Abstract
Today, various methods are used in order to assess the health care system which is one of the Governance Leadership Direction (GLD) standards of the Joint Commission International (JCI) of America. This study aimed to evaluate the performance of managers of Tehran University of Medical Sciences’ Obstetrics and Gynecology Hospitals from the viewpoint of personnel, based on the JCI Accreditation Model. This study is a descriptive-analytical research and a cross-sectional study in 2014 which has been conducted among the 311 personnel of two hospitals of obstetrics and gynecology of Tehran University of Medical Sciences. Tools for data collection included two questionnaires. The first questionnaire had 27 questions to evaluate the ability to implement the Governance, Leadership, and Direction (GLD) aspects of JCI standards. The second questionnaire was designed to evaluate the performance of managers. The data were analyzed using the SPSS Software version 18 and Mann-Whitney and Kruskal-Wallis statistical tests. The results show that in the studied hospitals, the functional performance standards of GLD have a relatively high level (average = 0.50 ± 2.30 from 3) and among its dimensions, the highest score related to monitoring (average of 0.57 ± 2.23) and the least related to leadership (average of 0.530 ± 2.26). There was a significant relationship among age, education and employment type of personnel and GLD standards and aspects. Given the relatively good rating of various aspects of management performance in the studied hospitals, it can be upgraded and get closer to the JCI international standards. Meanwhile, emphasizing on leadership seems more urgent.
Highlights
Maintaining and improving the health of people are of the development priorities of each country and the health sector authorities are always trying to take advantage of their available resources, and provide the best and highest quality of health care services to the society [1]
The first questionnaire included 27 three-optional “applicable, fairly applicable and inapplicable” questions that the ability to implement Joint Commission International (JCI) standards in Governance, Leadership, and Direction (GLD) aspects was measured and analyzing the data and recognition of standards which are difficult to perform from the perspective of human resources, the second questionnaire was prepared by the researcher from the measurable elements of standards which are applicable
The results of the Mann-Whitney test showed that the means difference in Governance Leadership Direction (GLD) scope and its dimensions in the two studied hospitals are not statistically significant, this means that the hospital does not affect the GLD score and its dimensions (Table 4)
Summary
Maintaining and improving the health of people are of the development priorities of each country and the health sector authorities are always trying to take advantage of their available resources, and provide the best and highest quality of health care services to the society [1]. Since improving the quality leads to acquiring competitive advantages for these organizations, this matter has been considered with many research enthusiasts in this field [5]. In this regard, a detailed assessment is of particular importance which leads to a structured judgment and quality documentation [6]. The performance evaluation and flawless service providing in accordance with the performance standards, are necessary [7]
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