نوع مقاله: مقاله پژوهشی

نویسندگان

1 دانشجوی دکترای تخصصی سیاست گذاری سلامت، گروه مدیریت، دانشکده مدیریت و اطلاع رسانی پزشکی، دانشگاه علوم پزشکی ایران، ایران

2 دانشجوی دکترای تخصصی مدیریت خدمات بهداشتی و درمانی، گروه مدیریت و اقتصاد سلامت، دانشکده بهداشت، دانشگاه علوم پزشکی تهران، ایران

3 دانشجوی دکترای تخصصی مدیریت خدمات بهداشتی و درمانی، گروه مدیریت خدمات بهداشتی درمانی، دانشکده مدیریت و اطلاع رسانی پزشکی، کمیته تحقیقات دانشجویی، دانشگاه علوم پزشکی شیراز، ایران

4 کارشناس پرستاری، بیمارستان دستغیب، دانشگاه علوم پزشکی شیراز، شیراز، ایران

چکیده

مقدمه: عدالت سازمانی، به دلیل اثرات مهم بر نگرش و رفتارهای کارکنان در سازمان های بهداشتی و درمانی اهمیت ویژه ای دارد. پاسخگویی نیز یکی از مسائل مهم هر نظام سلامت بوده که برای سیاست‌گذاران و مدیران سلامت بسیار با اهمیت است. این پژوهش با هدف بررسی ارتباط عدالت سازمانی و مولفه های آن با پاسخگویی اجتماعی در بیمارستان های منتخب دانشگاه علوم پزشکی تهران در سال 1395 انجام شد.مواد و روش: این مطالعه توصیفی-تحلیلی در 5 بیمارستان منتخب بصورت مقطعی انجام شد.  نمونه پژوهش جهت سنجش عدالت سازمانی شامل 245 نفر از کارکنان بیمارستان و به منظور بررسی پاسخگویی 228 نفر از بیماران بستری بود. از پرسشنامه بیوگر برای بررسی عدالت سازمانی و از پرسشنامه سازمان جهانی بهداشت برای بررسی پاسخگویی استفاده شد. داده ها با استفاده ازشاخص های آمار توصیفی و آزمون های ANOVA ،ضریب همبستگی پیرسون در سطح معنی داری 5%=‏‎α تحلیل شد. ‎‏یافته ها: میانگین عدالت سازمانی و پاسخگویی اجتماعی به ترتیب 56/11 ± 10/58 و 62/11 ± 90/77 بدست آمد. بین عدالت سازمانی با پاسخگویی اجتماعی ارتباط معناداری وجود داشت(5/0 r=، 03/0 p=).بحث و نتیجه گیری: وضعیت عدالت سازمانی و پاسخگویی به ترتیب در سطح متوسط و خوب ارزیابی شد. لذا جهت بهبود شرایط عدالت ادارک شده، اتخاذ سیاست‌هایی نظیر اصلاح روش‌ها و مکانیسم‌های پرداخت، تجدید نظر در فرآیندهای تصمیم گیری و نیز بهبود ارتباطات سرپرستان با کارکنان که منجر به ارتقاء هرچه بیشتر سطح پاسخگویی نیز خواهند شد، پیشنهاد می گردد.

کلیدواژه‌ها

عنوان مقاله [English]

The Relationship between Employee Perception of Organizational Justice and Social Responsiveness in Selected Hospitals of Tehran University of Medical Sciences in 2016

نویسندگان [English]

  • Mohammad Keshvari 1
  • Abbas Homauni 2
  • Alireza Yusefi 3
  • Soghra Setoodezadeh 4

1 PhD Student Health Policy, Department of Management, School of Management and Medical Information, Iran University of Medical Sciences, Tehran, Iran

2 PhD Student of Health Services Management, school of public health, Department of management and health economics. Tehran University of medical sciences, Tehran, Iran

3 PhD candidate of Health Services Management, Department of Health Care Management, Student Research Committee, Shiraz University of Medical Sciences, Shiraz, Iran

4 Dastgheib Hospital, Shiraz University of Medical Sciences, Shiraz, Iran

چکیده [English]

Background: Organizational justice is especially important because of its significant effects on employees' attitudes and behaviors in health care organizations. Responsiveness of the healthcare system is also an important issue and it is something that is very important for policy-makers and health managers. This paper aimed to study the relationship between organizational justice and its components and social responsiveness in the hospitals of Tehran University of Medical Sciences in 2016.
Methods: This cross-sectional descriptive study was conducted in 5 teaching hospitals at Tehran University of Medical Sciences. In this study, 245 hospital staff were selected in order to review their responsiveness toward 228 inpatients to measure organizational justice. The data-collection instruments were Bioger and World Health Organization questionnaires for organizational justice and responsiveness measurement, respectively. The data were analyzed using descriptive statistics and tests, ANOVA, and Pearson correlation.  The level of significance was determined at 0.05 using SPSS software and the statistical test employed was Pearson correlation.
 Results: The mean of organizational justice and social responsiveness were 58.10 ± 11.56 and 77.9 ± 11.62, respectively. There was a significant correlation between organizational justice and social responsiveness (r = 0.5, p = 0.03).
Conclusion: According to the results, the status of organizational justice and responsiveness were assessed at a moderate and good level, respectively. Therefore, in order to improve perceived justice, adopting policies such as modifying payment mechanisms, reviewing decision-making processes, and improving the communication between supervisors and employees that will increase the level of responsiveness are recommended.

کلیدواژه‌ها [English]

  • Organizations
  • Justice
  • Social Responsibility
  • Hospitals

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