Masoud Ferdosi; Sayed Mohammad Ehsan Farahabadi; Maryam Mofid; Farzaneh Rejalian; Maryam Haghighat; Parnaz Naghdi
Volume 9, Issue 7 , December 2012, , Pages 989-996
Abstract
Introduction: Hospitals are required to focus on core activities which are inevitable affair. The sensitivityof the monitoring and supervision mechanism as well as preserving and enhancing the quality ofoutsourced services prevent new problems in this area.Methods: This was a descriptive and applied ...
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Introduction: Hospitals are required to focus on core activities which are inevitable affair. The sensitivityof the monitoring and supervision mechanism as well as preserving and enhancing the quality ofoutsourced services prevent new problems in this area.Methods: This was a descriptive and applied study which was done by case study (pretest-posttest)method. Outsourcing nursing services of clinical wards (ENT and surgery) of Kashani Hospital wasstudied. Data were extracted from the questionnaire (internal customer's satisfaction), semi-structuredinterviews with officials and also survey of financial and administrative documents as well as recordsrelated to the topic. The validity of thee questionnaire was approved using the standard form of thesatisfaction in Isfahan University of Medical Sciences, Iran and its reliability was based on calculatingCronbach’s alpha.Results: The findings indicated an increased number of graduate nurses per bed to fulfill the main goal ofoutsourcing. However, achieving this goal was accompanied with increasing costs per bed and resulted inincreased total costs of the hospital after outsourcing. In addition, the intangible changes in internalcustomer satisfaction with the performance of non-governmental sector have been achieved.Conclusion: While outsourcing should bring about staff and patients' satisfaction and increase theefficiency and effectiveness, outsourcing nursing workforce strategy led to severe loss of efficiency.Therefore, the adopted strategy did not meet the productivity for the hospital
Lida Shams; Golrokh Atighechian; Sayed Mohammad Ehsan Farahabadi
Volume 9, Issue 7 , December 2012, , Pages 1039-1046
Abstract
Introduction: Due to the fact that nurses constitute the highest percentage of hospital staff and quality ofhealth care is largely influenced by their performance, evaluation of the internal environment from theirperspective can greatly indicate the improvement and the strength points of the hospital. ...
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Introduction: Due to the fact that nurses constitute the highest percentage of hospital staff and quality ofhealth care is largely influenced by their performance, evaluation of the internal environment from theirperspective can greatly indicate the improvement and the strength points of the hospital. This study aimedto clarify nurses’ view regarding the status of the internal environment component.Methods: A quantitative-analytical study was carried out in educational, non-educational and privateselected hospitals of Isfahan University of Medical Sciences, Iran in 2010. The sampling method wasclustering method and inside the cluster, it was done proportionally. Finally, nurses were selectedrandomly. Inclusion criteria were being nurse with bachelor and master degrees. On this basis, the numberof sample was estimated equal to 384. Data were collected using standard questionnaire (WiseboardSix-Dimension Box Model) with Cronbach's alpha of 89.7. Data were analyzed using statistical tests suchas Pearson correlation, independent t-test and analysis of variance (ANOVA).Results: Considering the factors included in this study i.e. “purposes”, “structure”, “helpful mechanisms”“relationships”, “leadership”, “reward mechanism”, the weakness of all the hospitals in the rewardmechanism was revealed (educational hospitals = 22.6, non-educational hospitals = 24.0, privatehospitals = 25.4). The organizational structure was the weakness of non-educational hospitals and alsoable to improve in the other studied groups (educational hospitals = 19.88, private hospitals = 19.93).Conclusion: Systematic approach at the design and development of a fair compensation mechanism withrepresentatives of staff can have a significant impact on improvement of the current situation of studiedhospitals and also facilitates organization to achieve its goals
Masoud Ferdosi; Sayed Mohammad Ehsan Farahabadi; Farzaneh Rejalian; Maryam Haghighat
Volume 7, Issue 0 , December 2011
Abstract
Introduction: Hospitals, like most executive agencies have scarified the importance of policy, planning and supervision with their executive actions. With their errors, they waste the resources and remain away from development and competitive arena.So during recent years the Ministry of Health and Medical ...
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Introduction: Hospitals, like most executive agencies have scarified the importance of policy, planning and supervision with their executive actions. With their errors, they waste the resources and remain away from development and competitive arena.So during recent years the Ministry of Health and Medical Education as well as other areas, in order to make rational government size, strengthening accountability of the system and efficiency of the health services, has considered the strategy of supply sources from outside of the Organization on its agenda.. Therefore in this study outsourcing of medical records services unit was evaluated from different angles.Methods: In this descriptive applied before-after study, the medical records unit of Kashani Educational Center was evaluated. Data collected by a questionnaire (internal customers), a check lists (Process Evaluation Unit, medical records defects, fulfill the requirements of 88 bylaw), semi- structured interviews with officials and by checking of financial and administrative documents and records related to the topic.Results: The findings indicated decreased medical cost per case and files defects in 4.5% and 37% of cases and improvement in unit processes in 37.4% of cases, after outsourcing the medical record unit. Other results of outsourcing medical record unit were 59% increase in customer satisfaction and 70% fulfillment of the requirements of 88 by laws.Conclusion: Keep patients information is one of fundamental principles of patient privacy rights, and combined private sector presence and the above mentioned fundamental is important point in outsourcing in this section. Success in promoting private sector efficiency, reduce unit costs and increase customer satisfaction and improve service quality indicates that if the legal principles implemented, outsourcing of this unit could be considered efficient and effectiveKeywords: Outsourcing; Evaluation; Medical Records.
