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

XML Persian Abstract Print

Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

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- School of Health Management and Information Sciences, Iran University of Medical Sciences, Tehran, Iran
2- iran university of medical sciences
3- Urmia University of Medical Sciences
4- iran university of medical sciences , m.mahmodi20@yahoo.com
Abstract:   (1622 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.

Full-Text [PDF 650 kb]   (1314 Downloads)    
Type of Study: Applicable | Subject: General
Received: 2016/05/28 | Accepted: 2017/03/15 | Published: 2017/03/15

Add your comments about this article : Your username or Email:

Send email to the article author

© 2018 All Rights Reserved | Journal of Health Administration

Designed & Developed by : Yektaweb