Identifying the Needs of the Management Structure of Medical Centers in Order to Compensate the Injuries of the Medical Staff in Corona (Case of Study: Tabriz University of Medical Sciences)
Subject Areas : Health Management ServicesSkandar shirazi 1 , belal panahi 2
1 - Associate Professor, Faculty of public managment, payamnoor University, Tehran, Iran
2 - Associate Professor, Faculty of public managment, payamnoor University, Tehran, Iran
Keywords: policy making, management structure, treatment staff, hierarchical analysis.,
Abstract :
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.
1- Shirali G, Mohammadi A, elyasigomari A. The Effect of Coronavirus Pandemic on Workload and Occupational Burnout in Medical Staff: A Case-Control Study. Iran J Ergon, 2022; 10(2).URL: http://journal.iehfs.ir/article-1-898-fa.html. [In Persian]
2- Labaf A. Jalili M. Jaafaripooyan E. and Mazinani M. Management of Covid-19 Crisis in Tehran University of MedicalSciences Hospitals: Challenges and Strategies, Scientific Journal of School of Public Health and Institute of Public Health Research, 2021; 18(4): 381-392. [In Persian]
3- Behnam Hassannejad, Seyed Masoud Mousavinejad, Hamze Enayat. Investigating the financial performance of a hospital in the Corona crisis: A case study in the city of Tehran, Ibn Sina scientific research quarterly / Nahaja Department of Health, Relief and Treatment, 2020; 23rd year, 3rd issue, autumn: 86-90. [In Persian]
4- Fathi, M., R. Feasibility of implementing the management system in terms of structural and behavioral dimensions in the organization of the Pars Economic Energy Special Region, master's thesis in the field of public administration, human resources, Islamic Azad University; 2018. [In Persian]
5- Alvand, M. s. and Ghasemi, A., Strategic principles of dealing with Corona as a malignant political problem, Strategic Political Research, 2020; 10(37): 268-303. [In Persian]
6- Ziyai, Kianoush. The effect of Corona on the mental health of the medical staff, the third national conference of interdisciplinary research in management and medical sciences; 2020: 271-273.
7- Soore khaki ،Masoud Fallahi- Khoshknab ، Narges Arsalani، Mojtaba rad، Nasim Sadeghi Mahalli ،Taban Nematifard. Mental Health Status of Nurses During the COVID-19 Pandemic: A Systematic Review, Iranian Journal of Systematic Review in Medical Sciences (IJSR), Spring 2022; 2(1): 38-43. [In Persian]
8- Rezaian, A. Principles of Structure Management, Tehran, Semit Publications, 23rd edition; 2017. [In Persian]
9- Hall, R. H. Organization-structure-process and methods, translation; Ali Parsaiyan and Seyyed Mohammad Arabi, 9th edition, Tehran, cultural research office; 2018. [In Persian]
10- Mir Kamali, Seyyed Mohammad and Farhadi Rad, Hamid Kankashi in the organizational structures of the university in order to present a unified model, scientific-research quarterly of educational management research, 2018; fifth year, number 1: 34-49. [In Persian]
11- Beard, K S, Hoy, W, K., Hoy, A W. Academic Optimism of Individual Teachers: Confirming a New Construct, The Ohio State University; 2018.
12- Azizi, S., Kikaousi, A. L., Hossam, S. Productivity pattern of non-medical hospital staff (case study: Maryam Hospital, Alborz Province), Health and Treatment Management Quarterly, 2021; 13(2): 43-57. [In Persian]
13- Mehboubi, f. and Tabibi, TDesigning a management structure model for Iran. Management Journal, 2021; 11(33): 56-47. [In Persian]
14- Yousefi, A. and Kavossi, Ainvestigating the relationship between organizational structure and strategy; A case study of educational and therapeutic hospitals of Shiraz University of Medical Sciences. Sadra Medical Sciences Quarterly, 2019; 5(1): 217-226. [In Persian]
15- Noush Afarin Chaterchi, Mojtaba Tabari, Designing a Succession Management System in the Social Security Organization (Study Case: General Social Security Administration West of Greater Tehran), Social Security Journal, 2017; 13(4): 157-185. [In Persian]
16- Sambrook, S. Exploring succession planning in small, growing firms. Journal of Small Business and Enterprise Development, 2005; 12(4): 579 – 594.
17- Sarlak, Mohammad Ali, Shirazi, Iskandar, Kolivand, Pirhossein, management of organizational trauma, publications of the Neuroscience Research Center of Khatam Al Anbia Hospital, first edition; 2017: 36-47.
18- Galbraith, Q, Smith, S.D. and Walker, B. A case for succession planning: How academic libraries is responding to the need to prepare future leaders. Library Management, 2019; 33(4/5): 221 – 240.
19- Ghiyashi, N. S. and Pardachi, H. A reflection on the establishment of a management system in a university, a model derived from the foundational data theory. Educational Systems Research Quarterly, 2017; 19(4): 49-7. [In Persian]
20- Hadizadeh, M. M., Soltani, F. Explaining the components of organizational structure implementation" (case study: the headquarters areas of the National Iranian Oil Company and its subsidiaries located in Tehran. Scientific-Research Quarterly of Management and Human Resources in Oil industry, 2018; 10 (3): 39-82. [In Persian]
21- Keating, C. B. Improving practice a system-based methodology for structural analysis of health care operations. Journal of Management in Medicine, 2000; 14(3/4): 179-198.
22- Elham Fathi, Fatemeh Malekshahi Beiranvand. Abolfazl Hatami Varzaneh and Ali Nobahari. Health Care Workers Challenges during Coronavirus Outbreak: The Qualitative Study, Res Behav Sci 2020; 18(2): 237-248, DOI: 10.29252/rbs.18.2.237, [In Persian]
23- Fatemeh Sharifi Fard, Narges Nazari, Hamid Asayesh, Leila Ghanbari Afra, Mohammad Goudarzi Rad, Mansore Shakeri, Motahare Ghodrati, Mahsa Haji Mohammad Hoseini. Evaluation of Psychological Disorders in Nurses Facing Infected Covid-19 Patients in 2020. Qom University of Medical Sciences Journal, 2021; 15(2): 76-83. https://doi.org/10.52547/qums.15.2.76. [In Persian]