@article{ author = {Hadian, M and Gohari, MR and Yousefi, M}, title = {The estimation of production function in Orumieh Medical Sciences University hospitals}, abstract ={Introduction: Hospital is known as an important and the most costly performing unit of health care systems, therefore, economic analysis of this unit is very important Methods: This study designed to estimate hospital production function in Orumieh Medical Sciences University hospital's. for this study 16 hospitals were studied. We used panel data for estimation of mentioned function, data were gathered from 2000 to 2006. A double- logged form of the Cobb-Douglas production function has been estimated. The dependent variable is inpatient admissions, the explanatory variables that are included are the umber of doctors, nurses, beds, other staffs and average length of stay (ALOS). Results: As a result of study the elasticity of doctors is EY. P =1.08 , the elasticity of nurses is EY. N =3.4 , the elasticity of beds is EY. B =1.4 , and the elasticity of other staffs is EY. P P =2.8. There was not significant correlation between ALOS and the number of admission. The marginal production of inputs are MPP =391 , MPN=244 , MPB=103 , MPP P =273 , and, there is an increasing return to scale. Also, we have investigated MRTS1 between production factors. Conclusion: Results of this study show that, the maximum elasticity is attributable to the number of nurses and then respectively to, other staffs, beds and doctors. The marginal production of inputs shows an important role of doctors in production. The decision makers, in critical circumstances can substitute inputs with considering MRTS between inputs. There is an increasing economic of scale and in long-term there will be a monopolistic competition market, therefore, for achievement to equity issue, the intervention of government in this hospitals market is necessary.}, Keywords = {Production function, Panel data, Marginal production, Marginal rate of technical substitution, Return to scale.}, volume = {10}, Number = {29}, pages = {7-14}, publisher = {Iran University of Medical Sciences}, url = {http://jha.iums.ac.ir/article-1-45-en.html}, eprint = {http://jha.iums.ac.ir/article-1-45-en.pdf}, journal = {Journal of Health Administration}, issn = {2008-1200}, eissn = {2008-1219}, year = {2007} } @article{ author = {Sheikhtaheri, and Farzandipour, and Sadughi,}, title = {Consumer`s satisfaction with admission services in teaching hospitals affiliated to Kashan University of Medical Sciences 2006}, abstract ={Introduction: patients' satisfaction indicates the accurate care providing, and is considered as an important indicators of health care quality. Patients' satisfaction with admission services is quite important. This study aimed at determining the level of consumers' satisfaction with admission services and its related determinants in teaching hospitals affiliated to Kashan University of Medical Sciences. Methods: In this descriptive-analytic study, 384 patients or their relatives were interviewed using a questionnaire. Data analysis was done through descriptive and analytic statistics such as: percent, means, SD, t-test, X2 and ANOVA test. Results: Totally 46.2% the consumers' perceived services of admission unit good. They were completely satisfied with the waiting time (8.03ア1.43 points of 10), and with the staff behavior (15.78ア2.9 points of 20). They were also satisfied with the staffs' responses to their questions (14.6ア2.7 points of 20), and with equity in admission turn (4.41ア1.6 points of 10). Satisfaction was significantly related to patients' job, length of stay and sex. Also patients' satisfaction with staffs' responses was significantly less than from that of their relatives (p<0.05). Conclusion: Generally, patients or their relatives were satisfied with admission services. Of course, the admission staffs could response better to satisfying their questions, especially on consent forms, pay more attention to females, and old patients as all theses will lead to more the patients' satisfaction.}, Keywords = {Admission, Satisfaction, Hospital, Consumer, Patients.}, volume = {10}, Number = {29}, pages = {15-24}, publisher = {Iran University of Medical Sciences}, url = {http://jha.iums.ac.ir/article-1-46-en.html}, eprint = {http://jha.iums.ac.ir/article-1-46-en.pdf}, journal = {Journal of Health Administration}, issn = {2008-1200}, eissn = {2008-1219}, year = {2007} } @article{ author = {Ahmadi, M and Karami, M}, title = {Total quality management principles and concepts Implementation in medical records departments (Iran University of Medical Sciences teaching hospitals, 2004)}, abstract ={Introduction: It is very important to use fundamental of total quality management in medical record department as a part of hospitals which their action has a tremendous affect on performance, evaluation, and upgrading the quality and quantity of health care activities in hospitals. The research were done with the idea of measurement of the rate of applying fundamental of total quality management in medical record departments of Iran University of Medical Sciences' teaching hospitals to report suggestions for upgrading the department performance. Methods: This is a descriptive cross- sectional study were done in 2004. The study population is all personnel of medical record departments of Iran University of Medical Sciences' teaching hospitals and data were collected by a questionnaire and were analyzed by SPSS. Results: Our findings showed that in medical record departments of Iran University of Medical Sciences' teaching hospitals only the concept of" raise and reward "was worst between the nine sections of total quality management. Conclusions: According to the out coming results, it is clear that some activities must been arranged to improve group and personal participation, training workshops periodically, collection, analyzed, and evaluation of customers' point of view and redesign different medical record department.}, Keywords = {Total quality management, Medical record department, Teaching hospital}, volume = {10}, Number = {29}, pages = {25-30}, publisher = {Iran University of Medical Sciences}, url = {http://jha.iums.ac.ir/article-1-47-en.html}, eprint = {http://jha.iums.ac.ir/article-1-47-en.pdf}, journal = {Journal of Health Administration}, issn = {2008-1200}, eissn = {2008-1219}, year = {2007} } @article{ author = {Kimiafar, Kh and Moradi, Gh and Sadoughi, F and Hosseini, F}, title = {A study on the user\'s views on the quality of teaching hospitals information system of Mashhad University of Medical Sciences-2006}, abstract ={ Introduction: Users of Hospital Information Systems use these systems, round o`clock and as such perceive their problems better than others. Investigating views of users are very critical in development of performance of the systems and should be effective in their development. The aim of this study was to investigate the users' views about Hospital Information System in teaching hospitals (Mashhad University of Medical Sciences). Methods: This is an applied research with descriptive cross-sectional method. The sample subjects are recruiting through convenience sampling method. Three sectional valid and reliable questionnaires designed for data gathering consisting of: user interaction, quality of system, and quality of information. SPSS software was used for data analysis. Results: Our findings showed that there is some slight satisfaction of 67.5% of users of the quality of function, 57.5% of quality performance, and 53.2% of quality information of system. Totally most users (70%) were slightly satisfied with hospital information systems. Conclusion: According to the study findings there are some problems in hospital information systems of Mashhad teaching hospitals. These problems consist of performance incompatibility between user needs and system which leads to has decrease of satisfaction of users to the system.}, Keywords = {Hospital information system, HIS, Users, Quality, View point.}, volume = {10}, Number = {29}, pages = {31-36}, publisher = {Iran University of Medical Sciences}, url = {http://jha.iums.ac.ir/article-1-48-en.html}, eprint = {http://jha.iums.ac.ir/article-1-48-en.pdf}, journal = {Journal of Health Administration}, issn = {2008-1200}, eissn = {2008-1219}, year = {2007} } @article{ author = {NekoeiMoghadam, M and Beheshtifar, M and ShokohSaljoghi, Z}, title = {Determining correlation between management styles and administrators\' duties in Kerman University of Medical Sciences}, abstract ={Introduction: One of the most effective factors on increasing effectiveness, efficacy and ultimately productivity, is the organizational manager styles. Due to every organization has unique condition it needed and its own management skills, managers' knowledge of the patterns and management theories, makes their job much easier and causes their organizations successes. Main objective of this study is finding different methods of the management in teaching and non teaching administrators in Kerman University of Medical sciences in different levels and their duties (planning, organizing, controlling). Methods: This is an applied study carried out as cross-sectional analytic method. The research population is all the high level and intermediate administrators. Tools of collecting data were two questionnaires: questionnaire Achecked the Fiddler methods and questionnaire B checked manager's performances. After evaluating validity and reliability those two questioners they were distributed among University's administrators. Data analysis was done as descriptive(frequencies, means, and standard deviations)and analytic(one way analysis of variances, regressions, Toki HSD test, Duncan, and Pearson's correlation and Spearman tests) using SPSS software. Results: About almost 49% of administrators in planning, and 48% of them in organizing, judged in upper level, and 40% in the medium level. Other finding showed that between their styles (duties oriented and relation oriented) and planning, organizing, and control there was significant correlations. Also between the mean of administrators control in different age groups and different years of services and levels of the their experiences there were meaning differences. Conclusions:According to our findings the duty oriented and relation oriented administrators both have good performances in planning and determining organizational goals. Also our findings showed that with a suitable organizational managing style in , duties could be arranged to improve organizations' performances. That means , the more managers' style are coordinated with the facts and needs of subordinate people, the more accomplish such as planning, organizing, and controlling, would achieved by administrators. Because management is a relation between control and influence, both duties oriented and relation oriented administrators are assure to achieve their goals.}, Keywords = {Administrative style, Administration duties, Planning, Organization, Control.}, volume = {10}, Number = {29}, pages = {37-44}, publisher = {Iran University of Medical Sciences}, url = {http://jha.iums.ac.ir/article-1-50-en.html}, eprint = {http://jha.iums.ac.ir/article-1-50-en.pdf}, journal = {Journal of Health Administration}, issn = {2008-1200}, eissn = {2008-1219}, year = {2007} } @article{ author = {SetayeshBarhaghiM.1/KamkarHaghighi, M and KamkarHaghighi, M and Alizadeh, M}, title = {Designing natural disaster management information system}, abstract ={Introduction: To cope with natural and unnatural critical events such as air crashes, car accidents, chemicals and earthquakes or floods needs powerful resource management. Some of these critical events are tiny and by using local and available resources management could be resolved, but some cover extended geographical areas and so need a massive, vast resources and high level management for example intense earthquakes which were occurred in Iran. Distributed information systems including web based DMS and DSS, that has been just developed in some countries, have gained much importance. One typical case was implemented by World Red Crescent in Turkey's earthquake which tolerated many damages six years ago.This system is a distributed system and a type of decision support system that can be used in vast critical by disaster managers. This system is compounded of operational research (for example mathematical based-optimization and simulation) and artificial intelligent (for example knowledge based-systems and pattern recognition) and information management systems (network and .Net based system) methods. Designing and implementing of this system is very important according to span discussion and available facilities in our country. Literature review: This is a librarian and internet based-research. Architecture of disaster information management system based available information in various articles and web sites in internet are reviewed and then it has been naturalized based on conditions and facilities of our country. Conclusion: In this research proposed architecture has benefits of similar systems as well as It has been naturalized based on conditions and available facilities and it can been operated in various organizations, and can reduce damages due to natural hazards. Applying this architecture is first step in triggering of natural disaster information management systems to reduce damages. Damages due to natural disasters should be reduced by using this system and integrating of available information of various resources in different organizations.}, Keywords = { Natural disaster information management system, Management information system, E-Government, Organizational portal}, volume = {10}, Number = {29}, pages = {45-54}, publisher = {Iran University of Medical Sciences}, url = {http://jha.iums.ac.ir/article-1-49-en.html}, eprint = {http://jha.iums.ac.ir/article-1-49-en.pdf}, journal = {Journal of Health Administration}, issn = {2008-1200}, eissn = {2008-1219}, year = {2007} } @article{ author = {Rezae, P and Ahmadi, M and Sadughi, F}, title = {Comparative study on EHR content, structure, and terminology standards in selected organizations and design a model for Iran}, abstract ={Introduction: Electronic health record (EHR) is defined as digitally stored healthcare information about an individual's life time with the purpose of supporting continuity of care, education, and research. Major issue that needs to be addressed in order to accomplish with sharing and exchange is the development and use of content and structure standards in the EHR. Based on, this investigation has done on EHR content, structure and vocabulary standards and designs a suitable model for Iran. Methods: This cross section comparative study was conducted in the year 2005-2006. The means for collecting data were check list and questionnaire. Participants include ASTM, HL7, and CEN TC. Data analysis was done by way of qualitative methods and comparative tables. Based on the standards advantages and limitations, a model was recommended. Using Delphi systems, a workable model for content, structure, and vocabulary of EHR was presented. Results: Study shows that there are three main organizations that create standards related to EHR: HL7, CEN TC251, and ASTM E31. HL7 dose not have a compressive standards for content and structure, but in two sections, namely the Clinical Document Architecture (CDA) and the Document Ontology Task force (DOTF) proposal give some ideas regarding EHR and used vocabulary standards such as SNOMED, LOINC, and UMLS. CEN TC 251 defines the structure of an EHR but not it's content. Pre-standard ENV13606-1 suggests structure EHR and ENV13606-2 partially suggests some content of the EHR and dose not any vocabulary standard. ASTM E1384 "Standard Guide for Content and Structure of the Electronic Health Record" partially defines an EHR content and structure and used vocabulary standards such as ICD9, SNOMED, READ. Conclusions: Theses organizations paid a lot attention to the structure, content, and vocabulary standards. Based on theirs weakness and capabilities, a model was recommended and finalized using the Delphi technique.}, Keywords = { Electronic health record, standards, ASTM, HL7, CEN TC.}, volume = {10}, Number = {29}, pages = {55-64}, publisher = {Iran University of Medical Sciences}, url = {http://jha.iums.ac.ir/article-1-51-en.html}, eprint = {http://jha.iums.ac.ir/article-1-51-en.pdf}, journal = {Journal of Health Administration}, issn = {2008-1200}, eissn = {2008-1219}, year = {2007} } @article{ author = {BaratiMarnani, A and AGorji, H and Hosseini, F and Babaie, J}, title = {Occupational injuries factors in Hashtrood health network personals}, abstract ={Introduction: Health centers are more contaminated and pathogenic- and in briefly more dangerous- than other offices and work places for the employees. The goal for the following research was review of the occupational injuries occurrence and prevalence and some affective factors among Hashtrood health network employees. Methods: This cross sectioned study was conducted by questionnaire distributed to 270 Hashtrood health center employees. Data were analyzed by SPSS through X2 , t-test and logistic regression. Results: The incidence and prevalence rates of occupational injuries were 43.8%and 61% respectively. Needles and sharp objects injuries had the highest ratio (Incidence rate 22.4% and 19% respectively , and prevalence rate 34.3% and 25.1% respectively). Only 32.6% of the employees reported their injuries .In 49.5% of cases they haven't got the proper trains. The rate of occupational injuries among hospital and laboratory employees (70% and 66.7% respectively) is more than other centers (P<0.05). There was an significant correlation between the employees education level and their occupational injuries, that means the most occupational injuries have been happened for the one who has diploma or less education (P<0.05). Conclusions: Given to the vast occupational injuries, preventing measures must be considered. To reduce the occupational injuries, we suggest providing the needed training for the new comers and periodically for the employees and also a proper reporting system by employees especially in hospitals and labs.}, Keywords = { Occupational injuries, Health personals, occurrence, prevalence.}, volume = {10}, Number = {29}, pages = {65-70}, publisher = {Iran University of Medical Sciences}, url = {http://jha.iums.ac.ir/article-1-52-en.html}, eprint = {http://jha.iums.ac.ir/article-1-52-en.pdf}, journal = {Journal of Health Administration}, issn = {2008-1200}, eissn = {2008-1219}, year = {2007} }