Hostname: page-component-7c8c6479df-94d59 Total loading time: 0 Render date: 2024-03-27T05:09:39.443Z Has data issue: false hasContentIssue false

Evaluation Indexes of Military Hospitals From the Experts’ Perspective: A Qualitative Study

Published online by Cambridge University Press:  20 May 2015

Ahmad Ameryoun
Affiliation:
Health Management Research Centre, Baqiyatallah University of Medical Sciences, Tehran, Iran
Ali Akbar Haghdoost
Affiliation:
Regional Knowledge Hub, and WHO Collaborating Centre for HIV Surveillance, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran
Rouhollah Zaboli
Affiliation:
Health Management Research Centre, Baqiyatallah University of Medical Sciences, Tehran, Iran
Tayebeh Mirzaei
Affiliation:
Geriatric Care Research Center, Rafsanjan University of Medical Sciences, Rafsanjan, Iran
Shahram Tofighi
Affiliation:
Health Management Research Centre, Baqiyatallah University of Medical Sciences, Tehran, Iran
Mohammad Amin Shamsi*
Affiliation:
Health Services Management, Baqiyatallah University of Medical Sciences, Tehran, Iran
*
Correspondence and reprint requests to Mohammad Amin Shamsi, Department of Healthcare Management, Faculty of Health, Baqiyatallah University of Medical Sciences, Tehran, Iran (e-mail: mashamsi78@gmail.com).

Abstract

Given the importance of evaluation in an organization and considering the objectives and missions of military hospitals, we aimed to extract some indexes (in addition to common evaluation indexes) for use in evaluating military hospitals. This was an applied-type qualitative study. The participants were 15 health experts who were first chosen by a purposeful sampling, which was then continued by theoretical sampling. The data obtained were analyzed by using MAXQDA11 software and the content analysis method. After 290 obtained codes were analyzed, 17 indexes in 6 domains were extracted, including capacity development for crisis periods, equipment and facilities, training and research, passive defense, treatment, and services, from which 8 indexes were related to capacity development for crisis periods and equipment and facilities (4 indexes each), 3 indexes were related to services, and 6 indexes were related to training and research, passive defense, and treatment (2 indexes each). The results of the present research, as a supplement to current evaluation methods such as accreditation, can be used for the comprehensive evaluation of military hospitals. (Disaster Med Public Health Preparedness. 2015;9:409–414)

Type
Concepts in Disaster Medicine
Copyright
Copyright © Society for Disaster Medicine and Public Health, Inc. 2015 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1. Ridde, V, Turcotte-Tremblay, A-M, Souares, A, et al. Protocol for the process evaluation of interventions combining performance-based financing with health equity in Burkina Faso. Implement Sci. 2014;9(1):149.Google Scholar
2. Wang, C-M, Huang, Y-F. Evolutionary-based feature selection approaches with new criteria for data mining: A case study of credit approval data. Expert Syst Appl. 2009;36(3):5900-5908.Google Scholar
3. Profit, J, Woodard, LD. Perils and opportunities of comparative performance measurement. Arch Pediatr Adolesc Med. 2012;166(2):191-194.Google Scholar
4. Aiken, LH. Economics of nursing. Policy Polit Nurs Pract. 2008;9(2):73-79.Google Scholar
5. Greenhalgh, T, Humphrey, C, Hughes, J, et al. How do you modernize a health service? A realist evaluation of whole-scale transformation in London. Milbank Q. 2009;87(2):391-416.Google Scholar
6. Tebes, JK, Kaufman, JS, Connell, CM, et al. Evaluation in primary prevention and health promotion. Encyclopedia of Primary Prevention and Health Promotion. 2014:69-101.Google Scholar
7. Flodgren, G, Pomey, M, Taber, S, Eccles, M. Can third party inspections of whether or not healthcare organisations are fulfilling mandatory standards improve care processes, professional practice and patient recovery? Cochrane Database of Systematic Reviews: Plain Language Summaries [Internet]. Published 2012. http://www.ncbi.nlm.nih.gov/pubmedhealth/PMH0016422/. Accessed April 27, 2015.Google Scholar
8. Flodgren, G, Pomey, M-P, Taber, SA, Eccles, MP. Effectiveness of external inspection of compliance with standards in improving healthcare organisation behaviour, healthcare professional behaviour or patient outcomes. Cochrane Database Syst Rev. 2011(11):CD008992.Google Scholar
9. Sheikhzadeh, Y, Roudsari, AV, Vahidi, RG, et al. Public and private hospital services reform using data envelopment analysis to measure technical, scale, allocative, and cost efficiencies. Health Promot Perspect. 2012;2(1):28-41.Google Scholar
10. Basu, S, Andrews, J, Kishore, S, Panjabi, R, Stuckler, D. Comparative performance of private and public healthcare systems in low- and middle-income countries: a systematic review. PLoS Med. 2012;9(6):e1001244.Google Scholar
11. Manary, MP, Boulding, W, Staelin, R, Glickman, SW. The patient experience and health outcomes. N Engl J Med. 2013;368(3):201-203.Google Scholar
12. Shaw, CD, Braithwaite, J, Moldovan, M, et al. Profiling health-care accreditation organizations: an international survey. Int J Qual Health Care. 2013;25(3):222-231.Google Scholar
13. Veillard, JHM, Schiøtz, ML, Guisset, A-L, et al. The PATH project in eight European countries: an evaluation. Int J Health Care Qual Assur. 2013;26(8):703-713.Google Scholar
14. Mumford, V, Forde, K, Greenfield, D, et al. Health services accreditation: what is the evidence that the benefits justify the costs? Int J Qual Health Care. 2013;25(5):606-620, doi: 10.1093/intqhc/mzt059.Google Scholar
15. Devkaran, S, O’Farrell, PN. The impact of hospital accreditation on clinical documentation compliance: a life cycle explanation using interrupted time series analysis. BMJ Open. 2014;4(8):e005240.CrossRefGoogle ScholarPubMed
16. El-Jardali, F, Hemadeh, R, Jaafar, M, et al. The impact of accreditation of primary healthcare centers: successes, challenges and policy implications as perceived by healthcare providers and directors in Lebanon. BMC Health Serv Res. 2014;14:86.CrossRefGoogle ScholarPubMed
17. Greenfield, D, Braithwaite, J. Health sector accreditation research: a systematic review. Int J Qual Health Care. 2008;20(3):172-183.Google Scholar
18. Pomey, M-P, Contandriopoulos, A-P, François, P, Bertrand, D. Accreditation: a tool for organizational change in hospitals? Int J Health Care Qual Assur. 2004;17(3):113-124.Google Scholar
19. Shaw, CD, Groene, O, Botje, D, et al. The effect of certification and accreditation on quality management in 4 clinical services in 73 European hospitals. Int J Qual Health Care. 2014;26(Suppl 1):100-107, doi:10.1093/intqhc/mzu023.CrossRefGoogle ScholarPubMed
20. Schmaltz, SP, Williams, SC, Chassin, MR, et al. Hospital performance trends on national quality measures and the association with joint commission accreditation. J Hosp Med. 2011;6(8):454-461.Google Scholar
21. Ozcan, YA. Health care management. Encyclopedia of Operations Research and Management Science. John Wiley & Sons; 2013:679-684.Google Scholar
22. Lovatt, M, Nanton, V, Roberts, J, et al. The provision of emotional labour by health care assistants caring for dying cancer patients in the community: a qualitative study into the experiences of health care assistants and bereaved family carers. Int J Nurs Stud. 2015;52(1):271-279.Google Scholar
23. Esteve, R, Marquina-Aponte, V. Children's pain perspectives. Child Care Health Dev. 2012;38(3):441-452.Google Scholar
24. Preminger, JE, Oxenbøll, M, Barnett, MB, et al. Perceptions of adults with hearing impairment regarding the promotion of trust in hearing healthcare service delivery. Int J Audiol. 2015(0):1-9.Google Scholar
25. Shariati, M, Babazadeh, R, Mousavi, SA, Najmabadi, KM. Iranian adolescent girls' barriers in accessing sexual and reproductive health information and services: a qualitative study. J Fam Plann Reprod Health Care. 2014;40(4):270-275.CrossRefGoogle ScholarPubMed
26. Stenquist, DS, Elman, SA, Davis, AM, et al. Physical activity and experience of total knee replacement in patients 1‐4 years post‐surgery in the Dominican Republic: a qualitative study. Arthritis Care Res (Hoboken). 2015;67(1):65-73.Google Scholar
27. Reisi-Dehkordi, N, Baratian, H, Zargham-Boroujeni, A. Challenges of children with cancer and their mothers: a qualitative research. Iran J Nurs Midwifery Res. 2014;19(4):334.Google Scholar
28. Farquhar, J, Michels, N. A Quality Framework for Case Study Research: “Convincingness.” Marketing Dynamism & Sustainability: Things Change, Things Stay the Same…. Springer; 2015:346-349.Google Scholar
29. Hassali, MA, Tan, CS, Wong, ZY, et al. Pharmaceutical Pricing in Malaysia. Pharmaceutical Prices in the 21st Century. Springer; 2015:171-188.Google Scholar
30. Knudson, MM, Rasmussen, TE. The Senior Visiting Surgeons program: a model for sustained military-civilian collaboration in times of war and peace. J Trauma Acute Care Surg. 2012;73(6):S536-S542.Google Scholar
31. Ortatatli̇, M, Kenar, L, Arora, R, Arora, P. Role of military hospitals in handling chemical and biological disasters. Disaster Management: Medical Preparedness, Response and Homeland Security. Wallingford, UK: CABI; 2013:275-310.Google Scholar
32. Chaudoir, SR, Dugan, AG, Barr, CH. Measuring factors affecting implementation of health innovations: a systematic review of structural, organizational, provider, patient, and innovation level measures. Implement Sci. 2013;8(1):22.Google Scholar
33. Caron, RM. Standardizing public health practice: benefits and challenges. Preparing the Public Health Workforce. Springer; 2015; p 95-114.Google Scholar
34. El-Jardali, F, Hemadeh, R, Jaafar, M, et al. The impact of accreditation of primary healthcare centers: successes, challenges and policy implications as perceived by healthcare providers and directors in Lebanon. BMC Health Serv Res. 2014;14(1):86.Google Scholar
35. Sunol, R, Wagner, C, Arah, OA, et al. Evidence-based organization and patient safety strategies in European hospitals. Int J Qual Health Care. 2014;26(Suppl 1):47-55, doi: 10.1093/intqhc/mzu016.Google Scholar
36. Arul, G, Reynolds, J, DiRusso, S, et al. Paediatric admissions to the British military hospital at Camp Bastion, Afghanistan. Ann R Coll Surg Engl. 2012;94(1):52.Google Scholar