fa بررسی و مقایسه شاخص های عملکردی بیمارستان های استان آذربایجان شرقی با شاخص های استاندارد وزارت بهداشت، درمان و آموزش پزشکی تخصصي Special پژوهشي Research <strong><span style="font-family:b mitra;"><span style="font-size:12.0pt;">مقدمه:</span></span></strong> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">شاخص‌های</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">عملکردی</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">یکی</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">از</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">مهم‌ترین تعیین‌کننده‌های</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">وضعیت</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">کارایی</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">و</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">بهره‌وری</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">بیمارستان‌ها</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">می‌باشند</span></span><span dir="LTR"><span style="font-family:bnazanin,italic;"><span style="font-size:12.0pt;">.</span></span></span><span style="font-family:b mitra;"><span style="font-size:12.0pt;"> هدف</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">این</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">پژوهش</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">بررسی</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">شاخص‌های</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">عملکردی</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">بیمارستان‌های استان آذربایجان شرقی</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">با</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">استاندارد</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">وزارت</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">بهداشت،</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">درمان</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">و آموزش</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">پزشکی</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">بود.</span></span><br> <br> <strong><span style="font-family:b mitra;"><span style="font-size:12.0pt;">روش:</span></span></strong><span style="font-family:b mitra;"><span style="font-size:12.0pt;"> این پژوهش یک مطالعه توصیفی- مقطعی بود، جامعه مورد مطالعه همه بیمارستان‌های استان آذربایجان شرقی است. </span></span><span style="font-family:b mitra;"><span style="font-size:12.0pt;">جهت گردآوری</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">داده‌ها</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">از</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">چک‌لیست</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">استاندارد</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">وزارت</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">بهداشت که</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">بر</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">اساس</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">موضوعاتی</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">همچون</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">درصد</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">اشغال</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">تخت</span></span><span style="font-family:b mitra;"><span style="font-size:12.0pt;">، </span></span><span style="font-family:b mitra;"><span style="font-size:12.0pt;">متوسط</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">اقامت</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">بیمار،</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">میزان</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">گردش</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">تخت</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">بود</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">استفاده گردید</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">و سپس</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">بر اساس</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">جدول</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">شاخص‌های</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">استاندارد</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">وزارت بهداشت، درمان</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">و</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">آموزش</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">پزشکی</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">و</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">با</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">استفاده از نرم‌افزار</span></span><span dir="LTR"><span style="font-family:times new roman,serif;">EXCEL</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">&nbsp;2013</span></span><span style="font-family:b mitra;"><span style="font-size:12.0pt;"> مورد تجزیه‌وتحلیل قرار گرفت.</span></span><br> <br> <strong><span style="font-family:b mitra;"><span style="font-size:12.0pt;">یافته</span></span></strong><strong><span style="font-family:b mitra;"><span style="font-size:12.0pt;">‌</span></span></strong><strong><span style="font-family:b mitra;"><span style="font-size:12.0pt;">ها:</span></span></strong> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">شاخص‌های</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">عملکردی</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">بیمارستان‌های</span></span><span style="font-family:b mitra;"><span style="font-size:12.0pt;"> استان آذربایجان شرقی&nbsp; </span></span><span style="font-family:b mitra;"><span style="font-size:12.0pt;">ازنظر</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">درصد</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">اشغال</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">تخت وضعیت متوسط، ازنظر</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">متوسط</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">چرخش</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">تخت و متوسط</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">طول</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">اقامت</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">بیمار</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">از</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">وضعیت مطلوبی بر</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">طبق</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">استانداردهای</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">تعیین‌شده</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">از</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">سوی</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">وزارت</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">بهداشت،</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">درمان</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">و</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">آموزش</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">پزشکی</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">برخوردار بوده است</span></span><br> <br> <strong><span style="font-family:b mitra;"><span style="font-size:12.0pt;">بحث و نتیجه‌گیری:</span></span></strong> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">با توجه</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">به</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">اینکه</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">وضعیت</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">شاخص‌ها در </span></span>&nbsp;<span style="font-family:b mitra;"><span style="font-size:12.0pt;">بیمارستان‌های</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">موردمطالعه</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">در</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">وضعیت</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">مطلوب و متوسط</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">رو </span></span><span style="font-family:b mitra;"><span style="font-size:12.0pt;">به بالا قرار دارند، جهت </span></span>&nbsp;<span style="font-family:b mitra;"><span style="font-size:12.0pt;">بهبود</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">و</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">رشد</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">شاخص‌های بیمارستانی، باید هدف‌گذاری</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">جدیدی توسط مدیران و دست‌اندرکاران</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">صورت</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">گیرد. در نتیجه</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">پیشنهاد</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">می‌گردد</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">که مدیران دانشگاه علوم پزشکی و بیمارستان‌ها</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">از تجربیات موفق مدیران در سایر دانشگاه‌ها و بیمارستان‌ها</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">جهت</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">بهبود</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">وضعیت</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">شاخص‌های</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">بیمارستانی</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">استفاده</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">نمایند</span></span><span dir="LTR"><span style="font-family:bnazanin;"><span style="font-size:12.0pt;">.</span></span></span><br> &nbsp; <table align="left" cellpadding="0" cellspacing="0" hspace="0" vspace="0"> <tbody> <tr> <td align="left"><strong>Introduction:</strong> Performance indicators are one of the important factors in indicating the efficiency and productivity state. This study aimed to evaluate and compare hospital performance indicators with the same standards of Ministry of Health in East Azerbaijan, Northwest of Iran.<br> <strong>Methods:</strong> This is a descriptive cross-sectional study in 2015. The study population included all hospitals in East Azerbaijan province. Data were collected using a checklist including bed occupancy rate, average length of stay, and bed turnover rate, based on the Ministry of Health standards, and analyzed according to the Ministry of Health standards using EXCEL 2013.<br> <strong>Results:</strong> The state of performance indicators in the hospitals of East Azerbaijan in terms of bed occupancy rate was average, and the state of average bed turnover and average length of stay rates compared to the standards declared by the Ministry of Health, was good.<br> <strong>Discussion and Conclusion:</strong> As the indicators states in the hospitals were average and good, so new strategies should be taken by the senior managers and administrators to improve the performance indicators in hospitals. Therefore, managers of the universities and hospitals are recommended to use the successful experiences of the managers of other hospitals and universities to improve the state of hospital indicators.</td> </tr> </tbody> </table> <div style="clear:both;"></div> واژه‌های کلیدی: شاخص‌های عملکردی, ضریب اشغال تخت, گردش تخت, متوسط طول اقامت Performance indicators, Bed occupancy, Bed turnover, Average length of stay 190 200 http://jms.kmu.ac.ir/browse.php?a_code=A-10-1-33&slc_lang=fa&sid=1 علی جنتی 1003194753284600473 1003194753284600473 No علی ایمانی 1003194753284600474 1003194753284600474 No حسن الماس پور خانقاه 1003194753284600475 1003194753284600475 Yes