Volume 5, Issue 2 (2020)
Manage Strat Health Syst 2020, 5(2): 111-125 |
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Khoshamooz H, Goudarzvand chegini M, Rezaee Kelidbari H. Identifying the Executive Challenges of the New Generation of Hospital Accreditation in Iran. Manage Strat Health Syst 2020; 5 (2) :111-125
URL: http://mshsj.ssu.ac.ir/article-1-327-en.html
URL: http://mshsj.ssu.ac.ir/article-1-327-en.html
Professor, Department of Public Administration, School of Management and Accounting, Islamic Azad University, Rasht Branch, Rasht, Iran , goodarzvand@iaurasht.ac.ir
Abstract: (1700 Views)
Background: Given that hospitals are one of the pillars of the health system, reforming the health system is not possible without improving the performance of hospitals. Accreditation is a regular assessment of hospitals that emphasizes on continuous quality improvement and patient safety. This study aimed to identify the challenges of the new generation of hospital accreditation using the Three-Branch Model and proposing solutions to improve its effectiveness.
Method: This mixed exploratory research was conducted using a targeted sampling method of 20 semi-structured interviews along with a content analysis approach. As a result, an initial model was designed. Later, the initial model was modified using the Delphi technique, which was also approved by experts. In order to test the model, a researcher-made questionnaire was distributed among 384 hospital staff based on Morgan's table using stratified quota sampling method. Data were analyzed by confirmatory factor analysis using Smart PlS 3 software.
Results: After analyzing and combining, the data were categorized under 31 basic codes, 5 concepts, and 3 main categories by Three-branch Model. The main codes included behavioral challenges, structural challenges, and contextual challenges.
Conclusion: According to the findings, the main challenge was related to the behavioral category followed by the structural category, which indiates that the current focus is on intra-organizational issues. Therefore, it can be said that the contextual challenges have received less attention.
Method: This mixed exploratory research was conducted using a targeted sampling method of 20 semi-structured interviews along with a content analysis approach. As a result, an initial model was designed. Later, the initial model was modified using the Delphi technique, which was also approved by experts. In order to test the model, a researcher-made questionnaire was distributed among 384 hospital staff based on Morgan's table using stratified quota sampling method. Data were analyzed by confirmatory factor analysis using Smart PlS 3 software.
Results: After analyzing and combining, the data were categorized under 31 basic codes, 5 concepts, and 3 main categories by Three-branch Model. The main codes included behavioral challenges, structural challenges, and contextual challenges.
Conclusion: According to the findings, the main challenge was related to the behavioral category followed by the structural category, which indiates that the current focus is on intra-organizational issues. Therefore, it can be said that the contextual challenges have received less attention.
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