Proponents of Evidence-Based Strategic Decision Making in Tehran Hospitals

Authors
Samane Sohrabi 1
saad mahfoozpou 1
Shaghayegh vahdat 1
Mahmood Mahmodi 2
Mahnaz Rabiee 3
1 Department of Health Services Management, Tehran South Branch; Islamic Azad University, Tehran, Iran
2 Department of Statistics, Science Research Unit; Islamic Azad University, Tehran, Iran
3 Department of Economics, South Tehran Branch; Islamic Azad University, Tehran, Iran
Abstract
Introduction

The importance of evidence-based strategic decision making in hospitals has led to the aim of this study to develop and implement evidence-based strategic decision-making in hospitals in Tehran.

Materials and Methods

The present study was a mixed exploratory research conducted in the field. The qualitative community included academic experts. Also, the quantitative community includes the managers of selected hospitals of Tehran University of Medical Sciences. The research tools included interviews and questionnaires. The statistical method used in this study was structural equations with partial least squares method.

Results

The results showed that eight factors (knowledge, judgment, experience, context, managerial preferences and values, stakeholder preferences and values, ethical considerations, and organization plans) were used as proponents of strategic decision-making development. The evidence was identified in Tehran hospitals. The results of the present model showed that all factors influence the development of evidence-based strategic decision making in hospitals in Tehran, with the most influential context being 0.224. Also the results of model fit indices showed that the model presented in the present study has a good fit.

Conclusion

According to the results of the present study, the causative agent was identified as the most important factor in the development of evidence-based strategic decision making in hospitals in Tehran, which indicates the importance of paying attention to these factors in hospitals.
Keywords
Health
Strategic Decision Making
Evidence-Based Medicine
Hospital
1. Ahmadin A. Strategic Decision Making in a Nongovernmental Organization, Fifth International Management Conference, Tehran, Research Group, 2008. [Persian]
2. Demir IB, Ugurluoglu. Evaluation of the Use of Strategic Management Tools by Hospital Executives in Turkey. Journal of Health Management, 2019, 21.1: 38-52.‌
3. Hari M, Nasr Esfahani F, Ferdowsi M. Prioritizing Hospital Strategies and Isfahan Sina Heart Center by Analytical Hierarchy Process, 2014, 5 (2), 53-43.
4. Bryson JM. Strategic planning for public and nonprofit organizations: A guide to strengthening and sustaining organizational achievement. John Wiley & Sons; 2018 Jan 4.
5. Bottani E, Rizzi A. Strategic management of logistics service: A fuzzy QFD approach. International journal of production economics. 2006 Oct 1;103(2):585-99.
6. Mazzucca S, Parks RG, Tabak RG, Allen P, Dobbins M, Stamatakis KA, Brownson RC. Assessing Organizational Supports for Evidence-Based Decision Making in Local Public Health Departments in the United States: Development and Psychometric Properties of a New Measure. Journal of Public Health Management and Practice. 2019, 25 (5), 454-463.
7. Yarber L, Brownson CA, Jacob RR, Baker EA, Jones E, Baumann C, Deshpande AD, Gillespie KN, Scharff DP, Brownson RC. Evaluating a train-the-trainer approach for improving capacity for evidence-based decision making in public health. BMC health services research. 2015 Jun;15(1):547.
8. Cvitanovic C, McDonald J, Hobday AJ. From science to action: principles for undertaking environmental research that enables knowledge exchange and evidence-based decision-making. Journal of Environmental Management. 2016 Dec 1;183:864-74.
9. Davies P. Is evidence-based government possible?. London: Prime Ministers Strategy Unit. 2004.
10. Campbell S, Benita S, Coates E, Davies P, Penn, G. Analysis for policy: evidence-based policy in practice. Government Social Research Unit, HM Treasury. 2007.
11. Singh S, Zieman S, Go AS, Fortmann SP, Wenger NK, Fleg JL, Radziszewska B, Stone NJ, Zoungas S, Gurwitz JH. Statins for primary prevention in older adults—moving toward evidence‐based decision‐making. Journal of the American Geriatrics Society. 2018 Nov;66(11):2188-96.
12. Reay T, Berta W, Kohn MK. What's the evidence on evidence-based management?. Academy of Management Perspectives. 2009 Nov;23(4):5-18.
13. Chow N, Gallo L, Busse JW. Evidence-based medicine and precision medicine: Complementary approaches to clinical decision-making. Precision Clinical Medicine. 2018 Aug 17;1(2):60-4.
14. Turmell JW, Coke L, Catinella R, Hosford T, Majeski A. Alarm fatigue: use of an evidence-based alarm management strategy. Journal of nursing care quality. 2017 Jan 1;32(1):47-54.
15. Ravangard R, Keshtkaran V, Nickname S, Yousefi A, Heidari A. Decision-making practices of directors of public and private hospitals in Shiraz. Hospital. 2012, 12 (3): 39-45.
16. Ikeda AK, Hong P, Ishman SL, Joe SA, Randolph GW, Shin JJ. Evidence-based medicine in otolaryngology part 7: introduction to shared decision making. Otolaryngology–Head and Neck Surgery. 2018 Apr;158(4):586-93.
17. Spertus JA. Understanding How Patients Fare: Insights Into the Health Status Patterns of Patients With Coronary Disease and the Future of Evidence-Based Shared Medical Decision-Making.
18. Werdin F, Tennenhaus M, Schaller HE, Rennekampff HO. Evidence-based management strategies for treatment of chronic wounds. Eplasty. 2009;9.
19. Jalali R. Sampling in qualitative research, Qualitative Research in Health Sciences, 2013, 1 (4), 310-320. [Persian]
20. Kosha S, Fesharaky, M. Research Method in Medical Sciences, second edition, Etminan publisher. [Persian]
21. Chow N, Gallo L, Busse JW. Evidence-based medicine and precision medicine: Complementary approaches to clinical decision-making. Precision Clinical Medicine. 2018 Aug 17;1(2):60-4.