M Arab, H Ghiasvand, Ra Darroudi, A Akbari Sari, M Hamidi, J Moghri,
Volume 11, Issue 3 (20 2012)
Abstract
Background: Regarding to the escalating costs of health care and limited resources in this field, the appropriate identification and control of costs is inevitable. This Study aimed to determine the unit cost of radiology services, in selected hospitals of TUMS.
Materials & Methods: This was a descriptive retrospective study. At first, we selected two hospitals (Shariati and Sina) out of general - teaching hospitals of TUMS randomly. After gathering data, using activity based costing method, the unit costs of radiography services in these centers in 1389 fiscal year (2010-2011) were calculated.
Results: The unit costs of radiography services in Shariati and Sina hospitals were 251255,5 and 334996,2 respectively. Building rent and human resources costs included the most share of total costs.
Conclusion: The unit cost of radiography services in this study is very different comparing with other studies. Calculated building rent costs in this study could be one of the possible reasons of this difference (other studies did not consider this costs). The other point is that, regarding the high share of human resources and building costs from total costs, special attention to these sources of costs and appropriate and adequate use of them, can be an important step toward improving the efficiency and cost savings in our national health system.
Fatemeh Mohammadkhani Ghiasvand, Masoumeh Abbasabadi Arab, Habibollah Taherpour Kalantari, Hossein Alipour,
Volume 21, Issue 2 (9-2022)
Abstract
Background: The occurrence of all kinds of errors and mistakes imposes many costs on the hospital and society. Whistleblowing and error reporting plays an essential role in preventing and reducing errors, but the rate of error reporting in hospitals is low. This research was conducted in order to investigate the effect of selected individual factors on whistleblowing of hospital employees.
Materials: The research was conducted as a descriptive correlational study. 229 nursing and para clinic staff of a hospital in Tehran were selected by random sampling. A standard questionnaire with 69 items from valid questionnaires of selected factors, including organizational commitment, source of control, moral judgment, altruism, individual's attitude towards whistleblowing and intention to whistleblowing was collected and its validity and reliability were confirmed. The method of data analysis was confirmatory factor analysis and SPSS and Amos software were used as well.
Results: The variables of organizational commitment, altruism and individual's attitude towards whistleblowing have an effect on the intention of whistleblowing, and moral judgment and source of control have no effect on the intention of whistleblowing. Also, individual variables such as age, gender, and work experience did not have a significant effect on the intention to blow the whistle.
Conclusion: Strengthening organizational commitment, altruism of employees and the positive attitude of the individual toward whistle-blowing play an important role in improving error reporting. Hospital management methods can strengthen or weaken these factors. Participatory management style, job empowerment, supporting and creating a safe environment for reporting, promoting employees' ethical and professional principles, and learning and sharing medical errors are effective measures in promoting whistle-blowing.
