ABSTRACT
Introduction: Monitoring and assessing the quality of health services in relation to accountability is the first step in providing proper services in hospitals which as the most important health organizations entail the need for evaluation. The aim of this study was to validate the ethical, legal, financial, operational, political, structural, cultural and information dimensions of accountability [notification rules of hospital] in teaching hospitals
Method: This was a method validation study. A sample of 580 participants, working in teaching hospitals, was selected by quota random sampling using Krejcie - Morgan formula. An 8 item questionnaire with 34 indicators on the basis of Likert scale was distributed among the staff. The data were analyzed by the Lisrel software using confirmatory factor and path analysis and multiple regressions
Results: The findings showed that comparative fit index of different dimensions of the questionnaire, showing the degree of consistency of the model with real data, was equal to 1. This suggests the strength of the one-dimensional model. Cronbach's alpha for the internal consistency of different dimensions was 0.791 for financial and 0.901 for information aspects
Conclusion: The present study provides a systematic process and model to validate and assess different dimensions and components of accountability for managers. The innovations and special features of this study will help present a new model to identify better dimensions and indicators for improving accountability in health care sector
ABSTRACT
Medical diagnostic laboratories play an important role in diagnosis, treatment and prevention of the diseases. Today's without assisting of the laboratories, conserving of public health and outbreaks prevention of infectious and genetic diseases is impossible. In this research the cases determined by the department of health and medical education questionnaire in quality control of public and private laboratories. This study is a cross sectional [descriptive and analytic] in which 20 private medical diagnostic laboratories and 16 training centers were selected. The quality control standards were reviewed and compared. From 12 items of the questionnaire the two following items, rules and regulations in both private and public laboratories gained the highest priorities with 100% private and 93% governmental laboratories respectively. The lowest score was related to testing quality control of the laboratories with that of public and private ones, 82% and 75.7 percent respectively. In all that cases, governmental laboratories and training centers were rated lower than private labs. This study showed that both private and public laboratories' score were under below of standards. Governmental laboratories were rated lower than private labs. In private laboratories, identifying errors and in the governmental laboratories, testing quality control should be considered