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2015年亚兹德教学医院妇产科病房绩效指标与指标预期限值的比较

Comparing Performance Indicators of Obstetrics and Gynecology Ward at Yazd Educational Hospitals with Expected Limits of Indicators, 2015.

作者信息

Askari Roohollah, Shafii Milad, Baghian Najmeh

机构信息

Department of HealthCare Management, School of Public Health, Shahid Sadoughi University of Medical Sciences, Yazd, Iran; Hospital Management Research Center, Shahid Sadoughi Hospital, Shahid Sadoughi University of Medical Sciences, Yazd, Iran.

Department of HealthCare Management, School of Public Health, Shahid Sadoughi University of Medical Sciences, Yazd, Iran.

出版信息

Osong Public Health Res Perspect. 2016 Jun;7(3):197-204. doi: 10.1016/j.phrp.2016.04.008. Epub 2016 May 6.

Abstract

OBJECTIVES

The purpose of this study was to evaluate the performance indicators for obstetrics and gynecology wards in Iran.

METHODS

This study was designed as a cross-sectional study and was carried out in obstetrics and gynecology wards of Afshar and Shahid Sadoughi hospitals in 2015. The information required for the performance indicators was gathered through questionnaires, statistical forms, and direct observation. In several tables, performance rating and performance status are presented using the Likert scale index based on the expected limits.

RESULTS

According to the results of the categories of input indicators, the bed occupancy rate of Afshar Hospital's obstetrics and gynecology ward was, at 83%, higher than expected (79%), and that in Shahid Sadoughi Hospital (at 69%) was lower than expected. For medicinal methods and nonmedicinal methods of pain alleviation, the index process at Afshar Hospital was much lower than expected (40%). In Afshar Hospital, patient satisfaction at discharge was about 66.74%.

CONCLUSION

Effective steps can be taken to improve the input and output criteria: allocating appropriate physical space, examining the reasons for low bed occupancy rate by using complex analytical models, and in order to study the reasons for large number of cesarean section childbirth, it was recommended to place more emphasis on training of pregnant mothers and to inform them about the side effects of cesarean section and advantages of natural childbirth.

摘要

目的

本研究旨在评估伊朗妇产科病房的绩效指标。

方法

本研究设计为横断面研究,于2015年在阿夫沙尔医院和沙希德·萨杜基医院的妇产科病房开展。绩效指标所需信息通过问卷、统计表格及直接观察收集。在几张表格中,基于预期限值,使用李克特量表指数呈现绩效评级和绩效状况。

结果

根据输入指标类别的结果,阿夫沙尔医院妇产科病房的床位占用率为83%,高于预期(79%),而沙希德·萨杜基医院的床位占用率(69%)低于预期。对于缓解疼痛的药物方法和非药物方法,阿夫沙尔医院的指标进程远低于预期(40%)。在阿夫沙尔医院,出院时患者满意度约为66.74%。

结论

可采取有效措施改善输入和输出标准:分配适当的物理空间,使用复杂分析模型检查床位占用率低的原因,为研究剖宫产分娩数量多的原因,建议更加强调对孕妇的培训,并告知她们剖宫产的副作用和自然分娩的优势。

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