008; 10 (4):45-52. [In Persian].
- Abooee F, Mirghafoori SH, Khanjankhani K, Shafii M. Evaluation and ranking of selected hospital wards in terms of quality of delivered services. Health Information Management 2015-2016; 12(5):647-58.
- Ogbonna E, Harris LC. Innovative organizational structures and performance: A case study of structural transformation to groovy community centers. Journal of Organizational Change Management 2003; 16(5):512-33. doi:10.1108/09534810310494919.
- Hakkak M, Hozni SA, Shahsiah N, Akhlaghi T. Pathology of Accreditation in North Hospitals of Iran: A Qualitative Research. Hospital Journal 2018; 17(3):45-54. [In Persian].
- Mosadeghrad AM, Akbari-Sari A, Yousefinezhadi T. Evaluation of hospital accreditation in Tehran :brief report. Tehran University Medical Journal 2018; 76(5):354-9. [In Persian].
- Yousefinezhadi T, Mosadeghrad AM, Arab M, Ramezani M, Sari AA. An analysis of hospital accreditation policy in Iran. Iran J Public Health 2017; 46(10):1347-58.
- Campbell SM, Roland MO, Buetow SA. Defining quality of care. Soc Sci Med 2000; 51(11):1611-25. doi: 10.1016/s0277-9536(00)00057-5.
- Abedi G, Shojaee J, Moosazadeh M, Rostami F, Nadi A, Abedini E, et al. Awareness and observance of patient rights from the perspective of Iranian patients: a systematic review and meta-analysis. Iran J Med Sci 2017; 42(3):227-34.
- Yarmohammadian M, Shokri A, Bahmanziari N, Kordi A. The blind spots on Accreditation program. Journal of Health System Research 2013; 9(1):1158-66. [In Persian].
- Berg M, Meijerink Y, Gras M, Goossensen A, Schellekens W, Haeck J, et al. Feasibility first: developing public performance indicators on patient safety and clinical effectiveness for Dutch hospitals. Health Policy 2005; 75(1):59-73. doi: 10.1016/j.healthpol.2005.02.007.
- Karimi S, Gholipour K, Kordi A, Bahmanziari N, Shokri A. Impact of hospitals accreditation on service delivery from the perspective views of experts: a qualitative study. Payavard Salamat 2013; 7(4):337-53. [In Persian].
- Milner BM. Implementing hospital accreditation: individual experiences of process and impacts [dissertation]. Ireland: Waterford Institute of Technology; 2007.
- Greenfield D, Braithwaite J. Health sector accreditation research: a systematic review. Int J Qual Health Care 2008; 20(3):172-83. doi: 10.1093/intqhc/mzn005.
- Al-Assaf A, Akgün H. Healthcare Accreditation in Kazakhstan: Methods and Impact. Health Care Academician Journal 2016;3(2):57-63.
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