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
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.
Asadolah Shams; Maryam Mofid; Farzane Rejlian
Volume 7, Issue 0 , December 2011
Abstract
Introduction: The profits of executable referral system process are including: decrease the staff and equipment and saving in expenses and tools, appropriate division of sources for the best use of them and prevention of put patients to unreasonable expenses. In this course, the purpose of present study ...
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Introduction: The profits of executable referral system process are including: decrease the staff and equipment and saving in expenses and tools, appropriate division of sources for the best use of them and prevention of put patients to unreasonable expenses. In this course, the purpose of present study was to determine the effective factors on executable amount of referral system process in public hospitals of Isfahan city from the point of view of people, until can surmount it by obtain to this purpose, and health system can use from these profits.Methods: In this descriptive– analytic and measurable study, people who refer to public hospitals of Isfahan province were studied in 2008.Five hospitals affiliated to Falavarjan, Shahin Shahr, Shahreza and Nayyyn health centers and five public hospitals in Isfahan city selected by clustering method and 400 patients referred to selected hospitals selected by simple sampling method. Data collected by a self-administrated questionnaire which validity was confirmed by experts and its reliability was 85 percent.Results: Awareness and satisfaction was higher in urban population and motivation in non-urban communities.51.9% of people covered by Tammin Ejtemai insurance and 89.09% of those who covered by Khadamat darman insurance have refered for first level of services.Mean of knowledge of client from referral system in studied hospitals was not different significantly.Mean of client satisfaction and motivation of the referral system in studied hospitals was different significantly (P<0.05).Conclusion: The most important factors in referral system in realization of its process from the perspective of urban population were awareness and satisfaction and from the perspective of rural population was motivation. So investing in promotion of these factors can be sure that the system will work more useful. So by investment for improvement of these factors, we can be sure that this system will perform more useful than the other time.Keywords: Awareness; Motivation; Hospitals; Teaching.
