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Introduction: Health system management in Iran requires changes in health care system for population that goes to aging and are faced with changes in diseases patterns. One of these needs is the fundamental changes that must be made in the near future in the distribution of inpatient beds based on the needs of society. The purpose of this study was, therefore, to foresight the distribution of hospitals’ inpatient beds over the next 20 years.
Methods: This study is a applied research. At first, the age and sex structure of Iranian population was investigated and predicted through using data from census and mathematical methods. Then the rates of general groups of causes of death were calculated for the years of study and their 20-year trends were predicted using Lee-Carter's model. Next, based on the related data, the number of hospital beds were calculated by means of linear regression. To analyze the data, the demographic package of 18. 1 in R software, version 3. 3. 1, was adopted.
Result: It was found that while in 2006, the population over 60 years comprised 7. 3% of the total population, until 2035, the growth of the elderly population in Iran will be on the rise; so much so that and it is estimated that in year 2035, it will reach 17 percent of the population. Endocrine, nutritional, and metabolic diseases will have the greatest increase in the rate of death in the general population from 2006 to 2035, with an increase of 1878. 52 in 1000 people. Accordingly, the number of hospital beds with the highest and the lowest fertility assumptions will be 160,687 and 157,208 beds, respectively.
Conclusion: The findings indicate that over the next 20 years, the elderly population of Iran will increase and non-communicable diseases will account for a large percentage of the diseases and causes of death. Therefore, proper and accurate planning and policies are essential to meet the society needs, especially in the treatment sector for the allocation of beds.
 

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Introduction: Hospitals, major components of health system, have a high contribution to healthcare resources. Therefore, considering the importance of hospital holding in effective and efficient hospital management, the current study aimed to identify and explain the role and importance of factors affecting hospital holding administration in Iran Social Security Organization.
Methods: This was an applied-descriptive study. First, the variables and key factors affecting hospital holding administration were extracted through a literature review and an interview with 15 content experts. Based on the results a questionnaire was developed and distributed among 405 staff and line managers and experts working in the Social Security Organizations in Iran. Data were analyzed by SPSS23 and AMOS24 using exploratory and confirmatory factor analyses Structural Equations Modeling.  
Results: Five factors affecting hospital holding administration were identified including strategic planning, financing, decision rights, monitoring and evaluation, and accountability. Financing and decision rights, with factor loadings of 0.83 and 0.44, had the most and least significant effects on Social Security Organization hospital holding administration, respectively.
Conclusion: All five factors are required for effective and efficient hospital holdings administration; however, it is recommended to pay more attention to financing and monitoring and evaluation.

 

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Introduction: One of the approaches that influences the decision-making and management of universities is evidence-based management. Evidence-based management requires managerial and organizational decisions and informed actions using the best available evidence in which the best evidence is used as norms and standards. Therefore, in line with the importance of this issue, the present study aimed to determine the sources of evidence used in decision making of staff managers in Iran University of Medical Sciences.
Methods: The present descriptive-analytical study was conducted in 2019 among 71 managers of Iran University of Medical Sciences. The research tool was a standard evidence-based management questionnaire. In this study, the sampling was not carried out and all managers participated in it. Spearman test and SPSS-24 software were also used to analyze the data.
Results: The findings of the study on the sources of evidence used by managers in organizational decisions and programs showed that the highest source of evidence was socio-political development program and the lowest was the use of sources of scientific research evidence.
Conclusion: Any decision that is made without evidence-based management cannot be considered evidence-based and can have negative outcomes in any decision-making organization. Therefore, it is necessary that the relevant officials and policy makers provide a suitable platform by formulating specialized policies and providing the necessary infrastructure to reduce the gap between the current situation and the evidence-based management model.

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