nasrin moradi; asgar aghaei Hashjin; Aidin Aryankhesal
Volume 25, Issue 12 , 2023
Abstract
Background: Hospitals are the main providers of health services during an epidemic. Given their involvement in human life, it is especially vital that they maintain consistent high-quality services.
Objectives: This study aimed to identify the challenges in the resilience of hospital service quality ...
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Background: Hospitals are the main providers of health services during an epidemic. Given their involvement in human life, it is especially vital that they maintain consistent high-quality services.
Objectives: This study aimed to identify the challenges in the resilience of hospital service quality during the coronavirus pandemic.
Methods: This qualitative study was conducted using a content analysis method in the last quarter of 2021 and the first quarter of 2022. Seventeen senior and middle managers of Shiraz University of Medical Sciences and from affiliated hospitals assigned as coronavirus centers were included in the study. Data were analyzed using Graneheim and Lundman's method in the MAXQDA 2020 software.
Results: Challenges affecting the quality of hospital services during the pandemic were summarized under 9 main themes, namely "providing human resources, resolving extra-organizational issues, providing tools and equipment, treating psychosomatic disorders, resolving pharmaceutical issues, hospital management, nature of the disease, providing financial resources, and providing physical infrastructure," and 58 sub-themes. Senior and middle managers introduced human resources as the main challenge.
Conclusion: Resilience of hospital service was one of the governing indicators of the Ministry of Health during the coronavirus pandemic. Despite many efforts in this field, there are still numerous challenges in the country's hospitals, highlighting the need for planning to prepare hospitals for epidemic conditions.
najmeh khodadadi; aidin aryankhesal; MohammadReza Maleki
Volume 23, Issue 4 , 2021
Abstract
Background: The existence of partnerships between the health system and other organizations, especially city councils and municipalities, which have inherent and legal duties in this regard, is of particular importance in the promotion of public health.
Objectives: The present study aimed to assess ...
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Background: The existence of partnerships between the health system and other organizations, especially city councils and municipalities, which have inherent and legal duties in this regard, is of particular importance in the promotion of public health.
Objectives: The present study aimed to assess the status of Health System cooperation with City councils and municipalities in Iran based on rules and documents.
Methods: Altheides document analysis model (sample selection, data collection, data organization, data analysis, and reporting) was used to prepare and analyze the documents pertaining to the status of Health System cooperation with city councils and municipalities. The documents were classified at three levels of national rules, policies, and guidelines; Ministry of Health (MOH) and city council approvals; and eventually Tehran municipalitys measures.
Results: A total of 78 documents were analyzed, including 17 documents at the level of national rules, policies, and guidelines; 8 documents at the level of Ministry of Health and city council approvals; and 53 documents at the level of municipalitys measures.
Conclusion: There are adequate legal capacities for designing, planning, executing, as well as creating interaction and cooperation between the health system and other organizations, especially city councils and municipalities. Moreover, the motives behind creating purposeful and scheduled cooperation and participation are evident among the officials of the health system and city councils and municipalities. Some mechanisms have been established for cross-sectoral cooperation between the health system and other health-related bodies. Nonetheless, these structures lack the necessary competence, appropriateness, and adequacy to create the desired partnership. Moreover, sufficient attention is not devoted to existing capacities in municipalities and the city council. Accordingly, it is necessary to have a fundamental review on the available structures and enough attention has to be paid to the evident and hidden legal capacities in city councils and municipalities, as well as the Ministry of Health, to design an appropriate structure, create competent interaction, and provide more cooperation between the two organizations.
