Janati Ali, Hasanpoor Edris, Hajebrahimi Sakineh, Sadeghi-Bazargani Homayoun
Iranian Center of Excellence in Health Management (ICEHM), School of Management and Medical Informatics, Tabriz University of Medical Sciences, Tabriz, Iran.
Research Center for Evidence Based Medicine, Tabriz University of Medical Sciences, Tabriz, Iran.
Ethiop J Health Sci. 2017 Nov;27(6):659-668. doi: 10.4314/ejhs.v27i6.11.
Evidence-based management (EBMgt) has been developed as a management framework for improving the quality of management decisions. To use that, we need to identify the source of evidence in decision-making. Therefore, the purpose of this study was to identify the sources of evidence in managing hospitals.
Qualitative methods were used to explore the sources of evidence and to identify hospital managers' attitudes towards evidence-based management. A series of semi-structured interviews (n=48), with a purposive sample of 48 participants, were conducted in 2016. Also, four focus group discussions (FGDs) were conducted with health managers and specialists in the field of management. A questionnaire was used for collection of demographic characteristics and managers' perspectives.
Six main themes emerged from the interviews including: scientific and research evidence, facts and information of hospital, political-social development plans, managers' professional expertise and ethical-moral evidence. Also, the results showed that the majority of participants believed to use the evidence-based hospital management (95.83%).
Our study suggested that a full evidence-based hospital manager someone who is using all the sources of evidence for making hospital decisions. Using hexagon of evidence sources, managers can identify the best available evidence for hospital decisions and to make the best decision in the process of evidence-based decision making.
循证管理（EBMgt）已被开发为一种用于提高管理决策质量的管理框架。为了运用该框架，我们需要确定决策过程中的证据来源。因此，本研究的目的是确定医院管理中的证据来源。
采用定性方法来探究证据来源，并确定医院管理者对循证管理的态度。2016年，对48名参与者进行了有目的抽样，开展了一系列半结构化访谈（n = 48）。此外，还与卫生管理人员和管理领域的专家进行了四次焦点小组讨论（FGD）。使用问卷收集人口统计学特征和管理者的观点。
访谈中出现了六个主要主题，包括：科学与研究证据、医院事实与信息、政治社会发展规划、管理者的专业知识以及伦理道德证据。此外，结果表明，大多数参与者认为应采用循证医院管理（95.83%）。
我们的研究表明循证的医院管理者应是在医院决策过程中运用所有证据来源的人。通过使用证据来源六边形，管理者可以识别出用于医院决策的最佳可用证据，并在循证决策过程中做出最佳决策。
