HOSPITAL
Year:2011 | Volume:10 | Issue:2 (37)|Papers Count:11

Background: Human resources is one of the most valuable organizational resource. One of the benefit creation elements such as productivity is Organizational Citizenship Behavior. It is obvious that world is changing and one of the changing results is workless, quarrel and Pertinacity. These behaviors not only affect in organization performance, but also affect in personal and cooperation employees’ relationships. Therefore, the organizational efforts should be decrease such behaviors and increasing the behaviors that create benefits such as productivity to organizations which entitled Organizational Citizenship Behaviors.Materials and Methods: This is an association study between Organizational Citizenship Behavior and staffs’ productivity among six hospitals in Tehran and Shahid Beheshti universities of medical sciences. The data collected by two questionnaires thorough 429 hospital staffs. This is a cross sectional- descriptive research as a field study. The sample size enriched through multistage sampling methodology. To testing the hypotheses, spearman correlations and regression analyses by SPSS software (version 16) applied.Results: The findings show that there is a significant association between Organizational Citizenship Behavior with staff's productivity. It means that organizational citizenship behavior had obvious impact on staff's productivity.Conclusion: This research showed that there was relation between Organizational Citizenship Behavior and staff's productivity. Meanwhile, some of indexes were related to staff's productivity, and some of them were not. And then some factors as causes of improvement analyzed.

Background: Escalating economic costs due to prevalence of diabetes, particularly in epidemiologic transition era, makes assessing of socio-economic status of diabetic patients as a necessity.Materials and Methods: A cross sectional study was conducted on type 2 diabetic patients with complications in four major teaching hospitals affiliated with TUMS during July 2009 to March 2010. Based on a randomized sampling, 530 patients were interviewed through a questionnaire with 85% response rate (450 patients). The applied questionnaire composed of 42 questions based on “Yes” or “No”, and likert questions. Internal validity of applied tools in this study was 0.89. Data analyzed by SPSS version 11.5.Results: The majority of patients had experienced one or more complications. Findings revealed that (50%) of the patients suffered from one complication, (33.6%) had two complications, and (16.4%) had three complications of type 2 diabetes. Patients with one complication (22.2%) had cardiovascular, participants with two complications (12.7%) had both cardiovascular and eye outcomes, and patients with (cardiovascular, eye and foot ulcer) outcomes were (14%). Number of complications had significant association with sex, age, education level, type of occupation, duration of diabetes at (p<0.001), and social class (p=0.002).Conclusion: It seems that patients with low socio-economic status have more challenges in their social environment with less psychological support. Health care systems are responsible to empower diabetic patients to control the complications of their illness and help them to feel a better life to alive.

Background: Emotional intelligence skills are considered as the main factors in effective leadership and career to success of managers. The present study carried out to investigate the rate of emotional intelligence and its relation to manager performance in selected public and private hospitals in Tehran.Materials & methods: This is a descriptive analyzing study which used cross-sectional method. The sample size of the study (N=120) were all senior and middle level managers in public and private hospitals affiliated to the medical universities of Tehran, Iran and Shahid Beheshti. Regarding the purpose of the study as an evaluation of managers’ performances the viewing of three employees (related to the managers) applied in mentioned hospitals. The applied questionnaires composed on; the standardized questionnaire (shrink Questionnaire), and a researcher-designed questionnaire. Correlation coefficient of researcher-designed questionnaire was 88% which indicated the good reliability to the questionnaire. To the viewpoints selecting of 360 employees Shrink Questionnaire was used. The total of 480 questionnaires analyzed throughout Kolmogrov Smirno, Manwitny, and Kruskal-Wallis tests.Results: There was association between emotional intelligence and performance of managers; however, there was no significant relationship with the domains of emotional intelligence. Regarding the factors in different domains of emotional intelligence; social skills (60%) and self-motivation (50%) were in the highest and lowest levels respectively. The total amount of emotional intelligence was 56%.Conclusion: There is no significant association between emotional intelligence; in all domains with managers’ performance.

Background: Iranian National Productivity & Excellence Award was launched in 2002 and within the past eight years, top organizations have been recognized by this award system. In the year 2006, some changes were applied and healthcare sector was separated from other segments. Also in the year 2010, the model revised but there was no introduction of any specialized model for healthcare sector. The aim get of this article is to describe the necessity of re-conceptualization of EFQM model for healthcare sector to be applied in National Productivity & Excellence Award.Materials and Methods: Showing the necessity of re-conceptualizingexcellence model in the healthcare sector, two questions were carried out: “Is there any evidence of using excellence models (especially EFQM model) by the healthcare sector (especially hospitals) for improvement planning?” (In fact, is it demanding by healthcare sector to specialize and re-conceptualize the EFQM model?) And if the answer of this question is yes, “What is done so far now to specialize and re-conceptualize the EFQM model for healthcare sector?” to answer the two mentioned questions, different studies were done in science bases. The gathered sources and materials divided in three groups for more reviews.Results: The findings of studied sources were presented in three following groups: “Proportionate the excellence models for healthcare sectorand using of it”, “Assessment and performance management in base of organizational excellence models in healthcare sector”, and “Statistical examination of the effectiveness of using organizational excellence models and quality models in healthcare sector”.Conclusion: The study shows that there are too many experiences of using excellence models (especially EFQM model) in healthcare sector (especially hospitals) for improvement planning, but there was no experience of specializing and re-conceptualizing the EFQM excellence model for healthcare sector so far. Therefore, specializing and re-conceptualizing the EFQM excellence model is necessary for healthcare sector.

Background: The knowledge of management is one of the achievements in the era of information, knowledge and qualification. In this regards there are many successful organizations take advantage of knowledge management. Since changing the organizational culture is one of the most important aspects of each knowledge management system, so studying of the organizational culture features and its roles to establish of the knowledge management should be necessary. The present study attemptes to investigate the relationships between organizational culture and knowledge management in the Hasheminezhad Hospital in Tehran province.Materials and Methods: This research is a descriptive, Cross- Sectional study carried out in the summer 2009. The research population comprised all employees in Hasheminezhad Hospital. The sample size composed of 120 employees selected through Randomized- Stratified method. Standard Denison Questionnaire was used to data collection and analyzing. T-Test, Anova and pierson correlation tests applied throught SPSS software.Results: The majority of employees in the hospital (%72) evaluated that organizational culture status in the hospital was suitable. The hospital gained was the highest score in concerning involvement and the lowest score belong to consistency. The status of knowledge management via participants was in moderate (%63). Generaally, there was a significant assosiation between organizational culture and knowledge management at p-value 0.000 and r-value 0.75 at a level 0.01.Conclusion: The organizational culture and knowledge management in the hospital were found as an acceptable level, which could be made the successful way of changing that might be helpful to managers to predict of prioritize systematic changes and set up of strategies to successful implementations in terms of management techniques and process.

Background: in activity based on costing, first, activities determined, then direct and indirect costs of activities based on allocation methods computed. The aim of this study was to compute the cost price by using Activity Based Costing (ABC) method in a radiology ward of Golestan hospital in Ahvaz University of medical sciences.Methods and materials: This is an applied, cross-sectional study. In this research, the cost prices of 35 routine services of radiology wards (based on a table in public definition) calculated through using activity based on costing method in Golestan hospital in Ahvaz University of medical sciences. Data gathering tools included lists and the pertain Forms to compute the direct and indirect costs of radiology services and other activities in centers. To calculate of proportion in other wards and radiology units, first, allocation and then costs were determined, and then direct allocation method was used.Results: The results showed that the cost prices in three services including: Lamb sacral (6348 Rails), Sulumar (3995 Rails), Vertebra and Back (12001 Rails) were less than public prices based on TAREFE, however, in others services (23 services) there were significant more pertain prices in comparison to public prices based on TAREFE in years of 1387 and 1388. Generally, the costs pertain of radiology services computed 5795152383 Rails that was the most proportion (43.3 percent) related to workforce costs.Conclusion: Based on the results there was differentiation between cost prices of services and public TAREFE. This differentiation appears as hazards or financial crises to the hospital. To improving financial systems in hospitals and reducing of financial costs, it should be used the right methods to compute the costs relating to Activity Based Costing to services prices.

Background: Hospitals play the most important role in health care system utilizing the majority of the health system resources. Appropriate and efficient management of hospitals could decreases the cost of diagnostic and therapeutic services while improve the quality of services. Efficient hospital management requires recognizing and prioritizing factors affecting hospital performance and choosing the correct interventions. In the current research managerial factors which affect Tehran Heart Center's (THC) performance were recognized and prioritized.Materials & Methods: A qualitative study using interview technique was performed in 2010 to identify managerial factors affecting T.H.C.'s performance. Top and middle line managers were included in this study. To prioritize the factors a questionnaire was designed and used. The results were analyzed by one sample t-test and Fuzzy DEMATEL techniques.Results: In this study 9 managerial factors affecting on T.H.C.'s performance were recognized which 7 of them were influencing based on the positive (D~i-R~i) and the others were influenced. The factors according to their intensity based on the quantity of (D~i+R~i). So the influencing factors' ranking were as follow: delegation (3.16), management accountability (2.96), appropriateness of authority and responsibility (2.67), management motivation (2.61), process approach (2.26), systematic approach (2.25) and Top Management stability (1.68).Conclusion: Paying more attention and focusing on the main influencing factors such as delegation, management accountability, authority and responsibility appropriateness, top management stability and management motivation, lead to higher performance in the hospitals.

Background: Escalating economic costs due to prevalence of diabetes, particularly in epidemiologic transition era, makes assessing of socio-economic status of diabetic patients as a necessity.Materials and Methods: A cross sectional study was conducted on type 2 diabetic patients with complications in four major teaching hospitals affiliated with TUMS during July 2009 to March 2010. Based on a randomized sampling, 530 patients were interviewed through a questionnaire with 85% response rate (450 patients). The applied questionnaire composed of 42 questions based on “Yes” or “No”, and likert questions. Internal validity of applied tools in this study was 0.89. Data analyzed by SPSS version 11.5.Results: The majority of patients had experienced one or more complications. Findings revealed that (50%) of the patients suffered from one complication, (33.6%) had two complications, and (16.4%) had three complications of type 2 diabetes. Patients with one complication (22.2%) had cardiovascular, participants with two complications (12.7%) had both cardiovascular and eye outcomes, and patients with (cardiovascular, eye and foot ulcer) outcomes were (14%). Number of complications had significant association with sex, age, education level, type of occupation, duration of diabetes at (p<0.001), and social class (p=0.002).Conclusion: It seems that patients with low socio-economic status have more challenges in their social environment with less psychological support. Health care systems are responsible to empower diabetic patients to control the complications of their illness and help them to feel a better life to alive.

Background: Standards play an important role in evaluation and monitoring organizational procedures; In the other hand medical personnel performance has a major influence on increasing efficiency, effectiveness and productivity of the hospital. In this research we are going to understand weather environmental, equipmental, immunity, hygiene standards has effect on personnel performance in Ors or not.Material &Methods: the project was happened in OR of the 10 hospitals affiliated by Esfahan University of Medical Science. There are 2 check lists used in this project: one checklist for standards in 4 parts and the other one for personnel performance. After gathering basic information they were put on SPSS soft ware for further processes. for analyzing the information both analytic and descriptive statistic methods were used.Results: The result shows that there is a significant correlation between following environmental standards and improving personnel performance; also between personnel gender and their performance a relationship has found: female follow the instructions better and have higher rate of performance than men. No significant relation between other variables and performance were found.Conclusion: it seems like by following standards in designing the environment of the Ors we can heighten the personnel performance; it can be concluded that with the appropriate design, unnecessary movements decreased, so personnel can do their job better. Also we should find out why men have lower performance, maybe should find we some ways to make our male personnel more eager to their job to increase their performance or educate them and etc.