2024-03-29T16:05:10+04:30 http://jha.iums.ac.ir/browse.php?mag_id=2&slc_lang=fa&sid=1
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Journal of Health Administration jha 2008-1200 2008-1219 10.22034 2007 10 28 The head nurses participatory decision making at the educational hospitals of IUMSHS (Iran University of Medical Sciences & Health Services). Nooritajer Mahfozpour Nouruzi-Nejad Introduction: One of the skills of management is decision making, and the role of managers in decision making always is very critical. The thinking at in the 21st century ,needs to approaches that meanwhile increase the job orders , to encourage a systemic approach, and improve the relation, is focusing on employers participation. Participation in decision making make a viable organization, the conditions in that more yield opportunities to achieve organization targets.The aim of the present research was to determine the head-nurses participation in decision making at the educational hospitals of IUMSHS (Iran University of Medical Sciences & Health Services), 2006. Methods: This research is a cross-sectional study. The data collection tool was a self-reporting questionnaire. In this research, 94 head-nurses working in the educational hospitals of IUMSHS, all having an employment background of over 6 months in their present ward, were interviewed, and thus formed the study sample. The research environment consisted of all the educational hospitals of IUMSHS, 2006, Tehran, Iran. Results: Data analysis revealed that 40.4% of the head-nurses reported their participation in decision making moderately, a relatively strong and statistically significant correlation observed between participation in decision making and types of hospitals wards(X2=5.735and ρ<0.05). Conclusion: Regarding the results of the research, offering opportunities to head-nurses to participate in decision making would have a critical role Thus, to achieve a clear understanding of participative decision making in health care organizations of our country, we suggest more comprehensive research regarding participatory decision making at nursing level and other health care professions, and its relation to important organizational outcomes. Participation in decision making; Satisfaction [level] with participatory decision making; Head-nurses. 2007 7 01 7 14 http://jha.iums.ac.ir/article-1-25-en.pdf
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Journal of Health Administration jha 2008-1200 2008-1219 10.22034 2007 10 28 Defining evaluation indicators of health information systemsand a Model Presentation L Shahmoradi M Ahmadi H Haghani Introduction: Health information systems have designed in order to manage health information fluency for improving healthcare quality. It is necessary to conduct continues evaluations to do epidemiologic researches and manage health information systems, enhance quality and decrease costs. Unfortunately there isn’t a framework for that foeus on the measurement methods and indicators in our country.Objective of this research is defining steps, study design methods, data sources and indicators of health information systems evaluation. Methods: This research was cross sectional-description and conducted in 2004. At first studies books in library, and searched on internet to find related information. After that then we categorized developed indicators by Canada and England according their importance. Thereafter we sent a 20 keys questions questionnaire to review for 30 peer reviewers. Although the Questionnaires gived to 35 persons, but it full by 28. These persons were teaching staff in universities and specialists in health information systems. Selected indicators as the most important indictors were which over75% sight selected them high and very high degree. After gathering questionnaire, results analyze by SPSS. Results: There are six steps to evaluate health information system. They include Agree why an evaluation is needed,? Agree when to evaluate? Agree what to evaluate, Agree how to evaluate? analyze and report,?Assess recommendations and decide on actions. there were 13 study designs for health information systems evaluation. finaly indicators provided in three contexts. accountability, performance enhancement and knowledge development. Conclusion: It is necessary to consider human aspects and knowledge development more over economics and financial aspects.conducted evaluation of health information system is based on the accountability that conducted with randomized Controlled trial and qualitative the best evaluation is conducted when use some evaluation methods with considering these indicators. Health information systems Evaluation Evaluation framework Evaluation methods Indicator 2007 7 01 15 24 http://jha.iums.ac.ir/article-1-26-en.pdf
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Journal of Health Administration jha 2008-1200 2008-1219 10.22034 2007 10 28 Survey of Persian medical and health websites qualification with Silberg criteria Z Fathifar AF Hosseini MR Alibeig Introduction: Provision of substructure facilities and technology with new interaction between patient and physician - to get medical and health information – increased the usage of Internet while there is no control on the quality of delivered information by websites in health and medicine field that affects human life , is very important. One way for reliability of information quality is consider some criteria, such as Silberg criteria. Methods:This is a survey research , 75 persian medical and health websites were surveyed by silberg criteria .These websites content search in two search engine yahoo, google and website of healh and medical education ministry and some of Persian subject directory like linkestan , link , hotlink. Then silberg criteria check list for these websites were filled with direct observation. Then collected data analyzed in spss statistical software. Results: Results showed that half of websites introduced their references. (first principle in silberg base) , about 67% of websites introduced their authors (second principle in silberg) while , only 16% of websites have no responsibility for published information in their websites , and only 20 percent of websites mentioned date of website establishment. Scores that gained from Silberg criteria were between 0-8 from total score 9 and any of websites don't get total score. Conclusion: This research showed undesirable quality of presented information in Persian medical and health websites. As a result a Persian user who wants to use Internet as a information resource should get a consultation with specialists and also search with complete intelligence. Persian websites Health websites Medical websites Silberg criteria. 2007 7 01 25 30 http://jha.iums.ac.ir/article-1-27-en.pdf
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Journal of Health Administration jha 2008-1200 2008-1219 10.22034 2007 10 28 The role of Six Sigma on the quality Improvement in health care organizations F Asadi Introduction: Health Care organizations, because of their special nature of Medical Services, impossibility of assessment by customers, and increasing of patients and customer expectation, have to apply different management approach. In recent decade Six Sigma has been considered as systematic and powerful to improve service quality and cost saving. Six Sigma is a statistical and systematic approach that tends to define the process performance defects and decrease the clinical and business processes errors that are done with wasting time, high costs and poor outcomes. The aim of this paper is to investigate the role of Six Sigma on the improvement of quality services in Health Care Organizations using library and internet resources, and descriptive and analytical methods. Literature review: Empirical Results in different countries that have through implemented Six Sigma in Health Care Organizations have improved the time cycle and patient cycle in emergency room, operating room, radiology and laboratory services, supportive management, antibiotics treatment, improvement in scheduling hospital staff activities, medical errors and cost saving. Also, good infrastructure and continual training is a must to six sigma implementation. Conclusion: Six Sigma methodologies provide a systematic approach to improvement business processes based on customer demand and actual analysis in carrying out processes in any organization. There is a major difference between Six Sigma and other approaches and that is why it is being used in Health care organizations. Nevertheless the different methods used to implement whatever approach the basic ground to embrace the culture quality should exist in the organization, Also quality improvement is a continuum process which derives the cooperation of all working teams and the use of appropriate means and methods in solving individual problem. Although, the use of any method needs to preparation and adaptation of quality culture in organizations. Also quality improvement is continuum process that needs to cooperate and interaction among work teams and use of suitable tools and methods for any problem. Health care organization quality improvement six sigma 2007 7 01 31 40 http://jha.iums.ac.ir/article-1-28-en.pdf
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Journal of Health Administration jha 2008-1200 2008-1219 10.22034 2007 10 28 Border hospital readiness in handling border related crisis in Kermanshah Province , Iran,2007 A Nasiri-pour P Raeissi M Mahbobi Introduction: Helping the injured at the time of crisis is one of the duties of hospitals therefore, they should plan and be prepared prior to any crisis . The present research is designed to measure the readiness of Kermanshah Province hospitals located near the western boarder of Iran to handle border related crises. Methods: The readiness of the three border hospitals in Kermanshah Province,e. g. Azzahra (in Gilanegharb), Shohada (in Sare-Pole-zahab), and Hazrat Abolfazl Abbas (in Ghasre-Shirin) was evaluated using a checklist on the following six aspects: 1(crisis management information systems, 2(commandership terminal , 3(crisis-related training, 4(organizing hospital manpower, 5( having adequate facilities and equipment,6( maneuvering and practicing. The data were gathered through interview, observation and using available statistics. Findings: According to the findings, hospitals scored "average" on crisis management information systems, commandership terminal ,crisis-related training, and organizing hospital manpower, "good" on having adequate facilities and equipment, and "weak" on maneuvering and practicing. The findings also revealed that readiness was fairly good in Shohada hospital, average in Hazrat Abolfazl Abbas hospital and in weak Az- zahra Gilanegharb hospital. in general, readiness to deal with crisis in all three hospitals was evaluated as average. Conclusion: Despite adequate facilities available for the investigated hospitals, they are not well prepared to handle border related crises in Kermanshah Province and it is essential to take necessary steps in this respect. Hospital Border crisis Beadiness 2007 7 01 41 48 http://jha.iums.ac.ir/article-1-29-en.pdf
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Journal of Health Administration jha 2008-1200 2008-1219 10.22034 2007 10 28 Acomparative investigation of the access levels and confidentiality of medical documents in Iran and selected countries. F Sadoughi M Khoshgam S Behnam Introduction: Undoubtedly, the medical record is one of the most important documents containing the most sensitive information on the public health and treatment. As a matter of fact, protecting the confidentiality of the recorded information and the documents there in should be given top priority. Thus, given the importance of the confidentiality of medical document, and their impact on the better performance of hospitals, this study investigates the access levels and confidentiality of medical documents in Iran and selected countries and makes and effort to identify the existing gap.Methods: This study is a descriptive - comparative one which uses a cross - sectional style. The research sample includes Canada, Australia, USA, and England. It is because these countries have made considerable progress in the confidentiality of medical documents. The study data were gathered via internet and communication with professionals and relevantorganizations in the countries. In the case of Iran, the data were collected, using library studies.Results: It is concluded that there is no integrated organization for the management of medical documents and the development of its standards. 1) The status of medical documents, onfidentiality and access levels of medical documents in Iran are far from world standards. 2) The lack of consistency between the performance of medical documents in Iran hospitals and standard activities in developed countries has resulted in the gap between existing activities and stated purposes. 3) The countries under study have made great progress in confidentiality of medical record.Conclusion: It is evident that due to extended application of medical records for several ntention including medical consultations, authentication in legal cases, third parties and health researches, addressing privacy principles is essential. Meanwhile utilization of records content for above mentioned objective also is important and it must be taking correct action while interference patient privaet and public rights. With studied countries will be useful to develop and correct national health care rules for effective management of vital medical information.Undoubtedly, the medical record is one of the most important documents containing the most sensitive information on the public health and treatment. As a matter of fact, protecting the confidentiality of the recorded information and the documents there in should be given top priority. Thus, given the importance of the confidentiality of medical document, and their impact on the better performance of hospitals, this study investigates the access levels and confidentiality of medical documents in Iran and selected countries and makes and effort to identify the existing gap. Access Privacy Confidentiality Medical Records 2007 7 01 49 56 http://jha.iums.ac.ir/article-1-30-en.pdf
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Journal of Health Administration jha 2008-1200 2008-1219 10.22034 2007 10 28 A comparative study between complementary health assurance structure and content in selected countries and presenting a paradigm for Iran A Vafaee Najar I Karimi M Seydnowzadi Introduction: the boundaries of providing health services for patients is so much expanded that it is not, at least an economical cost-effective activity in the framework of the health insurances. In many countries the complementary health insurances have been used to provide these services. The aim of this study is to comparison between complementary health assurance structure and content in selected countries and presenting a paradigm for Iran. Methods: The present study is an applied descriptive study, has been done comparatively between 1383-1384(2003-2004). Parameters such as management and organizations, population coverage , the criteria to choose the insurance fees, services and their reimbursement payments methods, limitations and the obligations of the services supervision and evaluations in countries such as USA, Germany, Slovakia, Britain, Belgium, France , Finland, Philippine, Netherlands, and Iran has been chosen based on the Gordon Model. The chosen methods are based on Delphi techniques and by using the statistical tests were analyzed. Results: Our study results showed that the main reason of choosing the complementary insurance is the insufficient coverage of the public health insurance (89%). The High Council for Health selected as responsible authority for approving complementary health insurances(78%), also because of decentralized organizational structure of the delivery systems for the complementary health insurance ,and meanwhile centralized policy making and planning the complementary health insurances fees fixed based on actual services prices, given the competitive principle(78%). conclusion:Using insurances in terms of governmental and private complementary health insurance and creating the competition among them, could have an important role on improvement the health insurance quality, raising the level of customers' satisfactions, and finally improve the public health. structure health insurance complementary comprehensive study. 2007 7 01 57 64 http://jha.iums.ac.ir/article-1-31-en.pdf
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Journal of Health Administration jha 2008-1200 2008-1219 10.22034 2007 10 28 Hospitals preparation in disasters: security MR maleki P Shojaie Introduction: When disasters occur in the hospitals, there are risks from population group sides that accordingly lack of quiet and sets upon to urgent and exit doors, makes conditions worse and also it cause to create problematic circumstance for in planning must be considered security of patients and the personnel who are on 24-hours stand by. Methods: The present survey is a descriptive study. Training hospital of Iran University constituted the study population. Instrument of data collection is a checklist that section of security includes 6 questions and was completed by observation and interview with different person according to case (hospital manager, metron, secretary of disaster board, etc). In order to analyzing data, descriptive statistics like frequencies, ratios & mean percent were used by SPSS software. Results: In surveyed hospitals, Rasol Hospital with a mean percent about ( 88/4) has the highest score mean percent in planning perspective of security and Navab hospital, Haftometir & Ali Asghar with mean percent about (51/4) have the lowest score mean percent. Conclusion: Totally hospitals in the stage of pre-disaster must have an accurate and scheduled plan in order to encounter to on unpredictable and urgent condition. And considered practically and theoretically adequate training. Because exist of regular plan in hospital in time of disasters that insured patient, personnel and equipment security, is essential. Therefore training hospitals of Iran University except of Hazrat Rasul hospital in cause of in planning don not have security in disasters. Hospital preparation planning disaster security 2007 7 01 65 70 http://jha.iums.ac.ir/article-1-32-en.pdf