Management Strategies in Health System
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بررسی وضعیت تابآوری بیمارستانهای منتخب شهر یزد در شرایط بحران در سال 1402
Investigating of Resilience Scale of Selected Hospitals in Yazd City during Disaster Conditions in 2023
تخصصي
Special
پژوهشي
Research
<div style="text-align: justify;"><span style="font-size:14pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span new="" roman="" style="font-family:" times=""><b><span lang="AR-SA" style="font-size:11.0pt"><span b="" nazanin="" style="font-family:">زمینه و هدف</span></span></b><span class="fontstyle01" style="font-family:BNazanin"><span style="font-weight:normal"><span style="font-style:normal"><span lang="AR-SA" style="font-size:11.0pt"><span b="" nazanin="" style="font-family:">: نیاز به مراقبتهای بهداشتی یکی از نیازهای اساسی انسانها در شرایط</span></span></span></span></span> <span class="fontstyle01" style="font-family:BNazanin"><span style="font-weight:normal"><span style="font-style:normal"><span lang="AR-SA" style="font-size:11.0pt"><span b="" nazanin="" style="font-family:">بحرانی و اضطرار است.</span></span></span></span></span> <span class="fontstyle01" style="font-family:BNazanin"><span style="font-weight:normal"><span style="font-style:normal"><span lang="AR-SA" style="font-size:11.0pt"><span b="" nazanin="" style="font-family:">بیمارستانها و مراکز بهداشتی جزء اولین واحدهایی هستند که با ارائه خدمات بهداشتی درمانی بهینه و بهموقع میتوانند باعث کاهش تلفات شوند. لذا مطالعه حاضر باهدف بررسی وضعیت تابآوری بیمارستانهای منتخب شهر یزد در شرایط بحران در سال 1402 انجامشده است</span></span></span></span></span><span class="fontstyle01" style="font-family:BNazanin"><span style="font-weight:normal"><span style="font-style:normal"><b><span lang="AR-SA" style="font-size:11.0pt"><span b="" nazanin="" style="font-family:">.</span></span></b></span></span></span><b><span lang="FA" style="font-size:11.0pt"><span style="font-family:"B Nazanin""></span></span></b></span></span></span></span><br>
<span style="font-size:10pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span new="" roman="" style="font-family:" times=""><b><span lang="AR-SA" style="font-size:11.0pt"><span b="" nazanin="" style="font-family:">روش پژوهش:<strong> </strong></span></span></b><span class="fontstyle01" style="font-family:BNazanin"><span style="font-weight:normal"><span style="font-style:normal"><span lang="AR-SA" style="font-size:11.0pt"><span b="" nazanin="" style="font-family:">این مطالعه پژوهشی از نوع توصیفی_مقطعی در 5 بیمارستان منتخب شهر یزد (</span></span></span></span></span><span lang="AR-SA" style="font-size:11.0pt"><span b="" nazanin="" style="font-family:">برحسب نوع مالکیت بیمارستانها، به تفکیک بیمارستانهای دانشگاهی </span></span><span dir="LTR" style="font-size:11.0pt">A_B_C</span><span lang="AR-SA" style="font-size:11.0pt"><span b="" nazanin="" style="font-family:">، خیریه </span></span><span dir="LTR" style="font-size:11.0pt">D</span><span lang="AR-SA" style="font-size:11.0pt"><span b="" nazanin="" style="font-family:">، خصوصی </span></span><span dir="LTR" style="font-size:11.0pt">E</span><span lang="FA" style="font-size:11.0pt"><span b="" nazanin="" style="font-family:">)</span></span> <span class="fontstyle01" style="font-family:BNazanin"><span style="font-weight:normal"><span style="font-style:normal"><span lang="AR-SA" style="font-size:11.0pt"><span b="" nazanin="" style="font-family:">در سال 1402</span></span></span></span></span> <span class="fontstyle01" style="font-family:BNazanin"><span style="font-weight:normal"><span style="font-style:normal"><span lang="AR-SA" style="font-size:11.0pt"><span b="" nazanin="" style="font-family:">انجام گرفت. سنجش میزان تابآوری بیمارستان در</span></span></span></span></span> <span class="fontstyle01" style="font-family:BNazanin"><span style="font-weight:normal"><span style="font-style:normal"><span lang="AR-SA" style="font-size:11.0pt"><span b="" nazanin="" style="font-family:">بحران با استفاده از پرسشنامهی</span></span></span></span></span> <span class="fontstyle01" style="font-family:BNazanin"><span style="font-weight:normal"><span style="font-style:normal"><span lang="FA" style="font-size:11.0pt"><span b="" nazanin="" style="font-family:">استاندارد ژونگ که 9 بعد تابآوری را ارزیابی میکرد</span></span></span></span></span><span lang="AR-SA" style="font-size:11.0pt"><span b="" nazanin="" style="font-family:">، </span></span><span class="fontstyle01" style="font-family:BNazanin"><span style="font-weight:normal"><span style="font-style:normal"><span lang="AR-SA" style="font-size:11.0pt"><span b="" nazanin="" style="font-family:">انجام گردید. </span></span></span></span></span><span lang="AR-SA" style="font-size:11.0pt"><span b="" nazanin="" style="font-family:">پاسخ به سؤالات بهصورت طیف 5 گزینهای لیکرت (همیشه تا هرگز) بوده و دادهها با استفاده از نرمافزار </span></span><span dir="LTR" style="font-size:11.0pt">SPSS <sub>26</sub></span><span style="font-size:11.0pt"><span b="" nazanin="" style="font-family:"> تجزیهوتحلیل شد. </span></span><span lang="FA" style="font-size:11.0pt"><span b="" nazanin="" style="font-family:">دادههای کمی با شاخصهای مرکزی (میانگین) و پراکندگی (انحراف معیار) و در ادامه دادههای کیفی (دموگرافیک) </span></span><span lang="AR-SA" style="font-size:11.0pt"><span b="" nazanin="" style="font-family:">بهصورت</span></span><span lang="FA" style="font-size:11.0pt"><span b="" nazanin="" style="font-family:"> تعداد و درصد گزارش </span></span><span lang="AR-SA" style="font-size:11.0pt"><span b="" nazanin="" style="font-family:">شدند.</span></span></span></span></span></span><br>
<span style="font-size:14pt"><span style="text-autospace:none"><span style="direction:rtl"><span style="unicode-bidi:embed"><span new="" roman="" style="font-family:" times=""><b><span lang="AR-SA" style="font-size:11.0pt"><span b="" nazanin="" style="font-family:">یافتهها</span></span></b><span lang="AR-SA" style="font-size:11.0pt"><span b="" nazanin="" style="font-family:">:</span></span><span class="fontstyle01" style="font-family:BNazanin"><span style="font-weight:normal"><span style="font-style:normal"><span lang="AR-SA" style="font-size:11.0pt"><span b="" nazanin="" style="font-family:"> نتایج نشان داد وضعیت کلی تابآوری در بیمارستانهای مطالعه حاضر </span></span></span></span></span><span lang="FA" style="font-size:11.0pt"><span b="" nazanin="" style="font-family:">بهطور متوسط 0/69 </span></span><span lang="AR-SA" style="font-size:11.0pt">±</span> <span lang="FA" style="font-size:11.0pt"><span b="" nazanin="" style="font-family:">3/95 بوده که در سطح خوب ارزیابیشده است. بیشترین نمره مربوط به بیمارستان خصوصی </span></span><span dir="LTR" style="font-size:11.0pt">E</span><span style="font-size:11.0pt"><span b="" nazanin="" style="font-family:"> با میانگین </span></span><span lang="AR-SA" style="font-size:11.0pt"><span b="" nazanin="" style="font-family:">0/55 </span></span><span lang="AR-SA" style="font-size:11.0pt">±</span> <span lang="FA" style="font-size:11.0pt"><span b="" nazanin="" style="font-family:">4/30 و کمترین نمره برای بیمارستان دولتی </span></span><span dir="LTR" style="font-size:11.0pt">A</span><span style="font-size:11.0pt"><span b="" nazanin="" style="font-family:"> با میانگین 0/55</span></span><span lang="AR-SA" style="font-size:11.0pt"><span b="" nazanin="" style="font-family:"> </span></span><span lang="AR-SA" style="font-size:11.0pt">±</span><span lang="AR-SA" style="font-size:11.0pt"><span b="" nazanin="" style="font-family:"> 3/75</span></span> <span lang="FA" style="font-size:11.0pt"><span b="" nazanin="" style="font-family:">میباشد که امتیاز بیمارستان </span></span><span dir="LTR" style="font-size:11.0pt">A</span><span lang="FA" style="font-size:11.0pt"><span b="" nazanin="" style="font-family:"> در سطح متوسط و مابقی بیمارستانها در سطح خوب سنجیده شد.</span></span></span></span></span></span></span><br>
<span style="font-size:14pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span new="" roman="" style="font-family:" times=""><b><span lang="AR-SA" style="font-size:11.0pt"><span b="" nazanin="" style="font-family:">نتیجهگیری</span></span></b><b><span lang="FA" style="font-size:11.0pt"><span b="" nazanin="" style="font-family:">:</span></span></b><b> </b><span lang="FA" style="font-size:11.0pt"><span b="" nazanin="" style="font-family:">با توجه</span></span> <span class="fontstyle01" style="font-family:BNazanin"><span style="font-weight:normal"><span style="font-style:normal"><span lang="AR-SA" style="font-size:11.0pt"><span b="" nazanin="" style="font-family:">به تابآوری متوسط بیمارستانها در تعدادی از حیطهها، تدوین و ارائه برنامههای آموزشی مرتبط با آمادگی برای شرایط بحرانی و برگزاری مانورها و انجام تمرینها با تأکید بر آموزش کارکنان کلیدی پیشنهاد میگردد</span></span></span></span></span><span lang="FA" style="font-size:11.0pt"><span b="" nazanin="" style="font-family:">.</span></span></span></span></span></span></div>
<div style="text-align: justify;"><span style="font-family:Times New Roman;"><span style="font-size:14pt"><span style="unicode-bidi:embed"><b><span style="font-size:11.0pt">Background</span></b><span style="font-size:11.0pt">: The need for healthcare is one of the fundamental needs of humans in critical and emergency situations. Hospitals and healthcare centers are among the first units that can reduce casualties by providing optimal and timely healthcare services. Therefore, the present study aims to evaluate the resilience status of selected hospitals in Yazd city during the crisis in the year 2023</span><span dir="RTL" lang="FA" style="font-size:11.0pt">. </span><span style="font-size:11.0pt"></span></span></span><br>
<span style="font-size:14pt"><span style="unicode-bidi:embed"><b><span style="font-size:11.0pt">Methods:</span></b><span style="font-size:11.0pt"> This research is a descriptive-cross sectional study conducted in 2023 in 5 selected hospitals in Yazd (classified by hospital ownership: university hospitals A, B, C, charity hospital D, and private hospital E). The resilience level of the hospitals during a crisis was assessed using Zhong's standard questionnaire, which evaluated 9 dimensions of resilience. Responses to the questions were based on a 5-point Likert scale (always to never), and data were analyzed using SPSS 26 software. Quantitative data were reported with central (mean) and dispersion (standard deviation) indicators, followed by qualitative (demographic) data as numbers and percentages</span><span dir="RTL" lang="FA" style="font-size:11.0pt">.</span><span style="font-size:11.0pt"></span></span></span><br>
<span style="font-size:14pt"><span style="unicode-bidi:embed"><b><span style="font-size:11.0pt">Results:</span></b><span style="font-size:11.0pt"> The results showed that the overall resilience status of the hospitals in this study averaged 3.95 ± 0.69, which was evaluated at a good level. The highest score was for the private hospital E with an average of 4.30 ± 0.55, and the lowest score was for the public hospital A with an average of 3.75 ± 0.55. Hospital A's score was at a moderate level, while the remaining hospitals were rated at a good level</span><span dir="RTL" lang="FA" style="font-size:11.0pt">.</span><span style="font-size:11.0pt"></span></span></span><br>
<b><span style="font-size:11.0pt">Conclusion:</span></b><span style="font-size:11.0pt"> Considering the average resilience of hospitals in a number of areas, it is suggested to develop and present training programs related to preparing for critical situations and holding maneuvers and conducting exercises with emphasis on training key employees</span><span dir="RTL" lang="FA" style="font-size:11.0pt">.</span></span></div>
تابآوری, بحران, بیمارستان
Resilience, Disaster, Hospital
151
160
http://mshsj.ssu.ac.ir/browse.php?a_code=A-10-370-1&slc_lang=fa&sid=1
Haniye
Akhondi
هانیه
آخوندی
haniyeakhondi@gmail.com