Evaluating the Performance of Managers of Tehran University of Medical Sciences’ Obstetrics and Gynecology Hospitals from the Viewpoint of Personnel

Mohammad Bakhateiyari¹, Fereshteh Farzianpour^1*, Mohammad Arab¹, Abbas Rahimi Foroushani², Hamid Pourasghari³, Ensieh Ashrafi¹, Saeedeh Ansari Nosrati¹

¹Department of Health Management and Economics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran.
²Department of Epidemiology and Biostatistics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran.
³Department of Health Services Management, School of Health Management and Information Sciences, Tehran, Iran.

DOI: 10.4236/jssm.2015.82023                

Abstract

Today, various methods are used in order to assess the health care system which is one of the Governance Leadership Direction (GLD) standards of the Joint Commission International (JCI) of America. This study aimed to evaluate the performance of managers of Tehran University of Medical Sciences’ Obstetrics and Gynecology Hospitals from the viewpoint of personnel, based on the JCI Accreditation Model. This study is a descriptive-analytical research and a cross-sectional study in 2014 which has been conducted among the 311 personnel of two hospitals of obstetrics and gynecology of Tehran University of Medical Sciences. Tools for data collection included two questionnaires. The first questionnaire had 27 questions to evaluate the ability to implement the Governance, Leadership, and Direction (GLD) aspects of JCI standards. The second questionnaire was designed to evaluate the performance of managers. The data were analyzed using the SPSS Software version 18 and Mann-Whitney and Kruskal-Wallis statistical tests. The results show that in the studied hospitals, the functional performance standards of GLD have a relatively high level (average = 0.50 ± 2.30 from 3) and among its dimensions, the highest score related to monitoring (average of 0.57 ± 2.23) and the least related to leadership (average of 0.530 ± 2.26). There was a significant relationship among age, education and employment type of personnel and GLD standards and aspects. Given the relatively good rating of various aspects of management performance in the studied hospitals, it can be upgraded and get closer to the JCI international standards. Meanwhile, emphasizing on leadership seems more urgent.

Keywords

Accreditation, Performance Evaluation, Obstetrics and Gynecology Hospitals, Managers

1. Introduction

On the other hand, human nature being of presented activities and services provided in this section, are among other reasons for précised and accurate evaluation of this [8] , so that the lack of evaluation of the different aspects of the organizations is considered as one of the symptoms of the organization illness [9] . The World Bank study referred to five reasons of customers’ satisfaction and how to keep them, fair access to health care, efficiency and effectiveness of health care services, eliminating the existing differences in the process of providing services and high cost of health care services, based on the evaluation of the performance in the health sector and improving the quality.

All these cases require the sensitivity and the necessity to performance evaluation in a methodical and systematic frame to bring quality to them, in addition to responding to problems in hospitals [10] . On the other hand, leading organizations in the today world, by understanding the interactions between organizations, quality, quality of human resources and effective management, know their key to success in applying modern and quality methods of management with the benefit of educated humans [11] . Therefore, the success rate in achieving organizational goals is directly related to the performance of human resources, especially managers [12] . Meanwhile, managers as main decision makers, facing with various issues within and outside the organization, are necessary to play an important and decisive role in the success or failure of the organization [13] .

This matter becomes more significant in healthcare organizations, especially hospitals who are dealing with human lives [14] . The poor performance of hospitals managers leads to delay in treatment and disease progress or death. Also, the poor performance of the hospital managers in the country causes wasting human and financial resources and ultimately reduced productivity [15] . Therefore, it is necessary to periodically evaluate the performance of managers. Meanwhile, due to the salient impact of women’s health on society’s health and the health of future generations, women’s hospitals have a special place among other hospitals and this kind of hospitals as well as other hospitals and health care centers, must be evaluated, especially in terms of the performance of managers, because they serve to one of the largest and most significant populations, namely women, mothers and their newborn babies. Hence, we aimed to hold a research on evaluating the performance of managers of Tehran University of Medical Sciences’ Obstetrics and Gynecology Hospitals from the viewpoint of personnel, based on the Accreditation Model (JCI standards).

2. Methodology

The questionnaire was designed according the Likert scale with the options of yes (3 points), partly (2 points) and no (1 points). The content validity was used to confirm the validity of the empowerment questionnaire. The reliability was obtained 0.894 through the Cronbach’s alpha method. The data were analyzed using the SPSS Software version 18 and Mann-Whitney (effect of hospital and gender on GLD rating and each of its dimensions) and Kruskal-Wallis (varied effects of age, education, work experience and employment status on GLD rating and each of its dimensions) statistical tests.

3. Results and Findings

4. Discussion

5. Conclusion

NOTES

^*Corresponding author.

Conflicts of Interest

The authors declare no conflicts of interest.

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