Shafeie Mohammad Reza, Sharifi Saeid
Department of Public Management, School of Management, Isfahan (Khorasgan) Branch, Islamic Azad University, Isfahan, Iran.
Assistant Professor, School of Management, Isfahan (Khorasgan) Branch, Islamic Azad University, Isfahan, Iran.
ARYA Atheroscler. 2020 Sep;16(5):213-219. doi: 10.22122/arya.v16i5.2070.
The issue of academic autonomy along with the reduced authority of the government for handling the service-providing section is considered an urgent demand for most of the organizations including hospitals.
The method of research was a combination of quantitative and qualitative methods from sequential exploratory studies type. In qualitative part, descriptive-phenomenological method using seven-step Colaizzi method and in quantitative part, survey method was used. Statistical population of research of the first part included key experts of the academic autonomy field who were selected purposefully and based on the criterion. With 8 persons, data were saturated. Data collection tool of this part was semi-structured and deep interview. Validation of data was performed by outsider auditors as well as through returning to the interviewees. In quantitative part, a 60-question questionnaire made by the authors was used for data collection which was distributed among officials including hospital managers and key stakeholders of the academic autonomy process in a heart hospital who were 98 persons. Superficial and content validity of the questionnaire was estimated as much as 0.70 for all items. Modeling analysis in inferential level was done through Akaike scale regression.
Academic autonomy is in three dimensions: economic, scientific, and organizational and inter-organizational, intra-organizational, and extra-organizational factors contribute to it from which scientific autonomy is more important compared to other factors. Moreover, intra-organizational factors have more contribution to the academic autonomy of these centers.
The results of this study will be a good guide for academic autonomy of medical centers. In order to achieve academic autonomy, it is more important to pay attention to factors such as autonomy culture capacity, independent signing treaties and international documents, and science-centered society.
学术自主权问题以及政府在服务提供部门的权力减弱，被认为是包括医院在内的大多数组织的迫切需求。
研究方法是采用顺序探索性研究类型的定量和定性方法相结合。在定性部分，使用七步法的描述性现象学方法，在定量部分，使用调查方法。第一部分研究的统计总体包括学术自主权领域的关键专家，这些专家是有目的地根据标准挑选出来的。8人时数据达到饱和。这部分的数据收集工具是半结构化深度访谈。数据验证由外部审核员以及通过回访受访者进行。在定量部分，作者编制的一份60个问题的问卷用于数据收集，该问卷分发给包括一家心脏医院的医院管理人员和学术自主权过程的关键利益相关者在内的官员，共98人。问卷所有项目的表面效度和内容效度估计均为0.70。推断层面的建模分析通过赤池量表回归进行。
学术自主权体现在经济、科学、组织和组织间三个维度，组织间、组织内和组织外因素对其有影响，其中科学自主权比其他因素更重要。此外，组织内因素对这些中心的学术自主权贡献更大。
本研究结果将为医疗中心的学术自主权提供良好指导。为了实现学术自主权，更重要的是关注诸如自主文化能力、独立签署条约和国际文件以及以科学为中心的社会等因素。
