Journal of Healthcare Management Research
Year:2015 | Volume:6 | Issue:3 (SERIAL 17)|Papers Count:8

Introduction: In some rural areas of Iran three decades passes the establishment of rural health houses, and during these years, demographic, economic and social patterns in many rural areas have changed. One of the challenges in the health sector is the allocation of health houses due to the changes in rural areas. The aim of this study was to investigate the distribution of rural health houses based on GIS and determination of its optimal model in Khuzestan province.Methods: This study was an applied and descriptive - analytical research. The population of study consisted of all villages and rural health houses in Khuzestan province in 2012.First, Spatial and descriptive required data were collected and corrected. Next, important criteria and sub criteria for optimal site selection for rural health houses were determined from the viewpoint of experts. Then, relative weight of criteria and sub criteria were determine by using Analytical Hierarchy Process (AHP).Finally, by overlapping weighted layers in ArcGIS software a model was presented for locating rural health houses in Khuzestan province.Results: Total of 886 rural health houses in Khuzestan province, 128 rural health houses (14.4%) did not meet the criteria for health network expansion plan. The 358 with residents’ villages has lack proper access to rural health houses. Of experts’ opinion, the main criterion for locating the optimum distribution of rural health houses, the most important criteria was of the rural original population relative weight 0.506.Conclusion: The result showed that using GIS can help to experts of network development plan to manage and distribute the rural health houses. It is recommended that GIS utilized in order to improve the efficiency of healthcare network development plan.

Introduction: Failure modes and effects analysis (FMEA) is one of many techniques for risk assessment that has used in this study in order to identify, assessment and offering appropriate measures for control, decrease and eliminate probable hazards related to use, maintenance and repair ventilators in Al-Zahra Hospital of Isfahan.Methods: This was a descriptive-cross sectional and applied research that the researcher determined the main components of the ventilator by observing the process and interview with staff and according to them, determined the process carefully and then using focus group discussion to identify potential failure modes and effects, the degrees of severity, occurrence, detection and risk priority number. To this end, the researcher used the standard worksheet of FMEA. After consulting with experts of equipment department, chief and nurses of hospital respiratory unit, proposed measures to decision making group and based on the degree of importance and constructability prioritized by the department director and his decisions was assessed based on decision table criterions of the research. Finally, based on the set priorities, the relevant proposal measures were submitted to the director.Results: Overall, 17 cases of the potential risk associated with ventilator in respiratory unit was detected that the highest risk priority number was related to the potential risk of failure to timely replace battery with a score of 225 and the lowest number by the score of 10 was related to the potential failure modes of pulling the power cord from the machine.Conclusion: Since a large part of the cost of hospitals is spent on purchase and maintenance of medical equipment' s, including equipment's such as ventilator, FMEA technique with its preventive approach can reduce these costs and assist hospitals in providing high quality services and achieving customer satisfaction.

Introduction: Agility of health care organizations has an important role in providing timely and meeting customer needs. This study was conducted to determine the factors affecting the agility Shahroud University of Medical Sciences.Methods: In this cross-sectional study in 2014, 153 staff was randomly selected and was given a web questionnaire with 100 questions. The data were analyzed by software's such as Smart PLS and SPSS18.Results: 79 (51.6%) of the samples were female.57 (37.3%) had less than 10 years of work experience. A significant difference between all measures of accountability, speed, competence, flexibility and agility in categories of gender, age, work experience and education were observed (P³0.05). A significant difference was observed between established criteria (P=0.002), realized speed (P=0.002), established flexibility (P=0.002) and realized agility (P=0.009) in different levels of organization. Also for people with different job subgroups significant difference in realized speed (P=0.031), competence established (P=0.018), realized flexibility (P=0.043), realized agility (P=0.016), respectively.Conclusion: In the final model, three factors of competency, accountability and speed influenced the agility. Factors including competency, responsiveness and speed were effective in agility of Shahroud University of Medical Sciences and consequently lead to an improvement in its agility.

Introduction: Word of mouth is the source of important information and affecting Consumer attitudes and purchasing behavior has become. Word of mouth is a very important service industry such as intangible products cannot be easily evaluated before their use. This study aimed to determine predictors of client Word of mouth in Yazd Infertility Center.Methods: This cross - sectional analytic study was conducted in the first half of 2014. Society consisted of infertile couple's infertility center in Yazd of which 140 samples were randomly selected. Data collection was conducted through a questionnaire and SPSS.16 software for data analysis and linear regression analysis and Pearson correlation test was used.Results: The findings show that satisfaction, loyalty, service quality and reliability are from factors affecting the formation of Word of mouth in Yazd Infertility Center (p< 0.05, b=0/211).Conclusion: focus on improving the quality of services and provide them with appropriate and competitive prices to clients and provide facilities and services such as larger and more efficient space allocation and use of equipment quality, can be satisfied with the service they received and perceived value to increase and by providing the services promised to customers and to recruit staff who best meet the demands of customers, leading to the formation of trust towards the center.

Introduction: Iran's import flows from other countries are carried out in the country due to shortages, limitations and the demands. Among these demands is the country' s need to import kinds of antibiotic drugs from different exporting countries which is valuable to be studied regarding maintaining and the improvement of the society' s health status and also from the aspects of imposing import costs.Methods: To assess the conditions and characteristics of antibiotic drugs import demand from different countries supplier, the present paper use the almost ideal demand system functional form for calculating the price and expenditure elasticity's by estimation method of seemingly unrelated regression during 1981-2011.Results: The theoretical hypotheses tests of demand function show that the homogeneity and symmetry are rejects and homothetic is not reject. On this base, the expenditure elasticity in final model for Iran’s antibiotic drugs import demand is equal to unit. Moreover, the estimation results of own-price elasticity shows the low elasticity of import demand function from Italy, Swiss and England. But the calculated own-price elasticity is near-to-unit for Germany and also the price changes of German antibiotic drugs are not affected on expenditures shares of the other countries' antibiotic drugs imports.Conclusion: Iran depends on imports of antibiotics from Britain, Italy and Switzerland, but there is no dependency to Germany in this area.

Introduction: One of the issues in the implementation of knowledge management within organization is the issue of knowledge sharing within an organization and between other organizations. The aim of this research, to explain the role of knowledge sharing on organizational agility With mediating role of organizational intelligence in Staff of Medical Sciences University of Tehran.Methods: This study is a descriptive – Causal and Statistical population used in this survey consisted of all of the staff of training and research vice at Medical Sciences University of Tehran in 1393. And Among them, using method of classified sampling, 144 samples have been selected. In this research three questionnaires were used to collect data: researcher made questionnaire of sharing knowledge, researcher made questionnaire of organizational agility and standard questionnaire of Albrecht (2002) organizational intelligence. Formal and content validity of questionnaires approved by the experts and its reliability was calculated Using Cronbach's alpha which respectively was79, 82 and 82.To analyze the data, descriptive statistics and structural equation modeling were used.Results: As well as, after running the model, it was found that knowledge Sharing influenced organizational agility with path coefficient (0.77=g) and influence organizational intelligence with path coefficient (0.64=g). Moreover It was found that knowledge Sharing Indirectly and through organizational intelligences influenced organizational agility of Staff of Medical Sciences University of Tehran (0.05=g). The results showed that, the model of research is good fit relatively.Conclusion: In general, it was found that the sharing and availability of knowledge in educational and research employees, causing them to be agile. It was also found that in addition to knowledge sharing, organizational intelligence can be effective in their agility.So, knowledge sharing from one side cause agility and on the other hand it would be caused by organizational intelligence.

Introduction: The success of every organization undoubtedly in related to an efficient monitoring and evaluation system. Accreditation is an external evaluation method, which helps healthcare organizations to achieve pre-defined standards. This study aims to evaluate the effects of accreditation on the health services delivering in University hospitals of Isfahan from the staff point of view.Methods: it was a descriptive survey conducted in 5 University hospitals of Esfahan provinces using Cluster sampling method, carried out on 2014. A researcher made questionnaire was used to collect data and its validity was approved. the reliability of the questionnaire was determined through Cornbrash's alpha coefficient a=0.81. Data analysis was done descriptive and inferential statistics, and SPSS software. Kolmogorov- Smirnov test, independent t-test and one-way analysis of variance were used.Results: mean score of accreditation effect on delivering health services was 0.94±0.68 that this shows mild effect of accreditation on delivering health services from personnel view point. Accreditation effect on possesses, patient satisfaction and quality of services from majority was evaluated at high level and other aspects evaluated at mild level. There are significant differences in the mean score of accreditation effect on delivering health services from personnel view point.Conclusion: findings show positive effects of accreditation on the performance and quality of healthcare centers. It is suggested that hospital administrators more Consideration on accreditation in their programs. In the field of efficiency, commitment, and teamwork through an emphasis on performance indicators, education, and awareness of staff, budget allocation and planning, accreditation effects can be touched.

Introduction: Organizational commitment is an important organizational and occupational attitude that shows personnel loyalty to their organization. Committed human resources improve organization performance and better expression of organization goals.In addition to having trained medical staff, development of health services require existence of loyal staff.Methods: In this cross-sectional study, 150clinical staff and 150 non-clinical staff whit high school diploma and above from selected hospital of Tehran University of Medical Sciences were selected using random sampling.Data were collected using a two part questionnaire (1-demographic 2-organizational commitment). Organizational Commitment Questionnaire Meyer and Alan is a standard questionnaire includes 24 questions on three dimensions of affective commitment (questions 1 - 8), continuance commitment (questions 9 - 16) and organizational commitment (questions 17 - 24).Descriptive statistics. Fisher exact test, chi square test and spearman correlation test were used to analyze data.Results: Organizational commitment of all staff was in high level. Organizational Commitment in clinical staff was significantly higher than the non-clinical staff. (p<0.05) All dimensions of organizational commitment (affective, continuous, and normative) in clinical staff were significantly higher than the non-clinical staff too (p<0.05).Conclusion: In clinical staff, affective commitment, continuance commitment and organizational commitment to education and work experience were significant relationship, But normative commitment to marital status, level of education and experience were significant significant relationship. In clinical staff continuance commitment to the recruitment, normative to gender and job type significantly associated with organizational commitment. All dimensions of organizational commitment in both clinical and non-clinical staff supervisor significantly associated.