شناسایی نیازهای ساختار مدیریتی مراکز درمانی در راستای جبران صدمات کادر درمان در کرونا )مورد مطالعه:دانشگاه علوم پزشکی تبریز)
محورهای موضوعی : -مدیریت خدمات بهداشتی و درمانیاسکندر شیرازی 1 , بلال پناهی 2
1 - استادیار، گروه مدیریت دولتی دانشگاه پیام نور، تهران، ایران
2 - استادیار، گروه مدیریت دولتی دانشگاه پیام نور، تهران، ایران
کلید واژه: سیاستگذاری, ساختار مدیریتی, کادر درمان, تحلیل سلسله مراتبی,
چکیده مقاله :
مقدمه: هدف پژوهش حاضر شناسایی نیازهای ساختار مدیریتی مراکز درمانی - بیمارستانی جهت جبران آسیب‌های ناشی از مبارزه با کوید 19 می‌باشد. روش پژوهش: این مطالعه از لحاظ هدف کاربردی و از نظر روش انجام پژوهش کیفی بوده و با استفاده از مصاحبه‌های نیمه ساختاریافته با 19 نفر از خبرگان که به صورت نمونهگیری هدفمند انتخاب شده بودند، سیاست‌های موثر بر ساختار مدیریتی مراکز درمانی شناسایی و دستهبندی شدند. دادههای این بخش با استفاده از روش کدگذاری سه مرحله‌ای باز، محوری و انتخابی دستهبندی و تحلیل گردید روایی مقوله‌ها و مضامین به دست آمده با استفاده از تائید خبرگان و پایایی با استفاده از روش باز آزمون برابر 83 درصد به دست آمد. یافته‌ها: تجریه و تحلیل دادههای به دست آمده منجر به شکل‌گیری 179زیر مقوله 43 مقوله و 8 مضمون اصلی گردید طی این پژوهش 8 عامل حمایت‌های اجتماعی سازمان، اقدامات انگیزشی، اقدامات رفتاری، اقدامات مالی و رفاهی، ارتباطات باز، سیستم‌های مدیریتی، سیاست‌های سازمانی و سیاست‌های منابع انسانی به عنوان مضامین اصلی پژوهش انتخاب گردید. نتیجه‌گیری: بر اساس نتایج حاصل از کد گداری دادههای کیفی سبک دمکراتیک مدیریت و افزایش خدمات رفاهی به عنوان مقوله‌های کلیدی ساختار مدیریتی مراکز درمانی به دلیل تکرار مکرر در بین کدهای دریافتی انتخاب گردید و بر اساس تعداد تکرار کدهای دریافتی مضامین خدمات رفاهی با ضریب 0.172، سیاست‌های منابع انسانی با ضریب 0.152 و راهکارهای انگیزشی با ضریب 0.148به ترتیب رتبه‌های اول تا سوم را به خود اختصاص دادند .
Introduction: The purpose of the current research is to identify the needs of the management structure of medical centers-hospitals in order to compensate for the damages caused by the fight against Covid-19. Methods: This study is applied in terms of purpose and qualitative in terms of research method, and by using semi-structured interviews with 19 experts who were selected through purposive sampling, effective policies on the management structure of medical centers were identified and were categorized. The data of this section were categorized and analyzed using the three-step open, central and selective coding method. The validity of the categories and themes obtained using experts' confirmation and the reliability using the open test method were found to be 83%. Results: Experimentation and data analysis of the obtained data led to the formation of 179 subcategories, 43 categories and 8 main themes. During this research, 8 factors of social support of the organization, motivational measures, behavioral measures, financial and welfare measures, open communication, systems Management, organizational policies and human resource policies were selected as the main themes of the research. Conclusion: Based on the results of qualitative data coding, the democratic style of management and the increase of welfare services were selected as the key categories of the management structure of medical centers due to frequent repetition among the codes received, and based on the number of repetitions of the received codes, the themes of welfare services with The coefficient of 0.172, human resources policies with the coefficient of 0.152 and motivational solutions with the coefficient of 0.148 took the first to third ranks, respectively.
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