Abstract
Background and Objectives:Hospitals are complex organizations that require strong and effective management. The success of such organizations depends on the performance of managers. This study provides a comprehensive set of indicators to assess the performance of hospital managers in Iranian Ministry of Health owned hospitals.Methods:This research was a cross-sectional study. First, reviewing the literature and using experts’ viewpoints and convening a panel of experts, the dimensions of performance have been selected and came in the form of a performance model. Then, using Fuzzy Analytic Hierarchy Process (FAHP), the chosen dimensions were weighted. Finally, based on the weighted performance dimensions, a questionnaire was designed and after confirming the reliability and validity, through a census, 407 senior and middle managers from 10 hospitals in Yazd, Iran completed it and performance of CEOs in these hospitals was evaluated using the Fuzzy Technique for Order Preference by Similarity Ideal Solution (FTOPSIS).Results:To measure the performance of hospital managers, a performance assessment model consisted of 19 sub-dimensions in 5 main dimensions (Functional, Professional, Organizational, Individual and Human) was developed. The functional area had the most weight and the individual area had the least weight, as well. The hospital managers had different performance levels in each category and sub-dimensions. In terms of overall performance, the hospital managers C and H had the best and the worst performance, respectively.Conclusions:The use of appropriate dimensions for performance, prioritizing them and evaluating the performance of hospital managers using appropriate techniques, can play an effective role in the selection of qualified managers, identifying strengths and weaknesses in performance and continuous improvement of them.
Highlights
The success of any organization to achieve its goals is highly dependent on the performance of the organization managers (Gharaei, 2004). managers play an important role in resource allocation, improving the quality of services and promoting the organizational performance (Stefl, 2008)
To measure the performance of hospital managers, a performance assessment model consisted of 19 sub-dimensions in 5 main dimensions (Functional, Professional, Organizational, Individual and Human) was developed
Considering all the above, this article aims to propose a model for evaluating the performance of hospital managers and analyzed the performance of ten hospital administrators in Yazd, Iran using Fuzzy Analytic Hierarchy Process (FAHP) and FTOPSIS techniques
Summary
The success of any organization to achieve its goals is highly dependent on the performance of the organization managers (Gharaei, 2004). managers play an important role in resource allocation, improving the quality of services and promoting the organizational performance (Stefl, 2008). The role of hospital managers is different from the role of managers of other organizations and industries. Given that the highest share of health budget is allocated to health organizations especially hospitals and these organizations are important levers of health system for delivering health services, and managers of these organizations are responsible for operating the goals and visions determined by policy-makers in order to enhance the welfare and well-being of the community, the appropriate evaluation of managers plays a crucial role in the proper use of the costs and health promotion (Nikoukar, Ketabi, & Moazam, 2010; Pillay, 2010). Hospitals are complex organizations that require strong and effective management The success of such organizations depends on the performance of managers. This study provides a comprehensive set of indicators to assess the performance of hospital managers in Iranian Ministry of Health owned hospitals
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