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 Introduction: psychologists believe that an individual success depends 20% on his Intelligence Quality (IQ) and 80% on his Emotional Intelligence (EQ). The relationship between EQ and efficiency of hospital managers has not been studied yet. To determine relationship between EQ and its five dimensions with efficiency of managers of Kermanshah's educational hospitals. 

Methods: This is a correlation - applied study. The studied population are 60 managers chosen from various management levels of Kermanshah educational hospitals. Data collection tool is a 33 questions using Shring questionnaire With Likert scale. Questionnaires were completed in self-answering method. Evaluating tools for managers' performance were annual evaluation forms, issued by Ministry Of Health. Data are presented by descriptive statistics indicators, and Pearson test.

Results: Subject managers in regards to EQ with gained mean 98/117 and 71/50 percent of total score were in strong to average status. In relation to dimensions of Emotional Intelligence, managers' skills on relation management and self management vector were strongest and weakest respectively. Managers' skills on self consciousness, social consciousness and self motivation vectors were in second, third and forth position. In relation to professional performance, managers with obtained mean score 88/22 and 80/20 percent of total score are in strong performance position. There was a significant positive correlation (r =0.0777) between managers, emotional intelligence and each of five dimensions of emotional intelligence and their professional performance.

Conclusion: Improvement in choosing hospital managers according their EQ skills, and training and upgrading EQ could improve their professional performance.

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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.

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Introduction: Medical records department‘s duties includes: collecting, editing, resorting the patients files, and it is one of the important departments in hospitals. Evaluation of medical records department in Iran shows that these departments have not achieved desirable standards and high quality services. The aim of present research was to evaluate the medical records department services (reception, statistical, coding, and filing) of Qom,s University of Medical Sciences Teaching-Curative hospitals.

Methods: Present research is a cross-sectional descriptive study in which the medical records departments services in Qom,s University of Medical Sciences Teaching-Curative hospitals ( AL Zahra, Ezadi, Her-Majesty Masomeh, Fatemi, Sahamiye, Kamkar , and Nekooyee) have been evaluated. Data have been collected by check lists completed by interviews and observations. Personals Demographic information for medical records departments also have been collected by questioner and face to face interviews. 

Results: Our findings showed that the average score of medical records departments of the Masomeh hospital 10.54, Izadi 11.79, Al- Zahra 12.21, Nekoyee 15.34, Kamkar 15.73, and Fatemi sahameyee 16.44, were of 20, in which their scores have been evaluated, Al Zahra , Izadi, and Her-Majesty Masomeh were Intermediate, Kamkar and Nekoyee Good, and Fatemyee sahamyee Very Good. 

Conclusions:Half of these hospital have a under desirables scores on their services, so in order to optimizing these departments services, it is necessary that first of all the medical records departments officers in studied hospital pay close attention to allocate resources for each departments according to relevance standards and secondly pay attention to present guidelines and documented procedures of each units, providing documented job-descriptions to staffs ,with definitions and work standards in case of each units activities, applying educated personal and suitable distribution of them in units.

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Introduction: Today, in most of developed countries, there is a transition phase from bourocratic and official situation to entrepreneurship position. that is why identification and expansion of entrepreneurship related traits especially among managers, is very important. The main objective of this research was to study the relation between entrepreneurship and managers' personality traits health care organizations affiliated with Tabriz University of Medical Sciences.

Methods: One-hundred sixty one employees at Tabriz universities health care organizations have been selected thorough cluster sampling method and their points of views about their managers' personalities in case of entrepreneurship, have been assessed. Data collecting tools were standard questioners of the personalities traits (Moqimi-1382) with constant coefficient = 0.8 and entrepreneurship questioners of Zabihi & Moqaddasi (1385) with constant coefficient = 0.78. The data have been collected with self-responding completed questioners. Results: In present research we found a significant and direct relation between managers' personalities traits and the organizations entrepreneurship (p<0.01 &r=0.65). Among managers' personalities traits, the best opportunities absorption has the most effect for the organization entrepreneurship (p<0.01 & F=23.17).

Conclusion: Managers' personalities traits have positive and significant relation with the organization's entrepreneurship, and for expanding the entrepreneurship behavior in hospitals and health care organization, developing the absorption personality's traits among manager is necessary.

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Introduction: The implementation of Rural Insurance and Family Physician Programs with the intention of reforming and improving the delivery of health care services nationwide started in 2005. However, the functionality of these programs has not been investigated yet. This study was done to determine the effect of Family Physician Program on mother and child health indices for rural population auspices of Mashhad University of Medical Sciences and Health Care Services (MUMS).

 Methods: The mean values of eight health indices of mothers and children living in 19 rural districts (Khorasan Razavi Province) of MUMS four years before and three years after the implementation of Family Physician Program (2001-2004 and 2005-2007, respectively) were compared using Analysis of Variance. The data were gathered by the employees of rural health houses (Behvarzes). As the program was being implemented in all rural areas simultaneously, there was no possibility to form any control group. Therefore, the mean values of indices for the experimental group before and after the program were compared.

 Results: Although the results did not show any significant difference between the mean values of indices before and after the implementation of the program, the trend of indices for the seven years of the study (2001-2007) confirmed the positive impact of the program.

Discussion: The overall improvement observed in mother and child indices after the implementation of Family Physician program can be viewed as the promising future outlook of the program to bring about further health improvements for the rural population.

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    Introduction: Patient safety is one of the most important issues in health care systems of developed countries. This study attempted to develop strategies and preventive measures for medical errors in public hospitals in Tehran.

 

 Methods: This is a descriptive survey in which the population included all process owners (12 person teams) of public hospitals in Tehran. The sample size was 396 individuals selected by stratified sampling. A questionnaire was used for data collection. Following the data collection, factor analysis was used to analyze the data.

 

 Results: The process owners (12 person teams), acknowledged the use of 12 strategies, accounted for 48.24% of the total variance, to prevent medical errors. The most and the least powerful strategies were related to human resources management and teamwork with the percentages of 7.81 and 1.93% respectively.

 

 Conclusion: The public hospitals in Tehran can improve the quality of clinical services by applying preventive measures, especially in the area of human resources management, through persuading health service providers to take an initial diagnostic test and to participate in periodic competency and empowerment courses.

 

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   Introduction: The family Practitioner and referral system is one of the main programs of the 4th social and economical development plans in health sector. Client satisfaction is a basic index in payment mechanism and performance monitoring process in family practitioner program . This study aimed to determine factors effective in the satisfaction of insured rural population of Sabzevar University of Medical Sciences.

  Methods: This cross-sectional study was conducted in rural population of Sabzevar in 2011. Data were collected by a valid and reliable questionnaire and were analyzed using independent t-test, ANOVA, Pearson Correlation coefficient and simple linear regression.

  Results: In the 8 aspects surveyed (care and reverence, safety and welfare, trust and belief in performance, waiting time, usefulness of actions, payment costs, paramedical unit performance and on time accessibility), the highest and the lowest levels of satisfaction were observed in payment costs, trust and belief in family practitioner performance, respectively. The correlation between sex, age, job, and marital status, and satisfaction rate was not significant. However, the relationship between residence, education, type of center and satisfaction of family practitioner was significant. Based on linear regression model, there was a significant correlation between patient satisfaction with family practitioner, residence, education, and the type of the center rendering services.

  Discussion: The results show that higher level of education, place of residence, and delivery from urban health centers may lead to more client satisfaction.

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Introduction: decentralization is known an improve process and Promotion of health system and Inevitable part of wide reforms to promote equity, efficiency, quality, Economic justification. Administrative assignment is a method for Decentralization of government. The aim of this study was Comparison of Efficiency and Effectiveness of Karaj Shahid Rajaie Hospital before and after decentralization.
Methods: This study was analytical and Comparison. Undertaken work cross - sectional. The data were collected via the questionnaire and Data collection form. After of data collection of before and after decentralization analysis was carried out with the SPSS 19 software and Statistical methods used are descriptive and analytical statistics (Mann-Whitney U).
Results: after of decentralization inpatient beds 4.8 %, occupation beds 3.6 % , percent of occupation Bed 0.3 % , numbers of discharge of those 3.4 % rate of rotation of the hospital bed 1.3 % was increase . Numbers of inpatient in the after decentralization 3.3 % and numbers of outpatient 16.5 % increased. hospital costs with inflation 2012, 19 % decreased and hospital total revenues was increase overall of 6.5 % .hospital infection rates in the after decentralization, 0.06 % increased .employee satisfaction average before of decentralization was mean and after decentralization was high. There are significant differences (P <0.0001), inpatient satisfaction average before of decentralization was low and after decentralization was mean. There are significant differences (P<0.0001).
Conclusion: Efficiency and Effectiveness of karaj Shahid Rajaie Hospital after decentralization was Improvement, therefore Politicians and managers of health system should good infrastructure for the use of this mechanism in order to health system reform , especially public Hospitals.

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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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Introduction: The outbreak of Covid-19 canceled unnecessary hospital admissions. Therefore, hospitals face economic consequences. In this context, this research has investigated the effect of the Corona virus pandemic on the revenue of a hospital in Tehran.
Methods: This study is retrospective interrupted time series studies.In this time series study, the monthly revenue of all services provided by a hospital in Tehran was collected and analyzed in the form of a census in two groups before and during the Covid-19 outbreak. Data analysis was done using Eviews. Chow test was used to detect structural breaks in the studied time series.
Results: The findings of this study showed that the outbreak of Covid-19 reduced the revenue of all hospital services. According to the negative coefficient of the variable of the Covid-19 period and the regression coefficient, it indicates the existence of a negative relationship between the total revenue of the hospital and the prevalence of Covid-19. After the outbreak of Covid-19, the revenue of laboratory services and internal services decreased by 50% compared to the previous year after the outbreak of Covid-19 and continued to decrease by 20%.
Conclusion: The results of the study showed in the Covid-19 pandemic, with the change of admission priorities, the number of referrals decreased due to the fear of the hospital being infected with financial shocks. it is suggested that the hospital managers take action to train the forces, improve service productivity, reduce costs, and make optimal use of potential financial and human resources during the peace period.