واقع تطبيق معايير الحوكمة في المستشفيات الفلسطينية غير ا لحكومية وانعكاسه على أدائها في محافظة الخليل )مستشفى الميبزان والمستشفى الأهلي كحالة د راسية
لؤي احمد خليل الرواشدة
Loai Ahmad Khalil Al-Rawashda
This study aimed to identify the reality of the application of governance standards in Palestinian non-governmental hospitals and its impact on their performance in the Hebron Governorate (Al-Mezan Hospital and Al-Ahli Hospital as a case study) from the viewpoint of providers and recipients of services in both hospitals. To achieve the aims of the study, the researcher used the descriptive method in data collection and analysis, and the questionnaire was used as a tool for study and data collection, and two questionnaires were developed, the first for service providers and the second for service recipients in Palestinian non-governmental hospitals. The study population consisted of all providers and recipients of the service (male and female employees, resident patients, auditors and visitors) in Palestinian non-governmental hospitals (Al-Mizan and Al-Ahli) in the Hebron Governorate during the period of data and information collection (1690), and the study sample was chosen from service providers (employees) By random stratification method, the study sample was chosen from the recipient of the service (patients) by the random random method, and the researcher distributed the two questionnaires to (236) between the providers and the service recipients in the two hospitals and (216) questionnaires valid for analysis were returned at a rate of (91.5%). The results of the study showed that the reality of applying the standards of governance in Palestinian non-governmental hospitals in the Hebron Governorate (Al-Mezan and Al-Ahli) from the point of view of service providers and recipients came at a high degree; And the level of performance of Palestinian non-governmental hospitals in the Hebron Governorate from the point of view of providers and recipients of service was also high. The results showed that there is a positive correlation relationship with statistical significance between the reality of applying the standards of governance and the level of performance of Palestinian non-governmental hospitals in the Hebron Governorate from the viewpoint of service providers and recipients. While the results showed that there are no statistically significant differences at the level of significance (0.05≥α) to apply the standards of governance to the performance of Palestinian non-governmental hospitals in the Hebron governorate from the point of view of service providers and recipients attributable to gender, age, educational qualification and experience variables, they showed the existence of such differences in It relates to the hospital variable for the benefit of service recipients at Al Mizan Hospital, as well as for the housing variable for the benefit of service recipients from villages/towns. With regard to arranging the criteria for applying governance according to its importance from the point of view of service providers and recipients, the results of the study showed the response standard came in the first place from the viewpoint of service providers, and the standard of accountability came in the lowest position, while the criterion of clinical effectiveness came from the viewpoint of the recipient of the service in the rank First, the integrity standard was ranked last. In light of the results, the study came out with a set of recommendations, the most important of which are: non-governmental hospitals must commit to applying the standards of governance in their various operations in order to sustain the development of their performance, and the need to work to raise awareness of the standards of health and clinical management governance among hospital personnel and the Palestinian public, and the necessity Endeavor to provide a code of career conduct and educate employees about it and its importance, with the disclosure of special reports related to financial, material and achievements matters, and in all transparency, so that they are available to all; The need to work on drafting a code for hospital governance in Palestine and evaluation of hospitals by official and competent regulatory authorities based on their application, with importance given to standards of accountability and integrity; Appointing people with efficient and effective performance and experience in hospital governance so that this positively affects the performance of employees and the improvement of it and the services provided by hospitals, while working to activate the incentive systems for workers, which would reduce manifestations of corruption and violations.