@article{ author = {Mehraban, D and Salehi, M and Naderi, GhH and Najafi, I and Hakemi, M}, title = {Comparison of Health Related Quality of Life in a community sample and Renal Replacement Therapy patients}, abstract ={Introduction: Since, therapeutic programs have important effect on the life of ESRD (End Stage Renal Disease) patients, self-assessment of the patient from his/her health status should become an integrated part of his/her medical care. Hence, evaluation of the quality of life would attain an important stance. The determination of health related quality of life (HRQoL) in each group of patients on renal replacement therapy (RRT) and community sample (CS) group, and comparison of findings between them, comprises the main objective of this study. Methods: Farsi version of MOS SF-36 questionnaire, supplemented by 25 specific questions, was used in this study in nine scales. A cross sectional, multicenter study was conducted. In a span of 12 months, 203 consecutive patients were studied. These included 80 renal transplant (RT), 83 Hemodialysis (HD) and 40 continues ambulatory peritoneal dialysis (CAPD) patients. Inclusion criteria consisted of age>16 years and a minimum time from the treatment of 3 months. A stratified sample of 83 persons was recruited from the Grand Tehran's community as controls. Study variables included the questionnaire items, demographic characteristics, lab findings and comorbidity. ANOVA, ANCOVA, Bonferroni multiple comparison with SPSS and SAS packages analyzed data. Findings: Quality of life in Pain scale did not show significant difference. HD patients did show significant difference with the other groups in Physical function, Role limitation/Physical problems and Role limitation/Emotional problems scales (P<0.05). In Energy scale HRQoL scores for HD and CAPD groups were more than CS, although, the difference was not significantly important. Variables such as age, sex, education level, marital status, length of treatment, creatinine level, hemodialysis level and comorbidity had positive and negative effects on the HRQoL scores.Overall, comparison of results showed that RT patients, CAPD patients and CS group HRQoL are closed to each other and could be put in one level, but the HRQoL of HD patients are in a lower level. Conclusion: for all scales in the instrument the Quality of life of CS and CAPD groups were close and the quality of life of HD patients was lower than the others.}, Keywords = {Health Related Quality of Life, Renal Replacement Therapy}, volume = {8}, Number = {21}, pages = {68-76}, publisher = {Iran University of Medical Sciences}, url = {http://jha.iums.ac.ir/article-1-139-en.html}, eprint = {http://jha.iums.ac.ir/article-1-139-en.pdf}, journal = {Journal of Health Administration}, issn = {2008-1200}, eissn = {2008-1219}, year = {2005} } @article{ author = {Rahadust, F and Hosseinyzadeh, A}, title = {The Problems of Thesaurus Construction in Iran from Thesaurus Makers\' Point of view}, abstract ={Introduction: The present research attempts to study the theoretical foundations of thesaurus construction before and after internet and identify the problems of thesaurus construction in Iran from the point of view of thesaurus makers and translators of the published thesauri.. Methods: The research population was 6 thesaurus makers (AbdolHossein Azaragn, Abbas Hori, Fatemeh Rahadoost, Fariborz Khosravi, Molookolsadat Beheshti, Mohammad Hadi Yaeghoub Negad), who have published 12 thesauri since 2003. This was a qualitative study done for the first time in the academic environment of LIS. Data collection was done through interview. After interviewing the research population and studying the related literature, the data was classified into different groups and then analyzed according to the measures discussed in methodology section. Findings: The findings indicated that: 1) The theoretical foundations of thesaurus construction have changed after the introduction of web and the revolutionalized environment of information technology, 2) Most problems experienced by the interviewers were of managerial and administrative nature and almost all of the thesaurus makers suffered from lack of adequate and proper interaction among responsible institutions, at institutional and national levels. The other problems could be enumerated as: weakness of storage and retrieval systems, the undocumented queries in reference departments of libraries and information centers, weakness of information literacy of subject specialists, shortage of budget and lack of appropriate evaluation measures and thesauri criticism in the LIS environment. Conclusion: Many of problems that thesaurus makers experienced were of managerial and administrative nature and almost the entire thesaurus makers suffered from lack of adequate and proper interaction among responsible institutions, at institutional and national levels.}, Keywords = {Thesaurus, Thesaurus Construction, Thesaurus makers, The Problems of thesaurus}, volume = {8}, Number = {21}, pages = {77-81}, publisher = {Iran University of Medical Sciences}, url = {http://jha.iums.ac.ir/article-1-140-en.html}, eprint = {http://jha.iums.ac.ir/article-1-140-en.pdf}, journal = {Journal of Health Administration}, issn = {2008-1200}, eissn = {2008-1219}, year = {2005} } @article{ author = {Maleki, MR and Mosazadeh, M and Ahmadi, M}, title = {The Related Factors on Productivity in Selected Medical University of Mazandaran Hospitals}, abstract ={Introduction: Productivity is the developed concept in the 20 century, the surely at this time all countries (industrial & non industrial) have to use it in different subjects like social, technical problems. It is essential for each country and it is the base of economic growth that increases GNP and competition. Finally makes life better since it seems combination of effective factors on productivity is different organizations. Methods: This was a descriptive-study. We used questionnaire for collecting data. The questionnaire was disturbed and returned by training superviser after completed. Because of limiting of cases study, it wasn't done by sampling then the number of cases included: 95 persons of bosses/managers/head nurses and Metron of selected hospitals. Data were analyzed descriptive- statistics. The mean scores and standard deviations of scales were determined using a t-test. Data were analyzed by spss-software. Findings:Mean score of related factors of management: 4/083±0/906, mean score of related factors of job satisfaction and motivation was: 3/797±1/39, mean score of related factors of customer research was: 4/067±0/86, mean score of related factors of organization culture was: 3/935±0/899, mean score of related factors of humane source sanitation was: 4/044±0/893, And mean score of hospital technology and equipment was: 4/028±0/942. All of factors were too affected on hospital productivity.. Conclusion: Productivity and quality was not only gained by chance but also it was effective by consciousness process totally. That was reached by assigning on index and standard scale for input and output of work cultural promotion and improvement of job work life qualities in hospital. Create productivity unit in hospitals and compare the productivity factors with available situation of these factors to reach productivity in hospital.}, Keywords = { Productivity, Management, Hospital. }, volume = {8}, Number = {21}, pages = {82-87}, publisher = {Iran University of Medical Sciences}, url = {http://jha.iums.ac.ir/article-1-141-en.html}, eprint = {http://jha.iums.ac.ir/article-1-141-en.pdf}, journal = {Journal of Health Administration}, issn = {2008-1200}, eissn = {2008-1219}, year = {2005} } @article{ author = {RangrazGeddi, F and Farzandipour, M and Mousavi, SGh}, title = {Studying The rate of Medical Records Use in Kashan Hospitals}, abstract ={Methods: This descriptive - cross sectional study was done in 2003-2004 in shahid Beheshti, Shabih khani , Naghavi , Akhavan and Matini hospithals . All needed information based on: training , research, administrative , medical and legal uses was collected using a checklist. The frequency and percentage of use were calculated and tested via chi-square test to determine the differences between types of use and hospitals. Findings: The total number of Medical record use was 7590 . The highest research use was 32.8% , ie. 76% of the whole records and the highest use of the records was related to surgical records, 42.06% . Statistical tests indicated significant differences between the interval of patient admission & type of use and also between hospitals and type of use (P<0.0001). Conclusion: There was no change in the number of medical records use but the research use has been replaced by medical and training uses. Therefore, the retention of medical records is recommended to be more than 15 years in educational hospitals and at least 15 years in non-educational ones.  Introduction: Medical records are valuable documents prepared, kept and used for continuing care of patient, training, research, hospital statistics , legal problems as well as evaluation of care and services rendered by health care providers. Clinical records are the main sources of information and if used properly, one can avoid duplications and wastage of time and money.}, Keywords = {Medical records - Training use- research use - legal use - administrative use- financial use - Retention time-. }, volume = {8}, Number = {21}, pages = {88-94}, publisher = {Iran University of Medical Sciences}, url = {http://jha.iums.ac.ir/article-1-142-en.html}, eprint = {http://jha.iums.ac.ir/article-1-142-en.pdf}, journal = {Journal of Health Administration}, issn = {2008-1200}, eissn = {2008-1219}, year = {2005} } @article{ author = {Seyedjavadi, M and Khalesi, N and EbadiFardAzar, F}, title = {A Study of Leadership and Organizational Maturity at Teaching Hospitals Affiliated with Ardebil University of Medical Sciences, 2004-2005}, abstract ={Introduction: Although there are many factors that affect the performance of organizations, it is quite doubtless that leadership is one of the most important factors toward's organization success. Hospitals are among complicated organizations the success of which depends on leadership styles and effective management there fore, it is necessary for hospital managers to be ware of leadership principles such as: leading employee and organization towards its main goals. This study is mainly aimed at assessing the leadership style and organizational maturity at the educational hospitals affiliated with Ardebil University of Medical Sciences. Methods: This cross-sectional descriptive study, was conducted in the second half of 2004. Employees working in Boali, Alavi and Fatemi hospitals took part in the survey. The sample population comprised of 288 employees. The data was collected using a self-constructed questionnaire, the validity and reliability of which were determined by content validity and test- retest. Data analysis was carried out through SPSS, using Anova and Chi-square test. Findings:According to the findings the autocratic leadership has the most frequency rather than other styles (59.4%). The most frequency of organization maturity is related to Minimum maturity (49.8%). There was no significant statistical relationship between leadership styles and organizational maturity (p>0.05).  Conclusion: Most of the top managers of hospitals use the autocratic leadership. Without considering the organizational maturity. Unfortunately it means that they simply ignore the ability and tendency of their personnel.}, Keywords = {Leadership style, Organization maturity, Hospitals}, volume = {8}, Number = {21}, pages = {95-104}, publisher = {Iran University of Medical Sciences}, url = {http://jha.iums.ac.ir/article-1-143-en.html}, eprint = {http://jha.iums.ac.ir/article-1-143-en.pdf}, journal = {Journal of Health Administration}, issn = {2008-1200}, eissn = {2008-1219}, year = {2005} } @article{ author = {BaratiMarnani, A and Gudaki, H}, title = {Comparative Study on Privatization of Health Care Provision on Contract Basis}, abstract ={ Introduction: Considering the advantages and disadvantages of health care provision in both public and private sector causes policymakers to consider moderate solutions which include objectives and positive characteristics of both sectors. One solution is contracting with private sector. Despite the increased use of this method,, there is no model that includes worldwide experiences, scientific studies or correspond to Iran health care system. This research follows to produce practical model for this issue. Methods: This practical research is descriptive- analytic and cross-sectional in which the data is gathered from selected countries -Newzeland, United Kingdom, Estonia, Australia, India and Iran - to provide a primary (suggestive) model. That was evaluated by thirty specialists and then the ultimate model was presented. Findings: According to the findings different kinds of contracting can be used in purchasing logistic and paraclinic services in hospitals, screening and control of specific diseases, patient transportation and primary health care. Also, the use of performance-based contract for allocation of resources among different levels of health system, insurance companies and hospitals was emphasized but outsourcing of clinical services and build-own-operate contracts was not approved. Conclusion: Results show that contracting can be used for purchasing of services in different level of health system. Government should move away from passive purchasing arrangement- i.e. those involving simple retrospective payment of providers - towards strategic forms of purchasing. The latter involve active decision about the services to be purchased and the objectives to be pursued.}, Keywords = {Privatization, Contracting, Comparative study. }, volume = {8}, Number = {21}, pages = {105-110}, publisher = {Iran University of Medical Sciences}, url = {http://jha.iums.ac.ir/article-1-144-en.html}, eprint = {http://jha.iums.ac.ir/article-1-144-en.pdf}, journal = {Journal of Health Administration}, issn = {2008-1200}, eissn = {2008-1219}, year = {2005} } @article{ author = {Hosseini, and Delgoshaei, and Maher, and Haghani,}, title = {Managers\' Attitude Towards the Characteristics of Information Systems in Decision-making at Teaching Hospitals Affiliated with Iran University of Medical Sciences, 2004-2005}, abstract ={Introduction: The ability of an organization depends on the quality of decisions it makes. Information system plays a crucial role in this process. The present study dealt with determining the attitudes of managers towards the characteristics of information systems in decision- making at teaching hospitals affiliated with Iran University of Medical Sciences. Methods: The study was a cross-sectional in nature. The research population included hospital managers, directors and nursing supervisors. Data collection was carried out through a questionnaire constructed by the researcher. Validity of the research instrument was determined by content validity and Test-retest. Findings: The majority of managers (59.5%) emphasized the importace of information systems in decision-making process. Information systems mainly support the problem identification phase (59.5%) but not the implementation of the decisions (8.3%). Information systems focused on financial performance information (36.1). Conclusion: the findings of the study indicated that utilization of information systems could minimize improper decisions and improve quality of services.}, Keywords = {Information system, Decision making, Hospital. }, volume = {8}, Number = {21}, pages = {111-116}, publisher = {Iran University of Medical Sciences}, url = {http://jha.iums.ac.ir/article-1-145-en.html}, eprint = {http://jha.iums.ac.ir/article-1-145-en.pdf}, journal = {Journal of Health Administration}, issn = {2008-1200}, eissn = {2008-1219}, year = {2005} } @article{ author = {Zaboli, R and Delgoshaei, B and Haghani, H}, title = {Assessing the Performance Appraisal System at General Hospitals Affiliated with Iran University of Medical Sciences, 2004-2005}, abstract ={Introduction: Hospitals,employing over %50 of manpower in the healthcare sector,need to evaluate the performance of their employees in order to ensure that they are moving in the right direction toward their goals.The study aimed at assessing the employee performance evaluation system utilized at the general teaching hospitals affiliated with Iran University of Medical Sciences. Methods: This was a cross-sectional study conducted in the second half of 2004. Employees (n=510) working at Hazrat Rasoul, Shohadayeh Haftom Tir and Firouzgar hospitals comprised the study population. As many as 106 employees were selected as the sample population. The data was collected using a self-constructed questionnaire. validity and reliability of which was determined using content validity and test-retest. Data analysis was carried out through SPSS,using t-test ,Anova and Tukey test. Findings:According to The findings, the performance evaluation systems at the hospitals in the survey was unsatisfactory (M=54.30) and incompatible with the administrative system (M=62.08).On the other hand their performance evaluation was found to be satisfactory based on management principles (M=78.32).The study also showed a favorable condition for performance evaluation (M=68.70). Conclusion: Although the study revealed a satisfactory level of acceptability of performance evaluation , the current evaluation systems were incongruent with the realities of the administrative systems of the hospitals. Based on the special nature of the healthcare sector ,developing a carefully tailored new system through revision and improvement of the peresent system seems necessary.}, Keywords = {Performance , Appraisal system ,General Hospital.}, volume = {8}, Number = {21}, pages = {117-122}, publisher = {Iran University of Medical Sciences}, url = {http://jha.iums.ac.ir/article-1-146-en.html}, eprint = {http://jha.iums.ac.ir/article-1-146-en.pdf}, journal = {Journal of Health Administration}, issn = {2008-1200}, eissn = {2008-1219}, year = {2005} }