بررسی تأثیر طرح تحول نظام سلامت بر توانمندسازی روان‌شناختی و کیفیت زندگی کاری کادر درمانی
محورهای موضوعی : -اقتصاد بهداشت و درمانیوسف پاشازاده 1 , حامد ولی زده 2 , سالار فریدپور 3
1 - استادیار گروه مدیریت بازرگانی، دانشکده اقتصاد و مدیریت، دانشگاه ارومیه، ارومیه، ایران
2 - دانش آموخته کارشناسی ارشد مدیریت دولتی، مرکز اورژانس، دانشگاه علوم پژشکی ارومیه، ارومیه، ایران
3 - دانشجوی دکتری مدیریت کارآفرینی، گروه کارآفرینی، واحد قزوین، دانشگاه آزاد اسلامی، قزوین، ایران
کلید واژه: کیفیت زندگی کاری, طرح تحول نظام سلامت, توانمندسازی روان‌شناختی,
چکیده مقاله :
مقدمه: پژوهش حاضر با هدف بررسی تأثیر طرح تحول نظام سلامت بر توانمندسازی روان‌شناختی و کیفیت زندگی کاری کادر درمانی بیمارستان‌های آموزشی درمانی ارومیه؛ و با روش توصیفی - کاربردی از نوع همبستگی انجام شد.روش پژوهش: به منظور دست‌یابی به اهداف پژوهش از میان کارکنان بالینی بیمارستان‌های آموزشی درمانی ارومیه نمونه‌ای با حجم 330 نفر و روش نمونه‌گیری تصادفی انتخاب شدند. داده‌های پژوهش از طریق پرسشنامه جمع‌آوری شده و طراحی پرسشنامه بر مبنای پرسشنامه استاندارد و زیر نظر اساتید انجام شد. جهت تجزیه و تحلیل داده ها از آماره T، در نرم‌افزار SPSS استفاده شد.یافته‌ها: نتایج نشان داد میزان اثرگذاری اجرای طرح تحول نظام سلامت در یک بعد از پنج بعد توانمندسازی کارکنان یعنی اعتماد کاهش را نشان می‌دهد، در حالی که در چهار بعد خودمختاری، تأثیرگذاری، شایستگی و معنی‌داری، افزایش را نشان می‌دهد. میزان اثرگذاری اجرای طرح تحول نظام سلامت در شش بعد از هشت بعد کیفیت زندگی کاری یعنی کار متعادل، امکان رشد، کار ایمن، ائتلاف اجتماعی، سودمندی اجتماعی و امکان امنیت افزایش را نشان می‌دهد، در حالی که در دو بعد دیگر یعنی جبران خدمت و حاکمیت قانون، کاهش را نشان می‌دهد.نتیجه‌گیری: به‌طور کلی می‌توان نتیجه گرفت میزان اثرگذاری اجرای طرح تحول نظام سلامت بر توانمندسازی کارکنان در چهار بعد از پنج بعد اثر داشته است و بر کیفیت زندگی کاری در شش بعد از هشت بعد نیز اثرگذار بوده است. لذا توصیه می شود سیاست‌گذاران و مجریان طرح تحول سلامت به شایسته سالاری، استقلال شغلی و تفویض اختیار، معنی داری و هویت بخشی شغلی جهت ارتقای توانمندی کادر درمانی توجه نموده ؛ هم‌چنین جهت بهبود کیفیت زندگی کاری، سیاست های مناسبی در راستای بهبود ایمنی کار، رشد و بهسازی کارکنان، ارتقای همبستگی و انسجام درونی، تعادل بین کار و زندگی، ارتقای سودمندی اجتماعی و امنیت شغلی کادر درمان اتخاذ نمایند.
Introduction: In order to apply the health aims in the fifth development program law, health system evolution planning has prepared with three purposes: financial protection of people, make equanimity in accessibility to health services, preferment of services quality. This research has done for purpose of studying the influence of health system evolution plan on the psychological enrichment and acting life quality of treatment cadre for educational-remedial hospitals of Urmia, with the descriptive-usage correlation method.Methods: For accessing to research goals, 330 clinical personnel of educational-remedial hospitals of Urmia selected with random sampling in spring and summer of 1396. The data of research has obtained through questionnaire and the design of questionnaire has done based on standard questionnaire and advice of faculties. For analysis of data, Data distribution test (Kolmogorov-Smirnov), T test, Regression and Spearman Correlation, was used in SPSS software.Results: The results showed that impressment of performance of health system evolution plan, in one aspects of five personnel enrichment aspects, confidence, shows decrease, Whiles in four aspect of impressment, autonomy, ability and signification it shows decrease.Also impressment of performance of health system evolution plan in six aspect of eight aspects of acting life quality means, balanced work, growth facility, safe work, social coalition, social utilization, facility of security, shows increase; Whiles in two others aspects means, impress of reward able and govern of law, it shows decrease.Conclusion: Generally, it concluded that impressment of performance of health system evolution plan on the personnel enrichment was influenced just on four aspects of five aspect, Whiles in acting life quality it influenced on six aspects of eight aspects.
1- Adabadi M, Fayaz-bakhsh A, Nazari A, Musavi S-M, Fayaz-bakhsh Ma. Organizational entrepreneurship and administrators of hospitals: case study of Iran. Global J Health Sci, 2014; 6: 249-255. [Farsi]
2- MMemarzadeh Gh, Nasirpour A.A, Designing a comprehensive compensation model for specialist doctors working in public hospitals in Tehran, Human Resource Management Research Journal, 2013; 4(3): 23-49 [Farsi]
3- Salajaghe S, Poorrashidi R, Moosayi M. Psychological empowerment of employees and their relationship with knowledge management. JMSD, 1392; 72(23): 99-118. [Farsi]
4- Dehghan A, Mirjalili MR, Zare Mehrjardi MH, Maliheh R, Samiyezargar A, Kazemeini SK. Performance of health care system reform plan from the perspective of university hospitals executives in yazd province in 2015. Manage Strat Health Syst, 2016; 1(1): 43-49. [Farsi]
5- Asadollah K, Alireza B. Investigate the impact of psychological empowerment on structural empowerment of employees (case study: saipa company). J Org Behave Studies Qual, 2015; 4(3): 97-120. [Farsi]
6- Dehghani F, Abdi M, Pooladi H, Mehri M. An analysis of the status of health care reform in Iran and other countries. In: International Conference on Management and Economic Dynamics of Iran-Malaysia: Center for the Development of New Education in Iran (Metana); 2015. [Farsi]
7- Nasrollahpour Shirvani SD. The implementation of family physician program in i.r. Iran: achievements and challenges. J Babol Uni Med Sci, 2014; 16(3): 15-26. [Farsi]
8- Frenk J, González-Pier E, Gómez-Dantés O, Lezana MA, Knaul FM. Comprehensive reform to improve health system performance in Mexico. The Lancet, 2006; 386(9546): 1524-1534.
9- Bastani P, Lotfi F, Moradi M, Ahmadzadeh MS. The performance analysis of teaching hospitals affiliated with shiraz university of medical sciences before and after health system reform plan using pabon lasso model. J Rafsanjan Uni Med Sci, 2016; 15(8): 781-792. [Farsi]
10- Aminorroayayi M, Shahshahani SH. A comparative study of patient satisfaction and therapeutic cases in researches performed after the health system development plan. The first International Accounting, Management and Economics Conferences: Secretariat of congress; 2014. [Farsi]
11- Khaki G. Research method in management. 1. Tehran: Research Center of Iran in cooperation with Cultural derayat Publishing Center; 1999: 258-259. [Farsi]
12- Vedadi A, Mehrara A. Survey of the relationship between psychological empowerment and organizational commitment in tehran city tax affairs offices. Tax research, 2013; 21(18): 161-180. [Farsi]
13- Sharifzadeh F, Jazini A, Mohammadi-Moghaddam Y. Explaining the dimensions and components of quality of work life in police preventive police officers. J HR Promotion in NAJA, 2011; 23(6): 25-40. [Farsi]
14- Dietz G. Measuring trust inside organisations. Durham Research Online, 2014; 35(5): 557-588.
15- Ghanbari S, Shemshadi S. Assessing the relationship between psychological empowerment and nurses’ organizational trust: exploring the mediating role of organizational learning. Qual J Nursing Management, 2016; 5(1): 40-48. [Farsi]
16- Chasme Kaboodi, Mozhgan, Ahmadi, Tayyaba, Nik Bezam, Rozhia, Mohammadi, Ruholah, Zardoi, Gol Anbari, Shirin, Mohammadi, Ali. Analysis of the performance indicators of the emergency department of teaching hospitals of Kermanshah University of Medical Sciences before and after the implementation of the health system transformation plan. Health and treatment management, 2018; 10(4): 55-66. [Farsi]
17- Rahnama Nahid, Bakhtiarpour Saeed, Bavi Sasan, Jayrvand Hamdollah, Dasht Bozorgi Zahra. Presentation a Model of Quality of Work Life Based on Job Stress and Optimism Mediated by Fatigue in Married Nurses in Ahvaz. JOURNAL OF HEALTH PROMOTION MANAGEMENT (JHPM)[Internet], 2021; 10(3): 95-108. Available from: https://sid.ir/paper/414410/en. [Farsi]
18- Khorakian, A., Rahnama, N., Eslami, G. Investigating the effect of employees’ empowerment on innovative behavior with mediating role of joy and its positive outcoms. Public Administration Perspaective, 2021; 12(3): 126-154. doi: 10.52547/jpap.2021.213847.0. [Farsi]
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1- Adabadi M, Fayaz-bakhsh A, Nazari A, Musavi S-M, Fayaz-bakhsh Ma. Organizational entrepreneurship and administrators of hospitals: case study of Iran. Global J Health Sci, 2014; 6: 249-255. [Farsi]
2- MMemarzadeh Gh, Nasirpour A.A, Designing a comprehensive compensation model for specialist doctors working in public hospitals in Tehran, Human Resource Management Research Journal, 2013; 4(3): 23-49 [Farsi]
3- Salajaghe S, Poorrashidi R, Moosayi M. Psychological empowerment of employees and their relationship with knowledge management. JMSD, 1392; 72(23): 99-118. [Farsi]
4- Dehghan A, Mirjalili MR, Zare Mehrjardi MH, Maliheh R, Samiyezargar A, Kazemeini SK. Performance of health care system reform plan from the perspective of university hospitals executives in yazd province in 2015. Manage Strat Health Syst, 2016; 1(1): 43-49. [Farsi]
5- Asadollah K, Alireza B. Investigate the impact of psychological empowerment on structural empowerment of employees (case study: saipa company). J Org Behave Studies Qual, 2015; 4(3): 97-120. [Farsi]
6- Dehghani F, Abdi M, Pooladi H, Mehri M. An analysis of the status of health care reform in Iran and other countries. In: International Conference on Management and Economic Dynamics of Iran-Malaysia: Center for the Development of New Education in Iran (Metana); 2015. [Farsi]
7- Nasrollahpour Shirvani SD. The implementation of family physician program in i.r. Iran: achievements and challenges. J Babol Uni Med Sci, 2014; 16(3): 15-26. [Farsi]
8- Frenk J, González-Pier E, Gómez-Dantés O, Lezana MA, Knaul FM. Comprehensive reform to improve health system performance in Mexico. The Lancet, 2006; 386(9546): 1524-1534.
9- Bastani P, Lotfi F, Moradi M, Ahmadzadeh MS. The performance analysis of teaching hospitals affiliated with shiraz university of medical sciences before and after health system reform plan using pabon lasso model. J Rafsanjan Uni Med Sci, 2016; 15(8): 781-792. [Farsi]
10- Aminorroayayi M, Shahshahani SH. A comparative study of patient satisfaction and therapeutic cases in researches performed after the health system development plan. The first International Accounting, Management and Economics Conferences: Secretariat of congress; 2014. [Farsi]
11- Khaki G. Research method in management. 1. Tehran: Research Center of Iran in cooperation with Cultural derayat Publishing Center; 1999: 258-259. [Farsi]
12- Vedadi A, Mehrara A. Survey of the relationship between psychological empowerment and organizational commitment in tehran city tax affairs offices. Tax research, 2013; 21(18): 161-180. [Farsi]
13- Sharifzadeh F, Jazini A, Mohammadi-Moghaddam Y. Explaining the dimensions and components of quality of work life in police preventive police officers. J HR Promotion in NAJA, 2011; 23(6): 25-40. [Farsi]
14- Dietz G. Measuring trust inside organisations. Durham Research Online, 2014; 35(5): 557-588.
15- Ghanbari S, Shemshadi S. Assessing the relationship between psychological empowerment and nurses’ organizational trust: exploring the mediating role of organizational learning. Qual J Nursing Management, 2016; 5(1): 40-48. [Farsi]
16- Chasme Kaboodi, Mozhgan, Ahmadi, Tayyaba, Nik Bezam, Rozhia, Mohammadi, Ruholah, Zardoi, Gol Anbari, Shirin, Mohammadi, Ali. Analysis of the performance indicators of the emergency department of teaching hospitals of Kermanshah University of Medical Sciences before and after the implementation of the health system transformation plan. Health and treatment management, 2018; 10(4): 55-66. [Farsi]
17- Rahnama Nahid, Bakhtiarpour Saeed, Bavi Sasan, Jayrvand Hamdollah, Dasht Bozorgi Zahra. Presentation a Model of Quality of Work Life Based on Job Stress and Optimism Mediated by Fatigue in Married Nurses in Ahvaz. JOURNAL OF HEALTH PROMOTION MANAGEMENT (JHPM)[Internet], 2021; 10(3): 95-108. Available from: https://sid.ir/paper/414410/en. [Farsi]
18- Khorakian, A., Rahnama, N., Eslami, G. Investigating the effect of employees’ empowerment on innovative behavior with mediating role of joy and its positive outcoms. Public Administration Perspaective, 2021; 12(3): 126-154. doi: 10.52547/jpap.2021.213847.0. [Farsi]