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Health Care Managers' Perspectives on the Sources of Evidence in Evidence-Based Hospital Management: A Qualitative Study in Iran

机译:卫生保健管理者对循证医院管理中证据来源的观点:伊朗的定性研究

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Background Evidence-based management (EBMgt) has been developed as a management framework for improving the quality of management decisions. To use that, we need to identify the source of evidence in decision-making. Therefore, the purpose of this study was to identify the sources of evidence in managing hospitals. Methods Qualitative methods were used to explore the sources of evidence and to identify hospital managers' attitudes towards evidence-based management. A series of semi-structured interviews (n=48), with a purposive sample of 48 participants, were conducted in 2016. Also, four focus group discussions (FGDs) were conducted with health managers and specialists in the field of management. A questionnaire was used for collection of demographic characteristics and managers' perspectives. Results Six main themes emerged from the interviews including: scientific and research evidence, facts and information of hospital, political-social development plans, managers' professional expertise and ethical-moral evidence. Also, the results showed that the majority of participants believed to use the evidence-based hospital management (95.83%). Conclusions Our study suggested that a full evidence-based hospital manager someone who is using all the sources of evidence for making hospital decisions. Using hexagon of evidence sources, managers can identify the best available evidence for hospital decisions and to make the best decision in the process of evidence-based decision making.
机译:背景技术循证管理(EBMgt)已开发为一种管理框架,用于提高管理决策的质量。要使用它,我们需要确定决策中的证据来源。因此,本研究的目的是确定管理医院的证据来源。方法采用定性方法探索证据来源,并确定医院管理者对循证管理的态度。 2016年进行了一系列半结构化访谈(n = 48),目的样本是48名参与者。此外,还与卫生经理和管理领域的专家进行了四次焦点小组讨论(FGD)。使用问卷调查收集人口特征和管理者的观点。结果访谈产生了六个主要主题,包括:科研证据,医院的事实和信息,政治社会发展计划,管理人员的专业知识和道德道德证据。此外,结果表明,大多数参与者相信使用循证医院管理(95.83%)。结论我们的研究表明,一个以证据为基础的医院经理应该使用所有证据来做出医院决策。使用证据来源的六边形,管理人员可以为医院决策确定最佳的可用证据,并在基于证据的决策过程中做出最佳决策。

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