Department of Public Health, Mazandaran University of Medical Sciences, Sari, Iran.
Department of Public Health, Health Sciences Research Center, Mazandaran University of Medical Sciences, Sari, Iran.
Ethiop J Health Sci. 2021 May;31(3):533-542. doi: 10.4314/ejhs.v31i3.10.
Developing a practical model to assess hospital performance improves the quality of services and leads to patient satisfaction. This study aims to develop and present such a model using the IPOCC (Input, Process, Output, Control and Context) approach.
This study used a mixed-method research. The statistical population of the qualitative part included 27 experts who were purposefully selected and the sampling process was continued by the snowball method until the data saturation was reached. The quantitative part included 334 managers at different levels within a hospital, who were selected by a random sampling method based on Cochran's formula.
The hospital evaluation model has 5 dimensions with 20 factors: input (human, financial, physical, information and equipment), process (treatment, para-clinical, prevention, management, and leadership processes), outcome (patient, staff and community outcomes and key performance index), control (internal control, external control), context (hospital culture, hospital status, the role of evaluators and community conditions). The value of chi-square was 4689.154, the degree of freedom was 2385, and the ratio of chi-square to the degree of freedom in the model was 1.966, which is an acceptable value. The values obtained from CFI, GFI, and IFI fit indices were acceptable. The SRMR index was 0.1130.
Using a performance assessment model along with the IPOCC approach evaluates hospital processes and the output obtained from the proper implementation of these processes in all areas. The areas include the hospital provided services like the control and context, or the traditional perspectives like physical, human, financial, and equipment resources.
开发实用的医院绩效评估模型可提高服务质量并提升患者满意度。本研究旨在采用 IPOCC（投入、过程、产出、控制和环境）方法开发并呈现此类模型。
本研究采用混合方法研究。定性部分的统计人群包括 27 名专家，他们是通过有针对性的选择确定的，抽样过程通过滚雪球法继续进行，直到达到数据饱和。定量部分包括 334 名不同级别的医院管理人员，他们是根据 Cochran 公式通过随机抽样法选择的。
该医院评估模型有 5 个维度，包含 20 个因素：投入（人力、财务、物质、信息和设备）、过程（治疗、辅助临床、预防、管理和领导过程）、产出（患者、员工和社区结果和关键绩效指标）、控制（内部控制、外部控制）、环境（医院文化、医院地位、评估者的角色和社区条件）。卡方值为 4689.154，自由度为 2385，模型中的卡方自由度比为 1.966，这是一个可接受的值。CFI、GFI 和 IFI 拟合指数得到的数值是可接受的。SRMR 指数为 0.1130。
使用绩效评估模型和 IPOCC 方法评估医院流程以及在所有领域从这些流程的正确实施中获得的产出。这些领域包括医院提供的服务，如控制和环境，或传统的物理、人力、财务和设备资源视角。
