بررسی نقش همه‌گیری کووید-19 بر بار مراجعه‌کنندگان به آزمایشگاه بالینی بیمارستان امیرالمومنین در منطقه سیستان
محورهای موضوعی : -مدیریت خدمات بهداشتی و درمانی
ام البنین نصرت پناه
1
(کارشناس‌ارشد، دانشکده مدیریت و اطلاع‌رسانی پزشکی، دانشگاه علوم پزشکی ایران، تهران، ایران)
حسن ابوالقاسم گرجی
2
(دانشیار، دانشکده مدیریت و اطلاع‌رسانی پزشکی، دانشگاه علوم پزشکی ایران، تهران، ایران)
رفعت باقرزاده
3
(استادیار، دانشکده مدیریت و اطلاع‌رسانی پزشکی، دانشگاه علوم پزشکی ایران، تهران، ایران)
کلید واژه: آزمایشات بالینی, بار مراجعه, همه‌گیری, آزمایشگاه, کووید- 19,
چکیده مقاله :
مقدمه: یکی از چالش های اساسی مدیران بیمارستان در شرایط بحران همه گیری کووید-19 مدیریت هزینه و کاهش مصرف منابع با حفظ کیفیت خدمات آزمایشگاهی و اطمینان از تداوم ارائه خدمات می باشد. آن ها باید عملکرد آزمایشگاه را کنترل و گلوگاه ها را شناسایی کنند و در نهایت تصمیم بگیرند که چه برنامه ای برای کاهش استفاده نامناسب آزمایشگاه و افزایش درآمد لازم است. لذا بررسی حجم کاری آزمایشگاه های بالینی اطلاعات ارزشمندی را در اختیار مدیران بیمارستان برای تدوین و اجرای سیاست های ارتقاء عملکرد بخش آزمایشگاه قرار دهد. روش پژوهش: پژوهش حاضر به روش توصیفی- تحلیلی از نوع کاربردی می باشد که به‌صورت مقطعی جهت بررسی حجم کاری آزمایشگاه بالینی بیمارستان امیرالمومنین علی (ع) زابل در منطقه سیستان به منظور بررسی حجم مراجعات در دو سال قبل و پس از شروع همه گیری کووید-19 و تعیین علل تغییرات احتمالی انجام گرفته است. یافته ها: یافته های پژوهش نشان داد که تعداد بیماران بستری مراجعه کنندگان به میزان 18/7 درصد و بیماران سرپایی به میزان 49/7 درصد در دو سال بعد از شروع همه گیری نسبت به مدت مشابه کاهش و تعداد آزمایشات انجام شده در بخش بستری 0/025 درصد و در بخش سرپایی 13/55 درصد کاهش یافته است و از طرفی میانگین تعداد آزمایش ها به ازای هر نفر در بخش بستری 21/09 درصد افزایش و در بخش سرپایی 8/9 درصد کاهش یافته است. نتیجه گیری: طبق نتایج بدست آمده از تحقیق، همه گیری کووید-19 بر بار کاری آزمایشگاه های بالینی تأثیرگذار می باشد. لغو موارد بستری الکتیو، کاهش مراجعات بیماران، تعطیلی کلینیک ها و بخش‌های غیر کرونا، کاهش تصادفات، افزایش مشکلات اقتصادی و عدم اطمینان به کیفیت خدمات از عوامل کاهش بار مراجعه به بیمارستان عنوان گردید.
Introduction: Cost management and reduction in healthcare resource utilization while maintaining the quality of laboratory services and making sure of the continued provision of servicesare one of the basic challenges facing hospital managers under COVID-19 pandemic conditions. Hospital managers have to control laboratory performance, identify the bottlenecks, and finally decide which program is necessary for reducing inappropriate utilization of laboratory resources and increasing hospital revenue. Accordingly, study of the workload in clinical laboratories provides them with valuable information to develop and implement policies that improve laboratory performance. Methods: This applied cross-sectional research followed a descriptive-analytical method for analyzing the workload of the clinical laboratory of Amirul Mominin Ali Zabol Hospital in Sistan region in order to investigate the volume of referrals in two years before and after the start of the epidemic. Covid-19 and determining the causes of possible changes has been done. Results: The research findings indicated that the number of inpatients referring to the hospital laboratory has decreased by 18.7% and outpatients by 49.7%, 2 years into the Covid–19 pandemic in comparison with the same period before it, and the number of tests has decreased by 0.025% in the inpatient ward and by 55.13% in the outpatient ward compared to the pre-epidemic period, on the other hand, the average number of test for each person has increased by 21.09% in the inpatient ward and has decreased by 8.9% in the outpatient ward. Conclusion: Based on research results, the Covid–19 pandemic affects the workload of clinical laboratories. Cancellation of elective hospitalization cases, decrease of patients' visits to the hospital, closure of non-COVID wards and clinics, reduction in accidents, increases in economic problems, and uncertainty on the quality of services were among the mentioned factors that decreased the number of patients visiting the hospital.
1- Bismo, A., Arbi Siti, R.H.M., Sutiyo, L. Segmentation analysis of Instagram Users Based on Preferences towards Forms and Tyoes of Online Marketing Content, international Conference on Information Management and Technology (ICIMTech); 2019: 22-27.
2- Seyyedamiri, N. and Tajrobehkar, L. "Social content marketing, social media and product development process effectiveness in high-tech companies", International Journal of Emerging Markets, 2021; 16(1): 75-91.
3- Al-Gasawneh, J. Omar, K. Moderating role of content marketing on the relationship between perceived risk and the intention to online shopping. Journal of Theoretical and Applied Information Technology, 2020; 98: 587-595.
4- Weman, E., Gummerus, J., Liljander, V., Pihlstro¨m, M. Customer engagement in a Facebook brand community. Journal Community Management Research Review, 2012; 35(9): 857-877.
5- Pulizzi, Joe. Content Marketing Takes a Turn for the Better: New 2017 Research. https://contentmarketinginstitute.com/2016/09/content-marketing-research-b2b/ Downloaded March 13; 2018.
6- Chan, A., Astari, D. The analysis of content marketing in online fashion shops in Indonesia. Review of Integrative Business and Economics Research, 2017; 6(2): 225.
14- Ansari, S., Ansari, G., Ghori, M., Kazi, A. (2019). The Impact of Brand Awareness and Social Media Content Marketing on Consumer Purchase Decision. Journal of Public Value and Administration Insights, 2019; 2: 5-10.
15- Baines, P., Fill, C. Marketing, 3rd edn. Oxford: Oxford University Press; 2014
16- Chordas, Lori. Concentrating on Content: An A.M. Best webinar explores marketers’ used of insurance-centric content in their advertising and marketing campaigns. Best’s Review, 2018; 119(2): 34-37.
17- Chaurasiyan, H. A Study of Content Marketing Strategy in E-Commerce with Respect to B2C, 2020; 8(10).
18- Ahadi, Peri. Saberian, Fatemeh. A Comparative Study of the Impact of Using Content Marketing on Social Networks and Traditional Marketing on Consumer Behavior (Case Study: Life Insurance). Consumer Behavior Studies, 2021; 8(2): 200-215.
19- Vinerean, S. Content marketing strategy. Definition, objectives and tactics. Expert Journal of Marketing, 2017; 5(2).
20- Du Plessis, C. An exploratory analysis of essential elements of content marketing , in ECSM 2015 -Proceedings of the 2nd European Conference on Social Media, Portugal, July 9-10, Academic Conferences Publisher International, 2015; 122-129.
21- Beets, L. M., & Handley, A. B2C content marketing 2019: Benchmarks, budgets, and trends. Content Marketing Institute & MarketingProfs. https://contentmarketinginstitute.com/2018/ 12/b2c-research-commitment/.
22- Dhanesh, G. S., & Duthler, G. Relationship management through social media influencers: Effects of followers’ awareness of paid endorsement. Public Relations Review, 2019; 45(3): 101765.
23- Lee, H. "Web Design Methodology for Wordpress Site Based On Wordpress Theme Customization". The Journal of the Korea Contents Association, 2016; 16(2): 277- 286.
24- Eshiett, I., Eshiett, O., & Uwhubetine, G. Digital Content Marketing and Customer Loyalty in Nigerian University. Unilag Journal of Business, 2022; 8(1): 54-71.
25- Seyyedamiri, N. and Tajrobehkar, L. "Social content marketing, social media and product development process effectiveness in high-tech companies", International Journal of Emerging Markets, 2021; 16(1): 75-91.
26- Mansouri Kermanshahi, A., Haghigi Kafash, M., Dehdashti, Z., Khalilnejad, Sh. Designing a model of marketing and sales strategies in the chain store industry. Journal of Strategic Management Studies, 2023; 14(53).
27- Karimi, M., majedi, N., Safaari, L., Kalhor, H. Designing a virtual business development model in the field of sports services. Journal of strategic studies of youth sports; 2022.
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1- Bismo, A., Arbi Siti, R.H.M., Sutiyo, L. Segmentation analysis of Instagram Users Based on Preferences towards Forms and Tyoes of Online Marketing Content, international Conference on Information Management and Technology (ICIMTech); 2019: 22-27.
2- Seyyedamiri, N. and Tajrobehkar, L. "Social content marketing, social media and product development process effectiveness in high-tech companies", International Journal of Emerging Markets, 2021; 16(1): 75-91.
3- Al-Gasawneh, J. Omar, K. Moderating role of content marketing on the relationship between perceived risk and the intention to online shopping. Journal of Theoretical and Applied Information Technology, 2020; 98: 587-595.
4- Weman, E., Gummerus, J., Liljander, V., Pihlstro¨m, M. Customer engagement in a Facebook brand community. Journal Community Management Research Review, 2012; 35(9): 857-877.
5- Pulizzi, Joe. Content Marketing Takes a Turn for the Better: New 2017 Research. https://contentmarketinginstitute.com/2016/09/content-marketing-research-b2b/ Downloaded March 13; 2018.
6- Chan, A., Astari, D. The analysis of content marketing in online fashion shops in Indonesia. Review of Integrative Business and Economics Research, 2017; 6(2): 225.
14- Ansari, S., Ansari, G., Ghori, M., Kazi, A. (2019). The Impact of Brand Awareness and Social Media Content Marketing on Consumer Purchase Decision. Journal of Public Value and Administration Insights, 2019; 2: 5-10.
15- Baines, P., Fill, C. Marketing, 3rd edn. Oxford: Oxford University Press; 2014
16- Chordas, Lori. Concentrating on Content: An A.M. Best webinar explores marketers’ used of insurance-centric content in their advertising and marketing campaigns. Best’s Review, 2018; 119(2): 34-37.
17- Chaurasiyan, H. A Study of Content Marketing Strategy in E-Commerce with Respect to B2C, 2020; 8(10).
18- Ahadi, Peri. Saberian, Fatemeh. A Comparative Study of the Impact of Using Content Marketing on Social Networks and Traditional Marketing on Consumer Behavior (Case Study: Life Insurance). Consumer Behavior Studies, 2021; 8(2): 200-215.
19- Vinerean, S. Content marketing strategy. Definition, objectives and tactics. Expert Journal of Marketing, 2017; 5(2).
20- Du Plessis, C. An exploratory analysis of essential elements of content marketing , in ECSM 2015 -Proceedings of the 2nd European Conference on Social Media, Portugal, July 9-10, Academic Conferences Publisher International, 2015; 122-129.
21- Beets, L. M., & Handley, A. B2C content marketing 2019: Benchmarks, budgets, and trends. Content Marketing Institute & MarketingProfs. https://contentmarketinginstitute.com/2018/ 12/b2c-research-commitment/.
22- Dhanesh, G. S., & Duthler, G. Relationship management through social media influencers: Effects of followers’ awareness of paid endorsement. Public Relations Review, 2019; 45(3): 101765.
23- Lee, H. "Web Design Methodology for Wordpress Site Based On Wordpress Theme Customization". The Journal of the Korea Contents Association, 2016; 16(2): 277- 286.
24- Eshiett, I., Eshiett, O., & Uwhubetine, G. Digital Content Marketing and Customer Loyalty in Nigerian University. Unilag Journal of Business, 2022; 8(1): 54-71.
25- Seyyedamiri, N. and Tajrobehkar, L. "Social content marketing, social media and product development process effectiveness in high-tech companies", International Journal of Emerging Markets, 2021; 16(1): 75-91.
26- Mansouri Kermanshahi, A., Haghigi Kafash, M., Dehdashti, Z., Khalilnejad, Sh. Designing a model of marketing and sales strategies in the chain store industry. Journal of Strategic Management Studies, 2023; 14(53).
27- Karimi, M., majedi, N., Safaari, L., Kalhor, H. Designing a virtual business development model in the field of sports services. Journal of strategic studies of youth sports; 2022.