2024-03-29T18:47:46+04:30 http://jha.iums.ac.ir/browse.php?mag_id=60&slc_lang=fa&sid=1
60-1525 2024-03-29 10.1002
Journal of Health Administration jha 2008-1200 2008-1219 10.22034 2015 18 60 Drug Insurance Coverage in Iran and Some Selected Countries: A Comparative Study A Viyanchi viyanchi@gmail.com HR Rasekh hrasekh@gmail.com HR Safikhani safikhani.hr@gmail.com A Rajabzadeh alirajabzadeh@gmail.com Introduction: in Iran, the compilation council of drug, having an advisory role, is responsible to cover medicine costs for health insurances. Health Insurance High Council also acts as the final decision maker about the admission of new drugs. This article studies how new drugs in Iran;#39s health insurances are covered compared with some selected countries.  Methods: After collecting drug acceptance criteria from studies in selected countries, the importance of these criteria were measured by Iran;#39s health system experts by means of a questionnaire. The differences and the reimbursement mechanism were investigated using 30 drug samples.  Results: There are specialized organizations in selected countries that decide for the new obligations of basic health insurances based on clinical and economical aspects of medicine performance criteria directly or as an advisory arm. Health insurance companies usually contract conditionally to protect new drugs commitment with the drug manufacturing companies.  Conclusions: In spite of low health and economical indicators of Iran compared with the selected countries, acceptance and continuing to repay the cost of pharmaceuticals are not associated with the amount of performance and the effects of the drugs. The acceptance of 43 percentage of drug samples is conditional to being a domestic production, the organization;#39s budget, low price and the disease epidemiology. 57% of the samples did not have any insurance coverage. The new drug reimbursement decisions in Iran;#39s health insurance usually last a long time (at least seven years) after accepting the drug in insurance companies of advanced countries. Iranian base health insurance companies are not actively involved in drug pricing. They control most of the reimbursement costs of drug from the demand side instead of the supply side. Cover of drugs Reimbursement Health insurances 2015 7 01 7 23 http://jha.iums.ac.ir/article-1-1525-en.pdf
60-1636 2024-03-29 10.1002
Journal of Health Administration jha 2008-1200 2008-1219 10.22034 2015 18 60 Effective Factors on Utilization and Access to Health Care: A Population-Based Study in Kerman A Rezapoor rezapoor_a57@yahoo.com Y Roumiani roomiani2001@yahoo.com F Ebadifard azar f_ebadi@yahoo.com S Ghazanfari sadegh.ghazanfari@gmail.com S Mirzaei saeed.mirzaee.lobester@gmail.com A Sarabi asiabar behzad.mohamadi@live.com S Bagheri faradonbeh s.bagheri88@yahoo.com Introduction: Reciving and using health care services is called utilization and access to services refers to the opportunity and the ability to use them. The purpose of this study was to investigate the pattern of utilization and access to health care disparities and factors affecting them. Methods: In this cross-sectional study, Quota sampling method was used. To evaluate the health care services used by families and their relationship with Predisposing variables, Chi-square test and Pearson cross-tabulations were used using Excel and Stata. Results: According to the findings important variables such as Household economic status, insurance, head of household education ages over 65 and less than 12 years had key roles in the use of services. Concentration indices for out-patient and in-patient services were -0.38 and -0.435, respectively.. Conclusion: There are some predisposing variable leading to inequality in use of health services which could be reduced the improvement of socio-economic variables. Health care services inequity utilization access 2015 7 01 24 36 http://jha.iums.ac.ir/article-1-1636-en.pdf
60-1661 2024-03-29 10.1002
Journal of Health Administration jha 2008-1200 2008-1219 10.22034 2015 18 60 The Use of Structural Equation Modeling and the Effect of Spirituality in Workplace on Organizational Citizenship Behavior at Shiraz University of Medical Sciences Gh Salimi salimi_shu@yahoo.com F Hamrahi farhadhamrahi@gmail.com Introduction: In recent decades, with the entrance of new concepts such as spirituality in work place, spirituality seeking in work, work values, ethics, sense giving to organization, a new paradigm was introduced in organizations that can work as spirituality in workplace. Studies show that organizations using Spirituality in Workplace, achieve high levels of growth and development in Organizational Citizenship Behavior. Therefore, the main purpose of this paper is to investigate the relationship between the Employees` Spirituality in Workplace and Organizational Citizenship Behavior at Shiraz University of Medical Sciences.  Methods: Research method was descriptive-correlative. To collect data, 260 employees at Shiraz University of Medical Sciences were surveyed. Research instruments were to questionnaires: 1) Organ’s Organizational Citizenship Behavior (1989), and 2) Milliman et al (2003) ` Spirituality in Workplace. Reliability coefficients were.71 and .82 respectively, using Chronbach’s formula. The collected data were analyzed using one- sample t-test, Pearson correlation, and multiple regressions.  Results: Findings showed that there are a positive and significant relationship between Spirituality in Workplace and its components with Organizational Citizenship Behavior .T test results showed that Spirituality in Workplace and Organizational Citizenship Behavior are in a rather good status. The regression result showed that only the impact of the Community as component of Spirituality in Workplace on Organizational Citizenship Behavior was found to be meaningful. Conclusion: According to the findings, it can be suggested that the existence of Spirituality in Workplace can result in the improvement of Organizational Citizenship Behavior. Spirituality in Workplace Organizational Citizenship Behavior Structural equation modelin 2015 7 01 37 49 http://jha.iums.ac.ir/article-1-1661-en.pdf
60-1662 2024-03-29 10.1002
Journal of Health Administration jha 2008-1200 2008-1219 10.22034 2015 18 60 A Model for Assessing Hospital Information Systems M Shafiei Nikabadi mohsenshnaj@yahoo.com N Naghipour Introduction: Nowadays, all the areas of human knowledge are affected by informatics’ knowledge and information technology. Health organizations and centers also need these technologies due to the vast variety of information. So the result of such a kind of knowledge is a tool named hospital information system (HIS). This research attempts to fill this gap and present a complete conceptual framework to evaluate HIS by means of introducing indexes and their priority. Methods: Based on literature review, initial model of evaluating main dimensions and indexes of each dimension were introduced. These indexes were classified into different questions and a related questionnaire was published between 100 staff (users, managers and authorities of HIS) of different departments of educational hospitals of Qazvin city. The data gathered were analyzed using first and second order of factor analysis.  Results: The result of the two orders of analysis revealed that all indexes are acceptable according to loading factor and T value. All fit indices were suitable, too.  Conclusion: The results indicate that organizational, humanity and technical dimensions are three main dimensions of evaluation, and organizational structure, goals and strategies, cost-benefit analysis and clinical effects are indexes of organizational dimension. User Satisfaction, User Acceptance, and being familiar with ICT are main indexes of humanity dimension. Finally, system quality, information quality and information security are main indexes of technical dimension. Hospital Information System Information Systems Evaluation Hospital 2015 7 01 50 66 http://jha.iums.ac.ir/article-1-1662-en.pdf
60-1663 2024-03-29 10.1002
Journal of Health Administration jha 2008-1200 2008-1219 10.22034 2015 18 60 Exploring the Role of Job Plateau in the Human Resources Burnout in Career Development Path (Case Study: Welfare Organization of East Azarbaijan) Y Bashirbanaem Bashirbanaem@yahoo.com M Vahedi mjdvahedi@yahoo.com M Rasouli Marireza57@yahoo.com Introduction: In recent years, one of the concepts that has attracted industrial and organizational psychologists’ attention is employees’ exhaustion called burnout having a direct relationship with inefficiency of human capital. Methods: This is an applied descriptive survery. The study population was 230 employees of East Azerbaijan province welfare. The data were collected by a researcher- made questionnaire based on on the theory of Bardvik and the burnout theory of Maslach. For assessing the validity (Symbolic or formal) and thee reliability SPSS was used which showed 0/760 and 0/880, respectively. The data were analyzed by descriptive and inferential statistics. Result: All variables in the research hypotheses, other than those of the first and second hypotheses, appeared to have a significant correlation, with a correlation coefficient of 0. 056 which is less than less than 0.05. According to the statistics tables and linear regression analysis, it could be concluded that per unit change in the independent variable is explained by a change in the dependent variable.  Conclusion: The results indicate that, career plateau and its dimensions, except for the lack of learning, are effective on staff burnout in Welfare Organization of East Azerbaijan province. Career Plateau Dimensions of Career Plateau Burnout Dimensions of Job Burnout 2015 7 01 67 78 http://jha.iums.ac.ir/article-1-1663-en.pdf
60-1702 2024-03-29 10.1002
Journal of Health Administration jha 2008-1200 2008-1219 10.22034 2015 18 60 The Impact of Accreditation on Productivity Indexes in Firoozgar Hospital in Tehran M Salehian Salehian_MS@yahoo.com L Riahi L.riahi@srbiau.ac.ir A Biglarian abiglarian@uswr.ac.ir Introduction: Accreditation, as an international diagnostic evaluation process, can improve productivity indexes through enhancing medical service quality. The current study aimed to assess the impact of accreditation on productivity indexes in Firoozgar hospital in Tehran. Methods: This practical, analytical-interventional and cross-sectional study was conducted during 2011-2012 in Firoozgar hospital in Tehran. Data forms were used for collecting data which were then analyzed using SPSS and R (Ver. 3.0.1) and the statistical methods employed were ratio and paired-t tests. Results: Productivity indexes were studied based on four axes which included eleven ratios. Based on the findings, accreditation had a significant impact on income-expense axis, a relative influence on performance indexes axis and specific unit axis and no impact on human resource axis. Conclusion: Considering the relative impact of accreditation on the improvement of hospital productivity indexes, it can be concluded that it lead to more quality services to patients and decrease many problems in this section. Therefore, managers are recommended to implement it in their hospitals. Accreditation Productivity Indexes Hospital 2015 7 01 79 89 http://jha.iums.ac.ir/article-1-1702-en.pdf
60-1716 2024-03-29 10.1002
Journal of Health Administration jha 2008-1200 2008-1219 10.22034 2015 18 60 Identifying and Prioritizing Factors Affecting Patient`s Satisfaction of Health Centers Services of Iran University of Medical Sciences: A Hybrid Multiple Criteria Decision Making Approach Kh Azizi khosroazizi@gmail.com M Mirkazemi Mood md.mirkazemi@gmail.com A Mazdaki mohtextile@yahoo.com M Mirkazemi Mood mohamad_mirkazemi@yahoo.com Introduction: Implementing the health care transformation plan requires health centers to pay more attention to patient rights and satisfaction. However, organizations, because of limited resources, have to identify the most important factors affecting customer satisfaction and improve them. The current study aimed to propose an approach to identify and prioritize the affecting factors on customer satisfaction of health centers services. Methods: The current study uses a hybrid approach including Delphi, DEMATEL and ANP methods. Data are gathered and analyzed using questionnaires and mentioned methods. Results: The most important factors from the customer;#39s perspective were professional competence, cost of treatment and employees behavior and from the expert;#39s perspective, the most important factors were physician communication, professional competence and cost of treatment.  Conclusion: There some similarities and differences between experts and customer`s view therefore, it is very important for the managers to consider both resources while making decisions. Moreover, the findings show that the interpersonal relations factors are more important than hardware factors in health care. Patient Satisfaction Health care Multiple Criteria Decision Making 2015 7 01 90 104 http://jha.iums.ac.ir/article-1-1716-en.pdf
60-1718 2024-03-29 10.1002
Journal of Health Administration jha 2008-1200 2008-1219 10.22034 2015 18 60 Factors Affecting the Development of Evidence-Based Health Policy Papers at the Ministry of Health Care and Medical Education M H Imani Nasab imani_mh@yahoo.com S H Seyedin h.seyedin@iums.ac.ir S R Majdzadeh rezamajd@tums.ac.ir B Yazdizadeh baharehyazdizadeh@yahoo.com M Salehi salehi74@yahoo.com Introduction: Successful reduction in the gap between applied knowledge and pure knowledge, depends on the identification of factors affecting it .The objective of the study was to identify the barriers and facilitators to the development of evidence-based papers from the perspective of their producers at the Ministry of Health Care and Medical Education headquarter office. Methods: Qualitative approach and framework analysis were used in this study. Semi-structured interviews were conducted with a purposive sample of producers of evidence-based policy papers. MAXQDA10 Software was used to applying the codes and managing the data.  Results: Three themes of behavioral beliefs, normative beliefs and control beliefs and 18 subthemes were identified. Behavioral beliefs included: knowledge and innovation, quality of policy papers, use of resources, contextualization and time-consuming normative beliefs consisted of policymakers, policy authorities, policy administrators, and co-workers and control beliefs involved: access to evidence, recruitment policy, management and policy stability, performance management, empowerment, policy making process, physical environment, and competing factors. Conclusion: Most of the barriers were related to control beliefs. This finding corresponds to 85/15 rule in TQM (Total Quality Management). This theory-based study identified the factors influencing the development of evidence-based policy papers in terms of all the components of theory of planned behavior, but the factors identified in the exploratory studies were related to one component of the theory. This finding advocates the theoretical approach to identify affecting factors on a behavior. health policy research utilization theory of planned behavior Iran 2015 7 01 105 117 http://jha.iums.ac.ir/article-1-1718-en.pdf