Volume 20, Issue 67 (4-2017)                   jha 2017, 20(67): 50-63 | Back to browse issues page


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Jafari Sirizi M, Seyedin S, Aghlmand S, Seyed Mahmodi M. Performance Indicators of Emergency Departments Following the Implementation of Specialist Residency Program under the Health Sector Evolution Plan in Public Hospitals of West Azerbaijan Province. jha. 2017; 20 (67) :50-63
URL: http://jha.iums.ac.ir/article-1-2137-en.html

1- Associate Professor of Department of Health Services Management School of Health Management and Information Sciences, Iran University of Medical Sciences, Tehran, Iran
2- Associate Professor of Department of Health in Disaster and Emergencies iran university of medical sciences
3- Assistant Professor of Department of Public Health Urmia University of Medical Sciences
4- MSc of Health Services Management iran university of medical sciences , m.mahmodi20@yahoo.com
Abstract:   (833 Views)

Introduction: It seems permanent presence of resident specialists affects the performance indicators of emergency department (ED). Therefore, the aim of this study is evaluating the performance of EDs in hospitals affiliated to Urmia University of medical sciences following the implementation of specialist residency program under the health sector evolution plan.

Methods: The present study is an applied type and descriptive-analytic. In this study the data related to performance indicators of 23 public hospitals of West Azerbaijan province is collected through data collection forms for two six month period before and after resident specialist presence and analyzed by using SPSS 22 software, Repeated Measure ANOVA test. Then semi-structured interviews were conducted with 15 personnel of the two selected hospitals to evaluate the causes of good or poor performance in the best and in the weakest hospitals in aspect of performance and analyzed by using MAXQDA 10 software, framework analysis technique.

Results: The presence of resident specialists resulted in relative improvement of performance indicators such as «Mean time of triage (level 1)» (0.17 Minutes decrease) and «the percentage of patients were disposed during 6-hour» (1.36% increase).(P-Value > 0/05) The results of the interviews show that permanent presence of emergency specialists, management method in emergency department, how to triage patients and counseling, providing facilities and required physical space, training classes for staff, available diagnostic facilities and personnel motivation are factors resulted in overall improvement of ED performance In the best hospital.

Conclusion: Generally, if the specialist residency program implemented correctly results in improvement of performance indicators in ED. Meanwhile, physicians’ motivation is a requirement for better implementation of this program.

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Type of Study: Applicable | Subject: General
Received: 2016/05/28 | Accepted: 2017/03/15 | Published: 2017/03/15

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