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Hospital Performance Evaluation Checklist in Context of COVID-19 Pandemic: Design and Validation

Published online by Cambridge University Press:  07 December 2023

Abbas Salarvand
Affiliation:
Department of Health Management and Economics, School of Medicine, AJA University of Medical Sciences, Tehran, Iran
Amir Khoshvaghti
Affiliation:
Infectious Diseases Research Center, Aerospace and Subaquatic Medicine Faculty, Aja University of Medical Sciences, Tehran, Iran
Simintaj Sharififar*
Affiliation:
Department of Health in Disasters and Emergencies, Aja University of Medical Sciences, Tehran, Iran
Sanaz Zargar Balaye Jame
Affiliation:
Department of Health Management and Economics, School of Medicine, AJA University of Medical Sciences, Tehran, Iran
Nader Markazi-moghaddam
Affiliation:
Department of Health Management and Economics, School of Medicine, AJA University of Medical Sciences, Tehran, Iran
Armin Zareiyan
Affiliation:
Department of Public Health, School of Nursing, Aja University of Medical Sciences, Tehran, Iran
*
Corresponding author: Simintaj Sharififar; Email: s_sharififar@yahoo.com.

Abstract

Objective:

Around the world, pandemics have been considered among the main hazards in the last 2 decades. Hospitals are 1 of the most important organizations responding to pandemics. The aim of this study was to design and develop a valid checklist for evaluating the hospitals’ performance in response to COVID-19 pandemic, for the first time.

Methods:

This study is a mixed method research design that began in February, 2020 and was conducted in 3 phases: Designing a conceptual model, designing a primary checklist structure, and checklist psychometric evaluation. Known-groups method has been used to evaluate construct validity. Two groups of hospitals were compared: group A (COVID-19 Hospitals) and group B (the other hospitals).

Results:

The checklist’s main structure was designed with 6 main domains, 23 sub-domains, and 152 items. The content validity ratio and index were 0.94 and 0.79 respectively. Eleven items were added, 106 items were removed, and 40 items were edited. Independent t-test showed a significant difference between the scores of the 2 groups of hospitals (P < 0.0001). Pearson correlation coefficient test also showed a high correlation between our checklist and the other. The internal consistency of the checklist was 0.98 according to Cronbach’s alpha test.

Conclusions:

Evaluating the hospitals’ performance and identifying their strengths and weaknesses, can help health system policymakers and hospital managers, and leads to improved performance in response to COVID-19.

Type
Original Research
Copyright
© The Author(s), 2023. Published by Cambridge University Press on behalf of Society for Disaster Medicine and Public Health, Inc

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