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The objective of this research is to determine and compare the degree of the usage of Vancouver style and ISO Standards on the specialized doctoral theses of Kerman University of Medical Sciences. The collection of 205 theses under study, acquired from 1989 until June 2000 in the fields of orthopedics, pediatrics, anesthesiology, pathology, dermatology, general surgery, neurosurgery, ophthalmology, internal diseaes, radiology, psychiatry, gynecology, otOlaryngOlOgy, and neurology. The information was gathered by a check-list and the findings have been demonstrated in tables and diagrams. The research results show: - In all studied theses, the usage degree of Vancouver style is used(70.8%) and the ISO-Standards is (53.6%). - The usage degree of Vancouver style in Psychiatry theses (80.2%) and Neurology (77.9%) were
 - The usage degree of ISO-Standards in ophthalmology theses (57.7%) and Gynecology (57.1%) were more than the other fields. - In the "Methods" (76.7%) and "Conclusions" sections(75.3%) Vancouver style was used more than the other sections and the "Title Page" section(74.5%) have used ISO-Standards more than the other sections. The test of the research hypothesis showed that in specialized doctoral theses of Kerman University of Medical Sciences,there is a significant difference between Vancouver and With regard to the research findings, based on Vancouver style and ISO Standards, It is recommended that a national persian theses-writting standard should be compiled and selected for medical sciences universities all over the country.

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Introduction: Reducing health care costs and providing high quality health care services are of prime importance. The present study aims to employ the concept of electronic service quality in health care industry to provide a framework for analysis and evaluation of electronic health care services.
 Methods: This study was conducted between 2012 and 2013, and the data collection was done in the same period. In this study, a model was developed on the basis of multi-criteria decision making methods which included a combination of Analysis Network Process for obtaining criteria of electronic service quality and FUZZY TOPSIS for evaluation and prioritization of E-health care providers. The instrument of the study was the questionnaire of analytic network process and FUZZY TOPSIS, evaluated in four hospitals in Rasht. The data were analyzed by Super-decision Software. Criteria associated with SERVQUAL electronic evaluation were also used.
Results: In the present study, six primary criteria and 19 sub-criteria were used. Four hospitals Golsar, Qaem, Aria and Pour Sina obtained ranks 1 to 4, respectively, and each one received a rank based on criteria and sub-criteria identified in the study reflecting their importance.
Conclusions: The findings of the present study show the importance of each criterion pertaining to Electronic Service Quality leading to improvement of health care service delivery.

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Introduction: Health centers around the world are facing significant pressures to increase productivity. Therefore, in order to improve the quality of services and to create competitive advantages in these centers, we need to implement lean principles. The purpose of this study was to identify and prioritize the key factors affecting the implementation of lean thinking in the field of health services.
Methods: This research is a kind of applied-descriptive study that was conducted in 2019. The data collection procedure included a questionnaire, articles, as well as interviewing experts. The study population included 15 managers, specialists, and experts in the field of health in five medical centers in Isfahan. After reviewing the literature, 16 factors influencing the implementation of lean thinking in the field of health services were identified and the most important ones were screened using the fuzzy Delphi method. Then, using the DEMATEL technique, the internal relationships between these factors were investigated and the most important ones were identified and prioritized using the Analytic Network Process.
 Results: The results indicated that "active leadership", "infrastructure of health centers", "staff resilience", "clear goals", "investing money and time", " staff participation", "step-by-step approach", "training", "monitoring and executing audits" and "paying attention to the concept of team" are respectively the most important factors for the successful implementation of lean thinking in health services.
Conclusion: In an effort to achieve success in implementing a pure system, health care organizations must strengthen leadership, provide the necessary infrastructure, and ensure adequate resource allocation. Management already needs to have clear goals in advancing projects. In addition, a step-by-step approach as an important way to improve project implementation can help to accurately understand the process of implementing pure principles.