استقرار مدیریت استرات‍ژیک در بخش اورژانس بیمارستان امام حسین (ع) بر اساس نظر مدیران و کارکنان بخش اورژانس

Medical System in Iran has recently begun to implement "Emergeincy Medicine" as a specilty training system. Thih study introduces the first experience of design and implementarion of "Strategic Management Plan" in Imam Hosseini University General Hospital with an annual parient load of 150000 patient per year. Methods: Individual semistructured interviews and group discussions were organized at "Management" and "Staff. (academic and non-academic)" level both "lntra-departmental" and "Other departments interacting with ED". Whole session recording, then "coding" and "caregorizarion" was used to analeze the data. Values, Objectives and strategies were defined for "short", "medium" and "long-term". Special focus has been given to: "training programs. "academic staff support ", and "service providing" functions. Results: Overall. main strategies included: 1. "Integrating emergency service care providing units". Moving from a divided "specialty based care" to two subdivisions of ED: "acute" and "subacute" care. 2. "Objecti ve-oriented" strategies in resource allocation. 3. University level development strategies: 3. "Integrating other hospitals under coverage of University Health system."b. "Spccial collahordtion plan" with city "EMS" 4. Facilitation of crnergency medicine implementation in Iran: implementing legislative. insurance funding and special pricing system supports at national level. Other than strategies. special challenges both af "intru hospital" and "outside" shall be presented. Conclusion: - Introduction of emergency medicine as specialty care in general setiingcs needs well-defined strategies that can manage the challenges of "integrating" divided emergency care in a "coordinative" velopmental I' plan.- National level legislative and administrativc policica arc key factors to guarentee survival of these systems.