بررسی نتایج اجرای مدل تعالی سازمانی بر عملکرد بیمارستان از دیدگاه مدیران ارشد و میانی بیمارستان‌های شریعتی و چمران تهران در سال1392
محورهای موضوعی : -مدارک پزشکیخلیل علی‌محمد زاده 1 , مریم یزدانجو 2
1 - رشته مدیریت خدمات بهداشتی و درمانی واحد تهران شمال
2 - دانشجوی کارشناسی ارشد رشته مدیریت خدمات بهداشتی و درمانی
کلید واژه: عملکرد بیمارستان, مدیران ارشد, الگوی تعالی سازمانی, مدیران میانی,
چکیده مقاله :
مقدمه: سازمان‌ها با به کارگیری مدل تعالی سازمانی، زمینه مقایسه عملکرد خود را با دیگران و الگوبرداری از بهترین تجارب سازمان‌های موفق را در راستای بهبود مستمر عملکرد فراهم می‌آورند. هدف اصلی این مطالعه بررسی تأثیر مدل تعالی سازمانی اجرا شده بر عملکرد بیمارستان‌ها بوده است. روش پژوهش: روش تحقیق توصیفی است. جامعه آماری بصورت کل شماری و شامل 50 نفر از مدیران ارشد و میانی بیمارستان‌های شهید چمران و دکتر شریعتی می‌باشد. اطلاعات پس از جمع‌آوری توسط نرم‌افزار SPSS نسخه 18 مورد تحلیل قرار گرفت. داده‌های کمی به صورت انحراف معیار ± گزارش شدند. به منظور مقایسه سایر متغیرهای کمی از آزمون t-test دو نمونه‌ای استفاده شد و ضریب اطمینان آزمون‌ها 05% در نظر گرفته شده است. یافته‌ها: در تحلیل آماری بعد تعهد مدیریت با میانگین و انحراف معیار 01/16±87/57 دارای بیشترین امتیاز و بهبود در نتایج بیمارستان با میانگین و انحراف معیار 41/17±16/51 دارای کمترین امتیاز بدست آمد. بین بعد نمرات کل خودارزیابی حاصل از اجرای مدل تعالی سازمانی و عملکرد دو بیمارستان (شریعتی و چمران) ارتباط معنادار آماری مشاهده شد (001/0>P). نتیجه‌گیری: با بررسی یافته‌های تحقیق مشخص گردید که مدل تعالی سازمانی اجرا شده بر عملکرد بیمارستان‌ها تأثیر مثبت و قابل توجه دارد و لذا در این راستا راهکارها و پیشنهادهای به مجریان جامعه آماری ارائه گردید.
Introduction: Organizations using business excellence model, compare their performance with the others and emulate the best practices of successful organizations in order to provide continuous improvement of performance. The main objective of this study was to evaluate the effect of organizational excellence has been implemented on the performance of hospitals. Methods: Research method is surveying descriptive. Statistical society (population) are total counted and contains 50 individuals of top and middle managers of “Sh. Chamran” and “Dr. Shariati” hospitals. Data are processed by Rev. 18 of SPSS software. Quantitative data are reported as standard deviation (±) and qualitative mean data as quantity (%). Two sample T-test was used to compare other quantitative variables and statistical significance level was considered 0.5% for tests. Results: In statistical analysis, management commitment dimension with mean and standard deviation 57.87±16.01 had maximum, and improvement in hospital results with mean and standard deviation 51.16±17.41 had minimum scores. There was a statistical significant association (P<0.001) between self assessment total scores taken from organizational excellence model and operation of two hospitals (Shariati and Chamran) Conclusion: Considering results of this study show that accomplished organizational excellence model has a positive and major effect on hospital operation; so some suggestions were recommended to population executives.
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2- Fazlollahi S. Performance Measaring and Fault Finding of Logistics System Usingthe balanced Scorecard.CaseStaudy. Tehran; Third National Conference on Performance Management; 2008. [Persian]
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5- Abdul Talib Bon, Esam MA. Impact of Total Quality Management on Innovation in Service Organization, published by Elsevier Ltd 2013; 53: 516-529.
6- Erlantz ALLUR. The Dissemination of the EFQM Self-evaluation model across Europe. International Comparative Management 2010; 11(5): 971-979.
7- Sousa R, & Voss C. “Quality management re-visited: A reflectivereview and agenda for future research”, Journal of Operations Management 2011; 26(6): 697-713.
8- Amiran H. Step by step guideonorganizational excellence model EFQM / INQA.Tehran: Quality Construction Consultants; 2005: 84. [Persian]
9- Ministry of Health and Medical Education System of performance assessment and organizational excellence based on EFQM model .Available at: http:// mdar.behdasht.gov.ir. 2012
10- Ministry of Health and Medical Education. Quality and Excellence in Hospital Centers. Available at: http// mdar.behdasht.gov.ir. 2012.
11- Javadi M, et al. Prioritizeareas of improvement in the Hospital Zahrabased onself-assessment system based on the European Quality Model(EFQM).journal of Health Management 2012; (4): 547-539. [Persian]
12- Moreno-Rodriguez JM, Cabrerizo FJ, Perez IJ, Martinez MA. A consensus Support Model based on linguistic in formation for the initial- self assessment of the EFQMin health care organizations. journal home page:www.elsevier.com. 2013; (40): 2792-2798.
13- Sanchez E, letonag Gonzalez R, Garcia M, Darpon J, Garay JI. A descriptive study of the implementation of the EFQM excellence model and underlying tools in the basque Health Service. Int J Qual Health care 2010;18(1): 58-65.
14- TaghizadehHeart A, Nvralnsa R. Need tore-fit the pattern of excellencein healthcare. Journal of Association of Hospital 2011; (2): 27. [Persian]
15- Kumar V, Choisne F, deGrosbois D, & Kumar U. Impact of TQMon companys performance. Intrenational Journal of Qaulity & Reliabiliyt Management; 2009: 23-37.
16- Jayamaha N.P, Grigg N.P, &mann R.S. Empirical Nalidtiy of Baldrige Criteria: Newzcalandevidence. International Journal of Qaulity & Rliability Management 2008; (25): 477-493.
17- Minkmum M , Ahus K, Huigsman R. Performance improvement based on integrated quality management models: what evidence do we have? A Systematic Literature review .IntyQual Health Care. 2007; 19(2):90-104
18- Davies J. The Effect of Academic Culture on The Implementation of The Quality Assurance In Education 2007; 15(4): 382-40.
19- Adel Hassan R, Sayed A. Achieving Egyptian higher education institutions excellence through the application of the EFQM model: an investigative study. International Journal of Business Excellence 2009; 2(2): 157-178.
20- Tee NP. The Singapore School and the school Excellence model. Educational Research for Policy and Practice 2003; 2: 27-39.
21- Moller J, Sonntag A. Evaluation of health services organizations – German experiences with the EFQM Excellence approach in healthcare. The TQM Magazine 2001; 13(5): 669-683.
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1- Nasrollahi M. Chndshakhsh Proper Techniquefor ranking pieces ofConstruction Companies(usingthe Criteria ofthe European Foundation for Quality Management Excellence Excellence Model). Msc[Thesis], Tehran University 2007; PP: 57-60. [Persian]
2- Fazlollahi S. Performance Measaring and Fault Finding of Logistics System Usingthe balanced Scorecard.CaseStaudy. Tehran; Third National Conference on Performance Management; 2008. [Persian]
3- Lushas C, Adrien MH, Anderson G. Organizational assessment: A framework for improvingperformance. Canada: International Development Reserch center 2006; pp: 50-68.
4- Tabib J, Maleki MR. "Strategic Planning", 1Sted, Tehran: Ministry of Health and Medical Education; 2006: 12. [Persian]
5- Abdul Talib Bon, Esam MA. Impact of Total Quality Management on Innovation in Service Organization, published by Elsevier Ltd 2013; 53: 516-529.
6- Erlantz ALLUR. The Dissemination of the EFQM Self-evaluation model across Europe. International Comparative Management 2010; 11(5): 971-979.
7- Sousa R, & Voss C. “Quality management re-visited: A reflectivereview and agenda for future research”, Journal of Operations Management 2011; 26(6): 697-713.
8- Amiran H. Step by step guideonorganizational excellence model EFQM / INQA.Tehran: Quality Construction Consultants; 2005: 84. [Persian]
9- Ministry of Health and Medical Education System of performance assessment and organizational excellence based on EFQM model .Available at: http:// mdar.behdasht.gov.ir. 2012
10- Ministry of Health and Medical Education. Quality and Excellence in Hospital Centers. Available at: http// mdar.behdasht.gov.ir. 2012.
11- Javadi M, et al. Prioritizeareas of improvement in the Hospital Zahrabased onself-assessment system based on the European Quality Model(EFQM).journal of Health Management 2012; (4): 547-539. [Persian]
12- Moreno-Rodriguez JM, Cabrerizo FJ, Perez IJ, Martinez MA. A consensus Support Model based on linguistic in formation for the initial- self assessment of the EFQMin health care organizations. journal home page:www.elsevier.com. 2013; (40): 2792-2798.
13- Sanchez E, letonag Gonzalez R, Garcia M, Darpon J, Garay JI. A descriptive study of the implementation of the EFQM excellence model and underlying tools in the basque Health Service. Int J Qual Health care 2010;18(1): 58-65.
14- TaghizadehHeart A, Nvralnsa R. Need tore-fit the pattern of excellencein healthcare. Journal of Association of Hospital 2011; (2): 27. [Persian]
15- Kumar V, Choisne F, deGrosbois D, & Kumar U. Impact of TQMon companys performance. Intrenational Journal of Qaulity & Reliabiliyt Management; 2009: 23-37.
16- Jayamaha N.P, Grigg N.P, &mann R.S. Empirical Nalidtiy of Baldrige Criteria: Newzcalandevidence. International Journal of Qaulity & Rliability Management 2008; (25): 477-493.
17- Minkmum M , Ahus K, Huigsman R. Performance improvement based on integrated quality management models: what evidence do we have? A Systematic Literature review .IntyQual Health Care. 2007; 19(2):90-104
18- Davies J. The Effect of Academic Culture on The Implementation of The Quality Assurance In Education 2007; 15(4): 382-40.
19- Adel Hassan R, Sayed A. Achieving Egyptian higher education institutions excellence through the application of the EFQM model: an investigative study. International Journal of Business Excellence 2009; 2(2): 157-178.
20- Tee NP. The Singapore School and the school Excellence model. Educational Research for Policy and Practice 2003; 2: 27-39.
21- Moller J, Sonntag A. Evaluation of health services organizations – German experiences with the EFQM Excellence approach in healthcare. The TQM Magazine 2001; 13(5): 669-683.