医院评审项目的评审员管理：在伊朗进行的一项主题分析
Surveyor Management of Hospital Accreditation Program: A Thematic Analysis Conducted in Iran.
作者信息
Teymourzadeh Ehsan, Ramezani Mozhdeh, Arab Mohammad, Rahimi Foroushani Abbas, Akbari Sari Ali
机构信息
Health Management Research Center, Baqiyatallah University of Medical Sciences, Tehran, IR Iran; Department of Health Management and Economics, School of Public Health, Tehran University of Medical Sciences, Tehran, IR Iran.
Department of Community Medicine, School of Medicine, Iran University of Medical Sciences, Tehran, IR Iran.
出版信息
Iran Red Crescent Med J. 2016 Jan 11;18(5):e30309. doi: 10.5812/ircmj.30309. eCollection 2016 May.
BACKGROUND
The surveyors in hospital accreditation program are considered as the core of accreditation programs. So, the reliability and validity of the accreditation program heavily depend on their performance.
OBJECTIVES
This study aimed to identify the dimensions and factors affecting surveyor management of hospital accreditation programs in Iran.
MATERIALS AND METHODS
This qualitative study used a thematic analysis method, and was performed in Iran in 2014. The study participants included experts in the field of hospital accreditation, and were derived from three groups: 1. Policy-makers, administrators, and surveyors of the accreditation bureau, the ministry of health and medical education, Iranian universities of medical science; 2. Healthcare service providers, and 3. University professors and faculty members. The data were collected using semi-structured in-depth interviews. Following text transcription and control of compliance with the original text, MAXQDA10 software was used to code, classify, and organize the interviews in six stages.
RESULTS
The findings from the analysis of 21 interviews were first classified in the form of 1347 semantic units, 11 themes, 17 sub-themes, and 248 codes. These were further discussed by an expert panel, which then resulted in the emergence of seven main themes - selection and recruitment of the surveyor team, organization of the surveyor team, planning to perform surveys, surveyor motivation and retention, surveyor training, surveyor assessment, and recommendations - as well as 27 sub-themes, and 112 codes.
CONCLUSIONS
The dimensions and variables affecting the surveyors' management were identified and classified on the basis of existing scientific methods in the form of a conceptual framework. Using the results of this study, it would certainly be possible to take a great step toward enhancing the reliability of surveys and the quality and safety of services, while effectively managing accreditation program surveyors.
背景
医院评审项目中的评审员被视为评审项目的核心。因此，评审项目的可靠性和有效性在很大程度上取决于他们的表现。
目的
本研究旨在确定影响伊朗医院评审项目评审员管理的维度和因素。
材料与方法
本定性研究采用主题分析法，于2014年在伊朗开展。研究参与者包括医院评审领域的专家，来自三个群体：1. 评审局、卫生和医学教育部、伊朗医科大学的政策制定者、管理人员和评审员；2. 医疗服务提供者；3. 大学教授和教职员工。通过半结构化深度访谈收集数据。在进行文本转录并核对与原文的一致性后，使用MAXQDA10软件分六个阶段对访谈进行编码、分类和整理。
结果
对21次访谈的分析结果首先以1347个语义单元、11个主题、17个子主题和248个代码的形式进行分类。一个专家小组对这些结果进行了进一步讨论，随后出现了七个主要主题——评审员团队的选拔和招募、评审员团队的组织、进行评审的计划、评审员的激励和留用、评审员培训、评审员评估以及建议——以及27个子主题和112个代码。
结论
基于现有的科学方法，以概念框架的形式确定并分类了影响评审员管理的维度和变量。利用本研究的结果，在有效管理评审项目评审员的同时，朝着提高评审的可靠性以及服务质量和安全性迈出一大步肯定是可行的。
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