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Use of ethical predictability in respect for human rights in Iranian hospitals with a 360-degree approach

Roya Malekzadeh (Educational Vice Chancellor, Mazandaran University of Medical Sciences, Sari, Iran)
Ghasem Abedi (Department of Public Health, Health Sciences Research Center, Mazandaran University of Medical Sciences, Sari, Iran)
Ehsan Abedini (Student Research Committee, Health Sciences Research Center, Mazandaran University of Medical Sciences, Sari, Iran)
Elaheh Haghgoshayie (Research Center for Evidence-Based Health Management, Maragheh University of Medical Sciences, Maragheh, Iran)
Edris Hasanpoor (Research Center for Evidence-Based Health Management, Maragheh University of Medical Sciences, Maragheh, Iran)
Matina Ghasemi (Department of Business and Economics, Girne American University, Kyrenia, TRNC, via Mersin 10, Turkey)

International Journal of Human Rights in Healthcare

ISSN: 2056-4902

Article publication date: 1 December 2020

Issue publication date: 1 December 2020

63

Abstract

Purpose

Respect for human rights is one of the most important criteria for the delivery of medical care in hospitals. Ethical predictability is useful to identify human rights concerns in health-care organizations. The hospital environment and the flow of its processes make the topic of predictability much more sensitive and, at the same time, more difficult than other organizations. The purpose of this paper is to determine and compare the ethical predictive factors in selected hospitals in Mazandaran province.

Design/methodology/approach

This cross-sectional survey using multilevel sampling (four hospitals, 938 patients, 186 staff) was conducted in the first half of 2017. The measurement instrument was a researcher-made questionnaire consisting of seven areas of service recipients’ rights, patient safety, patient satisfaction, human resources, governance, organizational and financial commitments. The analysis of the collected data was performed through SPSS V. 22 and one-way ANOVA and post hoc Tukey’s tests.

Findings

Ethical predictability was higher in social security hospitals compared to private and public hospitals, and patient safety and patient rights showed higher magnitudes compared to other dimensions. Financial domain, patient satisfaction, governance and organizational commitment formed the middle priorities in ethical predictability, and human resources had the least average in ethical predictability in the selected hospitals in the province.

Originality/value

Identifying the factors which influence ethical predictability, in addition to promoting service recipients’ rights and patient satisfaction, is of great help to the managers and health service authorities, so that they can have a better understanding of these factors and, consequently, make appropriate micro and macro-decisions to provide better services.

Keywords

Acknowledgements

The authors would like to thank the hospitals staff and patients for their collaborations in this project. Also, the Committee of Ethics in Mazandaran University of Medical Sciences approved this study: IRMAZUMS.REC.1398.5986.Ethical Aspects: The ethical committee of Mazandaran University of Medical Sciences (Ethical code of project: IRMAZUMS.REC.1398.5986) approved the implementation of the current study. Informed consent was obtained from each participant.

Citation

Malekzadeh, R., Abedi, G., Abedini, E., Haghgoshayie, E., Hasanpoor, E. and Ghasemi, M. (2020), "Use of ethical predictability in respect for human rights in Iranian hospitals with a 360-degree approach", International Journal of Human Rights in Healthcare, Vol. 13 No. 5, pp. 445-455. https://doi.org/10.1108/IJHRH-10-2019-0083

Publisher

:

Emerald Publishing Limited

Copyright © 2020, Emerald Publishing Limited

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