چالش‌های ساختار سازمانی در مدیریت تجهیزات پزشکی در ایران
محورهای موضوعی : -مدیریت خدمات بهداشتی و درمانیلیدا صادقی 1 , سید جمال‌الدین طبیبی 2 , نادر خالصی 3
1 - دکتری مدیریت خدمات بهداشت و درمان، واحد سمنان، دانشگاه آزاد اسلامی، سمنان، ایران
2 - استاد گروه مدیریت خدمات بهداشتی و درمانی، واحد علوم و تحقیقات، دانشگاه آزاد اسلامی، تهران، ایران
3 - دانشیارگروه مدیریت خدمات بهداشت و درمان، واحد علوم پزشکی، دانشگاه آزاد اسلامی، تهران
کلید واژه: مدیریت تجهیزات پزشکی, رسمیت, تمرکز, پیچیدگی,
چکیده مقاله :
مقدمه: نبود ساختار مناسب در مدیریت تجهیزات پزشکی می تواند باعث اتلاف منابع بهداشت شود. این مقاله به دلیل اهمیت تجهیزات پزشکی، در پیشگیری، تشخیص و درمان بیماران با هدف بررسی چالش‌های ساختار مدیریت تجهیزات پزشکی در ایران نوشته شد. روش پژوهش: پژوهش حاضر مطالعه‌ای مروری است که از طریق جستجو در منابع علمی معتبر از جملهSpringer ،Elsevier Pubmed, Google scholar و سایر منابع اطلاعاتی فارسی نظیرMagiran, SID ،Irandoc انجام گرفته است. برای جستجو در منابع انگلیسی مذکور از کلید واژه‌هایی چونFormality - Concentration - Medical Equipment Managemen و Complexity برای جستجو در منابع فارسی از کلید واژه‌هایی هم‌چون مدیریت تجهیزات پزشکی، تمرکز، رسمیت، پیچیدگی، استفاده شد.یافته‌ها: ساختار مدیریت تجهیزات پزشکی می‌توانند عملکرد یک بیمارستان را بهبود بخشند و به معنای دیگر می‌توانند مبنای ارزیابی واحدهای بیمارستانی قرار گیرند. عملکرد تجهیزات پزشکی در بیمارستان به دلیل تضمین ایمنی بیمار، در جهت ماموریت اصلی بیمارستان بسیار حیاتی است و ضعف در عملکرد این بخش و عدم توجه به مولفه‌های حیاتی در این بخش می‌تواند بیمارستان‌ها را با شکست یا عملکرد غیراثربخش مواجه سازد.نتیجه‌گیری: طراحی الگوی ساختار مدیریت تجهیزات پزشکی دولتی برای اصلاح ساختار حوزه مذکور و مدیریت بهینه تجهیزات پزشکی مورد نیاز می‌باشد.
Introduction: The lack of a proper structure in the management of medical equipment can cause a waste of health resources. This article was written due to the importance of medical equipment in the prevention, diagnosis and treatment of patients with the aim of investigating the challenges of the medical equipment management structure in Iran.Methods: The current research is a review study that was conducted through searching in reliable scientific sources such as Springer, Elsevier Pubmed, Google scholar and other Persian information sources such as Magiran, SID, Irandoc. Keywords such as Medical Equipment Management, Concentration, Formality and Complexity were used to search Persian & English sources.Results: The structure of medical equipment management can improve the performance of a hospital and in another sense can be the basis for the evaluation of hospital units. The performance of medical equipment in the hospital is very vital to the main mission of the hospital due to guaranteeing the patient's safety, and the weakness in the performance of this department and the lack of attention to the vital components in this department can make the hospitals face failure or ineffective performance.Conclusion: The design of the model of the management structure of government medical equipment is needed to improve the structure of the mentioned area and the optimal management of medical equipment.
1- Pour A.Q. & Arin Qoli. Leadership style as a determining factor of formal structure, Knowledge Management Quarterly (not published); 2001: 53.
2- Monavarian A, Asgari N &Ashena, M. Structural and content dimensions of knowledge-based organizations. In The first national conference of knowledge management; 2007: 10-20.
3- Kasraei A & Ali Rahimi M. Investigating the relationship between the organizational structure and the effectiveness of communication in the national pension organization from the perspective (Management), 1388; 16(44): 65-79.
4- Hobbi F, Riahi L, Nikravan A. Relationship between Employing a Medical Equipment Expert and the Costs of Purchasing Medical Equipment in the Units Covered by Marand Health Center. Journal of healthcare management, 2021; 11(38): 33-
5- Noori Tajer M, Dabaghi F, Mohamadi R, Haghani H. [A survey of maintenance and cost of medical equipment in hospitals associated of Iran University of medical sciences and health services (2000-2001)]. Journal of Iran University of Medical Sciences, 2002; 9(30): 445-453.
6- Faqda Aydin, Jafari Pouyan Ebrahim,Omid Murad Afsanah. Management of medical equipment in developing countries. HOSPITAL, 2013; 5(1&2): 27-25.
7- Taghipour S, Banjevic D, Jardine AK. Prioritization of medical equipment for maintenance decisions. Journal of the Operational Research Society, 2011; 62(9): 1666-87.
8- Ministery of Health and Medical Education. [The place of medical equipment offices]. Med & Lab Engineering Magazine, 2005; 5(49): 6-8.
9- Dorbeiki M , Bahmanpour H, Golipour A, Ghaemi A & Mallah M. A Survey & Analysis of Production and Management of Medical Waste in Golestan Province, Iran. Human & Enviroment, 2020; 18 (4): 41-53.
10- Jadidi R, Nasiripour A. Medical Equipment Management in Hospital. Arak: Arak University of Medical Sciences press; 2008.
11- Awan GR. Total Quality Management in Surgical and Medical Equipment Manufacturing Industry in Pakistan. Total Quality Management, 2019; 21(2).
12- Getie A. Analysis of Medical Equipment Supply Chain Management of Public Hospital Under the Addis Ababa Regional Health Bureau by: Addis Ababa University; 2018.
13- Ameh S, Gómez-Olivé FX, Kahn K, Tollman SM, and Klipstein-Grobusch K. Relationships between structure, process and outcome to assess quality of integrated chronic disease management in a rural South African setting: applying a structural equation model. BMC health services research, 2017; 17(1): 1-15.
14- Wong Ruy, Faulkner Robert, Koepke George,etal. Clinical engineering in Brazil Current status. Journal Clinical engineering, 1991; 10: 129-130.
15- Tengilimoglu D, Kisa A, Dziegielewski S. Patient Satisfaction in Turkey Differences Between Public and Private Hospitals. Journal of Community Health, 1999; 24(1): 73-91.
16- Dagdeviren M. Decision Making In Equipment Selection: An Integrated Approach with AHP and PROMETHEE. IntellManuf, 2008; 19: 397–406.
17- Irnichew Josseph. Structuring of centers for economical and equpment office. Journal of medical biology, 1999; 17: 64-74.
18- Tavakoli H, Karami M, Rezai J, Esfandiari K, Khashayar P. When renewing medical equipment is necessary: a case report. Int J Health Care Qual Assur, 2007; 20(7): 616-9. PubMed PMID: 18030962. Epub 2007/11/23. eng.
19- Amerioun A, Tofighi SH S, Zaboli R. Assessing the medical equipment maintenance management at Selected Hospitals Affiliated with the medical sciences universities in Tehran (2003-2005). Journal of Health Administration, 2006; 9(23): 17-24.
20- Hoy, W. K., Miskel. C. G. Educational Administration, theory, research, and practice, 8 Th Ed, New York: McGraw Hill, 2002.
21- Dargahi H, Forouzanfar F, Bakhtiari M, Rajabnejad Z. Study of Medical Devices Management with the approach of Evaluation of Usability in Tehran University of Medical Sciences` Hospitals. Hospital, 2014; 13(1): 43-51.
22- Oliveira EMCd, Guimaraes EHR, Jeunon EE. Effectiveness of Medical-Care Equipment Management: Case Study in a Public Hospital inBelo Horizonte / Minas Gerais. International Journal of Innovation, 2017; 5(2): 234-49.
23- Rezaian,Ali, Principles of Structure Management, 23rd edition,Tehran, Samt Publications; 2013.
24- Ameri A, Jlal Js, Sagha H. Comprehensive TextBook of Equipment and Products iilogy Nuclear Medicine and Radiography. Tehran: Iranian Paraclinics Technology and Service Development Corporation(Behima TEB); 2003-2004.
25- Asgari,N.,& Ghasemabadi,A., &Zarghami,H. Identification & evaluation of procurement system challenges in the supply chain of a defense organization: sanctions, disruptions & procurement requirements. Interdisciplinary studies of strategic knowledge, 2018; 9(35): 113-136.
26- Rajasekaran D, editor Development of an automated medical equipment replacement planning system in hospitals. Proceedings of the IEEE 31st Annual Northeast Bioengineering Conference, 2005; 2005: IEEE
27- Wang B. Medical equipment maintenance: management and oversight. Synthesis Lectures on Biomedical Engineering, 2012; 7(2): 1-85.
28- Kwakye G, Pronovost P, Makary M A. Commentary: a call to go green in health care by reprocessing medical equipment. Academic Medicine, 2010; 85(3): 398-400.
29- Molavi Z, Asadollahi SE, Moghadamzadeh A. Training Needs Assessment of Managers/Administrators of Hajj Caravans. Organizational Culture Management, 2016; 14(4): 1043-66.
30- Mohr LB. Organizational technology and organizational structure. Administrative science quarterly; 1971: 444-59.
31- Saleh N, Rosati S, Sharawi A, Wahed MA, Balestra G, editors. Application of quality function deployment and genetic algorithm for replacement of medical equipment. 2014 Cairo International Biomedical Engineering Conference (CIBEC); 2014: IEEE.
32- Parsa P, Rezapur-Shahkolai F, Araghchian M, Afshari M, Moradi A. Medical procedure problems from the viewpoint of elderly referrals tohealthcare centers of Hamadan: A qualitative study. Iranian Journal of Ageing, 2017; 12(2): 146-55.
_||_1- Pour A.Q. & Arin Qoli. Leadership style as a determining factor of formal structure, Knowledge Management Quarterly (not published); 2001: 53.
2- Monavarian A, Asgari N &Ashena, M. Structural and content dimensions of knowledge-based organizations. In The first national conference of knowledge management; 2007: 10-20.
3- Kasraei A & Ali Rahimi M. Investigating the relationship between the organizational structure and the effectiveness of communication in the national pension organization from the perspective (Management), 1388; 16(44): 65-79.
4- Hobbi F, Riahi L, Nikravan A. Relationship between Employing a Medical Equipment Expert and the Costs of Purchasing Medical Equipment in the Units Covered by Marand Health Center. Journal of healthcare management, 2021; 11(38): 33-
5- Noori Tajer M, Dabaghi F, Mohamadi R, Haghani H. [A survey of maintenance and cost of medical equipment in hospitals associated of Iran University of medical sciences and health services (2000-2001)]. Journal of Iran University of Medical Sciences, 2002; 9(30): 445-453.
6- Faqda Aydin, Jafari Pouyan Ebrahim,Omid Murad Afsanah. Management of medical equipment in developing countries. HOSPITAL, 2013; 5(1&2): 27-25.
7- Taghipour S, Banjevic D, Jardine AK. Prioritization of medical equipment for maintenance decisions. Journal of the Operational Research Society, 2011; 62(9): 1666-87.
8- Ministery of Health and Medical Education. [The place of medical equipment offices]. Med & Lab Engineering Magazine, 2005; 5(49): 6-8.
9- Dorbeiki M , Bahmanpour H, Golipour A, Ghaemi A & Mallah M. A Survey & Analysis of Production and Management of Medical Waste in Golestan Province, Iran. Human & Enviroment, 2020; 18 (4): 41-53.
10- Jadidi R, Nasiripour A. Medical Equipment Management in Hospital. Arak: Arak University of Medical Sciences press; 2008.
11- Awan GR. Total Quality Management in Surgical and Medical Equipment Manufacturing Industry in Pakistan. Total Quality Management, 2019; 21(2).
12- Getie A. Analysis of Medical Equipment Supply Chain Management of Public Hospital Under the Addis Ababa Regional Health Bureau by: Addis Ababa University; 2018.
13- Ameh S, Gómez-Olivé FX, Kahn K, Tollman SM, and Klipstein-Grobusch K. Relationships between structure, process and outcome to assess quality of integrated chronic disease management in a rural South African setting: applying a structural equation model. BMC health services research, 2017; 17(1): 1-15.
14- Wong Ruy, Faulkner Robert, Koepke George,etal. Clinical engineering in Brazil Current status. Journal Clinical engineering, 1991; 10: 129-130.
15- Tengilimoglu D, Kisa A, Dziegielewski S. Patient Satisfaction in Turkey Differences Between Public and Private Hospitals. Journal of Community Health, 1999; 24(1): 73-91.
16- Dagdeviren M. Decision Making In Equipment Selection: An Integrated Approach with AHP and PROMETHEE. IntellManuf, 2008; 19: 397–406.
17- Irnichew Josseph. Structuring of centers for economical and equpment office. Journal of medical biology, 1999; 17: 64-74.
18- Tavakoli H, Karami M, Rezai J, Esfandiari K, Khashayar P. When renewing medical equipment is necessary: a case report. Int J Health Care Qual Assur, 2007; 20(7): 616-9. PubMed PMID: 18030962. Epub 2007/11/23. eng.
19- Amerioun A, Tofighi SH S, Zaboli R. Assessing the medical equipment maintenance management at Selected Hospitals Affiliated with the medical sciences universities in Tehran (2003-2005). Journal of Health Administration, 2006; 9(23): 17-24.
20- Hoy, W. K., Miskel. C. G. Educational Administration, theory, research, and practice, 8 Th Ed, New York: McGraw Hill, 2002.
21- Dargahi H, Forouzanfar F, Bakhtiari M, Rajabnejad Z. Study of Medical Devices Management with the approach of Evaluation of Usability in Tehran University of Medical Sciences` Hospitals. Hospital, 2014; 13(1): 43-51.
22- Oliveira EMCd, Guimaraes EHR, Jeunon EE. Effectiveness of Medical-Care Equipment Management: Case Study in a Public Hospital inBelo Horizonte / Minas Gerais. International Journal of Innovation, 2017; 5(2): 234-49.
23- Rezaian,Ali, Principles of Structure Management, 23rd edition,Tehran, Samt Publications; 2013.
24- Ameri A, Jlal Js, Sagha H. Comprehensive TextBook of Equipment and Products iilogy Nuclear Medicine and Radiography. Tehran: Iranian Paraclinics Technology and Service Development Corporation(Behima TEB); 2003-2004.
25- Asgari,N.,& Ghasemabadi,A., &Zarghami,H. Identification & evaluation of procurement system challenges in the supply chain of a defense organization: sanctions, disruptions & procurement requirements. Interdisciplinary studies of strategic knowledge, 2018; 9(35): 113-136.
26- Rajasekaran D, editor Development of an automated medical equipment replacement planning system in hospitals. Proceedings of the IEEE 31st Annual Northeast Bioengineering Conference, 2005; 2005: IEEE
27- Wang B. Medical equipment maintenance: management and oversight. Synthesis Lectures on Biomedical Engineering, 2012; 7(2): 1-85.
28- Kwakye G, Pronovost P, Makary M A. Commentary: a call to go green in health care by reprocessing medical equipment. Academic Medicine, 2010; 85(3): 398-400.
29- Molavi Z, Asadollahi SE, Moghadamzadeh A. Training Needs Assessment of Managers/Administrators of Hajj Caravans. Organizational Culture Management, 2016; 14(4): 1043-66.
30- Mohr LB. Organizational technology and organizational structure. Administrative science quarterly; 1971: 444-59.
31- Saleh N, Rosati S, Sharawi A, Wahed MA, Balestra G, editors. Application of quality function deployment and genetic algorithm for replacement of medical equipment. 2014 Cairo International Biomedical Engineering Conference (CIBEC); 2014: IEEE.
32- Parsa P, Rezapur-Shahkolai F, Araghchian M, Afshari M, Moradi A. Medical procedure problems from the viewpoint of elderly referrals tohealthcare centers of Hamadan: A qualitative study. Iranian Journal of Ageing, 2017; 12(2): 146-55.
