@article{ author = {EbadiAzar, F and Kahooei, M and Soleimani, M and Ghazavi, S and Ghods, AA and Alaei, S and Rajabzadeh, D}, title = {The impact of hospital information computerized network on clinical departments curative services personnel.(Semnan University of Medical Sciences-Amir Al-Momenin hospital)}, abstract ={Introductions: Correct usage of hospital information computerized net work and its acceptance by health care personnel could lead to improvement the quality of health care and curative services and reduces their cos.t In this research the impact of hospital information computerized network on clinical departments curative services personals have been studied. Methods: In this descriptive-analytical study, the impact of the hospital information computerized network on some of the health care activities, behavior situations, patients satisfactions, and the point of the view of 120 of the nurses, auxiliary nurses, and secretaries of outpatient departments and Semnan’s Amir al-Momenin teaching hospital during 1385 -1386(2005-2006) has been reviewed. Data collecting tools were questioners, which have been used after approved for validity and reliability. After distributions the questioners among personnel with more than three years job experience. Collected data have been evaluated by descriptive and inferential method with considering ?= 5% for significance. Results: Most of the personnel (80%) work with their departments, computers daily. Most of nurses neglected to register their daily report to avoid duplication. Fifty five per cents of personnel were agreed with availability of correct information, 15% for improvement of curative outcomes because using computerized information system, and 45.8% for job errors reduction, 28% for better supervision for patients’ curative period, 50% of personnel believed that computerized information system caused the easier way to evaluate the patients drug administration, 20 % of personnel agreed that evaluation of patient’s problem is much easier. In total, 52 personnel have been satisfied as the result of the impact of hospital information computerized net work on HIS method and very few of them (4 people) had absolute satisfactions. There were a significant relation between the personnel satisfaction for the impact of patient’s curative and care and patients, satisfaction for user friendly system and curative department type(ρ <0.05). Conclusions: We concluded that less than half of the personnel in clinical department were almost relatively satisfied by impact of the hospital information computerized network system. To be more effective the hospital information system on patient’s healthcare process, the system should be coordinated with a dynamic care process for patients, so that using the hardware such as palms, notebooks, and portable computers, and also soft ware designed to recognized voices to ease data entry in clinical departments and providing legal approaches to avoid the duplication in nurses daily activities are suggested .}, Keywords = {Impact, Hospital information computerized network, Curative services quality.}, volume = {11}, Number = {31}, pages = {7-16}, publisher = {Iran University of Medical Sciences}, url = {http://jha.iums.ac.ir/article-1-147-en.html}, eprint = {http://jha.iums.ac.ir/article-1-147-en.pdf}, journal = {Journal of Health Administration}, issn = {2008-1200}, eissn = {2008-1219}, year = {2008} } @article{ author = {Tourani, T and YazdiFeizabadi, V and Gohari, MR}, title = {A study on empowerment atmosphere in relation with empowerment perception on Kerman teaching hospital’s personals}, abstract ={Introductions: Stability and consistency of hospitals’ activities depends more than ever before, on making competitive performances, which to achieve them comparing to other competitors could demonstration better qualities performances. Nowadays the most improvement tools of richness and price value of hospitals are known as experienced personnel, or on the other hand, source of the powerful human resources. Empowerment of the human resource is achieved by making a collection of existence capacities and empowerment atmosphere in the organization. Evaluation of the personnel’s empowerment, reflect the empowerment atmosphere of the organization, so that in this study, empowerment atmosphere in relation with empowerment perception of Kerman teaching hospitals, the correlation of each variable in the study population have been evaluated. Methods: Present study is descriptive study ,conducted in 1386(2006). The research society of the study is Kerman teaching hospital personals. Three hundreds eighty six people selected by two stages random and stratifying sampling have been studied. The tools for collecting data, were questioners with the Likret quality degrees which included three parts: demographic information, empowerment atmosphere based on valid Scot and Jaff questioners which have eight parts and the empowerment perceptions based on Veton and Kameroon questionnaires which have five parts. Data have processed by SPSS software and and analyzed using one sample t-test, Pearson's correlation test, independent t-test, and ANOVA test. We define desirability judgment for variables means 70%,in Likert five scale grading( equal to 3.5). Results : Our finding showed that the average of all component on empowerment atmosphere in relation with empowerment perception had not suitable position. The highest mean score in order to clarifying and clearness for goal was 2.97 and for team work. 2.77 and the lowest score was for communication with 2.10. About the “empowerment perception personals “data showed that n spite of the high average score in self-effectiveness component, and significant difference between self arrangement, efficacy confidence to others is not desirable and totally, the empowerment perception factor had not an acceptable level. In this research theory of significance between empowerment atmosphere and empowerment perception confirmed by 0.99 of probability and correlation coefficient by 0.723 in 0.0001 confidence level. Additionally each and every of the eight factors has direct and strong relation with personnel's empowerment perception (correlation coefficient more than0.5). Conclusions: Pearson correlation coefficient analyze showed that there is a positive relation between empowerment atmosphere factor and empowerment perception of the personnel. The maximum correlation coefficients are related to work mentality, clearness and brightness of goals components This relation and correlation, separately have been observed in the eight factors of the empowerment atmospheres. Due to the significant relation between empowerment atmosphere and empowerment perceptions of personnel, and strong and direct relation among them, to apply the empowerment event, management and personnel could bring empowerment atmosphere to hospital by using applied management skills and suitable conditions. and, by this way been affectedly work on personnel's’ knowledge emotions and empowerment perceptions.}, Keywords = {Empowerment atmosphere, Empowerment perception, Teaching hospitals}, volume = {11}, Number = {31}, pages = {17-26}, publisher = {Iran University of Medical Sciences}, url = {http://jha.iums.ac.ir/article-1-443-en.html}, eprint = {http://jha.iums.ac.ir/article-1-443-en.pdf}, journal = {Journal of Health Administration}, issn = {2008-1200}, eissn = {2008-1219}, year = {2008} } @article{ author = {Rahman, A and Setayeshi, S and ShamsaeiZafargandi, M}, title = {Health monitoring in artificial life on contagious diseases and pollutions}, abstract ={Introductions :Inherent human society and its complexities, in addition the possibility of trial in more social and health sciences, caused using of computerized simulations and artificial models in terms of necessary views that are exist in these types of sciences. to design these artificial models based on real environment and evaluation and recognition and then recalling the results, and using then in real environment to correct the complex behaviors, are a suit response to active the researchers is these era. ?! Present research have been done to achieve the suitable method to recognitions ,To correct complex behavior was an appropriate incentive to mobilize and activate research works. In this research we attempt to find a solving to identify and optimizing the process, in complex curative and health systems. Also some health monitoring models in artificial life in contagious diseases and pollutions have been provided. Methods:This is a basic research, with simulation, and applied (originated from artificial intelligence) research. Its data is collected from field information, library study, and mathematical methods. Artificial community study( a computer laboratory) included intelligence mathematical factors and tools used for simulation (modeling) and analyzing is NetLog software. Results:The result showed that pollution increase and dissemination, and lack of health care in the environment, cause welfare factors reductions and its continuity, cause gradual deaths of factors. Also lack of a right policy in treatment section could cause the outbreak of diseases and wasted the resources. Also the finding showed that factor modeling based in artificial life is an efficient method and problem solving approach in health systems. Conclusions :Need to using the real models of exact models for artificial life, and developing them in terms of decision making, analyzing, and optimization of problems and health processes in real life, are required. In case, it could be a solution for some existed problems in health care system and it could be used to improvement and developing them.}, Keywords = { Health monitoring, Disease distribution, Artificial life, Artificial community, AIDS, HIV}, volume = {11}, Number = {31}, pages = {27-38}, publisher = {Iran University of Medical Sciences}, url = {http://jha.iums.ac.ir/article-1-382-en.html}, eprint = {http://jha.iums.ac.ir/article-1-382-en.pdf}, journal = {Journal of Health Administration}, issn = {2008-1200}, eissn = {2008-1219}, year = {2008} } @article{ author = {Raeissi, P and Mohammadpour, A}, title = {A study on medical records department performances in Qom,s University for Medical Sciences teaching hospitals}, abstract ={Introduction: Medical records department‘s duties includes: collecting, editing, resorting the patients files, and it is one of the important departments in hospitals. Evaluation of medical records department in Iran shows that these departments have not achieved desirable standards and high quality services. The aim of present research was to evaluate the medical records department services (reception, statistical, coding, and filing) of Qom,s University of Medical Sciences Teaching-Curative hospitals. Methods: Present research is a cross-sectional descriptive study in which the medical records departments services in Qom,s University of Medical Sciences Teaching-Curative hospitals ( AL Zahra, Ezadi, Her-Majesty Masomeh, Fatemi, Sahamiye, Kamkar , and Nekooyee) have been evaluated. Data have been collected by check lists completed by interviews and observations. Personals Demographic information for medical records departments also have been collected by questioner and face to face interviews. Results: Our findings showed that the average score of medical records departments of the Masomeh hospital 10.54, Izadi 11.79, Al- Zahra 12.21, Nekoyee 15.34, Kamkar 15.73, and Fatemi sahameyee 16.44, were of 20, in which their scores have been evaluated, Al Zahra , Izadi, and Her-Majesty Masomeh were Intermediate, Kamkar and Nekoyee Good, and Fatemyee sahamyee Very Good. Conclusions:Half of these hospital have a under desirables scores on their services, so in order to optimizing these departments services, it is necessary that first of all the medical records departments officers in studied hospital pay close attention to allocate resources for each departments according to relevance standards and secondly pay attention to present guidelines and documented procedures of each units, providing documented job-descriptions to staffs ,with definitions and work standards in case of each units activities, applying educated personal and suitable distribution of them in units.}, Keywords = {Medical records department, teaching hospital, performance. }, volume = {11}, Number = {31}, pages = {39-46}, publisher = {Iran University of Medical Sciences}, url = {http://jha.iums.ac.ir/article-1-148-en.html}, eprint = {http://jha.iums.ac.ir/article-1-148-en.pdf}, journal = {Journal of Health Administration}, issn = {2008-1200}, eissn = {2008-1219}, year = {2008} } @article{ author = {Mahmoodian, S and Ahmadi, M and Hosseini, F}, title = {Vision in Practice: Clinical Coding Policy and Procedure}, abstract ={Introduction: Every health organization life depends on its correct coding system. One of the best tools in collecting correct and valid data is to make a clinical coding and procedures. Clinical Coding policy and procedures, in face of personals changes causes stability, and continues the clinical coding and provide a frame for decision making and doing duties . Methods: This research was carried out as a descriptive-comparative study. Information has taken from books, papers, internet, and health care institutes. The coding policies and procedures from United State, England, Canada, and Iran have been reviewed in this research. Due to similarity or differences in specifications, the suggested paradigm for Iran has been prepared. Then the model has been tested by Delphi method in two phases. And after evaluating it, the final model is presented. Results: Data showed that procedures and coding policies have been presented in main six methods including: documentation and coding principles, coding information validating, coding unit structure, coding training, coding communication, and security and privacy of coding. Fourteen methods related to coding policy are covered by clinical coding unit for these six axis. In each of these axis. Certain procedures have been achieved in each mentioned axis. Documentation principle, coding procedures, time frame coding, summarized coding presentations, documentations and coding error investigations, errors corrections and educational sections, employees job situations and numbers of employee that needed employees evaluations, in-services training, conditions that effected job, and tracking reviewing of recording data systems are some important procedures for these six axis. Conclusions: In total the final model for the clinical coding policies and procedures in Iran have more similarities by United State and England and less by Canada. It have been suggested that coding procedure would be evaluated and upgraded annually and have will be published in special magazine. To evaluate the coding information and coding procedures, an investigation committee have been suggested, in which based on their results, some workshops to be settled. Also for collection information from physicians about important cases, a special questioner form would be designed.}, Keywords = {Policies, Procedure, Clinical coding. }, volume = {11}, Number = {31}, pages = {47-54}, publisher = {Iran University of Medical Sciences}, url = {http://jha.iums.ac.ir/article-1-383-en.html}, eprint = {http://jha.iums.ac.ir/article-1-383-en.pdf}, journal = {Journal of Health Administration}, issn = {2008-1200}, eissn = {2008-1219}, year = {2008} } @article{ author = {Pournaghi, R and Abazari, Z}, title = {The Survey study of information literacy between university librarians}, abstract ={Introduction: this age is based on education and research, but librarians have the main role for teaching information literacy and using the references to the users. Librarians, themselves should have enough information literacy and skills in order to move information to users and give convenience information services to their users’ library. The objective of this research is the survey study of information literacy among librarians at the university libraries. Methods: this research is a descriptive and applied study. The data were gathered from 100 librarians at Center University libraries: beheshtit Tehran, tarbiyat modarres, medical university of Iran and Shahid Beheshti by questionnaire and present refer. Questionnaire included 31 close questions in two part, first part was related to information skills and services to the users in their libraries and the second part was related to study of information literacy in librarian field and the alpha cronbakh for the questionnaire was 0.95 that show the high validity and ratability for the questions. and used SPSS for giving average and analytical columns. Results: The research shows that the most using are from online database(58%)internet(69%) and computer catalog(71%) Librarians at tarbiyat modares with 3.62 average have the best skills in using the materials and librarians at medical university of Shahid Beheshti were very low in skills. Following resources have great average of using between librarians: Persian book (3.82) and database (3.56). in Tehran university the average of information literacy between librarians was 3.94 , Tarbiyat Modaress 3.90 and medical science of Iran university 3.68medical science of Beheshti university 4.06 and Beheshti university was 3.72. that show the average of information literacy between librarians. Conclusion: Research finding indicated that librarian’s information literacy level in Center University libraries aren’t good and the level is middle. Therefore it was recommended that training English language and information literacy lesson at university.}, Keywords = { Key words: Librarian, University library, Iinformation library}, volume = {11}, Number = {31}, pages = {55-62}, publisher = {Iran University of Medical Sciences}, url = {http://jha.iums.ac.ir/article-1-384-en.html}, eprint = {http://jha.iums.ac.ir/article-1-384-en.pdf}, journal = {Journal of Health Administration}, issn = {2008-1200}, eissn = {2008-1219}, year = {2008} } @article{ author = {DelghoshaeiB, B and VatankhahS, S and Ebrahimi, E and maleki, MR}, title = {Effect of quality improvement groups’ intervention on the efficiency and effectiveness of Lolagar Hospital in Tehran: 2004-2005}, abstract ={Introduction: The establishment of quality improvement groups is a managerial technique that aims to insure the involvement of everyone in the organization. The present study aimed to determine the effect of quality improvement groups' intervention on the efficiency and effectiveness of Lolagar Hospital. Methods: The study was descriptive in nature. The personnel and patients of Lolagar Hospital comprised the study population. A total of 100 patients add 100 staff members were selected by random sampling procedure for the study. The data related to personnel satisfaction was collected using Job Satisfaction Survey (JSS) Questionnaire. Patient satisfaction was measured by a validated questionnaire developed by the Iranian Ministry of Health and Medical Education. The data provided by the Hospital Medical Records Department was used to determine efficiency. The data was analyzed using independent t-tests. Results: T-test showed a decrease in patient satisfaction and personnel job satisfaction (patient satisfaction: from M=3.1-2.7 and personnel job satisfaction from M=3.92-2.92) as a result of the quality improvement groups' intervention. The findings also showed a decrease in bed occupancy rate and patient average length of stay. However, there was an increase in the bed turnover rate. Conclusion: It may be concluded that the intervention of quality improvement groups could have possibly resulted in improving the efficiency and effectiveness of the hospital in the study if the personnel had been properly oriented before the intervention.}, Keywords = { Quality improvement groups, efficiency, effectiveness, hospital}, volume = {11}, Number = {31}, pages = {63-68}, publisher = {Iran University of Medical Sciences}, url = {http://jha.iums.ac.ir/article-1-385-en.html}, eprint = {http://jha.iums.ac.ir/article-1-385-en.pdf}, journal = {Journal of Health Administration}, issn = {2008-1200}, eissn = {2008-1219}, year = {2008} } @article{ author = {RahmanpourS, and AgorjiH, and MohammadhassanzadehH,}, title = {H-Index: Challenges and complementary tools}, abstract ={Introduction: J.E.Hirsch introduced H Index to scientometric domain , representing actual scientific profitability quality of a researcher’s publications and is equal to effective index for researchers. Literature review:Studies showed that documents database have provided different H scores for each researcher and for different scientific fields. Despite the utmost advantages of H-index it also have some flaws such as need to use complementary indices such as m, r, g index. Conclusions:The strength point of H index, is its ability to use in limited levels which is an complementary for other bibliomeetric exist indexes. This Index ,with others, could be a suit index to improvement scientific levels for researchers, scientist, and scientific board members.}, Keywords = {Documentation, Documenting databases, H-complementary indices, Scientometrc, H- Index}, volume = {11}, Number = {31}, pages = {69-77}, publisher = {Iran University of Medical Sciences}, url = {http://jha.iums.ac.ir/article-1-386-en.html}, eprint = {http://jha.iums.ac.ir/article-1-386-en.pdf}, journal = {Journal of Health Administration}, issn = {2008-1200}, eissn = {2008-1219}, year = {2008} } @article{ author = {EbadiAzar, F and Zarghi, A and Ramezankhani, A and Amirkhani, MA}, title = {A survey on knowledge and attitude of health managers about health system management}, abstract ={Intrudaction: Health management education is one of ways for health achievement and an absence effective education method is partly accounted for underdeveloped health. Health management education is a noticeable topic in health promotion and Purpose: The aim of this study was to determine the knowledge and attitude of health managers about health managing before and after education in 2007. Methods: This is a descriptive analytical study carried out to determine the knowledge and attitude of health managers about health management in health deputy managers personnel in the year 2007.Fourty five people from 60 managers of health have been recruited for our study. The data were obtained by a valid questionnaire in three parts including: demographic information, managers' knowledge, and attitude about health management. We conducted pre-test before education and post-test after education. Twenty five questions were designed to assess knowledge, 13 to assess attitude. Data were analyzed using SPSS. Results: There was no significant correlation between knowledge, attitude and education of managers about health management before and after education.. Conclusions: According to the above findings, it is necessary to change the educational program with respect to managers' needs and education about health management in the country is important. We need promotion for educational planning.}, Keywords = {Knowledge, Attitude, Health managers, Health management }, volume = {11}, Number = {32}, pages = {7-10}, publisher = {Iran University of Medical Sciences}, url = {http://jha.iums.ac.ir/article-1-176-en.html}, eprint = {http://jha.iums.ac.ir/article-1-176-en.pdf}, journal = {Journal of Health Administration}, issn = {2008-1200}, eissn = {2008-1219}, year = {2008} } @article{ author = {joneidi, A and Sadeghi, F}, title = {A survey on static anthropometric dimensions in 20-60year workers of six Iranian nations}, abstract ={Introduction: Anthropometric has an important role in industrial management and also occupational health and it is needed that its information collected regularly. Even though before anthropometric among different Iranian nations have not been studied, present research has been done aimed to evaluation the different anthropometric factors in Iranian workers, in six Iranian nations and preparing the informatics database including their anthropometric dimensions. These information could be help for designers, engineers, and public health people. Methods: In present research, data about 3716 people samples, including 2965 male and 751 female have been studied. The study population were the Iranian workers aged between 20-60 and study environments were 9 Iranian universities which including six nations: Fars, Kord, Turk, Lor, Balouch, and Arab. Thirty six body dimensions, and also body weights of workers - chosen randomly- measured as static method. Additionally, a questioners included demographic identities questions of the samples have been collected. Rated vertical planes with 2*1 meters dimension, small and large calipers, measurement elastic bond, and scale weight to measure body dimensions has been used. All measurements has been done in either seated or stand up standard situation. Results: Our results showed that the average height in Iranian workers were 172 cm. for male and for female 158 cm. Also average weight for male were 74 kg, and for female 58 kg .WE found a statistically significant difference between male and female heights and weights (p<0.0000).The 5th percentile for petit men are almost equal to 50th percentile to medium women. Conclusions: The difference between male and female workers body dimensions showed the necessities of chosen some method to design products and equipments.}, Keywords = {Anthropometry, Ergonomic, Database, Workers body dimensions, Management }, volume = {11}, Number = {32}, pages = {11-24}, publisher = {Iran University of Medical Sciences}, url = {http://jha.iums.ac.ir/article-1-178-en.html}, eprint = {http://jha.iums.ac.ir/article-1-178-en.pdf}, journal = {Journal of Health Administration}, issn = {2008-1200}, eissn = {2008-1219}, year = {2008} } @article{ author = {Ahmadi, M and Hosseini, F and Barabadi, M}, title = {A Survey on the compatibility of the Hospital Information Systems (HIS) with the needs of medical records users from the system}, abstract ={Introduction: The use of a computerized system improves the effectiveness and efficiency of a medical record department, when managers and medical record staff design it according to their needs. Methods: The present study is an applied-descriptive study. The first checklist is provided from professional texts, articles and internet. Having interviewed with medical record users, the researcher determined their needs in general requirements of HIS, general requirements of medical records department, medical records management, admission, discharge, statistics, coding, filing and chart completion. Then the characteristics of systems were determined by means of observations and questions and the percentage of compatibility between systems and needs of medical record users was calculated. Results: Our findings showed that totally average of compatibility between systems and needs of medical records users is 54 %. There are the least conformity in coding and filing and chart completion and the most conformity in medical records management and discharge. Our findings also showed that the users' needs are regarded by venders of systems and often they have met earlier and more important needs. Conclusion: It is imperative that venders with support of managers regard more and more to users needs in order to improve systems.}, Keywords = {Hospital Information System, Medical Record, User Need }, volume = {11}, Number = {32}, pages = {25-32}, publisher = {Iran University of Medical Sciences}, url = {http://jha.iums.ac.ir/article-1-179-en.html}, eprint = {http://jha.iums.ac.ir/article-1-179-en.pdf}, journal = {Journal of Health Administration}, issn = {2008-1200}, eissn = {2008-1219}, year = {2008} } @article{ author = {Nasiripoor, AA and Mehrolhassani, MH and AGorji, H}, title = {Correlation between Organization\'s Culture and the Implication of Six Sigma in Teaching Hospitals affiliated with Kerman University of Medical Sciences (KUMS)}, abstract ={Intrudaction: Conspicuous achievements of organization with minimum facilities on one hand and failure of organizations with materialist abilities on the other hand have been shown the considerable role of factors including non-materialist and spiritual in their success. Organizational culture would be considered as an effective factor in organization performance. correlation of organization's culture with the implication of six sigma in teaching hospitals affiliated with Kerman University of Medical Sciences (KUMS). Methods: This is a descriptive-correlative study. The research society were employees of KUMS (N=1634). The sample size was 110 selected through a stratified random sampling. The data was collected via researcher-made self-administered questionnaires. Data collection tool was a questionnaire with three parts :( demographic information, organizational culture, and six sigma). The five point Likert scale used for scoring questions. Results: Our findings showed that there is a significant correlation between organizational culture and six sigma (Pearson correlations coefficient found as follow: 0.772, (0.01).In comparing organizational culture indices control and individual creativity had the highest mean score (61.37 and 58.94, respectively).Among six sigma indices, genuine focus on the customer, and Data- and Fact-Driven management had the highest mean score (2.92 and 2.82 respectively). Strive for perfection, tolerate failure had the lowest mean score.(2.34) Conclusions: Considering the significant correlation between organizational culture and implication six sigma under, it would be desirable to prepare an appropriate atmosphere for implication six sigma in hospitals.}, Keywords = { Organizational Culture, Six Sigma, Hospi}, volume = {11}, Number = {32}, pages = {33-40}, publisher = {Iran University of Medical Sciences}, url = {http://jha.iums.ac.ir/article-1-180-en.html}, eprint = {http://jha.iums.ac.ir/article-1-180-en.pdf}, journal = {Journal of Health Administration}, issn = {2008-1200}, eissn = {2008-1219}, year = {2008} } @article{ author = {Vatankhah, S and Raessi, P and Kalhor, R}, title = {Correlation between Emotional Intelligence (EI) with Conflict Management Strategies in Managers of Qazvin Teaching Hospitals, 2007}, abstract ={Introduction: Nowadays conflict is a serious problem in organizations, but conflict isn't reason for corruption in organizations for its nature. Ineffectiveness conflict management is the reason of undesirable outcomes. This study was carried out to determine correlation between emotional intelligence with conflict management strategies in managers of Qazvin Teaching Hospitals. Methods: This is a correlation cross sectional study. Sample subjects were 78 managers of Qazvin teaching hospitals. The Data were collected by Shearing's Emotional Intelligence questionnaire (EIQ), Robbins' Conflict Management Strategies questionnaire (CMSQ), and a demographic characteristics questionnaire, Likert,s scale. was used to score questions. The data analyzed by descriptive statistical indexes, Pearson's correlation coefficient, independent T test, and one way ANOVA. Results: Findings showed that between managers EI with avoidance strategy in conflict management was significant negative correlation ( yy = - 0.370)., no correlation observed between EI with two strategies control and collaboration in conflict management (P>0.05). Also there was no correlation between EI and managers demographic characteristics (age, gender, job experience, management experience and educational degree). Conclusion: Management EI can be an important factor in diagnosis and selecting the best strategy for conflict management in organization.}, Keywords = {Emotional Intelligence, Conflict Management, Hospital }, volume = {11}, Number = {32}, pages = {41-46}, publisher = {Iran University of Medical Sciences}, url = {http://jha.iums.ac.ir/article-1-181-en.html}, eprint = {http://jha.iums.ac.ir/article-1-181-en.pdf}, journal = {Journal of Health Administration}, issn = {2008-1200}, eissn = {2008-1219}, year = {2008} } @article{ author = {Eskrootchi, R and GhaziMirsaeid, SJ and SoulatiMasooleh, R}, title = {Review of information technology application in materials organization at central libraries of medical university and faculties in Iran, 2006}, abstract ={Introduction: Emerging and developing of information technology has impact on library functions, especially on materials organization, so this survey carried out to study the use of information technology in cataloging departments at central libraries of medical universities and faculties in Iran. Methods: In this descriptive study research population were managers of cataloging departments in central libraries of 44 medical universities and faculties. We used questionnaire for data collecting, after its validity and reliability confirmation. From 44 distributed questionnaires 41 were completed and returned. Among research population 41 libraries replied those questionnaires and the reminder of them omitted because they didn't answered the questionnaires. The collected data analyzed by SPSS software and the results presented by descriptive statistics in tables and graphs. Results: Existed hardwares in these libraries included: 496 computers, 108 printers, 29 scanners, 27 barcode reader scanners, 79 CD writers that were out of dates and different. Existed soft wares had the same situation too. From these 44 soft wares, 34 copies (83%) were Parsazarakhsh and 7 next copies were Nosa, Kavosh and Mava. Among the catalogers with diploma to Master of Science degree in different major including medical library and information science, 22 catalogers were educated on cataloging process from internet. They paid attention to analytical cataloging greatly and to authority control slightly. In aspect of non-book materials thesis (80%) and related websites (2.5%) had most and least frequencies. The catalogers used different methods such as original, CIP and copy cataloging in cataloging process. Only 29 libraries (70.7%) used all methods. In aspect of using different parts of soft wares, cataloging and acquisition had most and least frequencies. Only 32 libraries prepared backup files and 31 libraries had network for using those soft wares. In process of bibliographic electronic searching, web-based OPAC of national library of medicine and Bibliofile had most and least frequencies too. Conclusion: because of the absence special program in using of information technology, organization development of different library materials, unbalanced situation of human population, hard ware and soft ware equipments, have not direct connection with internet , its slowness and connection discontinuation and unfamiliarity with cataloging electronic tools, confronted the surveyed libraries with difficulties.}, Keywords = {Materials Organization- Materials Cataloging - Central Medical Libraries. Iran Medical Universities and Faculties }, volume = {11}, Number = {32}, pages = {47-54}, publisher = {Iran University of Medical Sciences}, url = {http://jha.iums.ac.ir/article-1-182-en.html}, eprint = {http://jha.iums.ac.ir/article-1-182-en.pdf}, journal = {Journal of Health Administration}, issn = {2008-1200}, eissn = {2008-1219}, year = {2008} } @article{ author = {Hajavi, A and Piri, Z and Shahmoradi, L and Asadi, N and KheradmandiS, and OveisiM, and ArbabiM,}, title = {A survey on completeness of inpatient informed consent forms in the three treatment-teaching centers in Iran University of Medical Sciences (IUMS)}, abstract ={Introduction: To take informed consent for treatment is one of the essential rights of each patient. All healthcare centers must complete consent forms. In spite importance to get informed consent forms, there isn't adequate paying attention to complete these forms. This research is aimed to review the completeness of consent forms in IUMS's teaching centers. Methods: In a descriptive, cross-sectional research we reviewed the completeness of consent forms using a questionnaire. We selected 330 consent forms of inpatient patients in treatment-teaching centers from IUMS by a stratified random sampling method. Data were collected through observations and consent forms survey. In order to providing information we used descriptive statistics by SPSS. Results: Our findings showed that there were incompleteness for patient's family and first names in informed consents forms in 7.2% (24 patients), and for of patient's addresses 71.5% (234 patients). There weren't any sign or finger print in 1.2% (4) forms. In 5.4% (18) forms was bad handwriting. 2.4% (8 patients) patients didn't have legal age while they singed form consent, and 3.6% (12 patients) forms singed by consanguinity and casual relatives. In emergency conditions there were for 86.6% (74 patients) family name and first name recorded while in non emergency conditions 94.7% (235 patients) were recorded. Also forms were confirmed by witnesses in 77.6% (66 patients) in emergency cases while in non- emergency cases it was 59.9% (147 patients). It was applied another form as acquaintance (exemption) in 96.1% (76patients). Conclusion: Goal of getting consent forms is providing the best decision-making for patients. Because importance of getting consent form for patient and treatment centers, it is necessary to reception personnel training to acquire knowledge about consent forms and their completeness.}, Keywords = {Consent forms, Inpatients, Medical Records, Information Completeness, Information Management }, volume = {11}, Number = {32}, pages = {55-62}, publisher = {Iran University of Medical Sciences}, url = {http://jha.iums.ac.ir/article-1-183-en.html}, eprint = {http://jha.iums.ac.ir/article-1-183-en.pdf}, journal = {Journal of Health Administration}, issn = {2008-1200}, eissn = {2008-1219}, year = {2008} } @article{ author = {Hadian, M and Haghani, H and Yosefzade, H}, title = {Estimation and comparison of the productivity of the branches of Tehran Social Security Organization: 2000-2004}, abstract ={Introduction: Social Security Organization is known as the biggest insurance organization, with coverage 28 millions of countryُ s population and 34 thousands personnel with wide spread realms of insurance, remedy, investment, … is important and key subject in economical and social structure of country therefore increasing productivity this organization include society of public benefits. Methods:This study estimate labour, capital and total productivity of the branches of Tehran Social Security Organization by Indexes, Data Envelopment Analysis and Production Function methods, in 2004-2004. We used panel data and input-oriented form for estimation of mentioned methods. The dependent variable is the number of insured, the explanatory variables are the number of personnel and capital costs. Data obtained from center of statistics organization. Results: Findings showed that the mean of total productivity variation was 1.021. Since it's higher than one, so the productivity had been improved. Also the results of Indexes, Data Envelopment Analysis and Production Function methods are the same and are due to the effectiveness of total productivity variations from technological changes. Managerial and scale efficiency changes stand in next orders. Conclusion: Productivity improvement of production factor can be reduced organizationُ s expenditures. Finally, it is recommended that the impression of some factors such as the quality of services and satisfaction of insured on the mentioned branches productivity should be considered.}, Keywords = {Productivity, Panel data, Data Envelopment Analysis, Return-to-Scale }, volume = {11}, Number = {32}, pages = {63-71}, publisher = {Iran University of Medical Sciences}, url = {http://jha.iums.ac.ir/article-1-184-en.html}, eprint = {http://jha.iums.ac.ir/article-1-184-en.pdf}, journal = {Journal of Health Administration}, issn = {2008-1200}, eissn = {2008-1219}, year = {2008} } @article{ author = {Hajavi, A and Khoshgam, M and Hatami, M}, title = {A Comparative Study on regarding Rate of the Privacy Principles in legal Issues by WHO Manual at Teaching Hospitals of Iran, Tehran and Shahid Beheshti Medical Sciences Universities 2007}, abstract ={Introduction: In many countries, the medical records are important legal documents, essential not only for the present and future care for patients but also as legal documents to protect the patients and the hospitals. Medical record is a confidential document and always the patient's right to privacy must be regarded. Methods: This is a descriptive - cross sectional study. Study sample were 34 of teaching hospitals affiliated with Iran (9 hospitals), Tehran(16 hospitals), Shahid Beheshti (10 hospitals) Universities of Medical Sciences. The data was collected thorough a check list, presented by descriptive statistics on SPSS software. Results: Regarding ratios of privacy and the release of patient information, in Iran, Tehran and Shaheed Beheshti Medical Sciences Universities were 61%,60% and 58 %, for request for the release of information, in 58%,56%,56% for General Medico-Legal Principles 63%,49%,36%and for Procedure for the Release of Medical Information in Legal Case were 72/59%, 73% and 81% for Preparing a Medical Record for Court 52% ,50% and 53%respectively. Conclusion: Considering the importance information of medical record privacy, and due to extended application of medical records for authentication in legal cases, addressing on privacy principles is needed. Also majority of hospitals have dramatic differences with World Health Organization standards. Thus, we suggest more attention in privacy and release of patient information in legal cases and act for promotion policies regarding them.}, Keywords = {Privacy, legal cases, World Health Organization Manual, Hospital}, volume = {11}, Number = {33}, pages = {7-16}, publisher = {Iran University of Medical Sciences}, url = {http://jha.iums.ac.ir/article-1-315-en.html}, eprint = {http://jha.iums.ac.ir/article-1-315-en.pdf}, journal = {Journal of Health Administration}, issn = {2008-1200}, eissn = {2008-1219}, year = {2008} } @article{ author = {Sharifi, M and Nikpour, B and Akbari, F and Majlesi, F and Rahimi, A}, title = {Kaizen & Staff performance improvement A case study of Fars Oil Industry, central polyclinic}, abstract ={Introduction: Kiazen is an approach based on common sense that establish small, comprehensive and targeted changes by staff's common wise. Nowadays most successful organizations and companies owe their productivity and dynamicness to implementation of improvement systems such as kiazen. The present research was aimed to introduce and establish of kiazen operational model, and studying its effects on staff's performance in Fars Oil Industry(F.O.I) central policlinic. Methods: the present study is an interventional study, executed by applying an operational model in F.O.I central policlinic. We used pre & post test method to assess the effects of intervention, using performance questionnaire for 176 studied people in under study organization. Results: Our findings showed that according to direct chief of studied staffs there is a significant difference between the five performance dimensions: work quality, cooperation, timeliness, innovation and reliability before and after the implementation of the model(p<0.001) indicated the improvements of staff's performance in these dimensions. Although no significant difference were observed in two dimensions work quantity (p=0.61) and work knowledge (p=0.66). Conclusion: simplicity and comprehensiveness of kaizen model and simultaneously its dramatic effects on improvement of processes and productivity of work environment has resulted in improvement of staff's performance in under studying organization. This improvement is independent from staff's age, gender, and education. We concluded that kaizen model is extendable to organizational levels, and could result in wide changes in individuals, organizations and even society.}, Keywords = {Operational kaizen, performance, Fars Oil Industry, central policlinic}, volume = {11}, Number = {33}, pages = {17-22}, publisher = {Iran University of Medical Sciences}, url = {http://jha.iums.ac.ir/article-1-316-en.html}, eprint = {http://jha.iums.ac.ir/article-1-316-en.pdf}, journal = {Journal of Health Administration}, issn = {2008-1200}, eissn = {2008-1219}, year = {2008} } @article{ author = {AGorji, H and Rahmanpour, S and Mohaghegh, N and Hosseini, F}, title = {Subject Trend of Thesis in Management & Information Sciences School 2001-2007}, abstract ={Introduction: Thesis commonly reflects student's research interests, which are formed in the university education courses. Formation problem in thesis is one of the most important subjects in these research documents. Limitations and situations govern in research scope causes author (researcher) to limited framework of topic as problem base in his or her research. Investigation of thesis content and their subject trend can help each auditor to identify students' interests, and make a good guidance for correct programming in future. Method: Content analysis method is used in this research, and record unit are "subjects" or "thesis subjects". The bases for subject definition are areas extracted from American National Library of Medical Subject Headings. Three subject heading groups were used "Information Science", "Administration", and "Health Care Economics and Organizations". Results: Theses are distributed to three main subject groups according content analysis. "Information Science" with 89 theses had the most number of thesis, due to thesis distribution of two majors "medical record" and "medical library & information science" in this subject. "Health Services Administration" with 67 theses topics in second. "Health Care Economics" with 41 theses topics was in third degree 13 theses were not included in any of thesis subject groups, and finally each lied in a subheading group. Conclusions: The results show that some subjects were more regarding than others. "Medical library & information science", "staff management", "cost & cost analysis" in have the most numbers due to: advisor specialization, lessons headings, and disregarding or no knowledge of modern and up to date subjects.}, Keywords = {Thesis, Subject, Content Analysis, School of Management and Information }, volume = {11}, Number = {33}, pages = {23-32}, publisher = {Iran University of Medical Sciences}, url = {http://jha.iums.ac.ir/article-1-317-en.html}, eprint = {http://jha.iums.ac.ir/article-1-317-en.pdf}, journal = {Journal of Health Administration}, issn = {2008-1200}, eissn = {2008-1219}, year = {2008} } @article{ author = {Farzandipour, M and Sadoughi, F and Ahmadi, M and Karimi, I}, title = {Designing a Confidentiality Principles Model of Electronic Health Record for Iran 2007}, abstract ={Introduction: Today increasing growing of health information is results in applying of new technologies for suite manages and utilization of information technologies such as electronic health record. A growing capacity of information technologies in collection, storage and transmission of information has added a great deal of concerns since electronic records can be accessed by numerous consumers at various locations. Now considering Iran's new approach to make electronic health records, the basic question is "what is the appropriate model for their confidentiality principles? Methods: The present study is a descriptive investigation made in Iran in 2007. confidentiality principles of Electronic Health Record, gathered from comparative study that carried out about Australia, Canada and England countries. Then designed initial model. Final model information gathered by questionnaire and use of Delphi Technique. Rate under 50 percent eliminated from model and 75 percent and up added to model. The items from the pattern confirmed among 50 percent up to 75 percent and suggested items from participants, again put to votes. Results: Offered model for our country emphasize on patient consent. no emphasis on the use and release of health information in marketing and purposes outside the care cycle without the patient's consent or any other people having an intimate relation with the patient, and the unavailability to his health information by the patient in certain cases. But in contrast to the selected countries, there is a reference in the suggested model to fines for disclosure of electronic health records, data ownership, and inclusion of information accessibility laws in all organizations, responsibility for inaccessibility to information, and finally the conditions for movement of data abroad. Conclusion: Comprehensive model of Electronic Health Records Confidentiality principles is Designed for Iran and Recommend approve and appliying of regulations with usage of proposed model for Protection of Electronic Health Information Confidentiality.}, Keywords = {Confidentiality Principles, Information Confidentiality, Electronic Health Record, Confidentiality Model }, volume = {11}, Number = {33}, pages = {33-46}, publisher = {Iran University of Medical Sciences}, url = {http://jha.iums.ac.ir/article-1-318-en.html}, eprint = {http://jha.iums.ac.ir/article-1-318-en.pdf}, journal = {Journal of Health Administration}, issn = {2008-1200}, eissn = {2008-1219}, year = {2008} } @article{ author = {MohebbifarR, and TabibiS.J, and AsefzadehS,}, title = {Designing a Structure of Disaster Management for Iran}, abstract ={Introduction: One of the most important challenges of our time is the need to have a system of disaster management to confront the natural and man made disasters. In order to set in place such a system in a country, there is an essential necessity to design a special organizational structure in the areas of disaster management. The main objective of this study was to design a structural model for disaster management in Iran. Methods: This is a comparative study with an applied proposed model. In planning this structure of disaster management, the study is based on institutional structures of United Stats of America, Japan, Australia, India, Turkey and Indonesia in comparison with Iran. The information used in this study has been researched both from first hand scientific and bibliographical sources mainly from foreign sources like books, scientific magazines, official reports which have been obtained directly from databases in the related countries and domestic printed and official published documents. In planning the structural research model, the original model was based on comparative studies and situational analysis of related countries. This model was conceived using Delphi scientific technique and put for scrutiny by 30 of scientific scholars and professionals in the field of disaster management and then the final model was proposed. Results: The results of studies in selected countries showed that: developed countries have an organizational structure for disaster management that is able to respond to natural and man made disasters in one centralized command structure with a structural pattern that enjoys a high degree of centralized complexity and formal structure. Meantime the results in most countries studied showed that the structure of disaster management is in the form of exclusive independent organization under the countries highest executive's authorities. Most countries attention to the whole system of organizing disaster management is focused on process of mitigation, forecasting, preparedness, response and recovery. The pattern designed in this study was also prepared based on the findings of this study's conclusion , like considering basic plan a centralized unique organization for natural and man made disasters a high level council in macro level and other levels with a need to categorize the delivery services in accordance with the conditions of Iran was proposed. Conclusion: Paying attention to Iran's vastness variety of disasters and its degree of strength necessity of existence of a prevailing plan, a need for a new organizational structure is felt as one of the countries' essential needs in the field of disaster management. Use of a suitable and deserving structural model will lead to increase economic advantage, reduction of beurocratic barriers and speeding up disaster management related activities.}, Keywords = {Structure, Disaster Management, Iran}, volume = {11}, Number = {33}, pages = {47-56}, publisher = {Iran University of Medical Sciences}, url = {http://jha.iums.ac.ir/article-1-319-en.html}, eprint = {http://jha.iums.ac.ir/article-1-319-en.pdf}, journal = {Journal of Health Administration}, issn = {2008-1200}, eissn = {2008-1219}, year = {2008} } @article{ author = {Raeissi, P and Nasiripour, A and Rostami, L and Khalesi, N}, title = {The Relation between Manager\'s Personality Traits and Entrepreneurship in Health Care Organizations affiliated with Tabriz University of Medical Sciences 2007}, abstract ={Introduction: Today, in most of developed countries, there is a transition phase from bourocratic and official situation to entrepreneurship position. that is why identification and expansion of entrepreneurship related traits especially among managers, is very important. The main objective of this research was to study the relation between entrepreneurship and managers' personality traits health care organizations affiliated with Tabriz University of Medical Sciences. Methods: One-hundred sixty one employees at Tabriz universities health care organizations have been selected thorough cluster sampling method and their points of views about their managers' personalities in case of entrepreneurship, have been assessed. Data collecting tools were standard questioners of the personalities traits (Moqimi-1382) with constant coefficient = 0.8 and entrepreneurship questioners of Zabihi & Moqaddasi (1385) with constant coefficient = 0.78. The data have been collected with self-responding completed questioners. Results: In present research we found a significant and direct relation between managers' personalities traits and the organizations entrepreneurship (p<0.01 ;r=0.65). Among managers' personalities traits, the best opportunities absorption has the most effect for the organization entrepreneurship (p<0.01 & F=23.17). Conclusion: Managers' personalities traits have positive and significant relation with the organization's entrepreneurship, and for expanding the entrepreneurship behavior in hospitals and health care organization, developing the absorption personality's traits among manager is necessary.}, Keywords = {entrepreneurship, health care organization, personality\'s traits, manager}, volume = {11}, Number = {33}, pages = {57-62}, publisher = {Iran University of Medical Sciences}, url = {http://jha.iums.ac.ir/article-1-320-en.html}, eprint = {http://jha.iums.ac.ir/article-1-320-en.pdf}, journal = {Journal of Health Administration}, issn = {2008-1200}, eissn = {2008-1219}, year = {2008} } @article{ author = {Yaghoubi, M and Yarmohammadian, MH and javadi, M}, title = {Organizational commitment and job stress at Isfahan university of Medical Sciences teaching hospitals managers}, abstract ={Introduction:There are many reasons for an organization to increase its members' level of organizational commitment. Organizational commitment is one of the effective factors in human resource performance in hospitals. Organizational commitment, like other organizational behavior has been introduced in different aspects. First, organizational commitment is a new concept and it is totally different from dependence and job satisfaction. For example, nurses may like their job however, they feel unsatisfied from the hospital they work, so they would look for another job. Or waiters (waitress) in restaurant may, have a positive feel about the work environment, but they would hate their job. Second, research shows that organizational commitment, with oncoming effects such as job satisfactions, presence, organizational behavior, and job performance and has a positive, and has negative relation with leaving job. Present study was aimed to evaluate Organizational commitment and job stress at Isfahan University of Medical Sciences (IUMS) teaching hospitals managers. Methods:This study carried out as a cross-sectional research. The studied population, were all the (IUMS) hospital managers (such as officers, nurses, and...) which have been selected with census method. The data collecting tools were two questionnaires related to measuring the stress and commitment level, their validity and reliability were confirmed by researcher. The questions have been design based on Likert method and for presenting data descriptive and analytic statistics have been used. Results:The average scores of organizational commitment was (67+13.7) equal for men and women, there was no significant relation between organizational commitment and sex maximum level of the organizational commitment and age have no significant difference either with a significant difference between managers' job experience and organizational commitment. The maximum organizational commitment found in those who have more job experiences. Also it showed that there was no significant difference between the type of management and the level of organizational commitment among managers' and level of stress and sex with years of service and between job stress and job experiences, type of management and type of hiring. Summary there was no significant difference between managers' job stress and organizational commitments. Conclusion:None of the organizational could be successful without their employees' commitment. Committed managers are more organized in their job and stay longer in their organization. Managers, also have to keep the employees committed and develop this behavior in them.}, Keywords = {Organization Commitment, Job Stress }, volume = {11}, Number = {33}, pages = {63-68}, publisher = {Iran University of Medical Sciences}, url = {http://jha.iums.ac.ir/article-1-321-en.html}, eprint = {http://jha.iums.ac.ir/article-1-321-en.pdf}, journal = {Journal of Health Administration}, issn = {2008-1200}, eissn = {2008-1219}, year = {2008} } @article{ author = {Eskrootchi, R and EbadiFardAzar, F and Abolhassani, H and Kahouei, M}, title = {A survey on medical student\'s information needs in Iran University of Medical Sciences (IUMS) for emergency clinical education}, abstract ={Introduction: The aim of this study was the survey of medial students information needs. We expect this study would influences on the clinical education quality, the recognition of students' education needs and the education improvement in emergency and better management of patients by medical students, decreases patients hospital stay, and promotes patients satisfaction. Methods:We used direct observations and questionnaires as data collecting tools. Data were analyzed by descriptive statistics and bivariate, two-tailed correlation test, with significant level one percent. Results: Findings revealed significant correlation between diagnosis, and treatment needs (P=0.000, Coefficient=0.576). The majority of the students report information needs as: laboratories test (84.3%), and radiologic reports (74.3%). The least were interested to cadaver's transfer (1.4%), and medico legal coordination (10%). Conclusion: A few organizational or management questions were asked such as: hospital policies, procedures and coordination issues. The students did not pay attention to legal issues. WE recommended initiating programs about importance of legal issues and organizational information in curriculum.}, Keywords = {Information needs medical students, clinical education, and emergency }, volume = {11}, Number = {33}, pages = {69-76}, publisher = {Iran University of Medical Sciences}, url = {http://jha.iums.ac.ir/article-1-322-en.html}, eprint = {http://jha.iums.ac.ir/article-1-322-en.pdf}, journal = {Journal of Health Administration}, issn = {2008-1200}, eissn = {2008-1219}, year = {2008} } @article{ author = {Arab, M and Zeraati, H and AkbariHaghighi, F and Ravangard, R}, title = {A study on the executive managers\' knowledge and performance, and their hospitals preparedness against earthquake events and their relationships at public hospitals (affiliated by Tehran University of Medical Sciences (TUMS) 2005-2006)}, abstract ={Introduction: Earthquake is one of the commonest natural disasters and sometimes the most dangerous event in the world. In Iran, because of being on Alp-Himalaya earthquake belt, earthquake is common. In earthquake events, hospitals are as the first centers that their providing suitable and timely healthcare are determinant and can save lives and reduce mortalities. Also, having knowledge about hospital programs against natural disasters has an important role in decreasing damages. This study was aimed to determining TUMS hospital executive managers' knowledge and performance and their hospitals preparedness against earthquake events, and their relationships (2005-2006). Methods: This is a cross-sectional, analytical-descriptive study explores all TUMS public hospital executive managers' -teaching and non-teaching- knowledge and performance and their hospitals preparedness against earthquake events. A checklist, questionnaires, and observation method were used for data collecting gathered data were analyzed using SPSS 11.5 software and correlation (Spearman correlation coefficient) tests. Results: In all studied dimensions, average overall knowledge, performance of hospital executive managers' and average overall their hospitals preparedness level to confront earthquake events were (47/52%), (56/69%) and (49/54%), respectively. Managers' performance and their hospitals preparedness against earthquake events have been improved by increasing their knowledge, but only there was statistically significant relationship between managers' knowledge and their performance(P= 0.016). Conclusion: Hospital executive managers' knowledge, performance and their hospitals preparedness to confront earthquake events showed very low. Given the significant relationship between managers' knowledge and performance, it is important to develop and implement short term educational courses for hospital them to improve their performance to confront earthquake events.}, Keywords = {executive managers, knowledge, performance, hospital preparedness, earthquake }, volume = {11}, Number = {34}, pages = {7-14}, publisher = {Iran University of Medical Sciences}, url = {http://jha.iums.ac.ir/article-1-323-en.html}, eprint = {http://jha.iums.ac.ir/article-1-323-en.pdf}, journal = {Journal of Health Administration}, issn = {2008-1200}, eissn = {2008-1219}, year = {2009} } @article{ author = {Maleki, M and Khoshgam, M and Goharinezhad, S}, title = {The Effect of Six Sigma Approach in reducing the hospital stays of patients of the Orthopedic Surgical Ward in Firoozgar Teaching Hospital 2008}, abstract ={Introduction: The competitive condition of the world is such that the organizations make quality improvement, increase customers' satisfaction, reduce costs and increase productivity. Existence of such environment cause the variety technique and approaches such as total quality management, re-engineering, value engineering, lean production and Six Sigma. Six Sigma as the newest program of quality management helps organizations toward increasing customer's satisfaction and financial saving. The objective of this research was to shorten the stay of orthopedic patients who had to undergo a surgical treatment in Firoozgar teaching hospital, based on training DMAIC cycle to project team. Methods: Present research is a cross sectional-longitudinal study. The time period of the project was estimated to be seven months. Length of stay data before training (three months) and after training (four months) collected by patient's dossiers and analyzed by Minitab software, using t-test. Results: The mean of length of stay before training DMAIC in a sample of 200 patients was 7/915 days and after training was 6/375 days. Using the mean comparison indicated that there is a significant relationship between training DMAIC and the mean of length of stay (p-value<0/001). Conclusion: For use of Six Sigma methodologies in quality improvement of hospital services, training is so important. Six Sigma training emphasis on tools learning and DMAIC process that it facilitates the implementation Six Sigma in organizations. ô°û 11 / یپ°û 43 / ی·}پَ 7831 Keywords: Six Sigma, DMAIC cycle, Training, Length of Stay}, Keywords = {}, volume = {11}, Number = {34}, pages = {15-20}, publisher = {Iran University of Medical Sciences}, url = {http://jha.iums.ac.ir/article-1-324-en.html}, eprint = {http://jha.iums.ac.ir/article-1-324-en.pdf}, journal = {Journal of Health Administration}, issn = {2008-1200}, eissn = {2008-1219}, year = {2009} } @article{ author = {Alizadeh, F and Tabibi, SJ and Nasiri-Pour, AA and Gohari, MR}, title = {Work-life quality and manager`s productivity in social security hospitals (Tehran 2007-2008)}, abstract ={Introduction:The quality work life is regarded as a global concept for organizational development and manpower management, and its provision and improvement is considered the main key to the success of any organization. The improvement of the quality work life is in fact considered a skill for the betterment of organizations by senior directors. Objective: To improve the management's productivity of hospital by increasing of the quality work life of the managers. Methods:The present research is carried out in descriptive, cross-sectional method. The study population are the directors of the hospitals of the Social Security Organization of Tehran Province (N=10). The data gathered using two questionnaires, of which the 29-questions questionnaire related to the quality work life based on the quality work life components. ( Tatel, Casio, Morton, and the American Management Association, and the 21-item questionnaire were a questionnaire on productivity prepared based on Hersi and Goldsmith Model, scored based on Likret 5-score scale. In order to evaluate the consistency of questionnaires, the alpha method of Cronbakh was used. The alpha coefficient of Cronbakh was 0.86 and 0.89, respectively. The data was analyzed using SPSS software package and Spearman Correlation Coefficient). Results:Among the quality work life components, including materialistic and educational components, democracy in organization, participation in decision making, job design, and work space in organizations, the component of work space was located at the highest position, with an average of 3.72, and job design at the lowest point, with a coefficient of 2.90. Participation in decision making, with a correlation coefficient of 0.858 (P-value=0.002) showed the highest correlation with the quality work life from the statistical point of view, and materialistic privileges with a correlation coefficient of 0.358 (P-value=0.310) showed no correlation (P-value>0.05). On the other hand, given the averages obtained for productivity components, the component of job identification with an average of 4.4 was at the top and performance feedback with an average of 2.3 at the lowest point. The component of capacity, with a correlation coefficient of 0.664 (P- value=0.36), showed a positive and meaningful correlation with the productivity component. Based on the hypothesis put forward, only the component "democracy in organization", with a correlation coefficient of 0.665 (P-value=0.036), showed a positive and meaningful correlation with productivity. Conclusion:There is a significant correlation between the quality work life and the productivity of the management of hospitals of the Social Security Organization of Tehran Province. Productivity could be improved through adopting logical principles and procedures such as encouragement.}, Keywords = {Quality work life, Hospital, Social Security Organization, Productivity, Management}, volume = {11}, Number = {34}, pages = {21-26}, publisher = {Iran University of Medical Sciences}, url = {http://jha.iums.ac.ir/article-1-325-en.html}, eprint = {http://jha.iums.ac.ir/article-1-325-en.pdf}, journal = {Journal of Health Administration}, issn = {2008-1200}, eissn = {2008-1219}, year = {2009} } @article{ author = {Khalesi, N and Imani-Nasab, MH}, title = {Assessment of leadership performance based on self- assessment system (Khorramabad hospitals 2006-2007)}, abstract ={Introduction:The evidences suggests that Iranian hospital managers do not apply a standard device for assessing leadership performance, and identifying strong and weak points to devise the executive plans required to improve leadership. The present study was aimed to promote the application of self-assessment system through measuring leadership performance at the Khorramabad hospitals, to increase the use of leadership potentials as the most important factor to improving the quality of hospital services. Methods: The present study is a descriptive, cross-sectional research. The study population including of Khorramabad hospitals, as well as middle and senior managers. The workshop method and the Simply Better Standard Questionnaire, having the needed reliability and validity, was used for collecting data.. Among teaching, private, and social security hospitals, one of each group was included in the research thorough simple sampling method. The data are presented by descriptive statistics. Results: The mean scores of studied hospitals: teaching, social security and private in "organizational leadership," dimension were 26%, 32% and 21% respectively in " citizenship and public responsibility," dimensions were 29%, 39% and 18% respectively, and in "creativity, risk, and innovation" dimension were 26%, 32%, and 22% respectively. Conclusion: According to our findings, the teaching hospital and the private hospital have both started permanent improvements in a few number of their leadership dimensions. The social security hospital, however, has showed a permanent improvement in a wide spectrum of its leadership dimensions. Since leadership proves to be a driving force for other factors to maintain quality, it is suggested that hospitals take actions to document their leadership processes, compile the indices to measure their achievements, constantly make the indices permanent, and identify the strong and weakness points, and grounds for improvement, and conduct improvement plans.}, Keywords = {performance assessment, leadership, self-assessment }, volume = {11}, Number = {34}, pages = {27-34}, publisher = {Iran University of Medical Sciences}, url = {http://jha.iums.ac.ir/article-1-326-en.html}, eprint = {http://jha.iums.ac.ir/article-1-326-en.pdf}, journal = {Journal of Health Administration}, issn = {2008-1200}, eissn = {2008-1219}, year = {2009} } @article{ author = {Ansari, ME and Ghazanfari, A and Ansari, Sh}, title = {Employee\'s views about the influential factors on surgical work teams efficacy in teaching hospitals affiliated Isfahan University of Medical Sciences 2007- 2008}, abstract ={Introduction:Teams as the fundamental units of organizations and lever keys are considered for improving the function of organization. For promoting the productivity and acquiring the satisfactory staffs and clients, organizations use working teams. Some organizations are highly dependent teams. Hospital is also one of these organizations, in which establishing cooperation between the members of team can play a role to accelerate patient's life saving operation and his/her improvement. This article aimed to determine and evaluate the effects of effective factors on efficacy of surgical work teams' efficacy from employee's point of views in training hospitals. Methods:This study is a descriptive- survey research. Research population was surgical teams of Isfahan teaching hospitals. These teams were made of 6 groups of nurse, aides, and experts in surgery theaters, experts in anesthesia, nurses, anesthesists and surgeons. So, used sampling approach was classified sampling approach. 189 persons of members of surgical teams were selected randomly. Data collecting tools was a researcher made questionnaire, with Lycert scoring. External and content validation was confirmed by of guide and advisor professors, and its constancy was provided by primary study using Cronbach's alpha 0.94 coefficients. Results: Our finding showed that team size, team task fitness, existence of definite goals in team, team, and norms in the efficacy of surgical work teams meaningfully affected more than average: and team cohesiveness, team composition, evaluation of function and the effect of remuneration in team and organizational support of team on the effectiveness, were less than average. By considering that surgical teams were complicated and incongruous one, team composition and team cohesiveness did not affect the efficacy of surgery teams. With multivariable regression analysis, team norms with 74. 5% had the highest amount effect on the efficacy of surgery teams. Conclusion: With promoting team norms, organizational support, and existence of clear goals in teams, the efficacy of surgical teams increase. Also perspectives of members of hospital surgery teams in terms of education, service background, position, hospital, age, and team size and sex, were similar about the effects of mentioned factors.}, Keywords = {Effectiveness, working teams, surgical teams, Educational Hospital}, volume = {11}, Number = {34}, pages = {35-42}, publisher = {Iran University of Medical Sciences}, url = {http://jha.iums.ac.ir/article-1-327-en.html}, eprint = {http://jha.iums.ac.ir/article-1-327-en.pdf}, journal = {Journal of Health Administration}, issn = {2008-1200}, eissn = {2008-1219}, year = {2009} } @article{ author = {Piri, Z and Fozonkhah, Sh and Jebraeily, M and Mohajer, M}, title = {The Needed Skills of Medical Record Staffs in Tabriz Medical University Hospitals 2006}, abstract ={Introduction: The recent advances in medical sciences and information technology (IT), health care organizations turned to the competitive environments and consumer-driven ones. So for successful at expand and continue their activities they increasingly need to HIM professionals. In this environment exist many opportunities for HIM professionals, but this opportunities are only useable for people who have multi-skills and readiness to dealing with new changes. This research was aimed to examine medical record staffs in Tabriz Medical University Hospitals. Methods: This is a cross-sectional study on 60 managers (12), and staffs (48) of MRD of 12 Tabriz University Hospitals. They completed questionnaires in four categories. To analyze the data, we used SPSS software. Results: The majority of respondents (73%) were female mean of years of years of practice was 8/6 years. The most important skills of MRP needed sorting at 3 categories: General skills: ability to use computer - speed activity with high accurate - responsibility - "self- learning" - change management Communication skills: ability to communicate with managements, patients, and physicians Professional skills: reporting - analysis data - documentation - familiar with HIS - retrieval information -correct coding. Conclusions: In responding to changes occurred at HIM workplace and need to new skills these strategies are needed: The new and suitable definition from the structure of MRD in hospitals revising and updating of academic education taking course for training and changing management works from paper medical record to HER.}, Keywords = {Skills, medical record staffs, health information management, hospitals}, volume = {11}, Number = {34}, pages = {43-48}, publisher = {Iran University of Medical Sciences}, url = {http://jha.iums.ac.ir/article-1-328-en.html}, eprint = {http://jha.iums.ac.ir/article-1-328-en.pdf}, journal = {Journal of Health Administration}, issn = {2008-1200}, eissn = {2008-1219}, year = {2009} } @article{ author = {Eghbal, F and Yarmaohammadian, MH and Siadat, SH}, title = {Assessing human resources management performance at Isfahan University of Medical Sciences based on European Foundation for Quality Management 2007}, abstract ={Introduction: An assess performance is a systematic and comprehensive process about comparing organizations activities and process with achieved results based on EFQM model. Assessing performance process allows organization to identify clearly strength points and designing plans for improvement. Hence, the purpose of the present research was to compare self assessment results based on European Foundation for Quality Management with two approaches of questionnaire and Performa on human resources management at Isfahan University of Medical Sciences (IUMS). Methods:This research was descriptive - cross sectional study, carried out at human resource management of (IUMS) in academic year 2006-2007. Study population is 32 staff managers and their deputies selected by census sampling. Data collecting are a standard questionnaire and a designed Performa based on EFQM model, and collected data were analyzed using SPSS and EFQM software. Results: Total score of assessment human resource management(IUMS) based on questionnaire and Performa were 550and 516 respectively and scores percentage for each nine factors were as follows : Leadership 65 and 61 , Policy 80 and 75, employees results 50 and 43 , employees results 30 and 29 , community results 60 and 55, and key performance results 50 and 52 percent. Conclusion: Through EFQM model, we can identify strength points and area for improvement that help organization and activities to focus on most benefits area for organization and intervention and changes are followed.}, Keywords = {Self-assessment; European Foundation for Quality Management Excellence Model; Human Resources Management }, volume = {11}, Number = {34}, pages = {49-58}, publisher = {Iran University of Medical Sciences}, url = {http://jha.iums.ac.ir/article-1-329-en.html}, eprint = {http://jha.iums.ac.ir/article-1-329-en.pdf}, journal = {Journal of Health Administration}, issn = {2008-1200}, eissn = {2008-1219}, year = {2009} } @article{ author = {Hassanzadeh, H and AGorji, H and Shokranehnanehkaran, F and Valinejadi, A}, title = {Scientific Products of Iran University of Medical Sciences\' Authors with Co-Authorship Networks in Web Of Science (WOS) Database, up to 2007}, abstract ={Introduction: one of common methods for scientific activity assessment is scientometric this is possible with citation databases like Web Of Science (WOS). Methods: This is a descriptive-applied study. Data were selected via searching in WOS. The research society of the study was 625 records. Results: Most records of Iran University Medical Sciences have published in 2006 and surgery subject area had highest hits. Immunology subject area had highest co-authorships. Conclusion:Although co-authorship among authors of this university has dramatic results, scientific products is very low, therefore research policy-makers should consider this aspect.}, Keywords = {Scientific production, citation database, scientific collaboration, Web Of Science (WOS) }, volume = {11}, Number = {34}, pages = {59-67}, publisher = {Iran University of Medical Sciences}, url = {http://jha.iums.ac.ir/article-1-330-en.html}, eprint = {http://jha.iums.ac.ir/article-1-330-en.pdf}, journal = {Journal of Health Administration}, issn = {2008-1200}, eissn = {2008-1219}, year = {2009} }