JOURNAL OF HEALTH ADMINISTRATION
Year:2009 | Volume:12 | Issue:35|Papers Count:11

Introduction: Disaster medicine and crisis management can reduce the effects and hazards of disasters. In addition to, new technologies health information management which enters, collects, saves, retrieves and analyzes necessary information and makes it accessible to managers and planners. To review crisis management in medical record in teaching hospitals in Kerman Province and Brujerd city; and providing a model for Iran. Methods: This is a descriptive cross-sectional study conducted in the year 2006. The research population included the medical record staffs working at teaching hospitals affiliated to Kerman University of Medical Sciences and hospitals in Borujerd. Two questionnaires (Administrators/ personnel) were used for data collection. Data collection was made through field study. Data analyzed using descriptive statistics method. With Delphi systems, the recommended model was put into practice in one phase, and eventually after the analysis of the test results, the final model for crisis management in medical record was presented. Results: The crisis management in medical record departments was weak. In addition the personnel awareness concerning crisis management in medical record departments was 55.37%. The structure of the suggested model was in accordance with the standards of USA (AHIMA/HIMSS), and the points of views of the research population. Conclusion: Some steps should be taken to hold periodic training courses, to plan and to equip medical record departments. The structure of the suggested model for crisis management in medical record departments is provided in 6 axes.

Introduction: Organizational culture is an influential factor for organizational performance in literature. The present study was aimed to determine the relationship between organizational culture and employee productivity in non-specialized teaching hospitals affiliated with Iran University of Medical Sciences (IUMS).Methods: The stratified random sampling procedure was used to select 96 out of 1244 of the employees of the teaching hospitals affiliated with IUMS to participate in this research. The data were collected via a self-report questionnaire. The five points Likert scale used to score the questions where 1= very little, up to 5= a lot.Results: There is a significant relation between organizational culture and employee productivity (x2=57.0, P=›0.01). In comparing the mean score of organizational culture indices, "control" and "individual creativity" had the highest mean scores (e.g. 61.37 and 58.94 respectively). Among productivity indices, "understanding the job role" and "ability", had the highest mean scores (e.g. 69.35 and 57.68 respectively(.Conclusion: It would be desirable to prepare an appropriate atmosphere for innovators and to teach employees about the value of effort.

Introduction: Implementing justice is a basic and nature need for human being. That always provided affordable back point for human development. Justice theories has developed parallel human Societies; and moved from philosophy theories and religions to experimental researches. Organizational Justice is a predictor for many variables in organization; Including organizational commitment, its dimension, and Job satisfaction. This study was aimed to review the relation between organizational Justice, Job satisfaction, and organizational commitment in the hospital staffs of MUI. Methods: This is a descriptive, relationship study; the research sample is staffs of selected hospital in MUI. Data are collected through a questionnaire; and analyzed using SPSS soft ware. Results: The mean and standard deviation of organizational justice score were (3.45+1.1), organizational commitment (3.05+1) and job satisfaction (303+0.7).There was a statistical relation between organizational justice and organization commitment; and between organizational justice and job satisfaction. Conclusion: Justice is a basic need for human being. Today’s importance of justice in organizations and social life is evident. So the organizations must be start research about this concept.

Introduction: The impact of PHC in providing and extending equity is valuable. To present the PHC role in health system, and providing some approaches to deal with its related challenges. Literature review: Alma Ata declaration is a valid document for defining principles and bases of PHC. In 1987 the PHC was accepted as a major key to achievement for Health For All (HFA)by the year 2000.But then it deviated from its principles. By entering to 21st century it was confirmed on its gentility; and need to PHC to satisfying current problems and future healthcare needs; promoting health, and achieving to equity in health. Also in 2003 declaration of WHO for 21st century; and in United Nation Report for Human Development, and world heath report in 2008 the PHC is discussed and accepted. Governments are faced to some challenges to administering PHC ;including: human resource shortage , insufficient funding and equipment resources,….Some approaches are suggested for dealing these challenges; as follows: to provide infrastructures, reorganizing PHC, reform in human resource training, to offer incentives and make coordination and transaction for all sectors of PHC personnel. Conclusion: To provide and extend equity PHC is always a valuable strategy; and to provide PHC it is necessary to pay attention to its principles, to appropriate human resource training, and to allocate more funds for heath sector. 

Background: Considering the information explosion phenomena, accessing to scientific information for researchers and faculties members is very important. So designing a reliable portal; is increasingly needed. In this study, we assessed ten premium American university websites designs to provide a suitable model for TZMED Website; based on domestic situations. Methods: This research carried out in content analysis method. We extracted, website standard design of ten American universities websites, and offered to Iranians experts, to adjust with Iran's universities situations, also correlation of designing standards with others variables calculated by Pearson’s correlation test. Data analyzed earned by SPSS14 software. Results: We found a strong correlation between designing standards and designing processes, easiness for search processes, contents and structural capacities. So it may be suggest a suitable model according country situations. Conclusion: Implementation of designing standard indexes in universities websites, the users can access to scientific information without any problem; time and cost wasting and information capacity.

Introduction: One of the most important challenges in health systems is to determine the quantity of resources a country devotes to medical care. The share of the health expenditures of GDP in developed countries is often more than developing countries, therefore as the level of development increases; health expenditures increase too. Methods: This paper examines the stationary and co- integration of health expenditure and GDP based on the panel co-integration analysis, for a sample of 13 MENA countries using data for the period 1995-2005. Results: Unit root and trend stationary results indicate that both health expenditure and GDP are non- stationary. Even though, the findings indicate that health expenditure and GDP are cointegrated. Conclusion: The fraction of expenditure devoted to health care of total GDP decreases with GDP. This implies that health care is not a luxury good in MENA countries. 

Introduction: Fair distribution of wage, benefits and reward; also considering justice in decision making is an influential factor on nurse’s behavior toward patients and customers. The main purpose of this research was to determine relationship between perceived distributive and procedural justice, and customer-oriented behavior in nurses.Methods: This is a correlation (path analysis) cross - sectional study. Statistical population is people occupied in remedial centers and hospitals affiliated of Medical sciences University of Isfahan (spring and summer, 2007); From 478 male and female nurses selected using simple random sampling. Two questionnaires for assessment of perceived distributive and procedural justice, and one for assessing the nurses’ customer - oriented behavior are used as data collecting tools. Data analyzed using of SPSS software for descriptive and inferential statistics.Results: Nurses’ perception of distributive and procedural justice in hospitals was weak, below the average. There was a positive significant relation between perceived distributive and procedural justice with customer - oriented and perceived distributive justice and perceived procedural justice among nurses. Only perceived distributive justice has effect on customer - oriented and perceived procedural justice has effect on customer - oriented through perceived distributive justice.Conclusions: The nurses’ behavior toward patient and customer was influenced by consideration of justice in wage, benefits and reward along with work schedule. In other side when nurses’ perceived that procedures in hospital are fair and justified try to behave positively toward customers.

Introduction: The pattern of health services delivery across the world changes from a spectrum of pure public to pure private sector. The failure of pure private sector, as well as pure public sector, brought experts to recommend alternative approaches such as New Public Management theory as a third-way. This article was aimed to present the results of reform in East Azerbaijan Province on the delivery of Primary Health Care: the established of some non-public primary health centres for the first time in the country. Methods: In this quasi-experimental study, all non-public health centres were compared with a similar group of public health centres in the same region.Results: This study showed that the use of non-public sector based on contract with public sector has changed the efficiency of primary health care delivery so that the health authority in the region was successful to reduce government expenditure to one-third through buying the services from the non-public sector compared with the delivery of services by its own health facilities. Given the current situation of Iran’s health care sector, particularly the reform called Rural Health Insurance and Family Medicine, the use of such successful achievements recommend. Conclusion: Non- governmental sector contracted foe public sector; compared with similar units in governmental sector, could provide a health service package with using less resources and more productivity; under government supervision. Considering pure private sector failure in providing health services; and failure public sector to supply healthcares; we suggest involvement private sec- tor as a third party in healthcare market to improve better use of scarce heath resources for national heath expansion.