TEB VA TAZKIEH
Year:2004 | Volume:- | Issue:50|Papers Count:16

sector .To analyze human development in the hospital and to address the major variables which play a crucial role in this development, in particular planning and educating of the hospital manpower. In a fundamentaland descriptive research, researcher has tried to examine the key factors influencing human resource development in the hospital. Four factors includingcapital, manpower, equipment, and plan are the basic factors for developmentwhich, in addition to an intelhigent management, leads to. quality improvement of the hospital services, increasing the .clientless satisfaction, and managing the hospital more economically. Allocating necessary funds and designing a strategic planning and educating the hospital manpower can lead to the lead to quality ,improvement in quality of hospital services, increasing the clientless satisfaction, and managing the hospital more economically.

In order to create a transform in Medical Services Insurance system, it is necessary to carry out a financial analysis on the medical costs. For this reason, an applicable (or feasible) prospective study was performed through an Analytic- Descriptive method, on 1081 . patients were admitted in one of the non-contracted hospitals in the year 1377 and were referred to the Insurance Administration to reclaim their expenses. The Medical Services items and also the expenses were statistically analyzod by SPSS software and also tested by Chi-Square and T- test based on the hospital illustrated that the average admission cost of the patients with the average 4.67 days of hospitalization was 2070046 Rials. On the other hand the average cost of treatment was 2070046 Rials, based on private tariff and 697539 Rials, according to the governmental tariff, which the Medical Services Insurance Administration has paid the %90 of the costs, based on governmental tariff that is equal to 627785 Rials, so that the %30.3 of this amount has been paid by the patient. And also there was a meaningful difference between the payments for the male and female insured patients, based on the approved governmental tariffs (p<00.00003). And the financial contribution of the insured patients in the costs payment was 69.7 % of the self employees coffer (Sandogh khishfarmayan) which the average treatment cost was equal to 3151414 Rials and just %2.4 were under coverage of the insurance coffer of the Other Levels (sayer aghshar) And %86.5 of the patients believes that the Medical treatment costs are high so that they hardly could afford it. The results show that the patients pay the major of their medical costs by themselves (%70), so in this way the Medical Insurance is far away of the real meaning of insurance and its standards.

This paper examines the control mechanism used by the Office of Vice-Chancellor for Pharmaceutical an Treatment Affairs,Iran University of Medical Sciences over the affiliated private hospitals in 2002. The study population included hospital managers, matrons, techiJicians, and the inspectors of the Office of Vice-Chancellor. A total of 125 subjects were randomly selected. They responded to a questionnaire covering items related to four stages of control process. Data analysis was carried out through SPSS. Among the respondents,41.6o% evaluated the degree of control exerted by the Office as low before the implementation of the control mechanism, 41.6% and 54% rated it as average during and after implementation,respectively. Also 40% of the respondents rated the level of encouragement of the private hospitals participation in setting standards as low. Finally, 49.6% of the subjects rated the effect or the control mechanism of the office on the performance improvement of the private hospitals as average. The findings of the study indicate that establishing interdepartmental relationships and cooperation ofthe office of Vice-Chancellor for pharmaceutical and Treatment affairs in the implementation of the control mechanism, particularly in defining objectives and setting standards could play a crucial role in the improvement of the efficiency and effectiveness of the control mechanism.

In communication process, nurse managers must be able commuuicateidea, opinion, request and direction effectively to coworkers.They must choosesuitable communication"s ways with remove practical complications. This descriptive - crossectional study was conducted to identify the ways of communication performedby nurse managers Medical educationand health. with nursing personal in hospital wards of senices university "in the stat of Hamedan. The population of this study were all nurse managers in hospital wards., Whichincluded 41 nurse managers. The tool was a two part questionare, in the first part sixquestions were posed, the collect information on the personel characteristics andsecond part measured performance of matter, posing twenty questions.Higher level of good performance was in writing communication 85.4%, several waycommunication 80.5%, Lateral communcation 78.1% and low level of goodperformance was in vertical communication 9.8%. In nurse managers principal activity is to communicate information, idea, opinion andattitudes to others which performe snitible communication"s ways. In conclusion facUate work, optimaize quality of nursing care andincreasc motivation and satisfaction.

Total quality management will emphasize on increased of customer"s satisfaction under quality improvement process. Organizations need proper management and total quality system to survive and to work at present times. In present century which is named quality century health care providers organizations should follow changes in order to move towards future. These are several problems existed in health care providers organizations which inhibit to. apply quality management in Iran, such as structural,process, performance assessment, monitoring, leadership and human resources. This collective revieT article suggest several different ideas in order to overcome about problems. The solutions approach could be itomised as follow: Top management committment to quality, organizational leader"s good attitude to quality, team working, prevention and continously quality improvement.

Evaluation is considered a vital principle in any managerial activity. Managerial activities will improve by using measurable information. Thus, without any new effort, we will have the effectiveness, suitable output and productivity expected. Hospitals are one of the most important health centers, in which due to their vast duties, is needed to be continuously evaluated. In this research, wehavetried to find out the present evaluationmethod used in government- and private-led hospitals in the city of Tehran In this cross-sectional descriptive study, top managers, including hospital head managers, directing managers and supervisors" view on this matter was gathered through a questionnaire. Data was gathered and analyzed by using descriptive and analytical statistical methods and SPSS software.The findings show that top-managers, esp. private- led ones, are not satisfied by the present method of evaluation and want it to be changed. After using the data gathered from professional experts, a suitable pattern was offered

Health- therapeutic informatic is some what of a new technology and with the help of microcomputers it has become integrated into health and medical treatment systems rather rapidly. TGday informatic iu health, Treatment and education plays an important role in industrialized countries. Howecer, the belief that only countries whit advanced technology can take advantage of such a thing is a misconception. All countries- including third world countries- can benefit from informatlc -explain health and medicinein the . future world it is necessary first to consider technology. la order to the complete development of all aspects of the subject from every angle. As we move toward the future, we may anticipate many difterent development. We will see very wide and rapid effects on medicine depend upon. l-The relationship between patient and physiclan ll-The relationship between societyand its health and medical providers lll-The relationship between workers, planners, and managers This is the latest in the road to the future evolution of health and treatment in hospitals. At present time HIS (Health Information System). is being used for laboratory results, doctors, order, drug orders, and several similar things in many countries. The use of computers in the hospitals can be summarized to three areas : financial, operational and chinkal. In the 1960s,much attention was givento the digitaIcomputer storage ofpatients medical records. As aresult, In the 1970s there wereseveralnewsystemsdevelopedto aft"ectsuch undergoing theory. Some of the successful systemsare CONTAR,MEDICALRECORDs SYSTEM, TMR, and ARION. With their use any patient is able to use and receive mt:-dical and diagnostic treatment anywhere-in the world. Without a doubt, medical professionals and patients any where in the world during the 21st century willbe able to use their world-widemedical records to receivemedicalattention.