Hayati Yeganeh, Mosadeghrad Ali Mohammad, Arab Mohammad
Department of Health Management and Economics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran.
Iran J Public Health. 2024 Apr;53(4):947-956. doi: 10.18502/ijph.v53i4.15572.
Decision-making is choosing one option from among different options. Most decision-making models were developed in the general industry. Specific decision-making models are needed due to the special nature of the hospital and its services. We aimed to propose and validate a decision-making model for hospital managers.
This research used the modified Delphi technique to develop and validate a decision-making model for hospital managers. A data collection form was used to collect data. The search of English databases covered the period from 1990 to 2020. The first draft of the model was introduced through a scoping review and semi-structured interviews. Two rounds of Delphi were conducted with 33 experts to verify the proposed model.
Many factors affect the quality and outcome of a hospital manager's decision. The decision-making model developed in this study has 10 constructs grouped into three components (i.e., inputs, processes, and outputs). These constructs include decision maker, decision implementer, organization, client, subject, analysis, identification, evaluation & selection, implementation and control. This model provides a guide for each decision stage and determines the conditions necessary for a good decision.
Using the decision-making puzzle and considering the set of inputs, processes, and outcomes of the decision making together alongside with specifying the details of each decision-making stage make it easy for hospital managers to decide. Such a scientific, objective and systematic approach in decision-making will result in desired results for staff, patients, managers and the hospital. This puzzle is also a good tool for pathology of hospital managers' decisions.
决策是从不同选项中选择一个。大多数决策模型是在一般行业中开发的。由于医院及其服务的特殊性，需要特定的决策模型。我们旨在提出并验证一种适用于医院管理者的决策模型。
本研究采用改进的德尔菲技术来开发和验证一种适用于医院管理者的决策模型。使用数据收集表收集数据。对英文数据库的检索涵盖了1990年至2020年的时间段。通过范围审查和半结构化访谈引入了该模型的初稿。与33位专家进行了两轮德尔菲法以验证所提出的模型。
许多因素影响医院管理者决策的质量和结果。本研究开发的决策模型有10个构建要素，分为三个组成部分（即输入、过程和输出）。这些构建要素包括决策者、决策执行者、组织、客户、主题、分析、识别、评估与选择、实施和控制。该模型为每个决策阶段提供了指导，并确定了做出良好决策所需的条件。
使用决策拼图并综合考虑决策的输入、过程和结果集，同时明确每个决策阶段的细节，便于医院管理者做出决策。这种科学、客观和系统的决策方法将为员工、患者、管理者和医院带来预期的结果。这个拼图也是分析医院管理者决策病理的一个好工具。
