2024-03-29T09:56:28+04:30 http://jha.iums.ac.ir/browse.php?mag_id=63&slc_lang=fa&sid=1
63-1933 2024-03-29 10.1002
Journal of Health Administration jha 2008-1200 2008-1219 10.22034 2016 19 63 Comments on: Survival Analysis of Patients with Thalassemia Major Using Parametric and Semi-Parametric Survival Models M Shams beiranvand mehran.shams.b@gmail.com ندارد ندارد 2016 4 01 7 8 http://jha.iums.ac.ir/article-1-1933-en.pdf
63-1768 2024-03-29 10.1002
Journal of Health Administration jha 2008-1200 2008-1219 10.22034 2016 19 63 Locating and allocating health services with regard to cost and efficiency: case study Amol city M Navaee-Joghtaee mehdinava@ymail.com M Rajabzadeh m.rajabzadeh@ub.ac.ir A Bozorgi-Amiri alibozorgi@ut.ac.ir ABSTRACT Introduction: Locating hospitals and health care centers and assigning them to clients is one of the major challenges that managers and urban planners encounter it. Right decision in this area is so important that wrong decisions in addition to increasing costs of providing health services, can cause irreparable damages to the individual and social health. The efficiency of such models is critical so that decision-makers in this field has always been committed to make effective use of available resources. Method: In this paper, a multi objective linear programming model has developed based on simultaneous consideration of locating and allocating services in health centers. Further, using data envelopment analysis in this model caused to locate and assign services at maximum efficiency. The model was used for locating and allocating available services in Amol hospitals. To solve the proposed model the weighting method and the augmented epsilon constraint approach were applied. Results showed that the augmented epsilon constraint has a better capability than the other method to solve this problem Outcomes: The model enables decision makers to consider quality in addition to the cost in locating and allocating procedure. Increasing efficiency along with considering costs are achievements of proposed model for health decision makers. Conclusions: The Pareto results that achieved from solving proposed model can be a suitable base for making decisions. Managers can compare obtained solutions and their optimality and make proper decisions. The performed case study showed that the model has a proper performance in locating and allocating available services in Amol hospitals. Facility location Hospital DEA Augmented epsilon constraint 2016 4 01 21 33 http://jha.iums.ac.ir/article-1-1768-en.pdf
63-1778 2024-03-29 10.1002
Journal of Health Administration jha 2008-1200 2008-1219 10.22034 2016 19 63 The effect of Spiritual Intelligence on the productivity of employees at Isfahan University of Medical Sciences Based on Structural Equation Model M Shiasi shiasim12@gmail.com A Etebarian etebarian@khuisf.ac.ir Z Zarrin abadi M Ahmadi Introduction: Spirituality is considered as an important issue not only in organizations but also in everyday life. This study aimed to analyze the role of spiritual intelligence in the productivity of employees at Isfahan University of Medical Sciences. Methods: This applied, descriptive- correlation study was conducted in 2014. The population consisted of 900 people including all finance staff and managers of Isfahan University of Medical Sciences. King questionnaire (version 2008) was used to collect data on spiritual intelligence and a researcher developed questionnaire was used to measure productivity. Data were analyzed using structural equation modeling techniques, descriptive statistics, SPSS software (version 19) and LISREL. Results: The ratio of LISREL output, 0.48, indicated a good model fit and a t-value of 5.04 confirmed the effectiveness factor. The results showed that t- values of variables were greater than 1.96 which indicates a positive and significant impact of spiritual intelligence on the productivity of employees. Conclusion: The enhancement of productivity can be achieved through reinforcing spiritual intelligence of employees. Spiritual intelligence Productivity Employee Isfahan University of Medical Sciences Structural equation model 2016 4 01 34 44 http://jha.iums.ac.ir/article-1-1778-en.pdf
63-1828 2024-03-29 10.1002
Journal of Health Administration jha 2008-1200 2008-1219 10.22034 2016 19 63 Reporting Problems of National Nosocomial Infections Surveillance System (NNIS) in Tabriz Hospitals A Kousha amkusah@hotmail.com N Kavakebi kavakebi.n@gmail.com F Alikhah farzaneh-alikhah@yahoo.com Introduction: Identifying and reporting nosocomial infections are at the center of attention of healthcare. The present study was carried out to study the problems of the National Nosocomial Infections Surveillance System (NNIS). Methods: This mixed (Qualitative- Quantitative) descriptive study was performed in 2011. In the qualitative section, after a semi- structured interview, a questionnaire was designed and its validity was approved using experts’ opinion technique. The study population of the quantitative section included all hospitals in Tabriz and the samples consisted on 77 members of the hospitals’ Infection Control Committees, selected by means of 2-stage cluster sampling method. Qualitative data were analyzed using content analysis technique and Quantitative data were analyzed by descriptive statistical methods using SPSS 17 Software. Results: The incidence of nosocomial infections reported according to the NNIS system was 0.56% showing low report of nosocomial infections which have resulted from lack of commitment of some physicians to documentation and reporting of nosocomial infection symptoms, lack of their active participation in Infection Control Committees, lack of appropriate validation system to identify problems, and lack of post-discharge follow up system for operated patients. Conclusion: To solve the problems of National Nosocomial Infections Surveillance System and help produce accurate reporting of nosocomial infections, hospital infection control committee should play an active role by supporting senior management and greater participation of infection control practitioners. To solve the problems above, re-evaluation of the reporting process is recommended. Nosocomial Infections Hospital Content Analysis 2016 4 01 45 54 http://jha.iums.ac.ir/article-1-1828-en.pdf
63-1849 2024-03-29 10.1002
Journal of Health Administration jha 2008-1200 2008-1219 10.22034 2016 19 63 Catastrophic and Impoverishing Health Expenditure in Tehran Urban Population S Bagheri faradonb s.bagheri88@yahoo.com M Arab arabmoha@tums.ac.ir M Roodbari mroudbari@yahoo.co.uk A Rezapoor rezapoor_a57@yahoo.com H Bagheri faradonbeh h_bf69@yahoo.com F Ebadifard azar dr_febadi@yahoo.com Introduction: Measurement of financial support for health services is determined by household out of pocket expenditure for health which is associated with two approaches: catastrophic and impoverishing health expenditures. Therefore, this study aimed to investigate the catastrophic and impoverishing health expenditure in Tehran urban population. Method: This cross-sectional study was conducted in Tehran in 2013. The data were collected through interview and observation using a household expenditure questionnaire. In order to estimate the effects of factors affecting catastrophic health expenditure and impoverishing health expenditure, data analysis was done using Pearson test, one variable and multivariate logistic models, Excel and STATA Software. Results: According to the finding 2.4% of households fell below the poverty line, 6.7% of families households had to pay out of pocket, and 3.8% were identified as facing catastrophic health expenditures as a result of out-of-pocket payment for health. Conclusion: There are some key factors influencing health expenditure, such as head of household education level, the presence of people over 60 years in household, the use of inpatient services and the volume of use. Therefore, it is recommended that health policy makers and insurance organizations implement health insurance plans and reduce the health services tariff and out of pocket expenditure on health. Keywords: Out of Pocket, Catastrophic Health Expenditures, Impoverishing Health Expenditures. out of pocket catastrophic health expenditures impoverishing health expenditures. 2016 4 01 55 67 http://jha.iums.ac.ir/article-1-1849-en.pdf
63-1850 2024-03-29 10.1002
Journal of Health Administration jha 2008-1200 2008-1219 10.22034 2016 19 63 International Performance of Iranian Medical Science Journals in Journal Citation Reports MA Erfanmanesh amin.erfanmanesh@gmail.com F Nojavan amin.erfanmanesh@gmail.com Introduction: With an increasing number of Iranian scientific journals indexed by international databases, assessment of their performance and status is also needed. The present study aims to investigate the international performance of Iranian medical journals. Methods: To conduct the current study, bibliometric research method has been applied. International statuses of 21 Iranian medical journals indexed by Journal Citation Report (JCR) 2013 were studied using 20 different indicators. Web of Science (WoS), JCR and journals’ websites were used for data gathering. Results: Results of the study revealed that most of the papers published in the journals under study were written by Iranian researchers. Moreover, only 23.35% of citations to Iranian medical journals have been received from foreign papers or Iranian internationally collaborative papers.  Based on the findings, no Iranian journal has impact factor above the median of the journals in the disciplinary category areas in which it is classified in JCR. Statistically significant relationships were found between foreign authorship and foreign citations as well as internationally- collaborative authorship and internationally-collaborative citations. This suggests that Iranian journals should attract more high quality international papers to increase their quality. Conclusion: The findings indicated that the share of international authorship, citations and editorial board membership in Iranian medical journals is low. International Visibility Iranian Medical Science Journals Journal Citation Reports Web of Science 2016 4 01 68 80 http://jha.iums.ac.ir/article-1-1850-en.pdf
63-1877 2024-03-29 10.1002
Journal of Health Administration jha 2008-1200 2008-1219 10.22034 2016 19 63 Health Care Expenditures and their Determinants: Iran Provinces (2006-2011) S Rezaei satarrezaei@gmail.com AA Dindar rezapoor_a57@yahoo.com A Rezapour rezapoor_a57@yahoo.com Introduction: Considering rapid growth in healthcare expenditures, identifying the factors affecting them is an important health policy issue. This study aimed to identify major factors affecting household healthcare expenditures across provinces of Iran using panel data model. Methods: This was a descriptive- analytical and retrospective study conducted from 2006 to 2011. Data on household health expenditure per capita as a dependent variable and the number of physicians per 10,000 populations, urbanization, proportion of the population over 65 years old, per capita income and literacy rate as an independent variables were obtained from the yearbook data of provinces. The data were analyzed using STATA V.12. Results: The findings indicated a positive significant relationship between per capita income, number of physicians per 10000 populations and urbanization degree and household healthcare expenditures, the quantity elasticity of which were 0.22, 9.09 and 0.47, respectively. There was no significant relationship between literacy rate and the proportion of population over 65 years with healthcare expenditures. Conclusion: Income elasticity of health care expenditure was less than 1 indicating the health care as a necessary good across provinces of Iran. Therefore, it is suggested that the healthcare services be the object of public funding and government intervention. healthcare expenditures panel data elasticity of income Iran 2016 4 01 81 90 http://jha.iums.ac.ir/article-1-1877-en.pdf
63-1958 2024-03-29 10.1002
Journal of Health Administration jha 2008-1200 2008-1219 10.22034 2016 19 63 Gap Analysis between Current and Desired Situation of Succession Planning: A case study in Ministry of Health M Mehrtak m.mehrtak@arums.ac.ir SH Habibzadeh S Vatankhah vatankhah_s@yahoo.com M JaafariOori mehdi.jafari1081@yahoo.com B Deigoshaei bdelgoshaei@yahoo.com A Azari Introduction: Technological developments, globalization, the need for immediate reaction to environmental changes , reduction in costs in the presence of  of intense competition, and a decrease in loyalty among the staff are all to emphasis the need for Succession Planning in organizations. This study aimed to assess the current and desired situations of Succession Planning by gap analysis in Iran Ministry of Health and Medical Education in 2013. Methods: This study is cross-sectional. A questionnaire benefiting from the existing literature was developed by a research team about current and the desired situations of Succession Planning. After ensuring validity and reliability, the questionnaire was distributed among 268 people from general managers, Heads of offices, deputies of general managers, Heads of expert groups, responsible Experts and Experts by the census. The data were analyzed by SPSS18 , using  Paired T-test . Results: The current situation of organizations for Succession Planning based on  the six axes including planning, organizational culture, systems approach, model of competence, professional upgrade path and the role of senior managers in the research, was acceptable rating over 50 percent. At the same time the gap between the current and desired situation in all aspects, was significant. Average rating of the status quo was 1.06 with a standard deviation of 2.90 while it was   3.82 with a standard deviation of 0.89 for the desired situation. Conclusion: Given the  acceptable points in the current situation and a significant gap between current and desired situation for Succession Planning, it seems that the critical issue of Succession Planning should be taken into close consideration due to the nature and specific features of the organization under the study. Keywords: Succession Planning, Organization, Management, Ministry of Health Succession Planning Organization Management Ministry of Health 2016 4 01 91 100 http://jha.iums.ac.ir/article-1-1958-en.pdf