Journal of Healthcare Management Research
Year:2017 | Volume:8 | Issue:1 (SERIAL 23)|Papers Count:8

Introduction: Strategic management in organizations leads to greater understanding and commitment among managers and employees. This study aims to identify Effective factors on chaos strategic management and develop an appropriate model in public hospitals of Gilan province.Methods: In this study, a descriptive and co-relational design was used. The researcher obtained the data for the study from a sample of the 50 Management experts and hospital managers' who were selected by targeted sampling and 55 managers and experts who were selected by random sampling. The instruments used in this study were chaos questionnaire that developed by researcher and questionnaire of Effective factors on chaos strategic management.Results: The examination of status of components of chaos showed that an average of all the components (an except the strange sights) was higher than the average of 3 and was desirable. As a result, exploratory factor analysis showed that, effective five factors on strategic management are organizational strategy, organizational structure, organizational culture, organizational technology and leadership style.Also, multiple regression analysis showed that five factors have explained 78% of chaos strategic management changes in hospitals and had a significant effect on it (f (5, 44) =13.82, p<0.001). Leadership was the only factor that had a significant effect on strategic chaos management (Β=0.75, t=7.92, p<0.001).Conclusion: It is essential that, hospital managers implement model of strategic management at the time of chaos in the hospitals, due to the impact of leadership style on chaos strategic management.

Introduction: value engineering, value analysis in the healthcare industry with known, is now a strategic tool to reduce the costs of purchasing and materials value chain has become. This study aimed to identify and determine the value engineering applications in the health care system.Methods: This study was a narrative review articles and reports on the value engineering study between 1996 and 2016 scientific websites and online data bases Emerald, Science Direct, Civilica, Springer, reference knowledge, Iran Value, books, publications and conferences. We have to search internal and external value of engineering.Results: This study confirms the fact that the value analysis or value engineering, lean savings opportunities can be discovered, was very efficient and effective organization focus on the most vital areas of the guide.Conclusion: The application of value analysis or value engineering can effective health care become a management tool to reduce costs and improve quality and the organization focuses on the most critical areas of the guides.

Introduction: Service quality is known as a competitive advantage and impacts on customer satisfaction directly because of competitive markets and lack of product differentiation. Knowing the mental image of the organization by customers reveals the strengths and weakness points of organization, adopt strategies and enhance performances. The purpose of this article is investigating the impact of service quality and perceived value on the post-purchase intention with the mediation of customer satisfaction.Methods: two questionnaires were designed according to the SERVQUAL model and effective factors of research variables. These two questionnaires were collected from 384 customers of pharmacies in Tehran city and analyzed by structural equation modeling and Smart PLS software used.Results: The results show that service quality and perceived value affect post-purchase intention. Customer satisfaction affects post-purchase intention as a mediator.Conclusion: The share of customer satisfaction is more than the two other variables and the share of service quality is less than perceived value.

Introduction: Nowadays, improving productivity as the most effective way to achieve growth is raised. Key to improving productivity lies in the measurement and analysis of productivity. Also, Analysis and productivity measurement is practical when productivity changes over time with the productivity indices is showed.Methodology: This study is a correlation- regression analysis. At first, production Elasticity coefficients of capital and labor was calculated through estimating a Cobb-Douglas production function using data of 10 pharmaceutical production companies active in the Tehran Stock Exchange during years 1389 to 1393 and panel data with fixed effects. Then, TFP index for these companies is estimated by taking into account the estimated coefficients in the Kendrick index. The index for the years 1394 to 1398 by applying the scenario of continuity of labor, capital and added value for any company is predicted.Results: TFP during the years 1389 to 1393 show that the two companies Alborz Darou and Luqman is located in the better status and Tehran Chemical Company is located in the lowest position. Forecasting for TFP during the next five years also shows the two Luqman and Alborz Darou and Rayhan are in good condition, but Tehran Chemical Company continues to be exposed to unsuitable conditions.Conclusion: The findings suggest that Tehran Chemical Company to improve its total factor productivity should seriously pursue productivity cycle management.

Introduction: The impact of different effective factors on health expenditure appears in the public health and health promotion. Health is a key element in economic, social, and political development and has an important role in different infrastructure of society.Considering the previous studies in this field with the classic assumption and according to the fact that existence of spatial dependence between the observations and disregarding these effects, the method of estimating conventional econometrics will be biased. Therefore, the main aim of this study is to consider the spatial dependence between observations.Methods: we use spatial econometrics model and spatial Durbin model in order to analyze the effective variables on health expenditure in 79 selected developing countries during (1995-2014).Results: The empirical results have indicated that there is a significant negative relationship between misery index and health expenditure. It means that if the weighted average of the logarithms of misery index increases 1 percent in neighboring countries, the average logarithm of health expenditures will decrease 0.13 percent in targeted country. Moreover, the effects of per capita income (0.54) and life expectancy (0.49) on per capita health care expenditure are significantly positive.Conclusion: The results of this study indicate that if governments do not have appropriate policies to prevent the illegal immigration of foreign nationals and face difficulties in employing labor in their country, the health of the community will be compromised in long term because of the escalation of unemployment and Lack of inhibition of inflation.

Introduction: Hospital information systems (HIS) are considered prerequisites for the efficient delivery of high quality health care in hospitals. This study aimed to Relationship between Requirements of HIS and Implementation of Health Sector Evolution at Hospitals affiliated to Tehran University of Medical Sciences.Methods: This paper was a cross- sectional study conducted in 2016. The research population covered 162 respondents including the section personnel of the teaching hospitals of Tehran University of Medical Sciences. The data were gathered using a questionnaire (developed by the author comparing the similar studies), which validity was confirmed by a committee of experts and the reliability was calculated (before the study began) using a Cronbachα (a=0.93) in a 30 people sample. Collected data was analyzed using SPSS by T-test, T-Paired and Anova Tests.Results: Results showed that the mean and standard deviation of the requirements before and after implementation of health sector evolution was 2.63±0.60 and 3.10±0.74. paired t-test showed an average size of manpower, professional, technical, organizational, legal and financial significantly increased after implementation of health sector evolution (p<0.05).Conclusion: Considering the positive role of health sector evolution on the requirements of the hospital information system, this plan has been able to upgrade the requirements for better implementation of the hospital information system in the human, financial, legal, organizational, technical and professional fields.

Introduction: Regarding the role of hospitals in promoting public health, assessing the main factors that may be effective in patients' referring to a specific hospital than another one can determine hospitals' strengths and weaknesses. Therefore, in this study the factors affecting patients' selection of training hospitals of Yazd were scrutinized.Methods: This analytic, cross-sectional study was carried out on 226 patients hospitalized in hospitals of Yazd. A two-part questionnaire was then administered to collect data; one part consisted of demographic characteristics and the other pat investigated the effect of different factors on selection of hospitals. For data analysis, SPSS16 software and -kruskal, Mann-whitney, t -test, and ANOVA statistical procedures were used.Results: Among the three studied hospitals, factors related to "physicians' health" with an average of 15.27±3.13 and "personal effects" with a mean of 12.06±3.17 had the most important role in Shahid Sadoughi hospital. In Shahid Rahnemmon hospital, "factors related to nurses" with an average of 2.05±14.7 and "factors related to the hospital" with a mean of 7.14±2.05 were the most frequent factors. Finally, in Afshar hospital "factors related to physicians' health (16.18±3.47) and "factors related to the hospital" with average of 14.97±3.30 had the most important role in patients' choices.Conclusion: patients who selected training hospitals of Yazd to improve their health, stated that “factors related to the hospital” was the most important factor in their choice.“Factors related to the treating physician” and “personal factors” played the next important roles in this regard. The findings of this study can be used by health system stakeholders to plan, organize, and evaluate health care services.

Introduction: Performance evaluation is a numerical scale that Provides management information about evaluating and monitoring the current situations and activities of hospital. One of the performance evaluation tools is Dynamic Multiple Attribute Decision Making (DMADM) method. The purpose of this paper was performance evaluation of hospital via DMADM.Methods: In this cross-sectional case study the performance of Imam Khomeini hospital in Arak during 30 consecutive months that each month in decision matrix considered as an alternative, by considering 6 important attributes dynamically by using weighted aggregated sum product assessment (WASPAS) via Excel 2010 software was evaluated.Results: Hospital Performance Scores had fluctuations during the time but generally showed an upward trend during the thirty months. The maximum and minimum value was relevant of 27 and 12, respectively (0.9577, 0.5503). Furthermore showed a significant decrease in March of each year.Conclusion: The trend of hospital Performance Scores showed that the performance of mentioned hospital has improved during the time. Using the DMADM method in order to performance evaluation is a suggestion to managements and future researchers.