نوع مقاله : مقاله مروری نقلی
نویسندگان
1 دانشیار، مدیریت و برنامه ریزی آموزشی، مرکز تحقیقات مدیریت سلامت و اقتصاد، دانشکده مدیریت و اطلاعات پزشکی، دانشگاه علوم پزشکی اصفهان، اصفهان، ایران
2 استادیار، مدیریت خدمات بهداشتی درمانی، مرکز علوم بهداشتی، دانشگاه علوم پزشکی مشهد، مشهد، ایران
3 دانشجوی کارشناسی ارشد، کمیته تحقیقات دانشجویی، مدیریت خدمات مراقبت های بهداشتی، دانشکده مدیریت و پزشکی اطلاعات، دانشگاه علوم پزشکی اصفهان، اصفهان، ایران (نویسنده مسئول) ایمیل: aram9147@yahoo.com
چکیده
تغییرات روزافزون محیط و پیشرفت سریع تکنولوژی، تطابق سازمانهای بهداشتی و درمانی را در جهت ایجاد تغییرات مناسب، الزامی ساخته است. در قلمرویی مانند بهداشت و درمان، تیم درمان ملزم به تبعیت از قوانین و دستورالعملهای زیادی هستند که این امر منجر به کاهش آزادی عمل، نداشتن قدرت و اختیار کافی برای سازماندهی مجدد فرایندها و حذف فعالیتهای بدون ارزش افزوده توسط آنها میشود. اصول انعطاف پذیر مدیریت فرایند کسب و کار (BPM یاBusiness process management) راهکاری است که در حال حاضر در بسیاری از کشورهای پیشرفته با موفقیت به کار گرفته میشود. مدیریت فرایند کسب و کار، شامل شناسایی وضعیت موجود فرایندها، مدلسازی آنها و تعیین تأثیر مدیریت فرایندها پس از اجرای اصلاحات میباشد. این رویکرد، که در بسیاری متون با عنوان موج سوم اصلاحات فرایند معرفی شده است، با هدف رفع مشکلات روشهای پیشین و با در نظر گرفتن محدودیتهای بودجه و الزامات قانونی موجود، بیانگر روشی قابل اجرا در سازمانها میباشد. مدیریت فرایند کسب و کار، با در نظر گرفتن گامهای ضروری برای انجام کار، یکپارچهسازی آنها و حذف فعالیتهای بدون ارزش افزوده، سعی در افزایش انعطاف پذیری، کیفیت و سرعت انجام فرایندها دارد. این رویکرد در سازمانهای بهداشتی و درمانی، با به کارگیری نرمافزار BPMs (Business process management suite) و از طریق یکپارچهسازی پروندهی الکترونیک بیمار (EHR یا Electronic health record)، دستورالعملها (Guidelines) و سیستم اطلاعات بیمارستان (HIS یا Health information system) به اهداف خود دست مییابد. در این مقاله، پس از شرح تاریخچهی مختصری بر روند فرایندگرایی، رویکرد مدیریت فرایند کسب و کار، اهداف و حوزههای مداخلهی آن در سازمانهای بهداشتی و درمانی شرح داده شده است.
کلیدواژهها
عنوان مقاله [English]
Business Process Management Approach in Healthcare Organizations*
نویسندگان [English]
- Mohammad Hossein Yarmohammadian 1
- Hossein Ebrahimipour 2
- Farzaneh Dousty 3
1 Associate Professor, Management and Educational Planning, Health Management and Economic Research Center, School of Management and Medical Information, Isfahan University of Medical Science, Isfahan, Iran
2 Assistant Professor, Health Care Services Management, Health Sciences Center, Mashhad University of Medical Science, Mashhad, Iran
3 MSc Student, Student Research Committee, Health Care Services Management, School of Management and Medical Information, Isfahan University of Medical Sciences, Isfahan, Iran (Corresponding Author) Email: aram9147@yahoo.com
چکیده [English]
Ever environmental changing and the rapid advancement of technology has forced the health care
organizations to accommodate in line with appropriate changes. In sectors like healthcare, there are many
legal restriction and clinical guidelines that practitioner have to comply with. Therefore, these features
lead to less freedom and authority to free core business process from non-value adding activities and
reengineering of process for practitioners. Nowadays, flexible principle of business process management
(BPM) is a strategy that successfully applies in many developed countries. BPM includes identifying the
current status of processes, modeling and determine effects of process’s reforms implementation. In many
contexts, this approach has been introduced as the third wave of reforms that is the effective method, and
its aims are to eliminate previous methods defects and considering budget constraints and the legal
requirements. Through focusing on essential steps of process, integration and eliminating the non-value
added steps, BPM provides the possibility of increasing the flexibility, quality and speed of processes. In
healthcare organizations, employing BPM, via integration of electronic health record (HER) and hospital
information system (HIS), and guidelines, meet the above mentioned aims. In this paper, after brief
description of process-oriented trend history, we introduced the BPM approach, and its aims and
intervention scopes in healthcare organizations were described
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- Health Information Systems
- Hospital Administration
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