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As known the working at hospitals is 24 hours a day. A mistake in hospital maintenance can cost a life of a human. The Ministry of Health (MOH) is considered the main health service provider in Gaza Strip. Through interviews with maintenance managers in MOH, they commented that maintenance represents events of general plans, a set of actions. This research aims to put an effective plan by decision makers who work in filed to determine factors affecting on maintenance management. These factors are categorized into the human resources factors, maintenance projects factors, effect of policy and vision of the organization factors, effect of internal and external environment factors, effect of crisis policy factors, effective methods of treatment to reduce maintenance operations factors as illustrated in the questionnaire. The choice of maintenance depends on type of work, items priority, efficiency, performance level, method of implementation, timing, the expected cost for every process. Classifications of maintenance vary from one department to another; depend on the number of engineers and technicians in the maintenance department, type of medical services, and system of procurement of services. The ways to carry out maintenance work are summarized as implementation of maintenance by a specialized department in hospitals, maintenance contracting with other parties out of hospitals, merge the last two ways. The data analysis and discussion was included to identify factors affecting on hospitals maintenance management according to available data, discussion with maintenance managers and made a comparison with results shown in previous studies and papers. Maintenance projects in MOH include good comprehensive plans, accurate, criteria, complexity, etc. There were standards, priorities, a clear vision, and so on. Inadequate resources, maintenance of services has still not integrated into the design and installation, , insufficient instrumentation for monitoring, etc. Political instability, siege, challenges, wars, crises, , restrictions, conditions imposed by some donors, lack of investment in maintenance, lack of a comprehensive program all of these factors may be change the situation in MOH according to the questionnaire . A total of 226 from 250 completed copies had been received, representing valid response rate 90.4%.researcher recommended for determining priorities, needs, intelligent maintenance method. |
