影响医疗服务质量的因素。
Factors influencing healthcare service quality.
机构信息
School of Public Health, Tehran University of Medical Sciences, Tehran, Iran.
出版信息
Int J Health Policy Manag. 2014 Jul 26;3(2):77-89. doi: 10.15171/ijhpm.2014.65. eCollection 2014 Jul.
BACKGROUND
The main purpose of this study was to identify factors that influence healthcare quality in the Iranian context.
METHODS
Exploratory in-depth individual and focus group interviews were conducted with 222 healthcare stakeholders including healthcare providers, managers, policy-makers, and payers to identify factors affecting the quality of healthcare services provided in Iranian healthcare organisations.
RESULTS
Quality in healthcare is a production of cooperation between the patient and the healthcare provider in a supportive environment. Personal factors of the provider and the patient, and factors pertaining to the healthcare organisation, healthcare system, and the broader environment affect healthcare service quality. Healthcare quality can be improved by supportive visionary leadership, proper planning, education and training, availability of resources, effective management of resources, employees and processes, and collaboration and cooperation among providers.
CONCLUSION
This article contributes to healthcare theory and practice by developing a conceptual framework that provides policy-makers and managers a practical understanding of factors that affect healthcare service quality.
背景
本研究的主要目的是在伊朗背景下确定影响医疗质量的因素。
方法
通过对 222 名医疗保健利益相关者（包括医疗保健提供者、管理人员、政策制定者和支付者）进行探索性深入的个人和焦点小组访谈，确定影响伊朗医疗保健组织提供的医疗服务质量的因素。
结果
医疗保健中的质量是患者和医疗保健提供者在支持性环境中合作的产物。提供者和患者的个人因素，以及与医疗保健组织、医疗保健系统和更广泛环境相关的因素都会影响医疗服务质量。通过支持性的有远见的领导力、适当的规划、教育和培训、资源的可用性、资源、员工和流程的有效管理以及提供者之间的协作和合作，可以提高医疗质量。
结论
本文通过开发一个概念框架，为政策制定者和管理者提供了对影响医疗服务质量的因素的实际理解，从而为医疗保健理论和实践做出了贡献。
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