واقع تحديات جودة الرعاية الصحية في المستشفيات : دراسة مسحية لأقسام الجودة في عدد من المستشفيات الحكومية في محافظتي نينوى و دهوك

الملخص EN

This research dealt with the Healthcare Quality Challenges, represented by (the strategic, cultural, qualified admnistrative staff challenges, structural and procedural challenges) for (14) hospitals in Nineveh and Duhok governorates.

The hospitals Nineveh are (AlKhansaa Teaching Hospital, Inb AlAtheer, AlShifaa, AlSalam, Ibn Sina, AlBatool, Mosul General Hospitals in addition to the Hospital of Burns).

Duhok hospitals included: (Azadi Teaching Hospital, Hevi Pediatrics Hospital, Maternity Hospital, Burns and Plastic Surgery Hospital, Emergency hospital and Opthalmology Hospital.

The research was applied to a sample consisting of (200) individuals in charge of quality in the hospitals in question.

The researcher used the questionnaire form as a main tool for collecting the data and information in addition to the personal interviews.

The study endeavored to test a number of hypotheses related to the challenges against the application of healthcare quality and the differences between these hospitals in terms of the extent of those challenges so as to answer the questions related to the research problem and to accomplish the goals set forth.

Moreover, several statistcal tools were used to deal with the data, they are: (the arithmatic mean, standard deviation, percentage and the respose ratio).

The study reached a set of conclusion including a group of challenges that preclude the quality in the domain of healthcare, most prominent of which are the strategic challenges, which came in the first status in terms of the importance compared to other challenges of healthcare quality.

This indicates that the organizations in question do not pay a sufficient attention to the healthcare quality within their basic strategies in addition to the differences between those challenges.

Moreover, the healthcare system operates within an environment that is internally and externally influenced by the power of the people of interests, legal, governmental, technical, administrative powers and strategic issues.

These results were in conformity with the hypotheses.

Based on the results of the research, a set of recommendations were put forward by the researcher.

The most important recommendations are: the managements of the hospitals studied should pay a good attention to these challenges and should take the necessary actions to confront them and deal with them, developing a long-term objective and clear strategy that involves the vision, message and the goals of the hospital management concerning developing programs of healthcare quality, especially if we know that the results of the study had clarified the difference between these hospitals.

Therefore, if these hospitals wanted to face these challenges and achieve the quality in the field of healthcare quality, they should develop policies and programs that ensure confronting these challenges in the proper way.