S.h Rahimi, M Masoumpour, E Kharazmi, Z Kavousi,
Volume 12, Issue 3 (12-2013)
Abstract
Abstract
Background: Hospital Emergency ward plays a pivotal role in hospital and health care system regarding necessity of immediate,qualicative and effective performance due to numerous and complicated processes happens in the emergency ward. QFD is one of the most effective methods used for designing and improving the quality in order to fulfill customers' expectations and improve their satisfaction from provided service.
Materials & Methods: This study is aimed to investigate following subjects : 1)identifying the customers' expectations (n=80) and service`s components (n=15) through interviews, 2) defining the relationship between patients' expectations and the service`s components, and also relationship between the service`s component themselves 3) designing the service quality model based on the house of quality diagram”
Results: After identifying 13 components of customers' expectations and 20 components of service, 9 components of service were prioritized as parts of service quality model in 3 levels: 1) Physician's office physical environment
2) Improving Nursing performance`s and hospital hotel`s service facilities ,equipping inpatient` room, physician`s room and triage space 3) Improving guide systems, providing adequate welfare for the patients' families, and facilitating the waiting room.
Conclusion: The current quality model designed in this study can be a general guide to improve the quality of services provided by the emergency ward. However, using this model has its limitations such as being complex and time-consuming.
Key words: QFD, House of Quality, Services of Emergency Ward
Habib Ebrahimpour, Hassan Khalili, Mohammad Pourali,
Volume 13, Issue 3 (12-2014)
Abstract
In many countries, different methods and tools for improving the quality of health cares have been used. Among these methods, the NHS clinical governance provided by the NHS British government as a strategy to enhance the quality of clinical cares was introduced in 1998. Clinical governance both responsibilities for maintain the current level of cares and improving the quality of future care are emphasized.
Materials & Methods: The aim of this study was to investigate the relationship between clinical governance and organizational performance of hospitals in Ardabil. The research is an applied one questionnaire is used to collecting data. The population comprises patients, doctors employees and hospitals managers of Ardabil 180 were selected as the sample. To investigate the hypothesis test, correlation and regression analysis were used.
Results: According to data, there is a significant relationship between organizational performance and clinical governance. On the other hand, the results of F test showed meaningful level for the components of %99, so we can use linear regression. Furthermore, the coefficient of all the components of clinical governance has a positive and significant effect on performance. Among the components of clinical governance, clinical audit component has %163 of the minimum amount, and staff management component 908 percent has the most effect on hospital performance.
Conclusion: According to the results, are considered essential patient’s engagement in treatment, the use of information and patients' family’s experiences to provide more services to patients, credit allocation for staff training and staff expertise in the field of employees training.
Mahboubeh Asadi, Seyed Saeed Tabatabaee, Saeed Khayatmoghadam,
Volume 13, Issue 3 (12-2014)
Abstract
Background & objectives: one of new and unique tools for survival of organizations among their competitors having comprehensive knowledge of all the environmental factors affecting the organization, means organizational intelligence, that with its measurement Strengths and weaknesses of the organization are identified and can affect the performance of organization and in this way, they help to organization in the measurement and evaluating progress in achieving its goals.
Materials and Methods: This descriptive analytical study was performed in 12 general hospitals affiliated to Mashhad University of Medical Sciences in 2012. Study samples were 375 employees who were selected through stratified sampling method. The study Tool of data accumulation was Albrecht organizational intelligence standard questionnaire and checklist of hospital performance indicators that was determined by the Ministry of Health. To determine score organizational intelligence was used the five-point Likert scale. Data were analyzed by SPSS v.16 using Statistical tests and Pearson correlation coefficient (P=0/05).
Results: we found that there was a significant positive relationship between hospitals’ organizational intelligence and all the performance indicators of the exception of “Bed occupancy ratio”, “Ratio of surgeries to operation beds” (P<0.05), and organizational intelligence had the highest correlation with indicators of Bed Turnover Interval (r = 0.739) and the average length of patient stay (0.691)
Conclusion: it seems that attention and planning to strengthen and increase organizational intelligence can be effective in improving the performance of hospitals.
Farshad Faghisolouk , Ali Valinejadi, Roghaye Ershad Sarabi , Pouran Raeissi,
Volume 13, Issue 3 (12-2014)
Abstract
Background: Hospital as core of health and care system requires an effective leadership style and suitable strategy for organizational differences and conflict’ solving. Main goal of this study is to survey of relationship between leadership style and strategy of conflict management among chief executive officers of Urmia hospitals.
Materials and Methods: This analytical-descriptive cross-sectional study was implemented in Urmia hospitals in 2013. Study population of the research includes thirty top managers in ten hospitals of Urmia. Data gathered through three questionnaires (personal and job characteristic leadership style with method of Fiedler LPC and conflict management). Data analyzed through SPSS software, mainly by Chi 2, Kruskal–Wallis and Spearman's Rho tests.
Results: Results showed that Leadership style had significant statistical relationship with average of managers work experience (p=0.040). Also age and strategy of control had significant statistical relationship (p=0.01). Leadership styles and strategies of conflict management weren’t significantly with other descriptive variables such as (position, level of education, marriage situation, work experience, managerial studies and second job). Leadership styles and strategy of conflict management weren’t significant relationship, finally.
Conclusion: Since that the determination of leadership style and methods of dealing with conflict management in hospitals is important, it is recommended that ever done comprehensive research on the effects of other factors such as organizational culture, social culture, character on leadership style and conflict management.
Mohammad Arab, Farugh Mohammadian, Abdolrasoul Rahmani, Abbas Rahimi, Leyla Omidi, Parvin Abbasi Brojeni, Mehdi Asghari,
Volume 13, Issue 3 (12-2014)
Abstract
Background and Objective: The operating room is one of the main units in hospital, where the most important phase of patient treatment is performed. This study aimed to investigate the safety attitude among the staff of operating room in selected hospitals of Tehran University of Medical Sciences.
Methods: In this descriptive - analytical study, 230 staff of operating room of hospitals affiliated to Tehran University of medical sciences were selected by Random cluster sampling. Research tool was a safety attitude questionnaire (Cronbach’s alpha 0.854) that classified in 3 categories: demographic questions (11questions), quality of communications (14questions) and safety attitude questions (58 questions). All data collected were analyzed using SPSS18. T-test, Spearman correlation, analysis of variance (ANOVA) and Chi-square have been used for data analyzing.
Results: The results indicated that 90.9% of staffs had moderate safety attitude and the average of the safety attitude score was 188.52(± 22.4). As the results showed, there was a positive and significant relationship between the safety attitude score and age, total work experience and work experience at hospital (p 046/0=, r =±0.141). There were significant differences between: average of the safety attitude score among men and women (P=0.047) average of the safety attitude score among staffs who have been trained and untrained safety (P=0.004).
Conclusion: The safety attitude score among the staff. It is therefore necessary to implement the effective interventions to improve safety attitude among operating room staff in understudy hospitals.
Keywords: Safety attitude, Operating Room, Hospital, Staff
Feizollah Akbari Haghighi , Ebrahim Jafari Poyan , Negar Aghighi,
Volume 13, Issue 3 (12-2014)
Abstract
Background: Monitoring and/or control are the management main duties. This duty is so important which some of authorities believed that efficient management depends on Effective Control System (ECS).This study aimed at identifyingbarriersandfacilitators of performance monitoring and providing some strategies for effective health care monitoring.
Materials and Method: This study was a qualitative one which data was collected bySemi-structured questionnaire filled by interview in2011-2012 and analyzed usingframeworkanalysis. Study population consisted of 25 experts and directors of care/treatment performance monitoring.
Results:Based on study results, nineconceptswere extracted as following:specialized nature of treatment performance monitoring, health assessors’ education, work experience in line units, prerequisites for new treatment performance monitoring, personal characteristics of care monitoring expert, managerial support of assessors, culture of monitoring process acceptability, facilitators and barriers of monitoring. Based on these concepts, 28 codes were identified.
Conclusion: Experienced assessors’ assessment, based on their specialty professionals’accurate and applied systematic education and management support are main items which will be result in more effective care/treatment performance monitoring.
Sakineh Alizadeh, Mohammad Reza Maleki, Rahim Khodayari Zarnaq , Sajad * . Darzi Ramandi , Ahmad Sadeqi,
Volume 13, Issue 3 (12-2014)
Abstract
Background: Strategy is one of the important factors affecting the organizational structure. Taking the relationship between these two mentioned factors into consideration is essential. This study surveys the relationship between organizational structure and strategies of public and private hospitals in Tehran.
Materials & Methods: This study is a descriptive and analytical study of 20 selected public and private hospitals conducted in Tehran in the year 2012. The statistical population included supreme hospitals managers .We did a complete count because the sample size was small(60 managers). Research instrument was Miles and Snow strategy and Robbins's organizational structure questionnaire. A panel of experts were used for validity of questionnaires while the estimation of their reliability was calculated by Cronbach`s Alpha which was 0.75. The data analysis was conducted with descriptive statistics and Spearman correlation test.
Results: Among the structural dimensions, “centralization” was between was 85% and 75%, “formality” was 92% and 88% and “complexity” was 81% and 100% public and private hospitals respectively. Dominant strategy for both groups of hospitals was analytic. Correlation coefficient between strategy and organizational structure in public hospitals was -0.2 and in private hospitals was +0.3 which showed that relationship was not significant.
Conclusion: There was not a significant relationship between dimensions of organizational structure and the dominant strategy (analytical strategy) in public and private hospitals. If these hospitals tend to follow analytical strategies, they should reduce their complexity. Moreover, centralization could be towards analytical strategies if there is a strict control on current activities and little on new ones.
Shabnam Ghasemyani, Abollghasem Pourreza, Sara Forotan,
Volume 13, Issue 3 (12-2014)
Abstract
Background: Organizations need dedicated human resource to achieve their goals. Doing justice to personnel result in increasing job satisfaction and organizational commitment. This study is aimed to determine the relationship between organizational justice and organizational commitment among Shariati and vali Asr (as) hospital staff in the year 1390.
Materials and Methods: This survey has been done using a cross-sectional descriptive analytical method. 140 of personnel of Shariati and vali asr hospital were involved in the survey. Nyhvf and Moorman (1993) and Meyer (1990) questionnaire were used. The former was used for measuring dimensions of organizational justice and the latter was used for determining the level of organizational commitment. The data were analyzed descriptively inferentially using SPSS version 18.
Result: The mean and standard deviation of organizational justice were 2/84 and 0/72 respectively and the mean and standard deviation of organizational commitment were 2/89 and 0/66 respectively. The results showed a direct significant relationship between organizational justice and organizational commitment .The value of correlation coefficient indicates a direct relationship between variables.
Conclusions: According to the results of study, organizational Justice and organizational commitment were in average level among samples. These variables merit further consideration as their direct and significant relationship and also their crucial role in increasing efficiency of organizations especially hospitals. Managers would have to give increasing organizational justice serious consideration
Habibullah Danaee, Hojat Rahmani, Leyla Torkzade, Mohsen Nazari ,
Volume 13, Issue 3 (12-2014)
Abstract
Background: Industry growing and work load of financial turnovers are one of the medical tourism’s reason. Because of additional capacity building in health domain especially in medical levels, medical tourism can be solved some problems similar to extra capacityby means of an essential strategy. The aim of this study was to Segment external clients based on their benefits expectations about health services in four hospitals in Iran.
Materials andMethods:In current study, library reviewing and health care experts’ viewpoints were used in order to determine the characteristics of healthcare services.After determining the variables, factor analysis was performed to brief variables.Then, cluster analysis was performed on extracted factors using K MEANS algorithm and characteristics of each cluster was determined.
Results: Four factors were extracted by factor analysis .Then, Cluster analysis was done on the factors andPatients were divided into four sections whilethe first section respect with health care services efficacy, the second and fourthparts tend to get care with respect and the third parthave a tendency to have individual ability
of hospitals.
Conclusion: Individuals obtained the most important percent to care providing with respects among four extracted clusters. Thus, hospitals should have the most focus on communication quality regarding their marketing efforts with their clients.
Edris Hoseinzadeh, Mahmoud Taghavi, Mohammad Reza Samarghandie,
Volume 13, Issue 3 (12-2014)
Abstract
Background and objective: Bioaerosols are airborne particles which can cause a wide range of health effects including hospital and occupational infections, acute toxic effects, allergies and cancer. Hence, the aim of this study was the qualitative and quantitative evaluation of bioaerosol in different wards of Malayer city’s hospitals.
Material and methods: Sampling was conducted from twelve wards in two hospitals. Both bacterial and fungal sample were taken based on method of ACGIH bioaerosol committee. The samples were transported to blood agar and sabouraud medium then cultivated immediately. The type and number of colonies were determined in the laboratory then, the bioaerosol concentration was calculated in terms of cfu/m3.
Results: Overall, the maximum concentration of bacterial (21.27 cfu/m3) and fungal (66.49 cfu/m3) colonies were found in pediatric and CCU wards, respectively. The minimum concentration of both bacterial (8.74 cfu/m3) and fungal (2.18 cfu/m3) colonies were found in autoclaving ward. Staphylococ negative coagulase(33.76%), Micrococ species(16.23%) and Bacillus species(15.58%) were found to be the most common organisms and, Penicillium spp. (50.9%), Cladosporium spp. (27.02%) and Aspergillus spp. (8.1%) were the most common fungal genus.
Conclusion: Except of a few cases, total concentration of bioaerosols was lower than the guideline concentration (30 cfu/m3) in the all wards. High concentrations of bioaerosols in some wards can be explained by some reasons such as wear and tear of buildings, improper ventilation, incomplete disinfection of wards and, the high number of patients and visitors.
Amir Ashkan Nasiripour, Mehrak Pourmotahari,
Volume 13, Issue 4 (3-2015)
Abstract
Background: Nowadays, quality of working life
as a universal concept of human resource management and organizational development
have been regarded and improving it, is key to successfully managing any
organization. This study was conducted to survey Relationship between Quality of working life
and Work-family conflict among Nurses of Hospitals in Tehran.
Materials
and Methods: This
study is descriptive –analytic that performed cross sectional. The study
population was the nurses of the hospitals of the Tehran University of
Medical sciences (N=215).The data was
gathered using two questionnaires , Quality
of working life components of Casio and questionnaire of work-family
conflict prepared based on Carlson. Cronbach's alpha was used to assess the
reliability of the questionnaire. Spearman correlation test was used for
statistical analysis.
Results:
There was no significant
relationship between Education and work facilities (Quality of working
life components) with the work-family
conflict (p >0.05).but relationship
between the democracy, participation in decision making, job design,
workplace in organization with
the work-family conflict was significant (p <0.05).finally, between Quality of working
life and work-family conflict a significant
relationship was observed (p <0.001).
Conclusion:
Because the
significant relationship was observed between the Quality of working life and
work-family conflict among the nurses, It can be concluded that Work-family
conflict be reduced with improve of Quality of working life.
Reyhane Shahraki, Alireza Pooya,
Volume 13, Issue 4 (3-2015)
Abstract
Abstract:
Background: Recently, hospitals in order to improve strategic and operational work have been under a lot of pressure Nonetheless, lack of taxonomy researches have been noticed in Health care. The purpose is to present taxonomy of health care operational systems and strategies of Mashhad hospitals sections in correct order in the base of their aims and operational decisions and afterwards assign Proportionate strategies and systems with each other.
Materials and Methods: Considering its objective, this study is applied. It is exploratory and based on survey regarding its method. 84 samples of remedial hospitals sections in Mashhad have been chosen by chance and after final survey and justifiability implement research to analysis data using from k-means cluster analysis and in order to assess the validity of this analysis, the multiple discriminant analysis has been used. The test of independence was used to assess the correlation between strategies and recognized systems.
Results: for each strategies and operational systems 3 clusters have reconnoitered that each of them in a correct order is emphasizing on goals and different decisions. Also the results of performing independence test is expressive the proportion between Leaders of service- centric strategy with operation leading system and cost- based follower strategy with creative cautious system.
Conclusion: This study dose not only provides a useful description of the operational situation and operational position of a hospital, but also provides a necessary setting for more professional studies and theorizing.
Seyed Omid Khalilifar , Bayram Nejati Zarnaghi, Mohammad Bakhtiari Aliabad, Ameneh Valadkhani,
Volume 13, Issue 4 (3-2015)
Abstract
Background: Today, one of the effective ways of providing services is contracting with outside of organization and outsourcing.
Objective: The current study aimed to investigate effect of outsourcing on performance of nutrition unit in studied hospitals.
Methods: The current descriptive – analytical study performed in 2013, in two non-military hospitals and two military hospitals. 602 patients and 930 personnel were selected by simple randomized sampling. Data gathering performed by Patient and personnel satisfaction questionnaire, check list of kitchen's hygiene condition and check list of assessing the time spent by hospital manager for nutrition unit. Data on personnel cost were collected through accounting department. Data analysis performed by spss19 software.
Findings: Patient and personnel satisfaction with food services of non-military specialized hospital (4.03±0.45) were more than military specialized hospital (p= 0/03 for patients & p= 0/021 for personnel) and in non-military general hospital were more military general hospital (p= 0/039 for patients & p= 0/028 for personnel). Hygiene condition of non-military hospitals kitchen was better than military hospitals, the time spent by hospital manager for nutrition affairs in military specialized hospital was 1.5 times more than non-military specialized hospital and in military general hospital it was 6.5 times more than non-military general hospital. Personnel cost in nutrition unit of military hospitals were 1.5 times more than non-military hospitals.
Conclusion: Regarding the positive impact of outsourcing on performance of nutrition unit in hospitals, it is recommended that this strategy be applied in nutrition unit of military hospitals.
Dr Abbas Ziari, Dr Kambiz Abachizade, Dr Maryam Rassouli, Dr Mohamad Ali Haidarnia, Dr Mariam Mohseny,
Volume 13, Issue 4 (3-2015)
Abstract
Background:
Different approaches have been suggested to improve the quality of health care and the clinical governance is one of the main models. In the country, Clinical governance is initiated as a national model in 2009 and hospitals were forced to implement it. Only two hospitals of Shahid Beheshti University of Medical Sciences were approved according to evaluation of clinical governance implementation. This study aimed to describe and explain the barriers of clinical governance implementing in educational hospitals of Shahid Beheshti University of Medical Sciences.
Materials and methods:
In this qualitative study, conventional content analysis has been done. Twenty five participants involved in implementing clinical governance, including nurses, physicians, managers and the experts of hospitals and Ministry of Health, have been selected through purposive sampling method and interviewed in a semi-structural way till data saturation. Data were collected and analyzed simultaneously. Member check and peer check have done for data rigor.
Result:
Nine themes include human resource challenges, financing resource shortage, incomplete records and documentation systems, inappropriate organizational culture, lack of awareness of managers and employees, incomplete documented policies and procedures, inappropriate monitoring and evaluation, lack of inter-sector coordination and weak leadership were obtained and were placed in two domains input and process.
Conclusion:
The findings of this study indicate that there are several barriers for implementing clinical governance in hospitals that there is need to prioritize needs and to provide them appropriate solutions.
Neda Vaziri, Ali Ardalan, Elham Ahmadnezhad, Abbas Rahimi Foroshan,
Volume 14, Issue 1 (6-2015)
Abstract
Background: Emergency operation centers (EOC) have been established in recent years aimed to organize and coordinate through disasters. These centers are responsible for decision-making in response and recovery phases after events. This study is aimed to develop a standard function evaluation criteria for EOC.
Materials and Methods: This mixed method study with sequential triangulation approach had been conducted in 1391 among employees of EOCs which have been running experience for minimum of one year . validity and reliability of questionnaire had been confirmed by face and content validity and Cronbach's alpha respectively. The most important factors have been determined by an Explanatory factor analysis which also helped reducing number of questions.
Results: Final tool by six domains had 38 questions. All content validities were higher than +0.6 apart from one at +0.1. Only the activation domain had inappropriate Cronbach at 0.337 and all others were higher than 0.7. Factor analysis reduced number of questions in each domain. Explanatory factor analysis reduced number of questions from the views of information assessment, activation and coordination and other domains to 5 ,2 and 1 respectively.
Conclusion:It seems that mentioned questionnaire could be an appropriate criteria for assessing performance of EOCs due to its validity and reliability according . The high reliability was resulted from closed correlation of. Appropriate quantity of validity implied EOC personnel great depth of knowledge on all questions asked.
Master Science Mohsen Afsahi, Dr. Mohammad Mehdi Sepehri, Master Ehsan Ameri,
Volume 14, Issue 1 (6-2015)
Abstract
Background: Deciding on the number of hospital beds is one of the most serious challenges managers face. More hospital beds result in higher running cost although less hospital beds might cause disorder in patients flow. Minimizing total cost besides maximizing the patients flow in a hospital network, considering the practical limitations is the main objective of this survey.
Materials & Methods: This study had main steps to investigate following: identifying current limitations of changing capacity of each ward, by conducting interview with hospital managers and other personnel of Modares hospital, analyzing cardiac patient flow analysis, simulating current flow, determining practical scenarios and choosing the best among them by mathematical modeling could minimize total cost and maximize patient flow.
Results: 31 practical scenarios have been determined and analyzed by surveying limitations among all existing scenarios. Finally, eight best scenarios had been selected. Results showed that decreasing the number of beds in CCU and increasing the number of beds in Post-CCU can improve patients flow, considering cost limitations.
Conclusion: A recommended approach in this study can be a general guide for capacity planning with taking practical limitations into consideration. This survey could be useful for the managers who are against the benefits of post CCU by comparing the patient flow with and without this ward.
Hosein Ebrahimipour, Ali Vajaee, Gholam-Abas Nouri, Habib-Allah Esmaeili, Sara Jamili,
Volume 14, Issue 1 (6-2015)
Abstract
Background: Process of discharging patients affects patient’s satisfaction .This is one of the serious challenges that hospital managers face. This study is aimed to determine the average waiting time of patient discharge process and identify influential factors of this process in Imam Reza Hospital in Mashhad in the year of 2014.
Materials & Methods: This is a cross-sectional survey in which waiting time of patients who had discharged from clinical wards of the Imam Reza hospital in Mashhad had been studied. 455 of patients had been selected as samples. The amount of time spent during discharge in six different departments such as inside each ward, from each ward to the medical records unit, inside the medical records unit, from medical records unit to accounting department , during cost calculation and also from cost accounting to cost payment unit) had been determined by using stop-watch method. The data had been analyzed by descriptive and analytical statistics in significant level of 0.05 using SPSS16.
Results: Results showed that waiting time was 504.26± 362.96 Minutes. Patients spent most and least proportion of their waiting time in ENT and Burns wards during discharge.
Conclusion: As noticeable number of minutes spent inside wards and cost payment unit by patients, calls for corrective interventions such as changing visit time and predicting schedules for sending medical record to accounting department could reduce waiting time.
Ali Jannati, Neda Kabiri, Mohammad Asghari Jafarabadi, Behrooz Pourasghari, Babak Bayaz,
Volume 14, Issue 1 (6-2015)
Abstract
Background: Pay-for-performance (P4P) is a payment model which tries to pay for the measured aspects of performance and encourage health care providers by providing financial incentives in order to achieve pre-defined goals. This research was done to assess the impact of P4P on efficiency of medical laboratory of Imam Reza hoapital in Tabriz in 2013.
Materials & Methods: This interventional research was a before-and-after study. In order to recognize any changes, efficiency indexes of laboratory were measured and compared whole the year. The data were collected manually assessing the related documents. For comparing efficiency before and after intervention, descriptive statistics were used.
Results: Findings showed that costs didn’t differ significantly after the intervention, but revenue was a little increased slightly (14364 to 16874). Laboratory errors were also increased after the intervention. (0 to 17 cases).
Conclusion: Regarding the results of survey , it seems that we can conclude that this bonus payment system can be used in all levels in which care is provided such as primary health care centers, drug stores, diagnostic centers and hospitals through setting pre-defined goals and considering negative point for any staff who makes an error.
Seyed Hesam Seyedin, Mohammad Mohseni, Agha Fatemeh Hossaini, Mehdi Gharasi Manshadi, Heshmatollah Asadi,
Volume 14, Issue 2 (8-2015)
Abstract
Background: hospital is one of the most key institutions in the modern health care system and accountability is the most essential organizational functions. Accountability strengthens the main factors to responsibility regarding functions by pushing them up. This study aimed at assessing the situation analysis of performance accountability in teaching hospitals affiliated to Tehran University of Medical Sciences
Materials and Methods: This descriptive and analytical study performed at 12 teaching hospitals of Tehran University of Medical Sciences in 2013. Data collection performed by performance accountability checklist. Analysis was done by SPSS software version 19 using descriptive and analytical statistics test (Pearson correlation coefficient).
Results: In general, the condition of accountability for hospitals' performance (Mean =1.5 from 2) measured "good"(moderate to high). Strategic planning dimension achieved the highest score (Mean±SD:1.85±0.21) and Stakeholder Participation had the lowest score (Mean±SD: 1.12±0.46). There was a positive significant correlation between all variables (except Motivation) and performance accountability.
Conclusion: Weakness in any part of performance can affect other parts and have negative impact on total hospital performance. Mentioning the current situation of accountability for hospitals' performance and its importance, reinforcing weak dimensions and addressing deficiencies in performance accountability should be consider as managers' top priority.
Mohammad Javad Kabir , Nahid Jafari , Mohammad Nahimi Tabihi, Ebrahim Mikaniki , Hasan Ashrafian Amir, Seiyed Davoud Nasrollahpour Shirvani, Araslan Dadashi , Ghasem Oveis ,
Volume 14, Issue 2 (8-2015)
Abstract
Background: One of the key duties of family physician is to form health records and provided recording services. This study conducted to form health records and aevaluate health records in family physician program in Northern Province of Iran.
Materials and Methods: This cross-sectional study was carried out in second half 2011. 139 of centers implementing family physician program in three provinces of Golestan, Mazandaran and Gilan were selected using systematic random sampling, and assessed performance recording of all family physicians. A self- designed questionnaire was used which the validity and reliability of were confirmed. Data were analyzed by SPSS18 at the significant level of p<0.05.
Results: Out of the 189 assessed family physicians, the profile of patients referred to the second level and its results were recorded in referral record forms by 43 physicians. Out of 1890 studied families, 1559 families had health record which had filled 892(57%) health record completely. Out of 5869 assessed family members, 4229 patients were examined periodically by their family physician at least once and 1919(46%) results filled entirely. during 559 were reported with health records, among which 892 were filled out completely. There was a significant difference between referral record rates to registered specialist between the Northern Province of Iran (P=0.001).
Conclusion: The quantity and quality of health record formation was not in the expectation level as well and appropriate interventions are needed.
