Author/Authors :
Abolghasem Gorji Hassan نويسنده Department of Health Services Management, School of Health Services Management and Information Sciences, Iran University of Medical Sciences, Tehran, Iran , Shajari Pour Mousavi Sayyed Masoud نويسنده Department of Health Services Management, School of
Health Management and Information Sciences, Iran University of
Medical Sciences, Tehran, Iran , Delgoshaei Bahram نويسنده Department of Health Services Management, School of
Health Management and Information Sciences, Iran University of
Medical Sciences, Tehran, Iran
Abstract :
Background Recently, HVBP has been a tool for improving the
quality of healthcare services and managing costs. This study was
conducted to identify and propose an appropriate model of HVBP in the
general selected teaching hospitals in Isfahan, Iran. Objectives The
purpose of this study was to propose an Iranian model of HVBP in the
selected teaching hospitals in Isfahan, Iran, 2015 - 16. Methods This
study was a theoretical and qualitative study. It was cross-sectional
and prospective in terms of time, direction, and trend. The sample was
determined purposefully in Delphi methods. Three types of Delphi methods
were conducted including: theory, policy, and implementation Delphi. The
sample size in Delphi methods respectively included 9, 13, and 21 that
were selected in type of experts sampling and cascading in 2015 - 16.
Inclusion and exclusion criteria were designated to select sample in all
three types of Delphi methods. Results According to the results of the
study, the proposed Iranian model of HVBP had seven dimensions including
structure, process, outcome, patient experience, quality of clinical
care, sensitivity of care team, and efficiency with the weight
percentages of 5, 5, 25, 20, 15, 15, and 15, respectively. Each of the
dimensions had 5, 6, 5, 7, 5, 4, and 1 components/component,
respectively. Conclusions This study identified and proposed a model of
HVBP in the Isfahan selected general teaching hospitals. The practical
application of the findings was to determine the dimensions and
components of HVBP in Isfahan general teaching hospitals. According to
the findings of this study, it is suggested that a series of related
research be conducted to complete the identification process of HVBP in
Iran in other types of hospital settings.
