Iran University of Medical Sciences Journal of Health Administration 2008-1200 2008-1219 4 8 2001 4 1 Hospital Administration & Efficiency at Teaching Hospitals Affilated with Iran University of Medical Sciences 1 11 FA H Salmanzadeh Y objective: To determine the relationship between hospital management and indexes of efficiency at teaching hospitals affiliated with Iran University of Medical Sciences in 1999. Methods: The study was descriptive - analytical and cross-sectional in nature. Data was collected by two questionnaires. Ten teaching hospitals affiliated with Iran University of Medical Sciences comprised the study population(365). Hospital directors, managers, matrons, department heads, and a number of senior staff, selected randomly, responded to the questions to obtain a general standard. The attitudes of experts in hospital management and faculty members were included. Bed occupancy rate was used as an important criterion in the study. Finding(s): The study revealed a considerable deviation from the existings standards. Conclusion(s): Bed occupancy rate plays a crucial role in increasing hospital efficiency, influencing other indexes of efficiency. Hospital Manangement, Efficiency, Teaching Hospitals, bed occupancy http://jha.iums.ac.ir/article-1-787-en.html http://jha.iums.ac.ir/article-1-787-en.pdf

Iran University of Medical Sciences Journal of Health Administration 2008-1200 2008-1219 4 8 2001 4 1 A Study of Hospital Management Performance at Isfahan Alzahra Hospital as Compared with Standard Indexes 12 20 FA N Khalesi Y MR Mikelani N Objective: This research was carried out in the first half of the year 1999 to review the performance of Alzahra Hospital in Isfahan and to compare it with the existing standards. Methods: A descriptive - comparative method was used in this research. Data was collected by observation, interview and a check list. The four utilization indexes, including bed occupancy rate, the average length of stay, and turnover were calculated and compared against the existing standards. Findings: The percentage of bed occupancy in the study hospital was 55.5% coming close to the country's average rate of 58%. Nevertheless, this rating was quite far from the world's standard (85%). The average length of stay (5.5), complies with the world standard. Conclusions: Raising bed occupancy rate, and what it involves calls for long term, and comprehensive planning. This up rating requires an increase in the inpatient admissions and what it entails, which consequently results in the increase in the bed performance rate. Hospital Management, Performance, Standard http://jha.iums.ac.ir/article-1-788-en.html http://jha.iums.ac.ir/article-1-788-en.pdf

Iran University of Medical Sciences Journal of Health Administration 2008-1200 2008-1219 4 8 2001 4 1 A Study of The Attitudes of Working Graduates of Medical Records Toward The Rilationship Between College Educaion and Occupation 21 29 FA A hajavi Y F hoseini N L Gholamhoseini N Objective: To determine the attitudes of the graduates working in the department of mediccal records toward the relationship between educational programs, and employment in the hospitals affiliated to Iran, Shahid Beheshti, and Tehran universities of medical sciences. Methods: The research sample society includes the graduates of associate and bachlor's degrees, working in the department of medical records, Samples of comprised 131 individuals, of whom 53 were undergraduates, and 78 graduates. The data was compiled by questionnaires and personal visits made to the hospitals. Finding(s): 29% of the subjects were engaged in the filing unit, and 6.1 % in the administration. Approximately, half of the subjects had less than 2 years of work experience, and those with more experience were mostly working in the administration unit. These peaple considered factors such as "work experience" and "the combination of theoretical education and work experience" effective regarding the quality of conducting medical records. In addition to these, 76% of the subjects believed that their scientific and practical knowledge is not evaluated. In regards to the effectiveness of core courses of associate degree program, the priority was as follows: physiology and anatomy (52%), mecical terminology books I & II (51.9%), and disease coding (55.4%). The ratings for the basic and specialized courses of bachelor's degree were medical terminology III & IV (43.8%), and disease coding III and IV at 57.1 %. Conclusion(s): The results of the study indicated that the existing coursework for associate and bechelor's degrees need to be revised. Attitude, Graduate, Teaching Hospital, Medical Record Department http://jha.iums.ac.ir/article-1-789-en.html http://jha.iums.ac.ir/article-1-789-en.pdf

Iran University of Medical Sciences Journal of Health Administration 2008-1200 2008-1219 4 8 2001 4 1 A Study of General Teaching Hospitals Efficiency at Kermanshah University of Medical Sciences 30 39 FA B Karami matin Y Objective: To determine the efficiency of general teaching hospitals affiliated with Kermanshah University of Medical Sciences in the spring, 2000. Methods: The study was cross - sectional in nature. Taleghani and Imam Khomeini teaching and treatment centers comprised the sample population. Data was collected through special forms. Indexes of efficiency were calculated and presented by charts. Findinges: Active beds at Taleghani and Imam khomeini hospitals are 100% and 93%, respectively. Bed Occupancy Rate is 63% at Imam Khomeini Hospital and 55% at Taleghani hospital. Bed day cost to Rls. 253,963 at Taleghni Hospital and Rls. 297,946 at Imam khomeini Hospital. Other indexes of efficiency were also computed. Conclusion(s): Hospitals may not be able to function effectively unless special attention is devoted to the indexes of efficiency. Efficiency, General - Teaching Hospitals; Kermanshah University of Medical Sciences http://jha.iums.ac.ir/article-1-791-en.html http://jha.iums.ac.ir/article-1-791-en.pdf

Iran University of Medical Sciences Journal of Health Administration 2008-1200 2008-1219 4 8 2001 4 1 Infection Controlling System at Teaching Hospitals Affiliated with Shiraz University of Medical Sciences 59 80 FA P Parvizrad Y Objective: To study hospital infection control system (organization and operations) at hospitals affiliated with Shiraz University of Medical Sciences and to provide guidlines. Methods: The study was descriptive - analytical and cross-sectional in nature. Hospital managers, nurses, control committee staff of the Central Infection Control Commission of Fars province comprised the subjects of the study. Data was collected by questionnaires, interviews, and observations. Finding(s): A low percentage of nurses (15.38%) were in charge of infection control and the rest (84.62%) were involved with other activities. Nurses scored the highest (61.53) in terms of their roles in infection control, and hospital managers ranked the second (53.84). Conclusion(s): Considering the crucial role hospital infection control plays, necessary workforce, including enviornment health experts and epidemiologists should be employed. Nosocomial infection control, Hospital infection control, program organization and operations http://jha.iums.ac.ir/article-1-792-en.html http://jha.iums.ac.ir/article-1-792-en.pdf

Iran University of Medical Sciences Journal of Health Administration 2008-1200 2008-1219 4 8 2001 4 1 Does Herzberg\'s Motivation - Hygiene Theory Apply to IUMS Faculty Members? 81 86 FA M bastani Y Objective: This research was carried out to survey the factors influencing job satisfaction in the IUMS faculty members. and also to examine the Herzberg motivation - hygiene theory. Method: This research was descriptive - analytic III nature. The data was compiled by questionnaires. Finding(s): Factors such as promotion, job importance, challenge, and appreciation, lead to job satisfaction. Furthermore, salaries and fring benefits, administrative policies, staff intimacy, and job security prevent job dissatisfaction. Conclusion(s): Noting that motivation is an inner stimulus leading to behaviour changes, and considering that inner rewards create faculty job satisfaction, the responsibility lies with the administration of the university to try its best to promote motivational factors and inner rewards. Job satisfaction, Motivational Factors, Hygiene Factors http://jha.iums.ac.ir/article-1-793-en.html http://jha.iums.ac.ir/article-1-793-en.pdf

Iran University of Medical Sciences Journal of Health Administration 2008-1200 2008-1219 4 8 2001 4 1 The Exprience of a Young Physician in Organizational Behaviour 87 99 FA A Davari Y The present study investigated the quality of services offered by No.4 Health Center in Ardekan. It was found that, due to the poor quality of the services, Patients are not reasonably attracted to the center. However, the head of the center managed to raise the quality of services and employee satisfaction through implementation of motivational program for the staff, Which also led to patient satisfaction. Personal Motivation, Organization Behaviour http://jha.iums.ac.ir/article-1-794-en.html http://jha.iums.ac.ir/article-1-794-en.pdf