设计伊朗公共医院外包非临床服务的管理模式
Shekoofeh Merati1, Amir Ashkan Nasiripour2, Leila Riahi1
1Department of Health Services Management, SR.C., Islamic Azad University, Tehran, Iran.
BMC health services research
|November 22, 2025
概括
战略规划和合同管理是公共医院成功外包医疗保健的关键. 有效的外包可以提高发展中国家的运营效率和患者护理质量.
科学领域:
- 医疗服务管理 医疗服务管理
- 公共卫生政策 公共卫生政策
- 运营研究 运营研究
背景情况:
- 发展中国家越来越多地通过合同利用非国家伙伴关系来加强医疗保健服务.
- 这项研究的重点是开发一个模型,在公共医院设置中外包非临床服务.
研究的目的:
- 探索在公共医院外包非临床服务的最佳模式的设计.
- 确定影响医疗保健外包计划成功的关键因素.
主要方法:
- 通过从卫生政策制定者,外包专家和医院管理人员的结构化在线问卷收集的数据.
- 调查问卷的有效性和可靠性通过专家审查 (CVI=0.83,CVR=0.61) 和克朗巴赫α (0.85) 得到证实.
- 使用SPSS,LISREL和因子分析进行的统计分析.
主要成果:
- 规划,决策,绩效管理,合同,沟通和知识管理对医疗保健外包产生重大影响.
- 战略规划对外包结果产生了最强的积极影响 (β=0.94).
- 在已识别的因素中,知识管理显示出最弱的效应 (β=0.34).
结论:
- 研究结果为医院管理人员提供了一个框架,以优化非临床外包策略.
- 强调战略规划,绩效管理,合同监督和沟通对于成功至关重要.
- 实施可以提高公共医院的运营效率和患者护理质量,特别是在像伊朗这样的环境中.
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