Journal of Hayat
حیات
Hayat
Medical Sciences
http://hayat.tums.ac.ir
1
admin
1735-2215
2008-188X
fa
jalali
1401
7
1
gregorian
2022
10
1
28
3
online
1
fulltext
fa
حقوق بیمار در نظام اعتباربخشی بیمارستانهای ایران: تبیین چالشها
Patient rights in the Iranian hospitals accreditation system: Explanation of challenges
مراقبتهاي پرستاري
Nursing Care
پژوهشي
Research
<span style="font-size:11pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:normal"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:Calibri,"sans-serif""><b><i><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Yagut""><span style="color:black"><span style="letter-spacing:-.3pt">زمینه و هدف: </span></span></span></span></i></b><i><span lang="FA" style="font-size:10.0pt"><span style="font-family:"B Yagut"">اعتباربخشی بیمارستانها نقش به سزایی در ارتقای کیفیت، ایمنی و اثربخشی خدمات درمانی ارایه شده و افزایش کارایی بیمارستانها دارد. اثربخشی سیستم اعتباربخشی به کیفیت استانداردهای اعتباربخشی، هماهنگی و جامعیت روش اعتباربخشی و کمیت و کیفیت ارزیابان اعتباربخشی بستگی دارد. لزوم وجود سنجههای مناسب برای بررسی و ارزیابی اجرای منشور حقوق بیمار در اعتباربخشی بیمارستانها حایز اهمیت است. این مطالعه با هدف تبیین چالشهای حقوق بیمار در نظام اعتباربخشی بیمارستانهای ایران انجام گرفته است</span></span></i><i><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Yagut""><span style="color:black"><span style="letter-spacing:-.3pt">.</span></span></span></span></i><i><span dir="LTR" style="font-size:10.0pt"><span style="font-family:"Times New Roman","serif""><span style="color:black"><span style="letter-spacing:-.3pt"></span></span></span></span></i></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:normal"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:Calibri,"sans-serif""><b><i><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Yagut""><span style="color:black"><span style="letter-spacing:-.1pt">روش بررسی:</span></span></span></span></i></b><i> </i><i><span lang="FA" style="font-size:10.0pt"><span style="font-family:"B Yagut"">این مطالعه کیفی با رویکرد تحلیل محتوی قراردادی در سال 1399 با مشارکت 13 فرد ذیربط و آگاه، براساس معیارهای ورود انجام یافت. به موازات انجام مصاحبههای نیمه ساختار یافته با هدف بررسی جامعیت، پوشش مؤلفههای حقوق بیمار توسط سنجههای اعتباربخشی در 4 جلسه بررسی شد. روند تحلیل دادهها براساس روش </span></span></i><i><span dir="LTR" style="font-size:10.0pt"><span style="font-family:"Times New Roman","serif"">Graneheim</span></span></i><i><span lang="FA" style="font-size:10.0pt"><span style="font-family:"B Yagut""> و </span></span></i><i><span dir="LTR" style="font-size:10.0pt"><span style="font-family:"Times New Roman","serif"">Lundman</span></span></i><i><span lang="FA" style="font-size:10.0pt"><span style="font-family:"B Yagut""> انجام گرفت</span></span></i><i><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Yagut""><span style="color:black"><span style="letter-spacing:-.1pt">.</span></span></span></span></i></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:normal"><span style="tab-stops:163.05pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:Calibri,"sans-serif""><b><i><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Yagut""><span style="color:black"><span style="letter-spacing:-.1pt">یافتهها</span></span></span></span></i></b><i><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Yagut""><span style="color:black"><span style="letter-spacing:-.1pt">: </span></span></span></span></i><i><span lang="FA" style="font-size:10.0pt"><span style="font-family:"B Yagut"">چالشهای حقوق بیمار در نظام اعتباربخشی با دو درون</span></span></i><i><span dir="LTR" style="font-size:10.0pt"><span style="font-family:"Times New Roman","serif""></span></span></i><i><span lang="FA" style="font-size:10.0pt"><span style="font-family:"B Yagut"">مایه «نقصان</span></span></i><i><span dir="LTR" style="font-size:10.0pt"><span style="font-family:"Times New Roman","serif""></span></span></i><i><span lang="FA" style="font-size:10.0pt"><span style="font-family:"B Yagut"">های محتوایی استانداردهای اعتباربخشی بیمارستان</span></span></i><i><span dir="LTR" style="font-size:10.0pt"><span style="font-family:"Times New Roman","serif""></span></span></i><i><span lang="FA" style="font-size:10.0pt"><span style="font-family:"B Yagut"">ها» و «چالشهای مدیریتی نظام اعتباربخشی» تبیین شد</span></span></i><i><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Yagut""><span style="color:black"><span style="letter-spacing:-.1pt">.</span></span></span></span></i></span></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:normal"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:Calibri,"sans-serif""><b><i><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Yagut""><span style="color:black"><span style="letter-spacing:-.3pt">نتیجهگیری: </span></span></span></span></i></b><i><span lang="FA" style="font-size:10.0pt"><span style="font-family:"B Yagut"">اعتباربخشی نقش مؤثر و جدی در ارتقا و بهبود خدمات بیمارستانی داشته و میتواند به خوبی ناظر بر رعایت حقوقگیرنده خدمات و همچنین منشور حقوق بیماران باشد. این</span></span></i><i> </i><i><span lang="FA" style="font-size:10.0pt"><span style="font-family:"B Yagut"">پژوهش</span></span></i><i> </i><i><span lang="FA" style="font-size:10.0pt"><span style="font-family:"B Yagut"">اطلاعات</span></span></i><i> </i><i><span lang="FA" style="font-size:10.0pt"><span style="font-family:"B Yagut"">مفیدی را در زمینه نقصانهای</span></span></i><i> </i><i><span lang="FA" style="font-size:10.0pt"><span style="font-family:"B Yagut"">محتوایی</span></span></i><i> </i><i><span lang="FA" style="font-size:10.0pt"><span style="font-family:"B Yagut"">استانداردهای</span></span></i><i> </i><i><span lang="FA" style="font-size:10.0pt"><span style="font-family:"B Yagut"">اعتباربخشی کشور در حیطه حقوقگیرنده خدمت و چالشهای اجرایی آن در اختیار میگذارد</span></span></i><i> </i><i><span lang="FA" style="font-size:10.0pt"><span style="font-family:"B Yagut"">که</span></span></i><i> </i><i><span lang="FA" style="font-size:10.0pt"><span style="font-family:"B Yagut"">میتواند</span></span></i><i> </i><i><span lang="FA" style="font-size:10.0pt"><span style="font-family:"B Yagut"">مورد استفاده سیاستگذاران</span></span></i><i> </i><i><span lang="FA" style="font-size:10.0pt"><span style="font-family:"B Yagut"">مربوط واقع شود</span></span></i><i><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Yagut""><span style="color:black"><span style="letter-spacing:-.3pt">.</span></span></span></span></i></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:normal"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:Calibri,"sans-serif""><i><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Yagut""><span style="color:black"></span></span></span></i></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:normal"><span style="vertical-align:top"><span style="font-family:Calibri,"sans-serif""><b><span style="font-size:10.0pt"><span style="font-family:"Times New Roman","serif""><span style="color:black"><span style="letter-spacing:-.1pt">Background & Aim:</span></span></span></span></b> <span style="font-size:10.0pt"><span style="font-family:"Times New Roman","serif"">Accreditation of hospitals plays an important role in promoting the quality, safety and effectiveness of medical services, and increasing the efficiency of hospitals. The effectiveness of the accreditation system depends on the quality of the accreditation standards, the comprehensiveness of the accreditation method, and the quantity and quality of the accreditation appraiser. There is a need for appropriate metrics to review and evaluate the implementation of the charter of patients’ rights in the accreditation of hospitals. The aim of this study was to explain the challenges of patients’ rights in the Iranian hospitals accreditation system</span></span><span style="font-size:10.0pt"><span style="font-family:"Times New Roman","serif""><span style="color:black"><span style="letter-spacing:-.1pt">.</span></span></span></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:normal"><span style="vertical-align:top"><span style="font-family:Calibri,"sans-serif""><b><span style="font-size:10.0pt"><span style="font-family:"Times New Roman","serif""><span style="color:black"><span style="letter-spacing:-.4pt">Methods & Materials:</span></span></span></span></b> <span style="font-size:10.0pt"><span style="font-family:"Times New Roman","serif"">This qualitative study was conducted using a conventional content analysis approach with the participation of 13 key informants. In parallel with the interviews, with the aim of assessing the comprehensiveness, the coverage of the patients’ rights components was assessed by accreditation metrics in four sessions. Data analysis was conducted using the Graneheim and Lundman method</span></span><span style="font-size:10.0pt"><span style="font-family:"Times New Roman","serif""><span style="letter-spacing:-.4pt">.</span></span></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:normal"><span style="vertical-align:top"><span style="font-family:Calibri,"sans-serif""><b><span style="font-size:10.0pt"><span style="font-family:"Times New Roman","serif""><span style="color:black"><span style="letter-spacing:-.2pt"><span style="layout-grid-mode:line">Results:</span></span></span></span></span></b> <span style="font-size:10.0pt"><span style="font-family:"Times New Roman","serif"">The challenges of the accreditation system were explained by two categories "Content deficiencies of hospitals accreditation standards", "Managerial challenges of accreditation system"</span></span><span style="font-size:10.0pt"><span style="font-family:"Times New Roman","serif""><span style="color:black"><span style="letter-spacing:-.2pt">.</span></span></span></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:normal"><span style="font-family:Calibri,"sans-serif""><b><span style="font-size:10.0pt"><span style="font-family:"Times New Roman","serif""><span style="color:black"><span style="letter-spacing:-.3pt"><span style="layout-grid-mode:line">Conclusion:</span></span></span></span></span></b> <span style="font-size:10.0pt"><span style="font-family:"Times New Roman","serif"">Accreditation has an effective and serious role in the improvement of hospital services and can be a good monitor for observing the rights of service recipients and the charter of patients’ rights. This study provides useful information on the content deficiencies of the country's accreditation standards in terms of service recipients’ rights and its implementation challenges that can be used by policy makers</span></span><span style="font-size:10.0pt"><span style="font-family:"Times New Roman","serif""><span style="color:black">.</span></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:normal"><span style="font-family:Calibri,"sans-serif""><span style="font-size:10.0pt"><span style="font-family:"Times New Roman","serif""><span style="color:black"></span></span></span></span></span></span></span></span><br>
حقوق بیمار, اعتباربخشی, حاکمیت بالینی, تحقیق کیفی
patient rights, accreditation, clinical governance, qualitative research
243
258
http://hayat.tums.ac.ir/browse.php?a_code=A-10-3240-1&slc_lang=fa&sid=1
Soolmaz
Moosavi
سولماز
موسوی