MANAGERIAL CHALLENGES OF TEACHING HOSPITAL, A REVIEW OF THE EXISTING LITERATURE.

Corresponding Author:
Pouran Raeissi,
Professor, Department of Health Services Management,
School of Health Management and Information Sciences,
Iran University of Medical Sciences, Tehran, Iran.  
E-mail: raeissi2009@yahoo.com

ABSTRACT

BACKGROUND

Teaching hospitals have three goals including curing, education and research. Providing education along with health care services expands the mission and accountability of these goals and results in more challenges for managerial team of teaching hospitals in comparison with non-teaching hospitals. Therefore, this research aims to review the existing literature regarding the challenges that teaching hospital managers are facing with focus on different dimensions related to their functions.

MATERIALS AND METHODS

A comprehensive review was performed by searching the existing literature. We used different search strategies including electronic databases, reference checking and experts contact. The key words were combinations of the terms teaching hospitals or university hospitals and managerial/management problems and challenges. 56 studies were included according to predefined inclusion and exclusion criteria.

RESULTS

A range of managerial problems have been addressed in the existing literature. The most followed is planning among the problems of managerial dimensions (34%), and then coordination (25%), control and evaluation (16%), leadership (12%), organizing and organizational structure (10%), and ultimately creativity, innovation and change dimension (3%).

CONCLUSION

Also, the mentioned problems in teaching hospitals have different priority but for a complete and correct management to receive all three goals of a teaching hospital, managers should pay attention to all of these dimensions simultaneously. Better identification of these problems facilitates solving these managerial challenges more efficiently.

KEY WORDS

Managerial Challenges, Teaching or Academic Hospitals, Review Study.