Dinas Konstantinos, Vavoulidis Eleftherios, Pratilas Georgios Chrysostomos, Basonidis Alexandros, Liberis Anastasios, Zepiridis Leonidas, Sotiriadis Alexandros, Papaevangeliou Dimitra, Stathopoulou Aliki, Leimoni Eirini, Pantazis Konstantinos, Tziomalos Konstantinos, Aletras Vassilis, Tsiotras George
2nd Obstetrics and Gynecology Department, Hippokration General Hospital, Thessaloniki, Greece.
Thessaloniki Medical School, Aristotle University of Thessaloniki , Thessaloniki, Greece.
Int J Health Care Qual Assur. 2019 Feb 11;32(1):164-175. doi: 10.1108/IJHCQA-05-2017-0083.
Today, quality management systems (QMS) are a promising candidate for the improvement of healthcare services. The purpose of this paper is to investigate the opinions/attitudes of gynecology healthcare professionals toward quality and quality management in healthcare facilities (HFs) in Greece.
DESIGN/METHODOLOGY/APPROACH: An anonymous self-administered questionnaire was distributed to healthcare professionals, asking for opinions on quality objectives associated with the everyday workflow in HFs (e.g. management of patients, resources, etc.) and on QMS. The study was conducted in Hippokration Hospital of Thessaloniki, including 187 participants. Statistical assessment and analysis of the questionnaires were carried out.
Although 87.5 percent recognized the importance of potential QMS implementation and accreditation, over 50 percent believed that it would lead rather to increased workload and bureaucracy than to any considerable quality improvement. More than 60 percent were completely unaware of the implementation of quality objectives such as quality handbook, quality policy, audit meetings and accreditation status in their HFs. This unawareness was also reported in terms of patient, data, human and general resources management. Finally, awareness over medical malpractice and positive attitude toward official reporting were detected.
ORIGINALITY/VALUE: Most respondents acknowledged the significance of quality, QMS implementation and accreditation in Greek hospitals. However, there was a critical gap in knowledge about quality management objectives/processes that could be possibly resolved by expert teams and well-organized educational programs aiming to educate personnel regarding the various quality objectives in Greek HFs.
如今，质量管理体系（QMS）是改善医疗服务的一个有前景的选择。本文的目的是调查希腊妇科医疗专业人员对医疗机构（HFs）质量及质量管理的看法/态度。
设计/方法/途径：向医疗专业人员发放一份匿名的自填式问卷，询问他们对与医疗机构日常工作流程相关的质量目标（如患者管理、资源管理等）以及质量管理体系的看法。该研究在塞萨洛尼基的希波克拉底医院进行，共有187名参与者。对问卷进行了统计评估和分析。
尽管87.5%的人认识到潜在实施质量管理体系和认证的重要性，但超过50%的人认为这将导致工作量和官僚作风增加，而非带来显著的质量提升。超过60%的人完全不知道他们所在的医疗机构是否实施了质量手册、质量政策、审核会议和认证状态等质量目标。在患者、数据、人力和一般资源管理方面也存在这种认知不足的情况。最后，发现了对医疗事故的认知以及对官方报告的积极态度。
原创性/价值：大多数受访者承认质量、质量管理体系实施和认证在希腊医院的重要性。然而，在质量管理目标/流程的知识方面存在关键差距，这可能通过专家团队和精心组织的教育项目来解决，这些项目旨在教育希腊医疗机构的人员了解各种质量目标。
