Iran University of Medical Sciences
Journal of Health Administration
2008-1200
6
14
2004
1
1
The comparison of the England's Status of cancer record with Iran.
2
12
FA
F
Sadughi
AR
Zohoor
Introduction: on the basis of the interpretation of the world health organization, in 2000 about 56 millions deaths had happened in the whole world. today, about 20 millions of the worlds population are suffering from a kind of cancer. Every year about 10miliions is added to this number, and 7 millions of them lose their lives. Collecting the creditable, comprehensive and opportume data of cancer, is a necessary condition to prove the prevention goals on the first ! second and third level in the health - care system of the country and the assessment of the preventive strategic and the propes planning. This research is made in 1382 for the comparison of the status of the cancer record in the developed countries with Iran. A survey of the studies: in the developed countries cancer record had begun three centuries before, but its progress was very slow. The first cancers record center, like . today was established in Germany, but because of the lack of assistance of the doctors for sending the data to this center, it wasn't successful. In America, the cancer's record system based on the population, begun in 1935. The main goal of this system was the epidemiological inspections of cancers cases, improving the preventional method and case, and diminution of death. Subsequently, the first system of continuing and successfu I record which was based on the patients, begun in 1937. in this system! all doctors and pathology - centers were obliged to send the index card of cancer - record to the central statistics office. In England the regular and well - ordered system of cancer's Record was made from 1960 by regional centers. The data of these centers were gathered from various sources as: the hospitals, pathological laboratories, doctors, and the death - certificates. The information contains the demographic characteristics, referring place, the data of the diagnosis of the disease and its intensity, the patient care, the stage of the disease, cure, the clinical status and all details about diseases effects. The cancer record in Iran, begun in 1347, but the first Civil statistics was published in 1365, it means two years after the approved record law and the compulsory interpretation of cancer by the Islamic parliament of Iran. The general office of prevention and fithing with diseases which is superintendent to execute the menttoned law, had compiled the record and the interpretation of the cancers cases in 1371 and in 1379 had reviewed it. The sources of gathering the data collected today on the basis of this instruction are merely the pathology centers and the information includes demographic particularities of the patient, the name of the pathology and diagnosis of the disease. conclusion: the data recorded in the cancer's record system in Iran is very defective and imperfect and is rather limited to the individual particularities of the patient and the acquaintance of the tumor. For drafting one proper pattern for cancer record in our country, we propose to use the national system of the cancer record of England which is the highest and the most general system in the world and had acquired the golden standard of the quality of the cancer's data in the international level.
Iran University of Medical Sciences
Journal of Health Administration
2008-1200
6
14
2004
1
1
Status of soft ware utilization in medical record department's in teaching hospital's of medical sciences dased in Tehran-200]
13
20
FA
A
Hajavi
F
Hosyni
M
Langarizadeh
Introduction:Considering the present situation, while utilizing various software programs in different hospitals, different data are inserted and stored, in the system some of which have no considerable value. Methodology:The present research, descriptive and cross-sectional in nature, was carried out to consider the extent of utilizing the software programs of Medical Record Departments in the universities of medical sciences in Tehran whose Medical Record Departments are computerized. The data was collected by a check- list and analyzed using descriptive statistical procedures. Results: The extent of utilizing software programs of Medical Record DepaJiments in most hospitals of Iran University of Medical Sciences is very low (40%) and low (40%). In most hospitals of Tehran University of Medical Sciences it is very low (40%) and low (40%) and in all hospital of Shahid Beheshti University of Medical Sciences it is very low (30%) and low (70%) and in all hospitals in the study it is low (55%). Conclusion: The rate of the scant benefits of the software in Medical record departments, indicates that regret fully the available software don't have the necessary and sufficient qualification and they can't supply the requests of hospital's medical record department as desired.
Iran University of Medical Sciences
Journal of Health Administration
2008-1200
6
14
2004
1
1
Comparison the history of Trauma Registry system in Developed countries with Iran: 2003
21
30
FA
F
Asadi
AR
Zohoor
Introduction:Today, Trauma is the most important public Health challenges. Trauma is the 4th cause of death at all age groups. in 2000,Trauma was caused 6 Million death in world as 3.8 Million un intentional injuries and 2.2 Million intentional injuries. Trauma death in 100 thousands is 99 in world and 58 in Iran. Complete and valid data and Trauma Registry system Can be useful in control, preventive and evaluation of effectiveness programs, quality improvement and quality assurance programs.In this investigation, the object is comparison the history of Trauma registry system in Developed countries with Iran: 2003 by description method. Data gathering is done by library, Internet and E-mail with Trauma Associations in world and American Surgeons College. Literature review:Trauma registry has started in Developed countries more Than one decade. Trauma Registry is different and depends on the countries view. Trauma Registry is completed gradually. IN United States, it Started is uniform. Now, U.S has a National Trauma Registry system. Canada Trauma Registry started in 1992 at states and in 1993 at National level by health ministry. It includes Just inpatient Trauma data, the main object is participation in decrease of Trauma and mortality. In Germany (1992) and Australia (1994), it started Regionally.Now, these countries have a National Trauma Registry.In Iran, the First, Trauma Registry was started in Sina Research center. Then, the information of trauma patient collected in 6 hospitals that had the most Trauma patients, Now, Baghiatallah hospital and shahrdari , fire brigade and social Security organization register the information of Trauma patient. Conclusion: Trauma Registry System has structure in developed countries. First it is started regional and expend at National level. there is not special structure to Regist the Trauma data. Research study is cross - sectional. Thus, designing the structured Trauma Registry system in Iran is suggested. For this reason, use of developed countries experiences to design the suitable model for Trauma Registry system will be useful.
Iran University of Medical Sciences
Journal of Health Administration
2008-1200
6
14
2004
1
1
The appraisal of the proceedings of the hospitals and health - center's managers of kohqiluye and BoyerAhmad province from the personnel's view point.
31
42
FA
A
Ghaderi
E
Naeimi
Introduction: The management is a science and the art of the effective and lvantageous employing of the human sources in the programming, organization, eparation of the sources and possibilities of leading and controlling which is :rfonned to acquire the organizational goals. this research is done in regard to :aminate the proceeding the second level managers in the health - network in ohquliye and boyer Ahmad province in the various fields of programming, ganization, guidance and leading, communications, control and overseeing. Methodology: the research is done with the sectional method for collecting the data, e questionnaires containing 36 questions each. are used. From 432 of the hospitals and :alth - center's personnels under inspection were asked about their opinion about their anagers proceeding. The data was entered in the computer, using the EP 16 IFO Iftware. And for analysis, the data. The descriptional statistics was used, considering e average, the deviation of the criterion, distributional schedule of amplitude. And for lmparison the procedures of the centers with each - others, the analysis and biased rians test were used. The questionnaire Contained five choices: Always, usually, Imetimes, seldom and never, granting a grade from 0 to 4. the average less than 2 was ll1sidered an undesirable management and the average more than 2 was Considered as desisable management. Results: In the hospitals taken into Consideration Emam Sajad hospital of yasuj with e average and criterions deviation (2/6 ± 1/24) and shahid Beheshti hospital of yasuj ith average and criterion's deviation (2/26± 1.36) are satisfactory in all the anagement fields and the emam khomeini hospital of dehdasht with average and iterion's deviation (l/91± 1/22) and shahid rajai hospital of Qachsaran with average ld criterion's deviation (l/79± 1/33) in the all management fields are not satisfactory. etween the health - Centers taken into consideration in Kahqiluye province with rerage and criterion's deviation (2/88± 1/03) in all considered management fields were ltisfactory, and the health center of shahid Alizade qachsaran with average and iterion's deviation (l/79±1/26) and health-center of shahid Damide in yasuj with rerage and criterion' deviation (l/65± 1/24) in the all management field were not ltisfactory. Over all procedures of the health - network's managers acquiring the rerage and criterion's deviation (2/1±1/32) in the whole, is satisfactory. Conclusion: In spite of satisfactory procedures of the health network's managers :Iebrating the training courses it seems necessary for the betterment of the procedures : the health care service's managers
Iran University of Medical Sciences
Journal of Health Administration
2008-1200
6
14
2004
1
1
The comparison of the procedure of the classification system of selected counties with Iran
43
52
FA
M
Ahmadi
AR
Zohoor
Introduction: today, health care with desired quality, without one complete and effective procedure of the classification system it is impossible. In this system, the results of the care treatment will be registered in the patient's file with the standard codes. These codes are the basis of analysis the information for health care personnel, the investigators, policy - makers and the health - planners. Actually there is no one unique procedure of the classification system which can be used in the world, and is necessary that every country regarding to its goals, laws national. Interests and standards, considers to establish such a system. The main goal of this research is studying and comparing the national procedure of the classification - system in America, Australia , England, Canada, and northern, Europe countries (Denmark) Finland, Norway, Swede, Iceland) mean- while they have the best classification system in the whole world, they are compiled in English too. This research is dealing with a survey on the procedure of the classification system of our country too. Methodology: collecting information was made with library study, Internet and e.mail Results: for the present time the ICD-IO-PCS system in America, ACHI-I in Australia, and NCSP in the northern euro countries are used and ICPM and ICD-G-CM systems are used in our Country for the procedure of the classification. In this research, while mentioning to the short history and the process of the promotion of these systems, the advantages and the constraints were alluded. Conclusion: Regarding to the constraints of the effectiveness of actual classification system of procedures in our country, the necessity of drafting one classification system of national procedure is perceived. This system can record the information with all details. The abilities of recording the information in this system must be planned in such a way that while regarding to the goals, laws, national interests and standards could correspond with the development of diagnostic and therapeutic technologies and presentation of the health - care in the meantime.
Iran University of Medical Sciences
Journal of Health Administration
2008-1200
6
14
2004
1
1
Retracted: The Studyh of The Effect Fee-for service on Nurses Performance
53
62
FA
A
Ebadi
M
Hadad
M
Sirati
AA
Karimi
Introduction: Since a long time ago, human as original axis of organization system had played essential role.The goals of management in system are attract, maintain and merited manpower .One of the most important factors of achievement this goal is reckoned justly to regulating and designing salary and fee System. Methodology: In a descriptive cross- sectional study which carried out with the goal of assessing the effect of fee-for-service on performance of nurses and in order to provide suitable model 255 nurses and 52 nursing managers holding associate degree certificate and higher MSc and at least one year clinical experience in that centers. Variables of performance included improvement of nursing care, job satisfaction, work load, communication of personnel , errors and mistakes in treatment. urses and nursing managers taking views about effect of current implementation fee-for-service on these factors. Results: The results showed that 34% of nurses and 44.6% of nursing managers believed that the effect of current method on improvement of nurses performance and 82 % of nursing managers believed that implementation of fee-for-service with current method didn't obtain the goals of this scheme. Discussion: Therefore the implementation of fee-for-service scheme with current method hadn't effect on improvement of nurses performance in a viewpoint optimism only that causes reinstated at organization. It is recommended that using of participatory method and admission system of suggestion as a modified model for reforming the current method.
Iran University of Medical Sciences
Journal of Health Administration
2008-1200
6
14
2004
1
1
Patients Satisfaction with Provided Services in the Akbarabady Hospital
63
70
FA
Z
Piri
AR
Zohoor
Introduction: Overcoming the existing crisis in the hospitals without considering the patients needs and their satisfaction is impossible. The level of hospitalized patient satisfaction with diJIerent units is one of the important criterions for evaluation of the quality of hospital services.
Methology: The present study was carried out by a cross-sectional method during the spring of 2003 for evaluation of hospitalized patient satisfaction v ith provided services in different units of Akbarabady hospital "affiliated to Iran University of Medical Sciences". The statistical population of this research includes patients who have been hospitalized in the hospital for a minimum period of 24 hours. All patients were interviewed in the releasing time. Study tools were prepared on the basis of the standard questionnaires of the Ministry of llealth and Medical Education. The collected data were analyzed by SPSS program and using Chi square and T tests.
Results: About 68% of patients were satisfied with the hospital services. Among the different units, the highest level of dissatisfaction was shown for the accessibility of nurses and physicians and facilities of their rooms. The results indicate a negative relationship between satisfaction and the level of education.
Conclution: Solving the problems resulting in the patient dissatisfaction requires the administrator commitment and effort. Hospital administrators should consider the patients' needs and expectations to acquire their satisfaction and encourage them to cooperate in their own treatment and care process and help the hospital to achieve its objectives.
Iran University of Medical Sciences
Journal of Health Administration
2008-1200
6
14
2004
1
1
The abstacles of the effective process control in management from the view point of the managers of Kerman's university of medical sciences
71
76
FA
T
Eslami N
M
Nekoei M
Introduction: The management controls are the tactics which managers have to execute continually and logically to assure the compatibility of behaviour and performance of their own organization with the goals, programs, standards and the corect and proper execution of the programs.The control has a vital imprtance for preserving and permanence and effectiveness and usefulness of all systems and every organization and management needs its apparent. Methodology: This research, in the sectional way is made in 1380, in order to appointing the abstacles of the effective control in the organization from the view point of the managers of Kerman's university of medical sciences. Research population was all high-level and middle managers of the university. The implement of collecting information was the questionnaire which was prepared with taking advantage from the creditable scientific sources. The questions of this questionnaire contained the individual's characteristics, the accomplished efforts for control, and the most important obstacles for the effective control in the organization, after gathering the data were analyzed with SPSS software. Results: About 85% of the managers found the effective control very essential and necessary In the organization. Only about 65% have assigned the expected results. The most important obstacles to exert on effective control in proper order were mentioned as: non-availability of goals, the lack of standard and adapted criterion and refusal of the assistance of the personnel in the affairs connected to the control system. Conclusion: The expect managers, having a good experience of attending the management training - course while employing for managers, assignment of the worthy, learned and skilled managers is recommended.