伊朗临床治理系统评估中的挑战：一项定性研究。
Challenges in evaluating clinical governance systems in iran: a qualitative study.
作者信息
Hooshmand Elaheh, Tourani Sogand, Ravaghi Hamid, Ebrahimipour Hossein
机构信息
Health Sciences Research Center, Department of Health and Management, School of Health, Mashhad University of Medical Sciences, Mashhad, IR Iran.
Hospital Management Research Center, Iran University of Medical Sciences, Tehran, IR Iran ; School of Health Management and Information Sciences, Iran University of Medical Sciences, Tehran, IR Iran.
出版信息
Iran Red Crescent Med J. 2014 Apr;16(4):e13421. doi: 10.5812/ircmj.13421. Epub 2014 Apr 5.
BACKGROUND
In spite of the pivotal role of clinical governance in enhancing quality of services provided by hospitals across the country, a scientific framework with specific criteria for evaluating hospitals has not been developed so far.
OBJECTIVES
This study was conducted with the aim to identify the challenges involved in evaluating systems of clinical governance in Iran.
MATERIALS AND METHODS
For the purposes of this qualitative study, 15 semi-structured interviews with experts in the field were conducted in 2011 and the data were analyzed using framework analysis method.
RESULTS
Five major challenges in evaluating clinical governance include managing human resources, improving clinical quality, managing development, organizing clinical governance, and providing patient-oriented healthcare system.
CONCLUSIONS
Healthcare system in Iran requires a clinical governance program which has a patient-oriented approach in philosophy, operation, and effectiveness in order to meet the challenges ahead.
背景
尽管临床治理在提高全国医院所提供服务的质量方面发挥着关键作用，但迄今为止尚未制定出具有评估医院具体标准的科学框架。
目的
开展本研究旨在确定伊朗临床治理评估体系中所涉及的挑战。
材料与方法
为进行这项定性研究，2011年对该领域专家进行了15次半结构化访谈，并使用框架分析法对数据进行了分析。
结果
评估临床治理存在的五大主要挑战包括人力资源管理、临床质量提升、发展管理、临床治理组织以及提供以患者为导向的医疗体系。
结论
伊朗医疗体系需要一个在理念、运作和成效方面均以患者为导向的临床治理项目，以应对未来的挑战。
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