2024-03-29T05:44:24+04:30 http://jha.iums.ac.ir/browse.php?mag_id=5&slc_lang=fa&sid=1
5-53 2024-03-29 10.1002
Journal of Health Administration jha 2008-1200 2008-1219 10.22034 2008 10 30 An assessment on internal teaching-curative hospital environment according Wise board\'s six-dimensions Model (Shiraz City, 2006) S Vatankhah MA Bahrami Introduction: The evaluation of the internal environment is included the evaluation of an organization position, evaluation of performances, identified its problems and its potential abilities. If the internal evaluation has been done correctly, it makes a comprehensive view of existing situation in the organization, bring about a correct overview to it in which irrelative and inefficient programs would be replaced by competitive and efficient ones. The aim of present research was evaluation of internal environment in the teaching-curative hospitals in Shiraz city based on six dimensions Wise board model. Methods: Present research is a descriptive cross-sectional applied study. In this study 362 people of personnel of teaching-curative hospital of Shiraz have been involved. Data have been collected by standard questionnaire, and analyzed by SPSS software, using t-tests. The maximum score was 7. All scores under 4 showed the strength and scores more than 4 showed the weakness points. Results: The average of the variable studied data in this research which included setting goals, organizational structure (organized activates), leadership, coordination, awarding system, staffs' communication and their points' of view according any changes, Ranks of the hospitals are as follows: for Namazi Hospital: 3.80, 4.01, 4.26, 4.39, 4.43, 3.74 for Zaynabiyeh Hospital: 4.04, 4.20, 4.84, 4.72, 5.96, 4.16, 3.68 for Chamran Hospital: 3.84, 3.48, 2.68, 3.76, 4.96, 3.36, 3.6 for Hafez Hospital: 3.24, 4.21, 3.44, 4.12, 4.84, 2.72, 3.52 and for Shahid Faghihi Hospital: 2.75, 4.84, 3.80, 4.36, 5.32, 3.48, 3.80. Conclusion: According to the finding data in this research: in setting a goal: Zaynabiyeh hospital, in organization structure Namazi , Zaynabiyeh, Hafez , and Shahid Faghihi in awarding system all studied hospitals and in communication Namazi and Zaynabiyeh hospitals had weakness points in which it is needed more attention. In all the hospitals, the staffs' point of view toward changes had strength points. , Wise board\'s model Weakness and strength points Internal environment،Teaching-curative hospital 2008 1 01 7 14 http://jha.iums.ac.ir/article-1-53-en.pdf
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Journal of Health Administration jha 2008-1200 2008-1219 10.22034 2008 10 30 Application of data-mining and text-mining analyzer tools in agility on healthcare organizations M Karami Introduction: The word agility identified the speed and the power of responses during facing with organization internal and external matters. The health care organizations must be agile like any other organization in today fast speeding world, because being agile is an additional advantage in the competitive world. In this paper the organizations' agility, data mining, text mining, and the role of all these tools that may have provide the knowledge and the move of the healthcare organizations toward the agility, will be preceded. Literature review: Specialist in the Spinal Disorders Hospital in south California in Los Angeles use data mining process to discover different factors affecting on success or failure of the spinal surgeries operations causing improvement in health care. And also the financial organization for healthcare and Medicare and Medicaid using Text- mining and Data-mining to discover any fraud or misuses in insurances and different type of the health care operations. Conclusion: Information is the most important tool in the management. Converting information to the knowledge has a key role in moving organizations toward agility. By using the analytical tools in organizations, the new knowledge in medical field on top of the information about the processes, patterns, and treatment results to upgrades the quality of the health care, could be achieved, and by passing information about weakness and strength points, the threat, the opportunities and technology changes to managers, they could be able to plan toward the agility. Data-mining Text-mining Agility Healthcare organizations Knowledge 2008 1 01 15 20 http://jha.iums.ac.ir/article-1-54-en.pdf
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Journal of Health Administration jha 2008-1200 2008-1219 10.22034 2008 10 30 A Comparative study on the job description of medical record professional in selected countries and submit a model A Gorji F Sadoughi F Asgari Introduction: Organization, given that is a dynamic, flexible social phenomenon, which constantly changes. Therefore, categorizing plan of jobs would not be a stable phenomenon. Therefore, because the content of job alters with technical advances, it had better to examine specially at the time of an annual assessment, the job description. In addition, the chief of medical records unit should, as possible as, predicate future changes. Methods: The present paper is a practical descriptive-analogical research, so that the researcher comprised available job descriptions structures of "Health Information Management Associations" by checklist fully. Then, the draft was designed based on that analogy, put on the table to be criticized by medical records experts. finally, the last proposal designee would be offered. Results: Job descriptions written by American Health Information Management enjoy the structure consists of job title, direct supervisor, main goal, responsibilities and competency. While Australian Health Information Association presents job descriptions comprising job code and class, unit name and supervisors as well as competency, and necessity conditions, and even times of work and rest. This association maintains to record performance indexes at the form of job description. Job description form, in Canadian Health Information Management Association is presented as assessment form of staffs, stating responsibility schedules and separated from job specification form. Conclusion: During double-stage screening of final draft, the researcher came to result that the job description form must include five dimensions as job title, its goal, its responsibilities, performance indexes, and job specification. The authorities believe that these features has the importance of 88%,82%,88%,87% ,91% , respectively. Job description Job specification Job description content Job description structure 2008 1 01 21 24 http://jha.iums.ac.ir/article-1-55-en.pdf
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Journal of Health Administration jha 2008-1200 2008-1219 10.22034 2008 10 30 An assessment on relations between Iran\'s industries and Universities of Medical Sciences (2006) H Ebrahimipour H Esmaeelzadeh R Dehnovieh M Jaafari Introduction: During the recent decades the relation between universities and industries is a subject that has been mentioned in many universities as an approach to increase universities' budgets, improving their relation with society, upgrading the universities, and finally to develop country (Iran). There are 40 medical universities in Iran that could have key role in this matter. That is why the present research in term of evaluation the relation between Iran's medical universities and industries has been done in 2006. Methods: This research is a descriptive - cross sectional study. The research populations are 40 of research officers and medical faculties and industries relations offices administrative managers .The research tools used to collect the data are questioners and data gathered in field investigations. To analyze the quantity data SPSS software and to analyze the quality data the grouping method has been used. Results: Data showed that almost 64.5% of faculties have had mediated structure such as medical faculties and industries relation offices in the universities. There is a lack of organizational structures for these offices in 55.9%. Most of the staffs who have worked there were from scientific board, and most of the activities are including training, regular visits and consultations. There are no rewards for the staffs in approximately 83.7%, and in 93.5% of cases there is no specific work description for the staffs, and in 80.5% there is no specific regulations policy. Lack of understanding the universities abilities and the industries problems are main problems that medical faculties and industries relations staffs are facing with. Conclusion: Many universities have a clear understanding about the importance of the relation with industries and their own duties about societies, however, they could not find an administrative approach to do it, because the point of the view and the way to connect to industries are traditional and the solid opinion is not consistent and scientific. Medical faculties and industries relations Assessment Universities of medical sciences 2008 1 01 25 32 http://jha.iums.ac.ir/article-1-149-en.pdf
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Journal of Health Administration jha 2008-1200 2008-1219 10.22034 2008 10 30 A comparative study on Iranian libraries and librarians,and superior librarianship web logs R Skroji M Farhadi HR Haqqani Introduction: Web logs are the evident tools for the librarians. There are three main ways for applying web logs in librarianship fields, as follows: personal use by librarian to upgrade their personal information, as a source of information in case of libraries, and for their services. The aim of this research is to comparison between Iranian libraries and librarians, and superior librarianship web logs. Methods: Present research has been achieved by descriptive method and comparatively studied a comparison between Iranian libraries and librarians, and superior librarianship web logs in 2006. Seventy- nine web logs from libraries and Iranian librarian and ten best librarianship web logs in the world in 2006 have been chosen as research community. We used direct observations and a check list -that its main factors came from Herring- and associated and based on observations and writer experiences, coaches' and weblog writers consultations for collecting data and comparing with the best weblogs, other subjects have been added in this check list including overall identifications factors, writers identifications , date , and the level of the weblog activities, technical aspect, overall concept, linkage conditions, and opinion have been showed. Collected data have been presented and analyzed using descriptive statistics method. Results: In terms of type, it showed that 67% of Iranian web log are filtrated and 14% are scientific, Communicating services in terms of the librarianship and its news %18,coordination and similarity and communication between librarian and services performance %9 and publishing scientific information, papers and translations 9% are the main goal of the Iranian web logs. Evaluating different structural factors in Iranian librarian weblogs showed that in 40.5% of Iranian web log between 50% up to 75% of the writers identifications, 97.4% of them between 50% up to 75% of technical factors, 78.48% of Iranian weblog under 50% of overall technical factors, 64.55% of them under 50% overall containing, and 43.42% of them under 50% different type of the connections have been observed. In total 65.54% of the structural factors were in superior weblogs and 49.90% in Iranian web logs. Conclusion: Evaluation of the structural factors made the leveling Iranian librarian and libraries and superior libraries web logs based on gained scores. Iranian librarian group web logs achieved the first place by 80.95% points and non librarian web logs went down to 79 place by 17.26%based on structural factors among Iranian web logs. Between the superior web logs The Academic Librarian was in first place by 82.14% and the Conservator in 10th place by 29.76%points. Some 58.23% of Iranian and 20% of world's superior web logs managed the structural factors in this grading. Librarianships weblogs Superior librarian weblogs World superior librarianship weblogs 2008 1 01 33 42 http://jha.iums.ac.ir/article-1-58-en.pdf
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Journal of Health Administration jha 2008-1200 2008-1219 10.22034 2008 10 30 A study on curative centers managers,knowledge and attitude levels about Hospital Informatics Systems M Habibi Kolayee KR Hosseinpour E Mobashsheri N Behnampour Introduction: Researches showed the effective role of applying the hospital information systems (HIS) in upgrading quality of the curative care services, increasing satisfactions, and improving treatment economy. Due to the necessities of the HIS development and the important role of managers knowledge and attitudes, present study carried out to achieve the level of Golestan curative centers (province) managers knowledge and attitudes in 2006. Methods: Present study is a cross-sectional descriptive study, has been done on 73 people of the Golestan curative centers managers who agreed to participate in this study in the year 2006.Avalid and reliable questionnaire have been sent for each manager. After completing the questionnaire, collected data analyzed by SPSS software. Results: Our research findings showed that 59.3% of managers had average knowledge, and 95.1% had a positive attitude about the HIS. Maximum knowledge scores belonged to the medical records staffs, and minimum knowledge scores to operation theaters and hospital officers. Maximum level of the positive attitude found for laboratories staffs and minimum to finance and operation theaters department. Conclusions: Due to the average levels of Golestan curative centers managers knowledge and attitudes about HIS, to improve HIS usage at all different departments, to hold the training courses to improving the level of knowledge is necessary. Hospital informatics system Curative centers managers Knowledge Attitude 2008 1 01 43 50 http://jha.iums.ac.ir/article-1-59-en.pdf
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Journal of Health Administration jha 2008-1200 2008-1219 10.22034 2008 10 30 Internal factors influences on medical librarian and informatics communicator attitudes on their future professional placement A Horri SJ Qazi-Mirsaeed Introduction: Beginning the 21century, and the 3th Millennium new roles and scales, bring the idea of the world unity in which followed the net work philosophy. It has been known as a greatest challenge for librarians and information communicator, the challenge that deserved a profound attention and multifaceted study. The present research reviewed the internal factors influences on medical librarian and informatics communicator attitudes in their future professional placement. Methods: Present research is a descriptive study, and the studied community is the all librarians and information communicators in medical science areas in Iran. Questioners have been used to collect data. These questioners have two main parts, and an additional section was added for personal information. After examining its validity and reliability, the questioner has been distributed among 1368 individuals, for these amounts 1001 answered them. In statistical calculations which included frequencies distribution, means, percent of distribution indices, correlation coefficient, and binomial tests, SPSS software has been used and the results using the descriptive statistics presents in tables. Results: Finding data showed that among 1001 individual who answered the questioners, 462 of them had librarianship educations. Also average that calculated of importance to internal factors and their influences were 4.13 and 4.18 comparing to 5. In consideration of the Internal factors influences on medical librarian and informatics communicator attitudes in their future professional placement it showed that except one case, there were significant and positive relation among other factors (P<0.001) it means that increasing each of factors has a positive influence on individuals' attitude toward their position in their future profession. Only the first factor: the pre-professional factor did not exist. It is clear that librarian and informatics communicator are completely aware toward the future of their profession and try to cope with the condition. Conclusion:To provide a suitable condition to achieve librarian cope with the new conditions, it is needed to review the administrative organization structure in this profession. Internal factors Attitude Future profession Librarian and informatics communicator 2008 1 01 51 58 http://jha.iums.ac.ir/article-1-60-en.pdf
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Journal of Health Administration jha 2008-1200 2008-1219 10.22034 2008 10 30 An evaluation of the outsourcing strategy in supportive services in the hospitals affiliated to the Ministry of Health andMedical Education SJ Tabibi MJ Kakhani E Ehsani Chimeh Introduction: After more than two years of the implementation of outsourcing support services strategy in hospitals affiliated to the Ministry of Health & Medical Education, an assessment for the attainment of objectives and the evaluating this strategy was very necessary. This study is aimed to evaluating of above mention strategy, and its results. Methods: This is a descriptive, cross-sectional, and applied study for evaluating outsourcing support services strategy in three supportive services (catering, cleaning & laundry) in pilot hospitals (one hospital from each Medical Universities) during 2005-2007. Results: During the years 2005-2007 on the average 86.29% of caterings, cleaning & laundry services of the hospitals have been outsourced, 89.62% of these hospitals have put out these services to tender. The activities that were outsourced during this time and the average were 94.05% through holding volume contracts and participation of contractors in supplying the consumable goods, equipment and maintenance repairing these equipments was 46.51%. The mean satisfaction rate of outsourced services was 76.89% and the payment average to the contractors based on the assessment controlling check-lists was a mean 78.71%. The mean price for each meal in these years was 5341.15 Rials. The cleaning price for each square meter was 12078.66, and for washing each kilogram of clothes or bed sheets was 2929 Rials. The increase of price for the basic services during some years differed from the priced rise of the estimated price. There is no significant correlation between the situation of tenders and satisfaction rate which was in the case of paying based on the assessment controlling checklists and the rate of satisfaction. But there was a correlation between the amount of monthly contract and human resources working in the contract. Also there was a correlation between the human resources and monthly volume of the work. There was no correlation between the basic price of services and the rate of satisfaction. Also there was no significant correlation between condition of supplying the usage materials, equipments and maintenance these equipments, and satisfaction rate. Conclusion: It seems that outsourcing the services can lead to improvement of hospital efficacy and enhancing the patients and personnel's satisfaction. Outsourcing Supportive services Hospital 2008 1 01 59 66 http://jha.iums.ac.ir/article-1-61-en.pdf