Health system stakeholders' viewpoints about teaching hospitals Challenges and opportunities of teaching hospitals from Stakeholders and health system managers' perceptions
Introduction: Hospitals are the most important medical institutions providing health care services, and a large share of health care resources is allocated to especially teaching hospitals. Given the fact that these hospitals have three main missions; namely, therapy, education, and research that paying attention to their challenges and opportunities can be vital for providing high quality services for patients.
Methodology: A qualitative study was conducted using face to face interviews with 41 key informants, senior and middle managers in Tehran teaching hospitals, faculty members of the Medical Sciences Universities, and Ministry of Health headquarters. Framework analysis which approach was applied to analyze the data.
Results: Teaching hospital challenges including education challenges such as decline of educational mission attendance, lack of educational facilities, non-compliance with educational standards, treatment challenges like quality of health services provision, lack of resources and facilities and research challenges such as research structure, research quality in the hospitals, and low research facilities. Teaching hospital opportunities including potential of student presence, research opportunity, medical specialist training, meriting from up-to-date medical faculty and the benefits of them for patients.
Conclusion: The results showed that there are different and important challenges in all areas of teaching hospitals including therapeutic, education and research challenges because they perform all of these duties together, also they have a number of advantageous. Through identifying these opportunities, a synergy can be developed in these three goals and ultimately the efficiency of most teaching hospitals can be promoted in comparison with other hospitals.