Iran University of Medical Sciences
Journal of Health Administration
2008-1200
18
62
2016
1
1
Support from Virtual Libraries For Virtual Education: Opinions from Managers and Students
7
16
FA
R
eskrootchi
medical university of iran
M
zarghani
madical university of iran
AF
Hosseini
medical university of tehran
Introduction: Recently, virtual education has significantly influenced traditional educational systems by means of advanced communication information technologies .Which has not been paid much attention by the developers of this system. The present study aims at exploring the viewpoints of the managers and students of virtual educational centers concerning the services provided by virtual libraries.
Methods: The research tool of the present original research study consisted of a questionnaire. The validity of the questionnaire was confirmed by six specialists out of ten and its reliability was determined by the managers and students as 79% and 71%, respectively. The research community included managers and students of 19 centers for virtual educations at universities in Tehran. The data were analyzed using descriptive statistics by means of SPSS and Excel.
Results: It was found that, regarding the role of a library in virtual education, the managers and the students considered ‘empowering the user’ and ‘the research’ as their first priorities, respectively. Amongst the resources presented, ‘information databases and textbooks’ were found to rank first by both groups. In terms of the method of presenting the resources, ‘access to the abstracts and bibliographical information’ and ‘access to the full texts of the resources’ were prioritized by the managers and the students, respectively.
Conclusion: Since the virtual library plays a crucial role in virtual learning, paying adequate attention to the differences between the viewpoints of the two groups is essential. The managers, therefore, should plan to provide library services based on the needs of the students so that the virtual libraries can fulfill their roles in the development of virtual education.
Iran University of Medical Sciences
Journal of Health Administration
2008-1200
18
62
2016
1
1
Verification of Cost of Dialysis Services and Tariffs Finished State by Using Activity-Based Costing in Imam Sajad Hospital
17
30
FA
AM
Ghanbari
Sh
Haghighi
R
Memari
Introduction: Activity-Based Costing (ABC) is one of the new systems of products and services costing providing more accurate and precise information needed by managers and assisting them in appropriate decision making. This study, conducted in Imam Sajjad Hospital of shahriyar sought to determine the cost of dialysis services provided by the hospital and to compare the results with declared tariff for the service during the year 2012. The findings will help meet the information needs of hospital management.
Methods: This is an applied research which is part of a case study. For this purpose, a review of supporting tools of the current accounting system for implementation of the ABC system was also investigated. In the second step, activity centers, resource consumption and resource stimuli, were determined and initial allocation were performed. Next, processes, activities and activity drivers to assign the second stage were identified. Finally, the cost of service was determined and deviation between the cost per service and declared tariff was analyzed.
Results: ABC method showed that the cost of dialysis unit services were more than tariff treatment.
Conclusion: Tariff treatment, determined annually, on the basis of a specified percentage increase is recommended. Moreover, it is suggested that managers try to determine the tariff on the basis of the actual cost of services in order to manage the cost of services better.
Iran University of Medical Sciences
Journal of Health Administration
2008-1200
18
62
2016
1
1
Vertical EVertical Equity of Healthcare Utilization Services in Health Insurance Program of Iran
31
41
FA
M
Kazemian
E
Tajbakhsh
Introduction: This study takes a comparative frame work look at provinces, classified into the groups in need of healthcare services, to assess the relationship between the groups’ needs to healthcare services and the utilization of these services within health insurance program, from 1383 to-1388. The objective of this assessment was to explore the changes, came out of the development of health insurance services, in the affected provinces regarding their needs to such services and their utilization of them
Methods: This study is of descriptive- statistical analysis nature. Life expectancy data at birth as the indicator of need to healthcare services, and the utilization of such services as an indicator were estimated. Furthermore a regression correlation study between the variables of needs and, the correlation coefficients for each group were conducted.
Results: The comparison of the groups’ correlation coefficient between the need and utilization variables indicated that the coefficients for the groups are not the same. The vertical equity constraint, defined as utilization of health care services is consistent with the need to these services, requires the same value of correlation coefficients for all provinces.
Conclusion: This study indicated that the development of health insurance services in Iran, in 1383-1388, did not achieve the vertical equity requirement among the provinces that were grouped in terms of need to healthcare services. The justification that the need to health care services did not achieve its objective was because of the effects of social determinant of health to in the first year implementation of a five year plan.
Iran University of Medical Sciences
Journal of Health Administration
2008-1200
18
62
2016
1
1
Predicting Premature Birth in Pregnant Women via Assisted Reproductive Technologies using Neural Network
42
51
FA
M
Langarizadeh
M
Ghazi Saeedi
M
Karam Niay Far
M
Hoseinpour
Introduction: Nowadays, assisted reproductive technologies are widely used to treat infertility in couples. Studies indicate that the rate of premature birth after using Assisted Reproductive Technologies has been increased as compared to normal pregnancies. The purpose of our study was predicting premature birth in pregnant women via Assisted Reproductive Technologies using artificial neural networks.
Methods: In this retrospective study, initially 45 variables were identified as effective factors for prediction of premature birth in pregnant women via Assisted Reproductive Technologies and data of 130 women were extracted using clinical records in Sarem hospital in Tehran from 1998 to 2014 in October and November, 2014. The most important variables were identified as effective variables using feature selection algorithm and decision tree in SPSS Clementine. Multi-Layer Perceptron network was designed to predict the premature birth in Matlab software. Confusion matrix was used for evaluation in order to calculate accuracy, sensitivity and specificity.
Results: We identified fifteen effective features using feature selection algorithm and decision tree as inputs of the neural networks. Multi-Layer Perceptron network was designed and evaluated. The accuracy, sensitivity and specificity of the test data were 87.2%, 80.0% and 88.2%, respectively and for the total data were 95.4%, 95.0% and 95.5%, respectively.
Conclusion: According to the results, designed neural network for predicting premature birth in pregnant women via Assisted Reproductive Technologies can be helpful in prevention of premature birth complications.
Iran University of Medical Sciences
Journal of Health Administration
2008-1200
18
62
2016
1
1
Quality Evaluation of Library Services in Hamadan
University of Medical Sciences Based On European
Foundation for Quality Management Model (EFQM)
52
63
OTHER
H
Vakili Mofrad
Assistant Professor of Department of Medical Library and Information Sciences, School of Para Medicine, Hamadan University of Medical Sciences, Hamadan, Iran
M
Hemmat
PhD Student of Health Information Management, School of Health Management and Information Science, Iran University of Medical Sciences, Tehran, Iran;
z
Keshtkar
MSc of Library and Information Science, International Campus, Tehran University of Medical Sciences, Tehran, Iran
A
Yousefi
Razi Vaccine and Serum Research Institute, Agricultural Research, Education and Extension Organization, Karaj, Iran
Introduction: University libraries need to apply appropriate management practices to be in line and competitive in the changing world and to keep different types of users satisfied. European Foundation for Quality Management (EFQM) is an excellent organizational tool appropriate for libraries self-evaluation. The purpose of this study was to use this model for evaluating the quality of libraries in Hamadan University of Medical Sciences.
Methods: This descriptive and cross-sectional study was carried out in 2014. The population consisted of all managers and employees (28 people) of libraries in Hamadan University of Medical Sciences. Data were collected by a questionnaire consisting of 50 questions. The obtained
scores were analyzed by SPSS software.
Results: Conducted assessment by the European Foundation for Quality Management model showed that the total score of Libraries was 529.87 points. 255 out of 500 points were gained from empowerment criteria and 274.87 out of 500 from results criteria. Employee’s criteria showed the lowest rating (47.9) while performance key results had the highest percentage point (59.8%).
Conclusion: The results indicated that the service activities in libraries of Hamadan University of Medical Sciences, is in the process of improvement. However, these libraries should take effective actions for management and improvement of human resources, employee assessment and
improvement of their effective performance.
Iran University of Medical Sciences
Journal of Health Administration
2008-1200
18
62
2016
1
1
Health Insurance, Medicine Expenses and Catastrophic Health Expenditures
64
74
FA
A
Ghiasi
Zabol University of Medical Sciences
A
Baghi
A
Rezapour
Iran University of Medical Sciences
V
Alipour
School of Public Health, Tehran University of Medical Sciences
B
Ahadinezhad
School of Public Health, Tehran University of Medical Sciences
M
Mahmoudi
Zabol University of Medical Sciences
F
Veysinasab
Zabol University of Medical Sciences
Introduction: Catastrophic health expenditures is an index to evaluate the equity of health financing in different countries. This study investigates the catastrophic health expenditures and it’s determinants among the household residents of Zabol.
Methods: This study was conducted in 2013-2014, using World Health Organization catastrophic health expenditure questionnaire. Cluster sampling and household classification.methods were applied. Logistic and Probit regression model was used to investigate the determinants of catastrophic health expenditure. Data were analyzed by Stata.12.0.
Results: Approximately 20.6 percent of household faced catastrophic health expenses and most of it belonged to the second 8% quintile. The results show that among variables, education of the head of the household and medical expenditure have significantly affected the probability of catastrophic expenditure. In this study, having health insurance supposedly did not play a significant role as a main factor in the reduction of catastrophic health expenditure.
Conclusion: High exposure to catastrophic expenditures among studied households, despite their 88 percent of them to access to basic health insurances, shows it's inefficiency in covering medical expenditures of insured households. It is on health policy makers to focus on factors that affecting the incidence of the catastrophic health expenditures and also do effective actions in terms of expanding health expenditures coverage specially medicine expenditures and effective prepayment initiatives to protect households from catastrophic health expenditures.
Iran University of Medical Sciences
Journal of Health Administration
2008-1200
18
62
2016
1
1
Public or Private Hospitals: Survey of Households’ Tendencies in Some Selected Areas of Mashhad
75
86
FA
S
Fazaeli
SAH
ghazizadeh hashemi
H
Ebrahimipour
SH
Banikazemi
M
Yousefi
A
Valinejadi
Introduction: Tendency of an individual to choose between a public and a private hospital can be affected by several factors such as insurance coverage, income, age, gender, level of education, or health status. The aim of this study was to investigate the main reasons of the households’ tendencies to choose between these two types in some selected area of Mashhad.
Methods: This was a cross-sectional study conducted in 2014 in two selected regions in Mashhad. The participants included 923 households selected through multistage sampling. Data were collected by a 3-part questionnaire the validity and reliability of which were assessed beforehand. Data were analyzed using Mann-Whitney U test, Chi Square and logistic regression model in SPSS.
Results: It was found that factors including existence of highly qualified medical and nursing staff, the respondent’s gender, access to social support networks, individual assessment of their health status, basic amenities, the respondent’s age, communication and the type of the last center (public or private) for inpatient experience significantly affected the participants’ tendencies to choose between public or private hospitals.
Conclusion: The tendency of the most households to select a specific sector (public or private) can be the outcome of the quality of services delivery in the sector. Making changes in these outcomes typically requires long-term plans. Thus, preparation and implementation of these plans should be considered according to the extent of the public sector in health services delivery.
Iran University of Medical Sciences
Journal of Health Administration
2008-1200
18
62
2016
1
1
The Analysis of interlibrary Loan Transactions in Birjand University of Medical Sciences using Data Mining Algorithms
87
100
FA
H
Beydokhti
Birjand University of Medical Sciences
N
Riahinia
Kharazmi University
Introduction: Data mining is a process for discovering meaningful relationships and patterns from data. Identify behavior patterns of libraries users can helps improve decision-making in libraries. This study aimed to analyze the interlibrary loan transactions in Birjand University of Medical Sciences using data mining algorithms.
Methods: In this descriptive study, knowledge discovery and data mining were used to determine patterns of interlibrary transactional and circulation data in Birjand University of Medical Sciences. Information on the members and circulation transactions was extracted from the library database, and saved in Excel file format after adding some computational fields. Data were processed using Microsoft SQL Server 2008 Data Mining Add-Ins, Office 2007. Classification Matrix was used to evaluate the accuracy of the models. The findings were reported in tables and graphs.
Results: 394,011 records of library circulation transactions from 5600 members were collected up to 20th of June 2013. Flow of transactions per semester was of a regular sequence. About 87% of the borrowed books were returned less than 46 days and 96% of students fail to return books on due date and the delay time is less than 18 days. The members borrowed 35 books on average during their membership. Related subject of interest to members was discovered through association rule algorithm.
Conclusion: Data mining can be used for identifying behavior patterns of members, classifying and identifying factors affecting the duration of book loan and delay. Revealed patterns are suggested for decision-making in human resources management and development of regulations on library circulation services.