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Evidence-based management - healthcare manager viewpoints.
Ali Janati1, Edris Hasanpoor2, Sakineh Hajebrahimi3
1Iranian Center of Excellence in Health Management, School of Management and Medical Informatics, Tabriz University of Medical Sciences , Tabriz, Iran.
Hospital managers can improve healthcare by using evidence-based management (EBMgt). This study identifies EBMgt components, challenges, and a decision-making framework for effective hospital management.
Area of Science:
- Healthcare Management
- Organizational Behavior
- Decision Science
Background:
- Hospital manager decisions significantly impact service effectiveness and hospital success.
- An evidence-based approach is crucial for improving hospital management.
- Effective decision-making frameworks are needed for healthcare leaders.
Purpose of the Study:
- To identify the components of evidence-based management (EBMgt) in hospitals.
- To explore the challenges associated with implementing EBMgt.
- To propose a framework for improving evidence-based decision-making for hospital managers.
Main Methods:
- Conducted 45 semi-structured interviews with health service managers in 2016.
- Held three focus group discussions with health service managers.
- Utilized deductive qualitative analysis for data interpretation.
Main Results:
- Identified four core themes: EBMgt evidence sources, predictors, barriers, and processes.
- Found positive attitudes towards EBMgt among participants.
- Highlighted six key evidence sources for healthcare managers.
Conclusions:
- A fully evidence-based hospital manager utilizes all evidence sources within a six-step decision-making process.
- Evidence-based management frameworks are valuable tools for managing healthcare organizations.
- Understanding factors affecting hospital EBMgt is essential for successful implementation.
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