Hospital management by health services management graduates: the change paradigm in Iran

Background: The hospital management and its functions can be very important in improving the quality of hospital care, and their managers need several competencies to perform these functions efficiently and effectively. Today, more attention should be paid to the use of professional hospital manager...

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Autores principales: Peivand Bastani, Mohammadtaghi Mohammadpour, Jamshid Bahmaei, Ramin Ravangard, Gholamhossein Mehralian
Formato: article
Lenguaje:EN
Publicado: Elsevier 2021
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Acceso en línea:https://doaj.org/article/539ebdd794014ba8a2c1c6291150de9c
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spelling oai:doaj.org-article:539ebdd794014ba8a2c1c6291150de9c2021-12-02T05:03:07ZHospital management by health services management graduates: the change paradigm in Iran2405-844010.1016/j.heliyon.2021.e08414https://doaj.org/article/539ebdd794014ba8a2c1c6291150de9c2021-11-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S2405844021025172https://doaj.org/toc/2405-8440Background: The hospital management and its functions can be very important in improving the quality of hospital care, and their managers need several competencies to perform these functions efficiently and effectively. Today, more attention should be paid to the use of professional hospital managers, especially those educated in the field of Health Services Management. The present study aimed to study the change paradigm of hospital management by graduates of Health Services Management in a hospital in Iran as a developing country. Materials and methods: This study was a qualitative case study conducted in the Hazrate Ali Asghar Hospital in Shiraz, Iran in 2018 in order to determine the “why”, “how” and “what” aspects of applying hospital managers educated in the field of Health Services Management instead of other traditional managers, as a change paradigm. The samples were selected purposefully and semi-structured in-depth interviews with 12 people were used to explain the experiences of management style by graduates of Health Services Management. Data were collected and analyzed simultaneously using the thematic analysis method and with the inductive approach. Results: Results of the interviews led to the identification of 6 main themes and 26 sub-themes. The main themes were structural reforms, process reforms, organizational culture reforms, performance reforms, resource reforms, and consequences and results. Conclusion: According to the results, shifting from the use of traditional managers to the use of graduates of Health Services Management in the hospital proposed as a change paradigm in the hospital management is accompanied by some reforms in the hospital structures, processes, resources, culture, and performance. Such reforms may lead to some valuable final consequences and results such as increasing patient and staff satisfaction and effectiveness of actions and activities. This hypothesis is recommended to be tested in other similar settings.Peivand BastaniMohammadtaghi MohammadpourJamshid BahmaeiRamin RavangardGholamhossein MehralianElsevierarticleHealth services managementHospital managementChange paradigmCase studyScience (General)Q1-390Social sciences (General)H1-99ENHeliyon, Vol 7, Iss 11, Pp e08414- (2021)
institution DOAJ
collection DOAJ
language EN
topic Health services management
Hospital management
Change paradigm
Case study
Science (General)
Q1-390
Social sciences (General)
H1-99
spellingShingle Health services management
Hospital management
Change paradigm
Case study
Science (General)
Q1-390
Social sciences (General)
H1-99
Peivand Bastani
Mohammadtaghi Mohammadpour
Jamshid Bahmaei
Ramin Ravangard
Gholamhossein Mehralian
Hospital management by health services management graduates: the change paradigm in Iran
description Background: The hospital management and its functions can be very important in improving the quality of hospital care, and their managers need several competencies to perform these functions efficiently and effectively. Today, more attention should be paid to the use of professional hospital managers, especially those educated in the field of Health Services Management. The present study aimed to study the change paradigm of hospital management by graduates of Health Services Management in a hospital in Iran as a developing country. Materials and methods: This study was a qualitative case study conducted in the Hazrate Ali Asghar Hospital in Shiraz, Iran in 2018 in order to determine the “why”, “how” and “what” aspects of applying hospital managers educated in the field of Health Services Management instead of other traditional managers, as a change paradigm. The samples were selected purposefully and semi-structured in-depth interviews with 12 people were used to explain the experiences of management style by graduates of Health Services Management. Data were collected and analyzed simultaneously using the thematic analysis method and with the inductive approach. Results: Results of the interviews led to the identification of 6 main themes and 26 sub-themes. The main themes were structural reforms, process reforms, organizational culture reforms, performance reforms, resource reforms, and consequences and results. Conclusion: According to the results, shifting from the use of traditional managers to the use of graduates of Health Services Management in the hospital proposed as a change paradigm in the hospital management is accompanied by some reforms in the hospital structures, processes, resources, culture, and performance. Such reforms may lead to some valuable final consequences and results such as increasing patient and staff satisfaction and effectiveness of actions and activities. This hypothesis is recommended to be tested in other similar settings.
format article
author Peivand Bastani
Mohammadtaghi Mohammadpour
Jamshid Bahmaei
Ramin Ravangard
Gholamhossein Mehralian
author_facet Peivand Bastani
Mohammadtaghi Mohammadpour
Jamshid Bahmaei
Ramin Ravangard
Gholamhossein Mehralian
author_sort Peivand Bastani
title Hospital management by health services management graduates: the change paradigm in Iran
title_short Hospital management by health services management graduates: the change paradigm in Iran
title_full Hospital management by health services management graduates: the change paradigm in Iran
title_fullStr Hospital management by health services management graduates: the change paradigm in Iran
title_full_unstemmed Hospital management by health services management graduates: the change paradigm in Iran
title_sort hospital management by health services management graduates: the change paradigm in iran
publisher Elsevier
publishDate 2021
url https://doaj.org/article/539ebdd794014ba8a2c1c6291150de9c
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AT jamshidbahmaei hospitalmanagementbyhealthservicesmanagementgraduatesthechangeparadigminiran
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