Journal of Education and Health Promotion

Evaluation of social accountability in hospital managers

Document Type : Original Article

Authors

. Hasan Abolghasem Gorji
. Noureddin Niknam 1
. Zeinab Ghaedchukamei 2
. Abdulsamad Gharavinia 3
. Mehdi Safari 4
. Maasumeh Elahi 5
. Razie Rahmati 5
. Nezamaddin Mengelizadeh 6
. Nahid Aghaei 7
. Hamid Alaee Ghojogh 8
. Khosro Shakeri 9

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 Services Management, Maraveh Tappeh Health Care Network, Maraveh Tappeh, Iran

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

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

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

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

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

9 Tehran Emergency Center, Tehran, Iran,

Abstract
BACKGROUND: Today, hospitals need managers who, in addition to having the necessary skills for
management 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 private
hospitals in Tehran.
MATERIALS AND METHODS: The present study is descriptive‑analytical and cross‑sectional and
was performed on 155 managers of selected public and private hospitals in Tehran. The research
tools included a demographic characteristic questionnaire and a researcher‑made social accountability
questionnaire for managers. Data analysis was performed using descriptive and inferential statistics
in SPSS 22 software.
RESULTS: The situation of social accountability in the managers of public hospitals was at a
weak level and in the managers of private hospitals in Tehran was at a good level. In comparing
the status of social accountability and its dimensions in the managers of public hospitals with the
managers of private hospitals, the status of social accountability in the dimensions of human resource
management, quality improvement, executive management, and overall social accountability were
significantly different from each other (P ≤ 0.05). However, in terms of governance, the status
of social accountability of public hospital managers was not significantly different from private
hospitals (P ≥ 0.05). Overall, the results of social accountability in private hospitals were better
than in public hospitals.
CONCLUSION: The social response status of managers in private hospitals was better than public
ones. 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 the
issue of social accountability.

Keywords

Hospital
manager
social accountability
1. Farzianpour F, Zarei E, Pouragha B, Abbasi Borogeni P,
Mohammadzadeh Jamalian M. Managers’ development needs
assessment: Perspective of middle managers of public hospitals
of Tehran. J Hospital 2013;13:30‑6.
2. Tabibi SJ, Heidari S, Nasiri‑pour AA, HosseiniShokouh M,
Ameryoun A, Mashayekhi F. Assessment of professional and
non‑professional managers’ performance among selected
hospitals in Tehran. J Hospital 2014;13:45‑53.
3. Daneshkohan A, Baratimarnani A, Zohoor A, Ebadi Fard Azar F.
Comparative study of health system management development
assessment models in selected countries. Health Inform Manag
2011;8:113‑24.
4. World Health Organization. Regional Office for the Eastern
Mediterranean.Technical Paper Improving Hospital
Performance in the Eastern Mediterranean Region. World Health
Organization; 2009. Available from: https://apps.who.int/iris/
handle/10665/122756. [Last accessed on 2020 Aug 26].
5. Yusefi Ali R, Sadeghi A. A study on the educational needs of the
managers of Shiraz hospitals in relation to management skills.
J Health Based Res 2017;3:175‑86.
6. Filerman G. Closing the management competence gap. Human
Res Health 2003;1:7.
7. Porter ME, Teisberg EO. Redefining Health Care: Creating
Value‑Based Competition on Results. Publisher: Harvard Business
Review Press; 1st Edition (May 25, 2006).
8. Bhardwaj A. Alignment between physicians and hospital
administrators: Historical perspective and future directions. Hosp
Pract (1995) 2017;45:81‑7.
9. Tabibi SJ, Nasiripour AA, Zahiri Abyaneh Z. Relationship
between manager’s communication skill and staff motivation in
Modarres hospital of Tehran. J Hospital 2013;12:73‑80.
10. Piroozi B, Mohamadi Bolban Abad A, Moradi G. Assessing health
system responsiveness after the implementation of health system
reform: A case study of Sanandaj. Iran J Epidemiol 2016;11:1‑9.
11. Mahmoodi F. Comparison of Social Accountability of Senior
Managers in Tehran Charity Hospitals with Educational Hospitals
Affiliated to Tehran University of Medical Sciences, M.Sc.
Tehran, Iran: Thesis, Science and Research Branch, Islamic Azad
University; 2019.
12. Alvani SM. Amiri M. Ahmadi K. From Corporate social ethics
to corporate social responsiveness an approach for deployment
of corporate social responsiveness system in the Iranian public
organizations. Ethics Sci Technol 2012;7:17‑27.
13. Rahmansersht H. Rafei M. Social responsibility: Meta
organizational ethics. J Tadbir Tehran 2009;204;22‑26.
14. Ravangard R, Keshtkaran V, Niknam Sh, Yusefi A, Heidari A.
The decision‑making styles of managers of public and private
hospitals in Shiraz. J Hospital 2013;12:40‑5.
15. Carter K. Dorgan S. Layton D. Why hospital management matters.
In: Health International. London: McKinsey’s Health Systems and
Services Practice, McKinsey and Company; 2011. Available from:
https://www.mckinsey.com/~/media/mckinsey/dotcom/client_
service/Healthcare%20Systems%20and%20Services/Health%20
International/Issue%2011%20new%20PDFs/HI11_80%20
MgmtMatters_noprint.aspx. [Last accessed on 2020 Aug 26].
16. Buchanan DA, Denyer D, Jaina J, Kelliher C, Moore C, Parry E,
Pilbeam C. How do they manage? A qualitative study of the
realities of middle and front‑line management work in health
care. Health Serv Delivery Res. 2013;1.3:1‑30.
17. Sheikh SU, Beise‑Zee R. Corporate social responsibility or
cause‑related marketing? The role of cause specificity of CSR.
J Consumer Marketing 2011;28:27‑39.
18. Vejdani M, Godarzeyan M, Rahimi Z, Saffari SE, Vejdani M,
Fouji S, et al. Responsiveness in health service: Patients experience
in hospital of Sabzevar. J Sabzevar Univ Med Sci 2016;23:662‑71.
19. Nasiripour AA, Tabibi SJ, Gohari MR, Mahboubi M. Dimensions
of accountability from the perspective of educational hospital
staff. J Rafsanjan Univ Med Sci 2013;12:377‑88.
20. MoradifardA, Alijanpour SH, Mostafazadeh BoraM, Hajian S. The
relationship between organizational climate and accountability
in Namazi and Faghihi hospitals of Shiraz. J Med Council Iran
2016;34:143‑50.
21. Goodman C, Opwora A, Kabare M, Molyneux S. Health facility
committees and facility management‑exploring the nature and
depth of their roles in Coast Province, Kenya. BMC Health Serv
Res 2011;11:229.
22. Arab M, Rahimi‑Foroushani A, Akbari Sari A, Khammarnia M,
Sadeghi A, Siavashi E. Comparison of responsiveness rate among
private and social security hospitals in Tehran city. J Hospital
2015;14:30‑9.
23. HooshmandE, RamziA, JamaliJ, Ghalandar AbadiL, Vafaee NajarA.
Evaluation of the staff responsiveness level to patients referred to
public and private hospitals in Mashhad. J Navidno 2019;22:1‑10.
24. JavadiM, KarimiS, RaiesiA, YaghoubiM, ShamsA, KadkhodaieM.
Organizational justice and responsiveness in selected private and
public hospitals of Isfahan, Iran. J School Public Health Institute
Public Health Res 2012;9:11‑20.
25. Gharaee H, Bahrami MA, Rejaliyan F, Atashbahar O,
Homayouni A, Ataollahi F, et al. The relationship of organizational
perceived justice and social responsibility in Yazd hospitals, Iran.
J Manag Med Inform Sch Kerman Univ Med Sci 2013;1:26‑37.
26. Sajjadeh L. Investigating the Level of Responsibility and
Accountability of the Treatment Personnel of Private and Public
Hospitals in Shiraz, M.Sc. Thesis, Payame Noor University, School
of Literature & Humanity Science, Public Administration Branch,
Shiraz, Iran; 2012.
27. Liabsuetrakul T, Petmanee P, Sanguanchua S, Oumudee N. Health
system responsiveness for delivery care in Southern Thailand. Int
J Qual Health Care 2012;24:169‑75.
28. Karoo J, Dent AW, Farish S. Patient perceptions of privacy
infringements in an emergency department. Emerg Med
Australasia 2005;17:117‑23.
29. Griffith R. Accountability for medication management. Nurse
Prescribing 2011;9:94‑5.
Journal of Education and Health Promotion
Volume 11, Issue 3
March 2021
Pages 1-7

Home

Guide for Authors

Submit Manuscript

Reviewers

Contact Us