医院治理问责结构:一个范围审查
Mohammad Ali Jalilvand1, Ahmad Reza Raeisi2, Nasrin Shaarbafchizadeh3
1Student Research Committee, School of Management and Medical Information Sciences, Isfahan University of Medical Sciences, Isfahan, Iran.
BMC health services research
|January 10, 2024
概括
本研究确定了负责任的医院治理的关键要素. 调查结果强调,包容性,承诺性,计划性和自主性结构对于改善医疗保健质量和安全至关重要.
科学领域:
- 医疗保健管理的管理
- 组织研究 组织研究
- 公共卫生政策 公共卫生政策
背景情况:
- 医院在提供高质量,安全和成本效益的服务方面面临着多方面的挑战.
- 许多医院治理计划旨在提高质量,安全和问责.
- 确定有效的医院治理结构对于应对这些挑战至关重要.
研究的目的:
- 确定有助于负责任的医院治理的关键结构和维度.
- 综合现有关于医院治理和问责制的研究.
主要方法:
- 使用Arksey和O'Malley的框架进行了范围审查.
- 从2010年到2023年,文学搜索覆盖了主要的数据库 (PubMed,科学网,Embase,Scopus,ProQuest) 和搜索引擎.
- 通过内容分析,分析了40篇精选的文章和报告.
主要成果:
- 出现了四个主要主题:包容性治理,对问责制的承诺,对问责制的规划和自治治理.
- 13个子主题进一步详细介绍了问责治理的特点.
- 分析涵盖了组织类型,来源,出版年份,目标和关键发现.
结论:
- 全球医院治理改革的重点是改善财务和临床责任.
- 确定的结构和维度为加强医院问责制提供了一个框架.
- 调查结果可以为更有效的医院治理提供政策和实践信息.
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