Farzianpour Fereshteh, Mohamadi Efat, Najafpour Zhila, Yousefinezhadi Taraneh, Forootan Sara, Foroushani Abbas Rahimi
Department Health management&Economics,School of public Health,Tehran University of Medical Sciences.
Glob J Health Sci. 2016 Sep 1;8(9):52449. doi: 10.5539/gjhs.v8n9p66.
BACKGROUND & OBJECTIVE: Existence of doctors with high performance is one of the necessary conditions to provide high quality services. There are different motivations, which could affect their performance. Recognizing Factors which effect the performance of doctors as an effective force in health care centers is necessary. The aim of this article was evaluate the effective factors which influence on clinical performance of general surgery of Tehran University of Medical Sciences in 2015.
This is a cross-sectional qualitative-quantitative study. This research conducted in 3 phases-phases I: (use of library studies and databases to collect data), phase II: localization of detected factors in first phase by using the Delphi technique and phase III: prioritizing the affecting factors on performance of doctors by using qualitative interviews.
12 articles were analyzed from 300 abstracts during the evaluation process. The output of assessment identified 23 factors was sent to surgeons and their assistants for obtaining their opinions. Quantitative analysis of the findings showed that "work qualification" (86.1%) and "managers and supervisors style" (50%) have respectively the most and the least impact on the performance of doctors. Finally 18 effective factors were identified and prioritized in the performance of general surgeons.
The results showed that motivation and performance is not a single operating parameter and it depends on several factors according to cultural background. Therefore it is necessary to design, implementation and monitoring based on key determinants of effective interventions due to cultural background.
拥有高效能的医生是提供高质量医疗服务的必要条件之一。存在不同的动机，可能会影响他们的工作表现。识别影响医生工作表现的因素，作为医疗保健中心的一股有效力量是很有必要的。本文旨在评估2015年影响德黑兰医科大学普通外科临床工作表现的有效因素。
这是一项横断面定性 - 定量研究。本研究分三个阶段进行——第一阶段：（利用文献研究和数据库收集数据），第二阶段：通过德尔菲技术对第一阶段检测到的因素进行本土化，第三阶段：通过定性访谈对影响医生工作表现的因素进行优先级排序。
在评估过程中，从300篇摘要中分析了12篇文章。评估结果确定的23个因素被发送给外科医生及其助手以获取他们的意见。对研究结果的定量分析表明，“工作资质”（86.1%）和“管理者与监督者风格”（50%）分别对医生的工作表现影响最大和最小。最后确定了18个影响普通外科医生工作表现的有效因素并进行了优先级排序。
结果表明，动机和工作表现不是单一的操作参数，并且根据文化背景它取决于几个因素。因此，有必要根据文化背景，基于有效干预的关键决定因素进行设计、实施和监测。
