Evaluation of social accountability in hospital managers

نویسندگان

1 Department of Public Health, Torbat Jam Faculty of Medical Sciences, Torbat Jam, Iran

2 Department of Health Services Management, Guilan University of Medical Sciences, Rasht, Iran,

3 Department of Health in Disaster and Emergencies, School of Public Health and Safety, Shahid Beheshti University of Medical Sciences, Tehran, Iran,

4 Department of Medical‑Surgical Nursing, School of Nasibeh Nursing and Midwifery, Mazandaran University of Medical Sciences, Sari, Iran,

5 Department of Health Services Management, Gonbad‑e Kavus Health Care Network, Gonbad‑e Kavus, Iran

6 Tehran Emergency Center, Tehran, Iran,

7 Department of Health Services Management, Maraveh Tappeh Health Care Network, Maraveh Tappeh, Iran

8 Department of Nursing, School of Nursing, Larestan University of Medical Sciences, Larestan, Iran,

9 Department of Nursing, School of Nursing, Larestan University of Medical Sciences, Larestan, Iran,

10 Department of Environmental Health Engineering, Research Center of Health, Safety and Environment, Evaz Faculty of Health, Larestan University of Medical Sciences, Larestan, Iran

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چکیده

BACKGROUND: Today, hospitals need managers who, in addition to having the necessary skills formanagement and leadership, are accountable to stakeholders, especially the community. Accordingly,the purpose of this study was to evaluate the social accountability of managers of public and privatehospitals in Tehran.MATERIALS AND METHODS: The present study is descriptive‑analytical and cross‑sectional andwas performed on 155 managers of selected public and private hospitals in Tehran. The researchtools included a demographic characteristic questionnaire and a researcher‑made social accountabilityquestionnaire for managers. Data analysis was performed using descriptive and inferential statisticsin SPSS 22 software.RESULTS: The situation of social accountability in the managers of public hospitals was at aweak level and in the managers of private hospitals in Tehran was at a good level. In comparingthe status of social accountability and its dimensions in the managers of public hospitals with themanagers of private hospitals, the status of social accountability in the dimensions of human resourcemanagement, quality improvement, executive management, and overall social accountability weresignificantly different from each other (P ≤ 0.05). However, in terms of governance, the statusof social accountability of public hospital managers was not significantly different from privatehospitals (P ≥ 0.05). Overall, the results of social accountability in private hospitals were betterthan in public hospitals.CONCLUSION: The social response status of managers in private hospitals was better than publicones. Lack of attention of managers to social accountability affects the quality of other educational,health, and medical services. This fact raises the need for managers to pay more attention to theissue of social accountability.

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