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德黑兰医院志愿临床力量使用影响因素的识别:一项定性研究。

Recognition of factors affecting the use of volunteer clinical forces in hospitals in Tehran: A qualitative study.

作者信息

Hasani Mahdi, Gorji Hassan Abolghasem, Panahi Sirous

机构信息

Department of Health Services Management, School of Health Management and Information Sciences, Iran University of Medical Sciences, Tehran, Iran.

Health Management and Economics Research Center, Department of Medical Library and Information Science, School of Health Management and Information Sciences, Iran University of Medical Sciences, Tehran, Iran.

出版信息

J Educ Health Promot. 2021 Jan 28;10:16. doi: 10.4103/jehp.jehp_635_20. eCollection 2021.

Abstract

INTRODUCTION

Volunteers are valuable human resources for service-providing organizations. Health system requires their participation and cooperation in all sectors to achieve more success. The present study was conducted to recognize factors influencing the use of volunteer clinical forces (VCFs) in Tehran hospitals from 2018 to 2020.

METHODS

This is a qualitative study, based on grounded theory approach, and was done through semi-structured interviews. The studied population included the experts, managers of hospitals, and high-ranking managers in the Ministry of Health, Iranian Red Crescent Organization, and health nongovernmental organizations (NGOs). Nineteen persons were selected by purposeful sampling method and interviewed. The achieved data were analyzed by content analysis method.

RESULTS

The results showed that using VCFs in Tehran's hospitals was affected by eight following factors: organizational, legal, policy-making, economic, social, security, personal, and cultural dimensions. These findings illustrated the necessity of making changes in the structures, the rules, and the culture of health system to fit the bases with new approaches.

CONCLUSION

VCFs amplify the quality and structure of service providing for patients in hospitals. The focus of policymakers and high-ranking managers in health system is on accelerating their use permanently and legally. Developing health-centered NGOs facilitates the access to VCF, lessens nonclinical loads of hospitals, and improves the organization of human forces. The experiences and knowledge of VCFs cause to develop hospitals' resilience, develop social participation, and improve social capitals in medical field.

摘要

引言

志愿者是服务提供组织的宝贵人力资源。卫生系统需要他们在各个部门的参与与合作,以取得更大的成功。本研究旨在识别2018年至2020年影响德黑兰医院志愿者临床力量(VCFs)使用的因素。

方法

这是一项基于扎根理论方法的定性研究,通过半结构化访谈进行。研究人群包括专家、医院管理人员以及卫生部、伊朗红新月会组织和卫生非政府组织(NGOs)的高级管理人员。通过目的抽样法选取了19人进行访谈。采用内容分析法对获得的数据进行分析。

结果

结果表明,德黑兰医院使用VCFs受到以下八个因素的影响:组织、法律、政策制定、经济、社会、安全、个人和文化层面。这些发现表明有必要对卫生系统的结构、规则和文化进行变革,使其基础与新方法相适应。

结论

VCFs提高了医院为患者提供服务的质量和结构。卫生系统的政策制定者和高级管理人员的重点是永久且合法地加速其使用。发展以健康为中心的非政府组织有助于获取VCFs,减轻医院的非临床负担,并改善人力资源的组织。VCFs的经验和知识有助于提高医院的适应能力,促进社会参与,并改善医疗领域的社会资本。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b5d7/7933713/edf4acc62807/JEHP-10-16-g001.jpg

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