تاثیر طرح تحول سلامت بر توزیع نیروی انسانی در بیمارستان‌های منتخب دانشگاه علوم پزشکی تهران
محورهای موضوعی : -مدارک پزشکیگلسا شهام 1 , علی کمیلی 2 , ایروان مسعودی اصل 3
1 - دانشجوی کارشناسی ارشد مدیریت خدمات بهداشتی و درمانی، دانشکده علوم پزشکی، واحد علوم و تحقیقات، دانشگاه آزاد اسلامی، تهران، ایران
2 - استادیار، گروه مدیریت خدمات بهداشتی و درمانی، دانشکده علوم پزشکی، واحد علوم و تحقیقات، دانشگاه آزاد اسلامی، تهران، ایران
3 - دانشیار، گروه مدیریت خدمات بهداشتی و درمانی، مرکز پژوهش‌های مجلس شورای اسلامی، تهران، ایران
کلید واژه: توزیع نیروی انسانی, بیمارستان, شاخص‌های عملکردی, طرح تحول سلامت, دانشگاه علوم پزشکی تهران,
چکیده مقاله :
مقدمه: با اجرای طرح تحول سلامت، انتظار می‌رود میزان مراجعه بیماران به بیمارستان‌های دانشگاهی و شاخص‌های عملکردی تغییر یابد. بنابراین بیمارستان‌ها نیاز نیروی انسانی خود را بیشتر لمس نموده و در جهت رفع ان اقدام می‌نمایند. لذا پژوهش حاضر با تعیین تغییرات در شاخص‌های عملکردی قبل و بعد از طرح تحول سلامت، و ارتباط این تغییرات با توزیع نیروی انسانی در بیمارستان‌ها انجام شد. روش پژوهش: این پژوهش از نوع توصیفی - تحلیلی بود و جامعه آماری را منابع اطلاعاتی موجود در بیمارستان‌های منتخب دانشگاه علوم پزشکی تهران تشکیل می‌داد. ابزار گردآوری داده‌ها فرم جمع‌آوری اطلاعات بود و نتایج با استفاده از نرم‌افزارExcel ، Spss و آزمون‌های همبستگی پیرسون و تی زوج دو نمونه‌ای تحلیل گردید. یافته‌ها:در این مطالعه، شاخص‌های عملکردی باتوزیع نیروی انسانی در بعد از اجرای طرح تحول سلامت رابطه معنادار داشت و در بررسی وضعیت کمبود نیروی انسانی قبل و بعد از اجرای طرح، نتایج نشان داد که طرح تحول سلامت بصورت معنی‌داری بر کاهش کمبود نیروی انسانی موثر بوده و این تاثیر تنها در پیراپزشکان که شامل کادر اتاق عمل، علوم آزمایشگاهی و رادیولوژی بیمارستان‌ها بود مشاهده نشد. نتیجه‌گیری: نتایج بیانگر افزایش ارائه خدمات در سطوح نیروی انسانی بوده و در گروه پرستاری کمبود بیشتری وجود داشت. بنابراین طرح تحول بر وضعیت نیروی انسانی بیمارستان‌ها تاثیر داشته و با بالارفتن شاخص‌های عملکردی، نیروی انسانی بیشتر بکار گرفته شده است.
Introduction: While implementing Healthcare Overhaul Plan, the process of patient flow might have changes and performance indicators. So, Governmental hospitals, encounter better with shortages and need to workforces. This research conducted to determine the changes in hospital indicators before and after Healthcare Overhaul Plan and relationships of these changes to distribution of selected hospitals workforces. Methods: This study was a descriptive-analytical study. Study population consisted of database of hospitals affiliated to Tehran University of Medical Sciences. Data gathering tools were forms which gathered. Data analyzed using Excel and SPSS software and Two-sample t-tests and Pearson correlations. Results:in this study, performance indicators had significant relationship with distribution of hospital workforces in after the implementation of Healthcare Overhaul Plan. And in the state of manpower shortage in hospitals before and after the implementation of Healthcare Overhaul Plan, the results showed that Healthcare Overhaul Plan significantly contributed to reducing manpower shortage and this impact only in the paramedics group, including staff operating room, laboratory and radiology was not observed. Conclusion: According to the standards of the Ministry of Health, there have been deficiencies in nursing human resources. The results indicate an increase in the levels of services. So healthcare overhaul plan have an impact on human resources and the higher the performance indicators used more manpower, the results also indicate the issue.
1- Abooalaee B, Ghafari A. Human capital of competitive advantage in organizations in the global arena. Grecce: The articles Collection of 37th International Humanities Resources Conference; 2005.
2- Monavarian A. New society of organizations. Governmental Management, 1998; 32: 61-72[Persian].
3- Rostami M & Abredori H. Estimated the manpower of nursing section on Shohadaye Tajrish hospital of Tehran and compared with existing standards. Shiraz: 4th Annual Congress of Health Care Management Students; 2006. [Persian]
4- Mirsepasi N. The flexibility of human resources structure. Tadbir, 2005; 5(46): 14-19. [Persian]
5- Mostafaee D. Estimated the manpower of Tehran university of medical sciences hospitals matching the Health Ministry in 2003 [MSc.Thesis]. Tehran university of medical sciences; 2004. [Persian]
6- Gramm ZW, Ari R, Dedni J & Rajerz J. Health human resources planning. Translated by Parsinia S. Tehran: Health Ministry; 2000. [Persian]
7- WHO. The manual report of WHO. WHO, 1987; 56-60.
8- Health Ministry. Report of hospitals condition of Iran. Health Ministry; 2000: 29-31. [Persian]
9- Arab M, Fazaeli S, Mohammadpour M, Pirmoazen V & Yousefi M. Estimated the required manpower in the children's medical center of Tehran university of medical sciences for using by the work and timing activities method. Hospital, 2009; 8(3): 1-7. [Persian]
10- Sadeghifar J, Pourreza A, Ahmadi B, Zeraati H, Arab M. Survey of estimated required manpower in Ilam university of medical sciences hospitals matching the health ministry standards. Ilam University of Medical Sciences, 2011; 19(1): 24-31. [Persian]
11- Ghazi Mirsaeid SJ, Mirzaie M, Haghshenas E & Dargahi H. Human resources distribution among Tehran university of medical sciences hospitals. Pyavard Salamat, 2013; 7(5): 432-446.[Persian]
12- Bahadori M, Arab M, Sadeghifar J, Ahmadi B, Salimi M & Yghoubi M. Estimation of nursing staff in selected hospitals of ilam and ahvaz provinces, Western iran. Nurs Midwifery Stud, 2013; 2(2): 217-25.
13- Sadeghifar J, Tofighi SH, Hasani M, Rekab Eslami S, Raadabadi M, Moosavi SM. Estimation of the necessary nursing manpower in selected hospital affiliated with Jundishapour university of medical sciences. Jundishapour Journal of Health Sciences, 2013; 5(1): 1-8. [Persian]
14- Elarabi HM & Johari F. The impact of human resources management on healthcare quality. Asian J Manag Sci Edu, 2014; 3(1): 13-22.
15- Health Ministry. Map of healthcare overhaul plan based on the Islamic-Iranian model. Iran: The Council of Policy of Helath Ministry; 2014: 5. [Persian]
16- Development Office Health Ministry. Standards of estimating the human resources matching the pattern of Health Ministry. Iran: Health Ministry; 2006. [Persian]
17- Momeni KH. Survey of manpower distribution in Shohaday Tajrsih hospital copared with Health Ministry standards. Tabriz: 5th Mannual Congress of Health Care Management Students; 2006. [Persian]
18- Rahmani H, Arab M, Akbari F & Zeraati H. Structure, process and activities of emergency department of Tehran university of medical sciences hospitals. School of Public Health & Health Researches Institute, 2006; 4(4): 13-22. [Persian]
19- Jahani MA, Rastegar A, Hosseinpour M, Bijani A. The condition of manpower structure, space and the equipments of emergency in the Babol university of medical sciences hospitals matching the national standards in 2007. Babol University of Medical Sciences, 2008; 10(6): 73-79. [Persian]
20- Abrishamkar S, Abedeinzade MR, Arti H, Danesh A & Hooshmand F. Survey of the causes of hospitalization and death in ICU in the Ayatolah Kashani hospital of Shahrekord. Shahrekord University of Medical Sciences, 2004; 23: 73-78. [Persian]
21- Jadidi R, Nouroozi A & Moshiri E. Relation between manpower and physical resources in the intensive care units and with the scale of death in the patients in Markazi province hospitals in 2007. Arak University of Medical Sciences, 2009; 12(2): 29-38. [Persian]
22- Aiken LH, Clarke SP, Sloane DM, Sochalski JA, Busse R, Clarke H, et al. Nurses' reports on hospital care in five countries. Health Affair, 2001; 20(3): 43-53.
23- Sheikh Bardsiri H, Molavi Y & Shirdel A. Condition of distribution and adequacy of manpower in Iran hospitals. Hospital, 2015; 14(4): 115-123. [Persian]
24- Faridfar N, Alimohammadzade KH & Seyedein SH. Impact of healthcare overhaul plan on clinical, paraclinical, surgery indexes and on the patients satisfaction in Rasul Akram hospital in 2013-2014. Razi Medical Sciences Journal, 2015; 22(140): 92-99. [Persian]
25- Shahabi M, Tofighi SH & Maleki MR. Specialist physicians and nurse manpower distribution in terms of population and related with bed number in the governmental hospitals in Iran in 2001-2006. Health Management, 2010; 13(41): 7-14. [Persian]
26- Ozcan S & Hornby P. Determining hospital workforce requirements: A case study. Human Resources Development Journal, 1999; 3(3): 210-220.
27- Bratlid D. Manpower resources and patient treatment at a regional hospital. Tidsskr nor Laegeforen, 2000; 120(25): 3021-6.
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1- Abooalaee B, Ghafari A. Human capital of competitive advantage in organizations in the global arena. Grecce: The articles Collection of 37th International Humanities Resources Conference; 2005.
2- Monavarian A. New society of organizations. Governmental Management, 1998; 32: 61-72[Persian].
3- Rostami M & Abredori H. Estimated the manpower of nursing section on Shohadaye Tajrish hospital of Tehran and compared with existing standards. Shiraz: 4th Annual Congress of Health Care Management Students; 2006. [Persian]
4- Mirsepasi N. The flexibility of human resources structure. Tadbir, 2005; 5(46): 14-19. [Persian]
5- Mostafaee D. Estimated the manpower of Tehran university of medical sciences hospitals matching the Health Ministry in 2003 [MSc.Thesis]. Tehran university of medical sciences; 2004. [Persian]
6- Gramm ZW, Ari R, Dedni J & Rajerz J. Health human resources planning. Translated by Parsinia S. Tehran: Health Ministry; 2000. [Persian]
7- WHO. The manual report of WHO. WHO, 1987; 56-60.
8- Health Ministry. Report of hospitals condition of Iran. Health Ministry; 2000: 29-31. [Persian]
9- Arab M, Fazaeli S, Mohammadpour M, Pirmoazen V & Yousefi M. Estimated the required manpower in the children's medical center of Tehran university of medical sciences for using by the work and timing activities method. Hospital, 2009; 8(3): 1-7. [Persian]
10- Sadeghifar J, Pourreza A, Ahmadi B, Zeraati H, Arab M. Survey of estimated required manpower in Ilam university of medical sciences hospitals matching the health ministry standards. Ilam University of Medical Sciences, 2011; 19(1): 24-31. [Persian]
11- Ghazi Mirsaeid SJ, Mirzaie M, Haghshenas E & Dargahi H. Human resources distribution among Tehran university of medical sciences hospitals. Pyavard Salamat, 2013; 7(5): 432-446.[Persian]
12- Bahadori M, Arab M, Sadeghifar J, Ahmadi B, Salimi M & Yghoubi M. Estimation of nursing staff in selected hospitals of ilam and ahvaz provinces, Western iran. Nurs Midwifery Stud, 2013; 2(2): 217-25.
13- Sadeghifar J, Tofighi SH, Hasani M, Rekab Eslami S, Raadabadi M, Moosavi SM. Estimation of the necessary nursing manpower in selected hospital affiliated with Jundishapour university of medical sciences. Jundishapour Journal of Health Sciences, 2013; 5(1): 1-8. [Persian]
14- Elarabi HM & Johari F. The impact of human resources management on healthcare quality. Asian J Manag Sci Edu, 2014; 3(1): 13-22.
15- Health Ministry. Map of healthcare overhaul plan based on the Islamic-Iranian model. Iran: The Council of Policy of Helath Ministry; 2014: 5. [Persian]
16- Development Office Health Ministry. Standards of estimating the human resources matching the pattern of Health Ministry. Iran: Health Ministry; 2006. [Persian]
17- Momeni KH. Survey of manpower distribution in Shohaday Tajrsih hospital copared with Health Ministry standards. Tabriz: 5th Mannual Congress of Health Care Management Students; 2006. [Persian]
18- Rahmani H, Arab M, Akbari F & Zeraati H. Structure, process and activities of emergency department of Tehran university of medical sciences hospitals. School of Public Health & Health Researches Institute, 2006; 4(4): 13-22. [Persian]
19- Jahani MA, Rastegar A, Hosseinpour M, Bijani A. The condition of manpower structure, space and the equipments of emergency in the Babol university of medical sciences hospitals matching the national standards in 2007. Babol University of Medical Sciences, 2008; 10(6): 73-79. [Persian]
20- Abrishamkar S, Abedeinzade MR, Arti H, Danesh A & Hooshmand F. Survey of the causes of hospitalization and death in ICU in the Ayatolah Kashani hospital of Shahrekord. Shahrekord University of Medical Sciences, 2004; 23: 73-78. [Persian]
21- Jadidi R, Nouroozi A & Moshiri E. Relation between manpower and physical resources in the intensive care units and with the scale of death in the patients in Markazi province hospitals in 2007. Arak University of Medical Sciences, 2009; 12(2): 29-38. [Persian]
22- Aiken LH, Clarke SP, Sloane DM, Sochalski JA, Busse R, Clarke H, et al. Nurses' reports on hospital care in five countries. Health Affair, 2001; 20(3): 43-53.
23- Sheikh Bardsiri H, Molavi Y & Shirdel A. Condition of distribution and adequacy of manpower in Iran hospitals. Hospital, 2015; 14(4): 115-123. [Persian]
24- Faridfar N, Alimohammadzade KH & Seyedein SH. Impact of healthcare overhaul plan on clinical, paraclinical, surgery indexes and on the patients satisfaction in Rasul Akram hospital in 2013-2014. Razi Medical Sciences Journal, 2015; 22(140): 92-99. [Persian]
25- Shahabi M, Tofighi SH & Maleki MR. Specialist physicians and nurse manpower distribution in terms of population and related with bed number in the governmental hospitals in Iran in 2001-2006. Health Management, 2010; 13(41): 7-14. [Persian]
26- Ozcan S & Hornby P. Determining hospital workforce requirements: A case study. Human Resources Development Journal, 1999; 3(3): 210-220.
27- Bratlid D. Manpower resources and patient treatment at a regional hospital. Tidsskr nor Laegeforen, 2000; 120(25): 3021-6.