Providing an Evaluation Model for Service Recipient Support in Accreditation of Police Hospitals: A Mixed-Method Study

Document Type : Original Research

Authors

1 Islamic Azad University Science and Research Branch

2 Health Services Management, Department of Health Services Management, Science and Research Branch, Islamic Azad University, Tehran, Iran

3 Tarbiat Modares University

4 Iran University of Medical Sciences (School of Health Management and Information Sciences)

Abstract

Background and Aim: Police hospitals provide specialized and general care services to staff, soldiers, and the public, according to their main mission, which is to support police missions in different situations. Some clients of these hospitals have rights that need to be considered due to special circumstances. This study aimed to design and validate the evaluation model of service recipient supports in accreditation of police hospitals.
Methods: The present study was a mixed-method conducted in three phases in 2020 includes library, qualitative, and Delphi phases. At the first, using the appropriate keywords and a thorough review of the literature in the main databases, including PubMed, Scopus, Web of Science, Science Direct, related military websites, as well as existing documents and instructions, all sources related to the support of the recipient in public and Police hospitals were identified. Also, to identify more structures, infrastructures, and standards, 9 policymakers and officials of the Department of Health, rescue and treatment were interviewed and after analyzing them, the initial questionnaire of the evaluation model of service recipient support in police hospitals was designed. Then the validity of the model was confirmed using the Delphi method and a survey of 45 experts and key informants in police hospitals by descriptive statistics.
Results: The proposed model was presented for evaluating the service recipient supports in police hospitals in four main dimensions include providing the necessary facilities for special services recipients, planning and managing medical councils and medical services, the satisfaction of clients, patients, and their families with services and the charter of patients' rights to special clients.
Conclusion: This study led to the design of an evaluation model for service recipients in Police hospitals in the form of 4 dimensions and 15 indicators that can be used as a comprehensive tool and complementary to current evaluation methods such as national accreditation standards of Iranian hospitals, evaluates the service recipients in these hospitals.

Keywords


1. Jaafaripooyan E, Mosadeghrad AM, Salarvand A. Hospital Accreditation Surveyors' Evaluation Criteria in Iran. Payavard Salamat. 2019;13(2):110-22. 2. Salehi Z, Payravi H. Challenges in the implementation accreditation process in the hospitals: a narrative review. Iran Journal of Nursing. 2017;30(106):23-34. doi:10.29252/ijn.30.106.23 3. Hakkak M, Hozni SA, Shahsiah N, Akhlaghi T. Design of hospital accreditation model: A qualitative study. Management Strategies in Health System. 2017;2(3):201-14. 4. Meira MM, Machado AGC, Gomes GRS. Dynamic Capabilities for Accreditation: Evidence in the Healthcare Sector. BAR-Brazilian Administration Review. 2019;16(1). doi:10.1590/1807-7692bar2019180115 5. Tabrizi J, Gharibi F. Systematic survey of accreditation models for designing a national model. Scientific Journal of Kurdistan University of Medical Sciences. 2011;16(3):95-109. 6. Tabrizi JS, Gharibi F, Pirahary S. Developing of national accreditation model for rural health centers in Iran health system. Iranian journal of public health. 2013;42(12):1438. 7. Yahyavi F, Nasiripour AA, Keikavoosi Arani L. Challenges of implementation of Iranian national hospital accreditation standards (2016) for Tehran's Islamic Azad University Hospitals. Medical Science Journal of Islamic Azad Univesity-Tehran Medical Branch. 2018;28(3): 252-7. doi:10.29252/iau.28.3.252 8. Wardhani V, van Dijk JP, Utarini A. Hospitals accreditation status in Indonesia: associated with hospital characteristics, market competition intensity, and hospital performance? BMC health services research. 2019;19(1):1-10. doi:10.1186/s12913-019-4187-x 9. Ministry of Health. National Accreditation Standards of Iranian Hospitals. fotrh edition, 2019. 10. Ramezani M, Arani LK, Abedini P. Accreditation standards of patient rights in Iranian hospital. Medical Ethics Journal. 2016;4(10):103-25. 11. Asadi H, Imani-Nasab M-H, Garavand A, Hasoumi M, Kia AA, Haghi B, et al. HIV Positive Patients' Experience of Receiving Health Care Services: A Phenomenology Study in Iran. The Open AIDS Journal. 2018;12(1). doi:10.2174/1874613601812010150 12. Joolaee S, Nikbakht A, Parsa Z. Factors affecting Patients' Rights. Iran Journal of Nursing. 2009; 60: 28-41. 13. Ghaljeh M, Zakeri Z, Rezaee N, Abedzadeh R. Physicians and nurses awareness and function about patients right charter in Zahedan. Iranian Journal of Medical Ethics and History of Medicine. 2010;3(5):69-75. 14. Parsapoor A, Bagheri A, Larijani B. Patient rights in Iran. J Med Ethics Hist Med. 2009:39-47. 15. Dadashi M, Jeylani M. Patients' satisfaction of observing patients' right charter in private clinics. Iranian Journal of Medical Ethics and History of Medicine. 2010;3(5):61-8. 16. Chatterjee A. Accreditation of Armed forces hospitals: an imperative now. Medical Journal, Armed Forces India. 2017;73(3):213. doi:10.1016/j.mjafi.2017.07.001 17. Klaus L. Accreditation Fraud in Brazilian Military Hospitals: Why "Tone at the Top" Matters. Journal of Military Ethics. 2016;15(4): 275-87. doi:10.1080/15027570.2017.1288879 18. Lawshe CH. A quantitative approach to content validity. Personnel psychology. 1975;28 (4):563-75. doi:10.1111/j.1744-6570.1975.tb01393.x 19. Mohammadbeigi A, Mohammadsalehi N, Aligol M. Validity and reliability of the instruments and types of measurments in health applied researches. Journal of Rafsanjan University of medical sciences. 2015;13(12): 1153-70. 20. Hyrkäs K, Appelqvist-Schmidlechner K, Oksa L. Validating an instrument for clinical supervision using an expert panel. International Journal of nursing studies. 2003;40(6):619-25. doi:10.1016/S0020-7489(03)00036-1 21. Jafari M, Rashidian A, Abolhasani F, Mohammad K, Yazdani S, Parkerton P, et al. Space or no space for managing public hospitals; a qualitative study of hospital autonomy in Iran. The International journal of health planning and management. 2011;26(3):e121-e37. doi:10.1002/hpm.1050 22. Mosadeghrad AM. Patient choice of a hospital: implications for health policy and management. International Journal of Health Care Quality Assurance. 2014. 23. Mosadeghrad AM. Factors influencing healthcare service quality. International journal of health policy and management. 2014;3(2):77. doi:10.15171/ijhpm.2014.65 24. Abri S, Zahedi Am, Shiani M, Harirchi Am. Professional Values Of Social Work And Its Relationship With The Organizational Culture In Hospitals From The Viewpoint Of Medical Social Workers. 2016. 25. Gregorian C. A career in hospital social work: Do you have what it takes? Social work in health care. 2005;40(3):1-14. doi:10.1300/J010v40n03_01 26. Pockett R. Staying in hospital social work. Social Work in Health Care. 2002;36(3):1-24. doi:10.1300/J010v36n03_01 27. Judd RG, Sheffield S. Hospital social work: Contemporary roles and professional activities. Social work in health care. 2010;49(9):856-71. doi:10.1080/00981389.2010.499825 28. Amerion A, Ebrahimnia M, Karimi Zarchi A, Tofighi Sh, Zaboli R, Rafati H. Inpatient and outpatient satisfaction of a military hospital. Journal of Military Medicine. 2009; 11 (1):37-44. 29. Ebrahimnia M, Ameriun A, Azizabadi Farahani M, Khodami Vishte H. Satisfaction rate of hospitalized patients in military hospitals from presented services. J Mil Med. 2010;12(2). 30. Demir C, Celik Y. Determinants of patient satisfaction in a military teaching hospital. Journal for healthcare quality: official publication of the National Association for Healthcare Quality. 2002;24(2):30-4. doi:10.1111/j.1945-1474.2002.tb00416.x 31. Amerion A, Amini H, Meskarpour_Amiri M, Sanaienasab H. Assessment of patient satisfaction and its related factors with outpatient services of military hospital clinics in Iran. Wulfenia Journa. 2012;19(8):74-83. 32. Ghalehbagh S. Comparative review of accreditation of health care services in some selected countries and Iran. Hospital. 2004;5(7):29-33. 33. Tobin J. The challenges and ethical dilemmas of a military medical officer serving with a peacekeeping operation in regard to the medical care of the local population. Journal of medical ethics.2005;31(10):571-4. doi:10.1136/jme.2004.008839 34. Parsapoor A, Bagheri A, Larijani B. Review of revolution of patient's right charter. Medical Ethics and History of Medicine. 2010;3(1):39-47