背景:医院,作为具有临床的复杂组织,金融,和社会功能,以合理的成本提供高质量和安全的服务面临不同的障碍。在医院治理中开展了各种举措,以提高质量,安全,和问责制。这项研究旨在确定使医院治理负责的结构和维度。
方法:本研究使用Arksey和O\'Malley的范围审查框架来检查有关医院治理结构和问责制的研究文献。文献综述包括PubMed,WebofScience,Embase,ScopusProQuest,谷歌搜索引擎,和2010年至2023年的谷歌学者数据库。采用内容分析法对数据进行分析。
结果:排除不相关和重复的来源,该研究包括40篇文章和报告。根据组织类型对研究进行了回顾和分析,源的类型,出版年份,目标,和关键发现。从选定的文章和报告中提取了可负责的治理功能。四大主题包括包容性治理,对问责制的承诺,问责制规划,自治治理。从研究文献中提取了13个子主题。
结论:各国针对公立医院治理结构的改革实施了各种举措。其中许多改革旨在改善财务和临床问责制。研究结果可用于确定使医院治理负责的结构和维度。
BACKGROUND: Hospitals, as complex organizations with clinical, financial, and social functions, face different barriers to providing high-quality and safe services at reasonable costs. Various initiatives have been carried out in hospital governance to improve quality, safety, and accountability. This research aims to identify the structures and dimensions that make hospital governance accountable.
METHODS: The research used Arksey and O\'Malley\'s scoping
review framework to examine the research literature on hospital governance structure and
accountability. The literature
review included PubMed, Web of Science, Embase, Scopus ProQuest, Google search engine, and Google Scholar databases from 2010 to 2023. Data were analyzed using the content analysis method.
RESULTS: Excluding unrelated and duplicate sources, 40 articles and reports were included in the study. The studies were reviewed and analyzed based on organizational type, type of source, year of publication, objectives, and key findings. Accountable governance features were extracted from the selected articles and reports. The four main themes include inclusive governance, commitment to
accountability, planning for
accountability, and autonomous governance. Thirteen subthemes were extracted from the study literature.
CONCLUSIONS: Various initiatives have been implemented regarding the reform of the governance structure of public hospitals in different countries. Many of these reforms aim to improve financial and clinical
accountability. The study results could be used to identify the structures and dimensions that make hospital governance accountable.