79.18 The project of management-economical structure reform of Iran's hospitals, a reformist vision through increasing the quality

Wednesday, April 29, 2009
Sadrivaan A and B (The Hilton Istanbul Hotel )
Negar Yazdani Ministry of Health and Medical Education, Iran
Anis Abbasi Golestan University of Medical Sciences, Iran
Introduction:
Hospitals have an  important role in providing and increasing physical and mental health of society. Ministry of Health executed the reform of management- economical structure for hospital with 6  important strategies :modern organizing, clerk’s activities management, practical budget, maintenance management, outsourcing , Information system in pilot hospital .In this article  , aims , methods and ways of doing the project , the effects of 6 strategies on the quality of services and difficulties of the project  are  explained.
Methods:
After experiences of other countries , principles ,  criteria, questionnaires and checklists were designed and were sent to pilot hospital.After the installation of the strategies each of these tools were  filled. The data were analyzed with statistical methods , and compared with last periods . At the end the effect of each strategy on quality improvement was examined.
Findings :
Findings of the survey showed that the possibility of doing the outsourcing strategy was more and the modern organizing  was less than the other. performing outsourcing  strategy had a positive effect on clerks and patients satisfactory and reducing expenses. Performing activity management led to more efforts from clerk for more working  and more quality and justice in paying wages . performing practical budget led to finding expense .
Conclusion: 
Those 6 strategies have noticed to all sources of hospitals and have noticed, to all principles for a hospital to achieve it s aims such as patients and clerks satisfactory , reducing expenses that led to increasing productivity .
But  this  project  wasn,t  done completely  in hospitals, because of economical , political,  social ,cultural and organizational situation and   lack of  same necessary  structures and qualifications  . the project didn’t have  any influence  in increasing  the quality  of      services  and   customers satisfaction 

 

Learning Objectives: I am M.Sc. Student of Health Care Management , Ministry of health and medical education, Tehran, Iran. I am eager to share my experiences with other researches.

Sub-Theme: Strengthening Global Public Health Systems