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المستخلص The summary Preface: Philosophers have realized for thousands of years that ”change is one of the constant things in life” ... and they realized this fact with the slow pace of the movement at the time, so the importance of adopting initiatives for change in organizations throughout the period of their survival ... Rather, failure to change will lead to their demise. Al-Askari notes that the word change cannot gain ability unless realism and practice are achieved in reality and tomorrow. Rather, it is an institutional culture, strategic vision, and ingenious achievement that takes us to a vast world of creativity. And if the change is not with this discourse, then it is nothing but mummified bodies that lack soul. Contemporary organizations aim to change and develop, by planting new values and behaviors and using high technology, and changing organizational structures, and this painstaking process, requires a wise leadership style and making good decisions and adapting to the challenges presented at the appropriate times. And since change is an imperative for the development and survival of institutions ... it requires serious will and effective management. Dr. Munif says: Change is a path that leads to a goal and is a two-way street: One of them: represents the viewpoint of the executive top management that seeks to achieve limited and known goals; Because the administration is ”organizing meaningful human activity.” As for the other way, it represents the viewpoint of the recipients, the affected and the implementers of the change, that is, it is “organizational” that represents the view of the senior management “and individual” represents the viewpoint of the affected and recipient employees and the actual implementers of the change. The study Problem: from the above, the study problem can be identified in the following main question, ”What is the effect of the change management and organizational development on raising the quality of health services at Sherbin General Hospital?” This question is divided into the following sub-questions: 1. What is the effect of cultural change on the quality of health services in the Sherbin General Hospital? 2. What is the effect of the organizational change on the quality of health services in the Sherbin General Hospital? 3. What is the effect of technological change on the quality of health services in the Sherbin General Hospital? 4. What is the effect of the change in work on the quality of health services at Sherbin General Hospital? 5. What is the effect of the organizational development process in general on the quality of health services in the Sherbin General Hospital? 6. What is the effect of improving management and leadership skills on the quality of health services in Sherbin General Hospital? 7. What is the effect of the level of dialogue and communication with workers on the quality of health services in the Sherbin General Hospital? 8. What is the effect of accountability, transparency and control on the quality of health services in Sherbin General Hospital? 9. What is the effect of the crowd, intertwining, and bringing in financing on the quality of health services in Sherbin General Hospital? 10. What is the effect of organizational development on the quality of health services in the Sherbin General Hospital? Hypotheses of study: To answer the sub-questions, the following general hypothesis can be formulated: 1 There are no statistically significant differences for managing change in all its dimensions on the quality of health services in Sherbin General Hospital. 2 There are no statistically significant differences for development in its various dimensions on the quality of health services in the Sherbin General Hospital. The following sub-assumptions are subdivided: 1- There are no statistically significant differences for the management of cultural change on the quality of health services at Sherbin General Hospital at the level of significance (α≤ 0.05). 2- There are no statistically significant differences for managing the organizational change on the quality of health services at Sherbin General Hospital at the significance level (α≤ 0.05). 3- There are no statistically significant differences for managing technological change on the quality of health services at Sherbin General Hospital at the level of significance (α≤ 0.05). 4- There are no statistically significant differences for managing the change in work on the quality of health services at Sherbin General Hospital at the level of significance (α≤ 0.05). 5- There are no statistically significant differences for managing change in the quality of health services at Sherbin General Hospital at the level of significance (α≤ 0.05). 6- There are no statistically significant differences for organizational development in general on the quality of health services at Sherbin General Hospital at the level of significance (α≤ 0.05). 7- There are no statistically significant differences to improve management and leadership skills on the quality of health services at Sherbin General Hospital at the level of significance (α≤ 0.05). 8- There are no statistically significant differences for the level of dialogue and communication with workers on the quality of health services at Sherbin General Hospital at the level of significance (α≤ 0.05). 9- There are no statistically significant differences for accountability, transparency and quality control of health services at Sherbin General Hospital at the significance level (α≤ 0.05). 10- There are no statistically significant differences for organizational development on the quality of health services at Sherbin General Hospital at the level of significance (α≤ 0.05). The importance of studying: The importance of the study is shown below: First: theoretical importance:This importance arises from the study from its subject, which is the organizational change, which is the focus of attention of many learners and those interested in organizational development. It is an addition to the administrative library. Second: The scientific importance: This importance of the study highlights its results, as it is hoped that the leaders of organizations (whether governmental or private) will benefit from the results of this study, in order to develop their capabilities and skills in bringing about organizational change in their institutions by scientific methods. Study Approach: The study relied on the descriptive analytical approach, due to the nature of the current study and the implications of its problem, questions and objectives. The semi-experimental approach in determining the role of the Change and Organizational Development Department in raising the quality of health servicesat Sherbin General Hospital. Study variables: study variables are divided into the following: 1- Independent variables: The study depends on two main variables: A- Change Management: This variable includes four dimensions: (cultural change, organizational change, technological change, change in work) B- Organizational development: This variable included five dimensions: (the process of organizational development in general, improving management and leadership skills, dialogue and communication with workers, accountability, transparency and oversight, mobilization, networking and fetching funding). 2- Affiliated changes: The study relied on the variable of the quality of health services. This variable includes five dimensions: (The first dimension: Malusianism, reliability, response, safety, and sympathy). Study population and sample: The original study population consists of all (1350) hospital employees distributed as follows: (6) director and agent, (20) department heads, (400) doctors, (600) nurses, (30) administrators, (65) support services, and ( 200) Radiology technicians and laboratories, and the hospital is visited within six months (15) thousand patients, and the study sample consists of (441) director, agent, head of department, physician, nursing, radiology technician, analysis, laboratory technician, service and administrative assistant, and patient. Statistical methods: The study data was analyzed according to the study problem and its questions, using the Statistical Package for Social Sciences (SPSS) program, where the following statistical methods and methods were used: 1. The Alpha Cronbach coefficient was used to calculate stability and validity of the questionnaire. 2. Frequencies and percentages to describe the characteristics of the study population and sample. 3. Arithmetic averages and standard deviations for dimensional scores and expressions for each dimension separately and one degree with dimensional scores as a whole. Also, the weighted mean was calculated for the axes and their dimensions. 4. Pearson correlation coefficient for identifying the significance of the statistical differences between the averages and the scores of the sample individuals on the questionnaire. Structure of the study: To achieve the goals of the study and its completion, the researcher divided it into the following chapters: Chapter one: the general framework of the study. Chapter two: theoretical framework. Chapter three: the field study. Chapter four: the results of the study and its discussion Chapter Five: Summary of Findings and Recommendations. Summary of the study results: Through the foregoing and the interpretation of the study results, the studyreached the following results: 5. The change management is considered one of the factors that have an effective role in the quality of health services provided by the Sherbin General Hospital for patients. 6. Organizational development is considered one of the factors that have an effective role in the quality of health services provided by Sherbin General Hospital for patients. 7. The change management helps to utilize the available capabilities available at the Sherbin General Hospital in improving the quality of health services provided by the hospital. 8. Organizational development has an effective role in providing the capabilities and needs of the hospital in order to raise the quality of health services. 9. The dimensions of change management affect the quality of health services provided by the hospital. 10. The results of the study reached the rejection of the main study hypotheses, which states that there are no statistically significant differences to manage the change in the quality of health services provided by the Sherbin General Hospital at the level of significance of α ≤ 0.05 and the hypothesis that ”there are no statistically significant assumptions for organizational developmenton The quality of health services provided by the Sherbin General Hospital. The most important recommendations of the study: In light of the results of the study results, the study recommends the development of the Quality Management Department, the conduct of training courses and educational seminars, and the conduct of awareness campaigns on the importance of quality health services and the role of change management and organizational development in raising their efficiency. Future studies and research: The study recommends that more research be done on the role of the change management and organizational development in raising the quality of health services and how the department can be activated to raise the quality of health services. |