JOURNAL OF HEALTH ADMINISTRATION
Year:2011 | Volume:13 | Issue:42|Papers Count:11

Introduction: Personal Health Records (PHR) allows access patients complete health information, and support of self-care improve quality of care with education, facilitate patient–physicians and.This study was aimed to determine view of points of inpatients about PHR.Methods: In a cross-sectional study was done on 461 patients at hospitals affiliated in Kashan University of Medical Sciences are studied with a reliable (spearman-Brown, r=0.8) and valid (face and content) questionnaire in two section, demographic information and study objects in 2008. Data are collected with interviews; processed by SPSS software, and presented as descriptive statistics.Results: some 46.6% of participants keep her or his medical information, 87% of patients who didn't keep medical information claims that they did not have knowledge about PHR benefits.Meanwhile 85.7percent want to access their information for emergency, and 80% want to get information about dietitian through PHR.Discussion: Appling PHR is needed, but patients have not knowledge about necessity and benefits of PHR. We suggest education, and primarily apply PHR based on paper and, then with constitution of hospital site, hospital information system, and electronic health record apply a portal for patient use and finally constitution of complete PHR systems.

Introduction: One of the scientific members of faculties’ gradation criteria is evaluation of their publications’ quantity and quality. H-index, G-index, and m parameter are used recently. This paper was aimed to assessment faculties’ publications’ quantity and quality, and citation ranking of IUMS’ faculties by using those indices.Methods: This is a descriptive-applied study, used checklist, and direct observation as data collecting tools. Research population are 681 IUMS’ faculties; publications indexed in Web of Science, Scopus, Google Scholar and Iranian Science Citation Index (ISCI) up to the end of 2008.The number of professors, associate professors, assistant professors, and lecturers were 32, 95, 284, and 225, respectively. The great number of studied subjects belongs to Medicine faculty.Results: Totally, research population has been published 4276 papers, with 8291 citations for these papers.More than half of faculties (56%) has been gained h=0. The two highest h-index and g-index belong to Medicine Faculty’s Nephrology Professor (h-index=16; g-index=16) and Microbiology professor (h-index=13; g-index=16); and no one did gain h-index extent prognosticated by its presenter.Discussion: By consideration of international h-index and g- index and M parameter obtained in medicine and biology, IUMS’ faculties are really poor in those indices, and even their publication are very low. National and international scientific cooperation, interaction with other researchers, publications’ language, and international accessibility are suggested to improve h-index and supplementary indices.

Introduction: There are more than 700 biochemistry tests that includes one third of laboratory tests. Managing produced information needs to information systems. Present research was aimed to analyze situation of biochemistry information systems in educational-therapeutic hospital laboratories of Shahid Beheshti University of Medical Sciences and Health Services.Methods: In this descriptive-applied 13 Biochemistry Information Systems of hospital laboratories are reviewed. The sampling method is as census, and data were gathered through observing and questioning by a checklist and a questionnaire. Data are processed and analyzed as descriptive statistics.Results: We found 76.92% 0f Chemistry Information Systems were stand alone and 23.08% connected to Hospital Information Systems. In these systems, the patients, specimen and biochemical tests data were gathered. Despite being in all systems, data were gathered by test request forms, labels, and computers. In order to process data, the data processing software and auto-analyzers were used, and in 100% of systems, information distribution was done by report forms and computers.In 78.46% of systems, had responsible managers for data gathering, processing and distributing information. None of them didn't have any documented instructors in related of biochemistry department relations with other departments and security of data and informations.Discussion: In these systems often focused on those data and activities involved in daily works of wards and laboratories. Laboratories equipped completely by advanced technologies would be better to response to users’ needs.

Introduction: Quality management through human resource active participation play a key role to pass over the limited resources, demographic and epidemiologic changes, globalization and advanced technologies challenges in health systems. Different approaches are used to improve services quality in health systems. This study was aimed to compare two human resources empowerment approaches in Eastern Azerbaijan.Methods: In this analytic study we review two groups: for TQM group 6 hospitals, 3 colleges, and 2 policies making offices; and for MEP group were 2 hospitals, 1 college and 1 policy making office. Both groups start with quality principles. After two years MEP group continued with MEP; but other group continued in previous approach. The change in management style from staff views in comparison of 5 years ago were studied with specific questionnaire, by 10 points scores. Data analyzed by SPSS 16 software, and are presented as means and changes for a 5 year interval.Results: There were improved leadership scores 0.7 and 1.03 units respectively in MEP and TQM groups. These figures in planning were 1.12, and 1.76, in Costumer Management (CM) 1 and 1.48, in Human Resource Management (HRM) 0.9 and 1.46, in information management 1.05 and 1.32, in process management 1 and 1.36 respectively. The differences in HRM, planning and CM are statistically significant.Discussion: Using one innovative and uniform approach is better than various methods.

Introduction: Appropriate policy making about drugs has a particular importance; and accurate economical planning in designing and organizing of this issue is an obvious necessity. This study was aimed to analyze the effects of drug subsidies omission on price index on economical sectors and households expenditures.Methods: The method of this study is based on social accounting matrices technique and structural path analyzing approach. The study society is all economical sectors and households in Iran. Data are collected using social accounting matrices of Iran 1380, and analyzed by I-08 SAM and MATS software.Results: From 147 groups of commodities and services, the price index of human health services, hospital services, hen and chicken, other birds, and veterinary services had the most increases with %7.3, %7, %6.5 and %4.1; and for other commodity groups the maximum increase found 3.8%.The increase in expenditure index of urban residents is from %1.7 to %2.2; and for rural residents %1.8 to %2.7.Discussion: The drug sector subsidies omission has increased the price index for all sectors and expenditure index households. The best approach to these effects is to do preventive actions by gradual decreasing of drug subsidies, and moving toward making drug subsidies purpose based in health sector and particularly drug sub-sector.

Introduction: Health has important effects on economic growth by increasing ability of human resources. The better health makes more effective humans. Nowadays governments are faced by remarkable amount of budget on health sector.Methods: The purpose of this paper is to examine the effects of health expenditures on economic growth and private consumption in Iran. The period of study has measured by using co-integration test and Ordinary Least Squares (OLS) method in 1974 to 2007 interval.Results: Augmented Dickey-Fuller Test indicates that health expenditures, economic growth and consumption are static in 5% confidence level. Durbin-Wattson test shows no auto-correlation.Discussion: The results illustrate statistically significant and positive relation between health expenditures and economic growth in Iran, while the effects of health expenditures on private consumption are negative.

Introduction: Nowadays new organizations like learning organizations to be formed. The purpose of this research is to study the correlation between the organization learning and knowledge management in staffs in selected hospitals of Isfahan university of medical sciences.Methods: This is a descriptive correlational study. The population of study is staffs of selected hospitals. Data gathering tools are an organization learning l (OL), and Knowledge Management (KM) questionnaires. Data analyzed by SPSS software.Results: The mean and standard deviation score for OL found 38.2±22.7 among nursing managers, and for KM 39.9±20.1 respectively. There is a significant statistically relation between OL and KM.Discussion: Since scores of organizational learning and knowledge management among staff was poor, and because very rapid changes in the areas of science and technology; and the increasing hospital managers should have planning for creating, disseminate and transmission knowledge in the organization.

Introduction: Nowadays the concept of Organizational Citizenship Behavior (OCB) has attracted managers and researcher’s attention. Considering such behaviors that has not been much emphasized one way to increase organizational effectiveness. The aim of this study was to assess the relationship between OCB with its four dimensions on staff empowerment.Methods: This is an applied-descriptive study, carried out in 2010.The study Population are 162 staffs in TUMS health centers. Data are collected using Padsakoof model questionnaire, and analyzed using the SPSS software, and i, and Friedman test; and Spearman coefficient.Results: In TUMS health centers among OCB dimensions altruism, conscientiousness and sportsmanship dimensions were in an appropriate level, but civic virtue dimension was in a lowest level than appropriate level. Conscientiousness dimension was in the highest level. There is significant correlation between OCB and staff empowerment. (P=0.00, r=0.628).Discussion: Paying attention to the OCB concept and its establishment in organizations, and its significant relationship with staff empowerment, may be useful to grow up for human resources.