تأثیر مدیریت فرآیند شش سیگما بر بهبود کیفیت خدمات اطلاع درمانی و کاهش هزینه‌های درمانی (مورد مطالعه: یکی از بیمارستان‌های آموزشی غیردولتی مستقر در تهران)
محورهای موضوعی : -مدارک پزشکیصدیقه محمداسماعیل 1 , مصطفی پهلوان زاده 2
1 - دانشیار، گروه علم اطلاعات و دانش شناسی - مدیریت اطلاعات و دانش، واحد علوم و تحقیقات، دانشگاه آزاد اسلامی، تهران، ایران
2 - دانشجوی دکتری رشته علم اطلاعات و دانش شناسی - مدیریت اطلاعات و دانش، واحد علوم و تحقیقات، دانشگاه آزاد اسلامی، تهران، ایران
کلید واژه: کیفیت خدمات, کاهش هزینه‌های, اطلاع درمانی, فرآیند شش سیگما, بیمارستان,
چکیده مقاله :
مقدمه: هدف مقاله حاضر، بررسی تعیین تأثیر مدیریت فرآیند شش سیگما بر بهبود کیفیت خدمات اطلاع درمانی و کاهش هزینه‌های درمانی است. روش پژوهش: روش‌شناسی پژوهش حاضر که به لحاظ هدف در زمره مطالعات کاربردی است، پیمایشی توصیفی از نوع همبستگی بوده است. جامعۀ آماری این پژوهش را کلیۀ مدیران، سرپرستان و کارشناسان بیمارستان فرهیختگان تشکیل می‌دهد که تعداد آن‌ها 125 نفر است. برای تعیین حجم نمونه از فرمول کوکران استفاده شده است که با توجه به جامعۀ آماری، 94 نفر می‌باشد. روش انتخاب نمونه‌های آماری هم با توجه به موضوع و ماهیت پژوهش، نمونه‌گیری تصادفی ساده است. جمع‌آوری داده‌های مورد نیاز نیز با استفاده از ابزار پرسشنامۀ استاندارد و تجزیه و تحلیل داده‌ها با استفاده تحلیل رگرسیون از طریق نرم افزار spss 23 صورت گرفته است. یافته ها: مدیریت فرآیند شش سیگما از طریق متغیر میانجی کیفیت خدمات اطلاع درمانی بر کاهش هزینه ها تاثیر دارد. بنابراین نقش میانجی کیفیت خدمات اطلاع درمانی تأیید می‌شود. نتیجه گیری: شش سیگما یک رویکرد سیستماتیک برای بهبود فرایندهای کاری بر پایه نیاز مشتری و تجزیه و تحلیل واقعی فرایندهای در حال انجام در هر موسسه ارائه می‌کند. این موضوع تفاوت شش سیگما با سایر روش‌ها و دلیل اصلی به کارگیری در موسسات مراقبت بهداشتی است. صرف نظر از این تفاوت‌ها، پیاده‌سازی هر رویکردی به بسترسازی و پذیرش فرهنگ کیفیت در آن سازمان نیاز دارد. همچنین، بهبود کیفیت فرایندی مستمر است که با همکاری و تعامل گروه های کاری و استفاده از ابزارها و متدولوژی مناسب برای حل مشکل خاص انجام می‌شود
Introduction: The aim of this paper is to investigate the effect of Six Sigma process management on improving the quality of health information services and reducing treatment costs. Research Methodology: The methodology of the present study, which is among the applied studies in terms of purpose, has been a descriptive survey of the type of correlation. The statistical population of this study consists of all managers, supervisors and experts of Farhikhtegan Hospital, which is 125 people. The Cochran's formula has been used to determine the sample size, which is 94 people according to the statistical population. The method of selecting statistical samples is also a simple random sampling according to the subject and nature of the research. The required data were collected using standard questionnaire tools and data analysis using regression analysis through SPSS 23 software. Results: The management of the six Sigma process through the mediating variable of the quality of health information services has an impact on cost reduction. Therefore, the mediating role of quality of health information services is confirmed. Conclusion: Six Sigma provides a systematic approach to improving business processes based on customer needs and real-time analysis of ongoing processes in each institution. This is the difference between Six Sigma and other methods and the main reason for using it in health care institutions. Regardless of these differences, the implementation of any approach requires the establishment and acceptance of a culture of quality in that organization.
1- Role of Social Responsibility Components on Organizational Health (Case Study of Urmia Health Network Staff). Health Management, 2019; 10 (3): 7- 20. [In Persian]
2- Arfaie Einuddin R. The Relationship between Leisure Time and Social Health (Case Study of 15-29 year olds in Bostan Abad). M.Sc. in Social Planning and Welfare, Allameh Tabatabai University, 2009. [In Persian]
3- Atashgar K, Khosravi B. Improving Quality and Reducing Cost at Taleghani Medical Institute Using Six Sigma. Health Information Management, 2013; 11 (7): 840-850. [In Persian]
4- Yarahmadi A, Zare Farshid F. Therapeutic Information: A new concept with an old concept in the recovery of chronic diseases. Health Information Management, 2014; 12 (1): 125-131. [In Persian].
5- Zinali V, Riahnia N. Feasibility of Providing Information Therapy Services in Medical and Educational Centers of Shahid Beheshti University of Medical Sciences from the Perspective of Physicians and Center Officials. Health Management, 2014; 59 (18). [In Persian].
6- Asadi F. The Role of Six Sigma in Improving the Quality of Health Care Services. Health Management, 2007; 10: 75-31. [In Persian]
7- Alizadeh Aghdam M, Sam Aram E, Soltani B, Rajaii K. The effect of social health on quality of life of students of Payam Noor Moshgin Shahr University. Social Studies and Research in Iran, 2014; 3: 535-546. [In Persian]
8- Woods Collins B, Sasser BA. Medical Self-managing-the Hospital Librarian’s role in Medical ReferenceServices Quarterly. Yousefi A, Trans. Information Science Journal, 2003; 17(1,2): 152-62.
9- Afraz Sh., Akbar R. Investigating the Role of Mobile Health Software in Facilitating the Self-Care Process. First Conference on Information Technology and Health Promotion. 2018. [In Persian]
10- Ahmadi Z, Izadkhah F. Investigating the Role of Media in Community Health Development: A Review Study, First Conference on Information Technology and Health Promotion. Information Technology and Health Promotion Association 2017.
11- Mousavi Z, Kalhor M, Rashidi K, Amini M. Information Literacy Survey of Nurses Working in Public Hospitals in Boroujerd, Iran, 1997-96, First Conference on Information Technology and Health Promotion. Information Technology and Health Promotion Association, 2018. [In Persian].
12- Rasoul A, Mohammadi Balban Abad T, Mohammadi Balban Abad Sh. Investigating the Impact of Information and Communication Technology on the Health System. First Conference on Information Technology and Health Promotion Tehran, 2018. [In Persian].
13- Bagheri F, Soleimanzadeh Kalahroudi M. Identifying Key Factors and Sub-Factors of Success in Six Sigma Quality Program and Determining its Impact on Performance Indicators in Selected Hospitals of Tehran. International Conference on Industrial Engineering and Management, Tehran, Permanent Secretariat Conference, 2016. [In Persian].
14- Gavgani V, Roshani shiramin A. Physician directed information prescription service (IPs): barriers and drivers. Aslib proceedings: new information perspectives, 2013; 65(3): 224-241.
1- Role of Social Responsibility Components on Organizational Health (Case Study of Urmia Health Network Staff). Health Management, 2019; 10 (3): 7- 20. [In Persian]
2- Arfaie Einuddin R. The Relationship between Leisure Time and Social Health (Case Study of 15-29 year olds in Bostan Abad). M.Sc. in Social Planning and Welfare, Allameh Tabatabai University, 2009. [In Persian]
3- Atashgar K, Khosravi B. Improving Quality and Reducing Cost at Taleghani Medical Institute Using Six Sigma. Health Information Management, 2013; 11 (7): 840-850. [In Persian]
4- Yarahmadi A, Zare Farshid F. Therapeutic Information: A new concept with an old concept in the recovery of chronic diseases. Health Information Management, 2014; 12 (1): 125-131. [In Persian].
5- Zinali V, Riahnia N. Feasibility of Providing Information Therapy Services in Medical and Educational Centers of Shahid Beheshti University of Medical Sciences from the Perspective of Physicians and Center Officials. Health Management, 2014; 59 (18). [In Persian].
6- Asadi F. The Role of Six Sigma in Improving the Quality of Health Care Services. Health Management, 2007; 10: 75-31. [In Persian]
7- Alizadeh Aghdam M, Sam Aram E, Soltani B, Rajaii K. The effect of social health on quality of life of students of Payam Noor Moshgin Shahr University. Social Studies and Research in Iran, 2014; 3: 535-546. [In Persian]
8- Woods Collins B, Sasser BA. Medical Self-managing-the Hospital Librarian’s role in Medical ReferenceServices Quarterly. Yousefi A, Trans. Information Science Journal, 2003; 17(1,2): 152-62.
9- Afraz Sh., Akbar R. Investigating the Role of Mobile Health Software in Facilitating the Self-Care Process. First Conference on Information Technology and Health Promotion. 2018. [In Persian]
10- Ahmadi Z, Izadkhah F. Investigating the Role of Media in Community Health Development: A Review Study, First Conference on Information Technology and Health Promotion. Information Technology and Health Promotion Association 2017.
11- Mousavi Z, Kalhor M, Rashidi K, Amini M. Information Literacy Survey of Nurses Working in Public Hospitals in Boroujerd, Iran, 1997-96, First Conference on Information Technology and Health Promotion. Information Technology and Health Promotion Association, 2018. [In Persian].
12- Rasoul A, Mohammadi Balban Abad T, Mohammadi Balban Abad Sh. Investigating the Impact of Information and Communication Technology on the Health System. First Conference on Information Technology and Health Promotion Tehran, 2018. [In Persian].
13- Bagheri F, Soleimanzadeh Kalahroudi M. Identifying Key Factors and Sub-Factors of Success in Six Sigma Quality Program and Determining its Impact on Performance Indicators in Selected Hospitals of Tehran. International Conference on Industrial Engineering and Management, Tehran, Permanent Secretariat Conference, 2016. [In Persian].
14- Gavgani V, Roshani shiramin A. Physician directed information prescription service (IPs): barriers and drivers. Aslib proceedings: new information perspectives, 2013; 65(3): 224-241.
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1- Role of Social Responsibility Components on Organizational Health (Case Study of Urmia Health Network Staff). Health Management, 2019; 10 (3): 7- 20. [In Persian]
2- Arfaie Einuddin R. The Relationship between Leisure Time and Social Health (Case Study of 15-29 year olds in Bostan Abad). M.Sc. in Social Planning and Welfare, Allameh Tabatabai University, 2009. [In Persian]
3- Atashgar K, Khosravi B. Improving Quality and Reducing Cost at Taleghani Medical Institute Using Six Sigma. Health Information Management, 2013; 11 (7): 840-850. [In Persian]
4- Yarahmadi A, Zare Farshid F. Therapeutic Information: A new concept with an old concept in the recovery of chronic diseases. Health Information Management, 2014; 12 (1): 125-131. [In Persian].
5- Zinali V, Riahnia N. Feasibility of Providing Information Therapy Services in Medical and Educational Centers of Shahid Beheshti University of Medical Sciences from the Perspective of Physicians and Center Officials. Health Management, 2014; 59 (18). [In Persian].
6- Asadi F. The Role of Six Sigma in Improving the Quality of Health Care Services. Health Management, 2007; 10: 75-31. [In Persian]
7- Alizadeh Aghdam M, Sam Aram E, Soltani B, Rajaii K. The effect of social health on quality of life of students of Payam Noor Moshgin Shahr University. Social Studies and Research in Iran, 2014; 3: 535-546. [In Persian]
8- Woods Collins B, Sasser BA. Medical Self-managing-the Hospital Librarian’s role in Medical Reference Services Quarterly. Yousefi A, Trans. Information Science Journal, 2003; 17(1,2): 152-62.
9- Afraz Sh., Akbar R. Investigating the Role of Mobile Health Software in Facilitating the Self-Care Process. First Conference on Information Technology and Health Promotion. 2018. [In Persian]
10- Ahmadi Z, Izadkhah F. Investigating the Role of Media in Community Health Development: A Review Study, First Conference on Information Technology and Health Promotion. Information Technology and Health Promotion Association 2017.
11- Mousavi Z, Kalhor M, Rashidi K, Amini M. Information Literacy Survey of Nurses Working in Public Hospitals in Boroujerd, Iran, 1997-96, First Conference on Information Technology and Health Promotion. Information Technology and Health Promotion Association, 2018. [In Persian].
12- Rasoul A, Mohammadi Balban Abad T, Mohammadi Balban Abad Sh. Investigating the Impact of Information and Communication Technology on the Health System. First Conference on Information Technology and Health Promotion Tehran, 2018. [In Persian].
13- Bagheri F, Soleimanzadeh Kalahroudi M. Identifying Key Factors and Sub-Factors of Success in Six Sigma Quality Program and Determining its Impact on Performance Indicators in Selected Hospitals of Tehran. International Conference on Industrial Engineering and Management, Tehran, Permanent Secretariat Conference, 2016. [In Persian].
14- Gavgani V, Roshani shiramin A. Physician directed information prescription service (IPs): barriers and drivers. Aslib proceedings: new information perspectives, 2013; 65(3): 224-241.