Imani Nasab Mohammad Hasan, Mohaghegh Bahram, Khalesi Nader, Jaafaripooyan Ebrahim
Dept. of Health Services Management, School of Health Management and Information Sciences, Tehran University of Medical Sciences, Tehran, Iran ; Dept. of Public Health, School of Health and Nutrition, Lorestan University of Medical Sciences, Khorramabad, Iran.
Iran J Public Health. 2013 Jun 1;42(6):610-9. eCollection 2013.
European Foundation for Quality Management (EFQM) model is a widely used quality management system (QMS) worldwide, including Iran. Current study aims to verify the quality assessment results of Iranian National Program for Hospital Evaluation (INPHE) based on those of EFQM.
This cross-sectional study was conducted in 2012 on a sample of emergency departments (EDs) affiliated with Tehran University of Medical Sciences (TUMS), Iran. The standard questionnaire of EFQM (V-2010) was used to gather appropriate data. The results were compared with those of INPHE. MS Excel was used to classify and display the findings.
The average assessment score of the EDs based on the INPHE and EFQM model were largely different (i.e. 86.4% and 31%, respectively). In addition, the variation range among five EDs' scores according to each model was also considerable (22% for EFQM against 7% of INPHE), especially in the EDs with and without prior record of applying QMSs.
The INPHE's assessment results were not confirmed by EFQM model. Moreover, the higher variation range among EDs' scores using EFQM model could allude to its more differentiation power in assessing the performance comparing with INPHE. Therefore, a need for improvement in the latter drawing on other QMSs' (such as EFQM) strengths, given the results emanated from its comparison with EFQM seems indispensable.
欧洲质量管理基金会（EFQM）模型是一种在全球范围内广泛使用的质量管理体系（QMS），包括伊朗。当前研究旨在根据EFQM的评估结果验证伊朗国家医院评估计划（INPHE）的质量评估结果。
这项横断面研究于2012年对伊朗德黑兰医科大学（TUMS）附属急诊科样本进行。使用EFQM的标准问卷（V - 2010）收集相关数据。将结果与INPHE的结果进行比较。使用MS Excel对结果进行分类和展示。
基于INPHE和EFQM模型的急诊科平均评估得分差异很大（分别为86.4%和31%）。此外，根据每个模型，五个急诊科得分的变化范围也相当大（EFQM为22%，而INPHE为7%），特别是在有和没有应用质量管理体系先前记录的急诊科中。
EFQM模型未证实INPHE的评估结果。此外，使用EFQM模型时急诊科得分的较大变化范围可能暗示其在评估绩效方面比INPHE具有更强的区分能力。因此，鉴于与EFQM比较得出的结果，借鉴其他质量管理体系（如EFQM）的优势来改进后者似乎是必不可少的。
