ارائه مدل اعتباربخشی مدیریت منابع انسانی بیمارستان‌های ایران
محورهای موضوعی : -مدیریت خدمات بهداشتی و درمانیهاشم رحیمی علیسرائی 1 , حمیدرضا رضائی کلیدبری 2 , مراد رضائی دیزگاه 3
1 - دانشجوی دکتری، گروه مدیریت دولتی، واحد رشت، دانشگاه آزاد اسلامی، رشت، ایران
2 - استادیار، گروه مدیریت دولتی، واحد رشت، دانشگاه آزاد اسلامی، رشت، ایران
3 - استادیار، گروه مدیریت دولتی، واحد رشت، دانشگاه آزاد اسلامی، رشت، ایران
کلید واژه: بیمارستان, اعتباربخشی, منابع انسانی,
چکیده مقاله :
مقدمه: اعتباربخشی یکی از ابزارهای ارزشیابی سیستم‌های بهداشتی درمانی به خصوص بیمارستان‌ها می‌باشد که در ایران نیز یکی از اولویت‌های وزارت بهداشت به شمار می‌رود. منابع انسانی به عنوان مهم‌ترین منبع سازمان در اعتباربخشی بیمارستان‌ها به عنوان یک محور مشترک با سلامت حرفه ای دیده شده است. هدف از پژوهش حاضر، تعیین سنجه‌ها و ارائه مدل برنامه اعتباربخشی ملی بیمارستان‌ها با تاکید بر محور مدیریت منابع انسانی از دیدگاه صاحبنظران این حوزه در سطح کشور است.روش پژوهش: این مطالعه به روش کیفی تحلیل محتوا و از طریق بررسی مقالات مرتبط و مصاحبه‌های نیمه ساختار یافته با تعدادی از صاحبنظران و ارزیابان اعتباربخشی در سطح کشور انجام شد و 12 نفر از خبرگان علمی و اجرایی با توجه به اشباع داده‌ها به شیوه قضاوتی هدفمند مورد مصاحبه قرار گرفتند.یافته‌ها: سنجه‌های اعتباربخشی مدیریت منابع انسانی در پنج محور بکارگیری کارکنان با شش زیرمحور، توانمندسازی و بالندگی با شش زیرمحور، حمایت از کارکنان با شش زیرمحور، رهبری و مدیریت با هشت زیرمحور و نظارت و کنترل با هفت زیرمحور دسته بندی گردید.نتیجه‌گیری: در استانداردهای اعتباربخشی با تاکید بر محور مدیریت منابع انسانی سنجه‌های مرتبط با نظارت وکنترل با میانگین امتیاز 7.39 از 9 بیشتر مورد تاکید قرار داشت. توجه بیشتر تدوین کنندگان استانداردهای اعتباربخشی به سنجه‌های مرتبط با این محور می‌تواند موجب اعتباربخشی دقیق‌تر از منابع انسانی بیمارستان‌های کشور شود.
Introduction: Accreditation is one of the evaluation tools of health care systems, especially hospitals, which is one of the priorities of the Ministry of Health in Iran. Human resources have been seen as the most important resource of the organization in the accreditation of hospitals as a common axis with professional health. The purpose of the current research is to determine the parameters and present the model of the national accreditation program for hospitals with emphasis on the axis of human resource management from the point of view of experts in this field at the country level.Methods: This study was conducted using the qualitative method of content analysis and through the review of related articles and semi-structured interviews with a number of experts and accreditation evaluators at the country level, and 12 scientific and executive experts based on data saturation in a purposeful judgment manner were interviewed.Results: Accreditation measures of human resources management in five axes: employing employees with six sub-axes, empowering and growing with six sub-axes, supporting employees with six sub-axes, leadership and management with eight sub-axes, and monitoring and control with seven sub-axes.Conclusion: In accreditation standards with emphasis on human resource management axis, the metrics related to monitoring and control were emphasized more with an average score of 7.39 out of 9. More attention of the compilers of accreditation standards to the metrics related to this axis can lead to more accurate accreditation of the human resources of the country's hospitals.
1- Ebrahimipour H., Hooshmand E., Varmaghani M., Javan-Noughabi J., Mojtabaeian M. (Winter 2022). Investigating the challenges of physicians' participation in accreditation programs from the perspective of physicians in public hospitals . Iranian Journal of Health Education & Health Promotion, 2022; 9(4): 383-397. [In Persian]
2- Moein Z , HashemianNezhad F , Ghorbani M. Identifying the Dimensions and Components of Organizational Transparency with the Promoting Organizational Health Approach (A Qualitative Study). journal of Healthcare Management, 2022; 13 (3): 65-83. [In Persian]
3- MEHREGAN M, YOUSEFZADEH Sh, Hatam Siahkal Mahalle A. Modeling and Analysis of Dimensions of Agile Hospital Supply Chain Management with Interpretive-Structural Approach (Case Study: Public Hospitals in Rasht). PAYAVARD-SALAMAT, 2021; 15(2):168-187. [In Persian]
4- Salehi z, payravi h. Challenges in the Implementation Accreditation Process in the Hospitals: a Narrative Review. Iran Journal of Nursing, 2017; 30(106): 23- 34. [In Persian]
5- Ajay K, Poka A, Narayan M. Impact of accreditation on documentation and staff perception in the ophthalmology department of an Indian medical college. Indian J Ophthalmol, 2021; 69: 337-42.
6- Kusumawardhani O, Adji I, Supriyanto A. Analysis of the Effect of Performance and Individual Characteristics of Medical Employees on Understanding of Accreditation in Karanganyar District Hospital. International Journal of Multicultural and Multireligious Understanding (IJMMU), 2021; 8(4): 140-149.
7- Ghazanfari F, Mosadeghrad AM, Jaafari Pooyan E, Mobaraki H. Iran hospital accreditation standards: challenges and solutions. Int J Health Plann Mgmt, 2021; 1–18.
8- Kwan M, Seo H, Lee S. The association between experience of hospital accreditation and nurses’ perception of patient safety culture in South Korean general hospitals: a cross sectional study. BMC Nursing, 2021; 20(195): 1-10.
9- Fallah H, Mehrara A, TABARI M. The Model of Human Resource Management based on New Public Management. JOURNAL OF PUBLIC ADMINISTRATION PERSPECTIVE, 2021; 12(1): 157-177. [In Persian]
10- Namdarian l, khedmatgozar h, shojaei f. The Mediating Role of Electronic Human Resource Development and Employee Innovation Capability in the Impact of Learning Capacity on Organizational Strategic Performance (A Case Study of Ministry of Communications and Information Technology of Iran). Journal of human resource studies, 2021, 11(4): 149-173. [In Persian]
11- Ashrafi a, MOHAGHEGH DOLATABADI M, FAGHIHIPOUR J, Mafi K, Darbandi F. Designing a Comprehensive Model of Human Resource Management in the Health Sector of the Country in Conditions of Health Crisis. HEALTH INSURANCE, 2022; 5(1): 60-67. [In Persian]
12- Eslami gh,khodayari r. Identifying the Application, Opportunities, and Challenges of Using Blockchain Technology in Human Resource Management: A Systematic Review. journal of Human Resource Studies, 2022; 12(1): 1-16. [In Persian]
13- Mirzaei Alamooti V, ATAEI M, Moghaddas Z. Explaining a Model for the Effects of High Commitment Human Resource Management. JOURNAL OF MANAGEMENT AND DEVELOPMENT PROCESS, 2021; 34(1(115)): 113-140. [In Persian]
14- Alipour madarsara M, Me,arzadeh Tehran Gh, Alvani M, Alborzi M. Desining a Fuzzy Expert System to Predict the Effectiveness of Compensation System. Journal of Human Resource Studies, 2022; 12(1): 17-47. [In Persian]
15- Sobhanipour Seyed M, ZAREI MATIN H, ALVANI SEYED M, JANDAGHI GH. Designing an Effective Human Resource Management Model Based on Organizational Culture in the Iranian Public Section. ORGANIZATIONAL CULTURE MANAGEMENT, 2021; 19(1): 25-46. [In Persian]
16- Sheybani far M, Rastegar A, Alavi S, Damghanian H, Danai Fard H. The evolution of Human Resource management knowlwdge in iran. Management research in iran, 2020; 24(4): 156-175. [In Persian]
17- Foroutan Saiedeh, SAYYED NAGHAVI MIR ALI. Strategic Model of Sustainable Human Resource Management in Administrative Organizations. NAJA STRATEGIC STUDIES JOURNAL [Internet], 2021; 6(20): 25-67. [In Persian]
18- Arman m, joshaghani h. designing and validating a situation analysis model on human resource management system. Scientific journal of research in human resources management, 2016; 4: 71-94. [In Persian]
19- Kavyani, Hassan, Sephri Rad, Abolfazl & Shakori, Ali (2022). Pathology of the Performance Evaluation System of the Air Defense Force of the Islamic Republic of Iran. Journal of Human Resource Studies, 2022; 12(2): 133- 155. [In Persian]
20- Nazmi Ainaa A, Siti Zubaidah M, Aidalina M. Human Resource Management in the Healthcare Setting During COVID-19 Pandemic: Policy Recommendations, Implementation Challenges, and the Way Forward. Malaysian Journal of Medicine and Health Sciences (eISSN 2636-9346)
21- Rahimi sh, gholipour A, safari m. towards identify a framework for evaluating human resource management based on the hr-standard 34000 in start-ups. Journal of Sustainable Human Resource Management, 2021; 3(4): 33-48.
22- Gunawan j. new normal, new human resource management. Journal if healehcare administration, 2022; 1(1): 1-4.
23- Bahmaei j, bastani p, keshtkaran a, mohammadpour m, sarikhani y. challenges of the execution of hospital accreditation in iran: a critical review. Journal of health research in community, 2020; 5(4): 82-98. [In Persian]
24- Hakkak m, Hozni SA, Shahsiah N, Akhlaghi T. Design of Hospital Accreditation Model: A Qualitative Study. Manage Strat Health Syst , 2017; 2(3): 201 -14. [In Persian]
25- Yahyavi f, nasiripour a, keikavoosi arani l. challenges of implementation of Iranian national hospital accreditation 3rd edition for tehran’s Islamic azad university hospitals. Medical sciences, 2018; 28(3): 252-257. [In Persian]
26- khoshamooz H, Goudarzvand Chegini M, Rezaee Kelidbari H. Identifying the Executive Challenges of the New Generation of Hospital Accreditation in Iran. Manage Strat Health Syst, 2020; 5(2): 111 -25. [In Persian]
_||_1- Ebrahimipour H., Hooshmand E., Varmaghani M., Javan-Noughabi J., Mojtabaeian M. (Winter 2022). Investigating the challenges of physicians' participation in accreditation programs from the perspective of physicians in public hospitals . Iranian Journal of Health Education & Health Promotion, 2022; 9(4): 383-397. [In Persian]
2- Moein Z , HashemianNezhad F , Ghorbani M. Identifying the Dimensions and Components of Organizational Transparency with the Promoting Organizational Health Approach (A Qualitative Study). journal of Healthcare Management, 2022; 13 (3): 65-83. [In Persian]
3- MEHREGAN M, YOUSEFZADEH Sh, Hatam Siahkal Mahalle A. Modeling and Analysis of Dimensions of Agile Hospital Supply Chain Management with Interpretive-Structural Approach (Case Study: Public Hospitals in Rasht). PAYAVARD-SALAMAT, 2021; 15(2):168-187. [In Persian]
4- Salehi z, payravi h. Challenges in the Implementation Accreditation Process in the Hospitals: a Narrative Review. Iran Journal of Nursing, 2017; 30(106): 23- 34. [In Persian]
5- Ajay K, Poka A, Narayan M. Impact of accreditation on documentation and staff perception in the ophthalmology department of an Indian medical college. Indian J Ophthalmol, 2021; 69: 337-42.
6- Kusumawardhani O, Adji I, Supriyanto A. Analysis of the Effect of Performance and Individual Characteristics of Medical Employees on Understanding of Accreditation in Karanganyar District Hospital. International Journal of Multicultural and Multireligious Understanding (IJMMU), 2021; 8(4): 140-149.
7- Ghazanfari F, Mosadeghrad AM, Jaafari Pooyan E, Mobaraki H. Iran hospital accreditation standards: challenges and solutions. Int J Health Plann Mgmt, 2021; 1–18.
8- Kwan M, Seo H, Lee S. The association between experience of hospital accreditation and nurses’ perception of patient safety culture in South Korean general hospitals: a cross sectional study. BMC Nursing, 2021; 20(195): 1-10.
9- Fallah H, Mehrara A, TABARI M. The Model of Human Resource Management based on New Public Management. JOURNAL OF PUBLIC ADMINISTRATION PERSPECTIVE, 2021; 12(1): 157-177. [In Persian]
10- Namdarian l, khedmatgozar h, shojaei f. The Mediating Role of Electronic Human Resource Development and Employee Innovation Capability in the Impact of Learning Capacity on Organizational Strategic Performance (A Case Study of Ministry of Communications and Information Technology of Iran). Journal of human resource studies, 2021, 11(4): 149-173. [In Persian]
11- Ashrafi a, MOHAGHEGH DOLATABADI M, FAGHIHIPOUR J, Mafi K, Darbandi F. Designing a Comprehensive Model of Human Resource Management in the Health Sector of the Country in Conditions of Health Crisis. HEALTH INSURANCE, 2022; 5(1): 60-67. [In Persian]
12- Eslami gh,khodayari r. Identifying the Application, Opportunities, and Challenges of Using Blockchain Technology in Human Resource Management: A Systematic Review. journal of Human Resource Studies, 2022; 12(1): 1-16. [In Persian]
13- Mirzaei Alamooti V, ATAEI M, Moghaddas Z. Explaining a Model for the Effects of High Commitment Human Resource Management. JOURNAL OF MANAGEMENT AND DEVELOPMENT PROCESS, 2021; 34(1(115)): 113-140. [In Persian]
14- Alipour madarsara M, Me,arzadeh Tehran Gh, Alvani M, Alborzi M. Desining a Fuzzy Expert System to Predict the Effectiveness of Compensation System. Journal of Human Resource Studies, 2022; 12(1): 17-47. [In Persian]
15- Sobhanipour Seyed M, ZAREI MATIN H, ALVANI SEYED M, JANDAGHI GH. Designing an Effective Human Resource Management Model Based on Organizational Culture in the Iranian Public Section. ORGANIZATIONAL CULTURE MANAGEMENT, 2021; 19(1): 25-46. [In Persian]
16- Sheybani far M, Rastegar A, Alavi S, Damghanian H, Danai Fard H. The evolution of Human Resource management knowlwdge in iran. Management research in iran, 2020; 24(4): 156-175. [In Persian]
17- Foroutan Saiedeh, SAYYED NAGHAVI MIR ALI. Strategic Model of Sustainable Human Resource Management in Administrative Organizations. NAJA STRATEGIC STUDIES JOURNAL [Internet], 2021; 6(20): 25-67. [In Persian]
18- Arman m, joshaghani h. designing and validating a situation analysis model on human resource management system. Scientific journal of research in human resources management, 2016; 4: 71-94. [In Persian]
19- Kavyani, Hassan, Sephri Rad, Abolfazl & Shakori, Ali (2022). Pathology of the Performance Evaluation System of the Air Defense Force of the Islamic Republic of Iran. Journal of Human Resource Studies, 2022; 12(2): 133- 155. [In Persian]
20- Nazmi Ainaa A, Siti Zubaidah M, Aidalina M. Human Resource Management in the Healthcare Setting During COVID-19 Pandemic: Policy Recommendations, Implementation Challenges, and the Way Forward. Malaysian Journal of Medicine and Health Sciences (eISSN 2636-9346)
21- Rahimi sh, gholipour A, safari m. towards identify a framework for evaluating human resource management based on the hr-standard 34000 in start-ups. Journal of Sustainable Human Resource Management, 2021; 3(4): 33-48.
22- Gunawan j. new normal, new human resource management. Journal if healehcare administration, 2022; 1(1): 1-4.
23- Bahmaei j, bastani p, keshtkaran a, mohammadpour m, sarikhani y. challenges of the execution of hospital accreditation in iran: a critical review. Journal of health research in community, 2020; 5(4): 82-98. [In Persian]
24- Hakkak m, Hozni SA, Shahsiah N, Akhlaghi T. Design of Hospital Accreditation Model: A Qualitative Study. Manage Strat Health Syst , 2017; 2(3): 201 -14. [In Persian]
25- Yahyavi f, nasiripour a, keikavoosi arani l. challenges of implementation of Iranian national hospital accreditation 3rd edition for tehran’s Islamic azad university hospitals. Medical sciences, 2018; 28(3): 252-257. [In Persian]
26- khoshamooz H, Goudarzvand Chegini M, Rezaee Kelidbari H. Identifying the Executive Challenges of the New Generation of Hospital Accreditation in Iran. Manage Strat Health Syst, 2020; 5(2): 111 -25. [In Persian]
