ABSTRACT
Introduction. Las compras estratégicas son un componente importante del financiamiento del sistema de salud. Puede mejorar la productividad, la justicia y la responsabilidad en la prestación de atención médica en caso de considerar la calidad. Este estudio, que se realizó como una revisión sistemática, tuvo como objetivo investigar el estado de la calidad en cinco dominios de compras estratégicas en el sistema de salud para responder qué, para quién, de quién, cómo comprar y cuánto comprar. Material y Métodos: Este estudio revisó sistemáticamente los artículos publicados en las bases de datos de Web of Sciences (WOS), Scopus, PubMed, Medline vía Ovid, Embase desde 2000 hasta octubre de 2019. Las palabras clave utilizadas para la búsqueda en las bases de datos incluyeron las siguientes: Sector Salud, Entrega de atención médica, garantía de calidad, mejora de la calidad y compras estratégicas. Un total de 182 artículos fueron seleccionados y revisados ââpor cuatro investigadores. Se excluyeron los artículos con contenido irrelevante. Los datos de los artículos seleccionados se analizaron mediante el método de análisis de contenido. Resultados: De los 182 artículos recopilados mediante la búsqueda en las bases de datos seleccionadas, se analizaron 16 artículos. Con base en los resultados de este estudio, las compras estratégicas en el sistema de salud resultan en la entrega de servicios con mayor calidad. Conclusión: Las compras estratégicas pueden mejorar el desempeño del sistema de salud al elegir el proveedor más apropiado y el método de pago más apropiado, junto con la equidad en la prestación de servicios de atención médica de calidad
Introducction. Strategic purchasing is an important component of financing in the health system. It can enhance productivity, justice, and accountability in the health care delivery in case of considering the quality. This study, which was conducted as a systematic review, was aimed at investigating the status of quality in five domains of strategic purchasing in the health system to answer what, for whom, from whom, how to buy, and how much to buy. Material and Methods: This study systematically reviewed the articles published in the databases of Web of Sciences (WOS), Scopus, PubMed, Medline via Ovid, Embase from 2000 to October 2019. The keywords used to search the databases included the following: Health Care Sector, Delivery of Health Care, Quality Assurance, Quality Improvement, and Strategic Purchasing. A total of 182 articles were selected and reviewed by four researchers. Articles with irrelevant content were excluded. Data of the selected articles were analyzed using the content analysis method. Results: Of the 182 articles collected through searching the selected databases, 16 articles were analyzed. Based on the results of this study, strategic purchasing in the health system results in the delivery of services with higher quality. Conclusion: Strategic purchasing can enhance the performance of the health system through choosing the most appropriate provider and the most appropriate payment method, along with equity in providing quality health care services
ABSTRACT
Introduction: Regarding the changing environment of hospitals and necessity of providing services in the shortest possible time and with acceptable quality and cost for patients, attention to innovative and smart approaches and using maximum mental abilities of the organization for increasing hospitals agility seems necessary. In fact, this study aims to answer this question that is there a significant relation between organizational intelligence (and its components according to Albrecht model) and hospitals agility? Method: The present study is applied in respect of aim and descriptive in regard of nature and method and for this purpose, a 368 persons sample was selected by stratifies sampling method among all 8247 personnel working in 15 active hospitals. For data collection in the field of organizational intelligence Albrecht organizational intelligence standard questionnaire and for organization agility, agility standard questionnaire which has been designed based on Goldman agility model were used. Results: Findings showed that there is a positive and significant relation between organizational intelligence and its seven components (strategic perspective, shared fate, desire to change, spirit, knowledge application, union and agreement and performance pressure) with hospitals agility and except intervening variable of educations other intervening variables like age, gender, marital status and working background have no impact on organizational intelligence and hospitals agility. Conclusion: Regarding the results of this study, choosing some solutions for codifying dynamic strategic programs in hospitals and holding training courses of organizational intelligence for informing personnel and managers could lead to increasing of hospitals agility level and providing effective service for patients.
ABSTRACT
Background and Objectives: Intellectual capital is a topic that is formed in the shadow of economic, social and managerial development in recent years. Its purpose is trying to use of knowledge effectively in management and upgrading and improving the organizations, and it has attracted much attention in today’s environment. This study was conducted and implemented to evaluate intellectual capital and effective factors on it in the Yasuj University of Medical Sciences of Kohgiluyeh and Boyer-Ahmad. Materials and methods: This is a cross-sectional study and all employees, including managers, Yasuj University of Medical Sciences of Kohgiluyeh and Boyer-Ahmad province, selected for statistical population. This study was done in September 2015. 150 manager of university were participated in this project and completed the questionnaire. Collected and coded information was analyzed using SPSS-ver. 22 software. We used tables and diagrams for describing the statistical population and qui-square test and t-test for data analysis. Significance level was 0.05 in this study. Results: Mean and standard deviation of intellectual capital, human capital, costumer, and structural capital in study population were 61.3 (9.3), 60.6 (10.5), 62.7 (10.4) and 61.6 (11.2) respectively. Sex has had a significant relationship with the intellectual capital but; Age, job tenure and education have had no significant relationship with the intellectual capital. Conclusion: These scores indicate the middle and low level of intellectual capital in Yasuj University of medical sciences in Kohgiluyeh and Boyer-Ahmad province. It is necessary to plan for upgrading and improving the intellectual capital in the university.