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Assessing midwifery services in Iran via the balanced scorecard framework
GholamReza Rezaei1, Mohammad SadeghzadehMaharluie2, Maedeh Ebrahimi3
1Department of Accounting, Faculty of Management and Economics, University of Sistan and Baluchestan, Zahedan, Sistan and Baluchestan Province 98167-45845, Iran.
Health Policy and Planning
|November 12, 2023
Summary
Improving performance assessment systems enhances midwife service quality. Midwife job satisfaction and intra-organizational information also boost service quality, directly and indirectly, via performance assessment.
Area of Science:
- Healthcare Management
- Organizational Behavior
- Health Services Research
Background:
- Midwife service quality is crucial for maternal and infant health outcomes.
- Effective performance assessment systems are vital for healthcare quality improvement.
- Understanding factors influencing midwife performance is essential for healthcare organizations.
Purpose of the Study:
- To investigate the impact of intra-organizational information, midwife job satisfaction, and performance assessment on midwife service quality.
- To examine the mediating role of performance assessment systems in the relationship between job satisfaction, information, and service quality.
Main Methods:
- Empirical analysis using survey data from 276 participants (midwives, doctors, nurses, mothers) in Iranian public healthcare organizations.
- Structural equation modeling was employed to test the hypothesized relationships.
Main Results:
- An improved performance assessment system significantly enhances the quality of midwife services.
- Midwife job satisfaction and intra-organizational information positively influence service quality.
- Performance assessment systems mediate the positive effects of job satisfaction and information on service quality.
Conclusions:
- Implementing robust performance assessment systems, like the balanced scorecard, is key to improving midwife services.
- Enhancing midwife job satisfaction and intra-organizational information flow are important strategies for quality improvement.
- The study highlights the interconnectedness of organizational factors and healthcare service quality in midwifery.
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