Journal of

Background: The hospital is an important element in the new public health. The health in the populations requires access to the medical and hospital services as well as preventive care and a healthy environment. This study attempts to review the important factors to be considered in the hospital sites selected and design in the urban, regional and country levels. Finally, suggestions have exhibited to the hospital sites selected and design for its optimum and efficiency. It's also suggests proposals for appropriate site selected and design of hospitals for optimum efficiency.
Materials & Methods: This is a review article which documentary method and Internet search have been employed.
Results: What principles do you use to decide on the location and layout of a new or expanded site selection? What information do you need to consider before selecting a site location? How do you maximize inherently safer design with minimal impact on the cost and schedule? How do you manage sitting issues when limited space is available? How do you address security concerns in a new site? These questions are considered cases in paper to attempt to answer it.
Conclusion: To determine the feasibility of the project, the first consideration in the survey is to study the character, needs and possibilities of the community which the hospital is going to serve. The hospital facilities in the region should be studied in terms of:
• Population of the region
• Quality and number of hospitals
• Patient and disease pattern
• Cost of investigation and treatment
• Physical and Environmental characteristics of the site
This study considers the specific problems of creating a well distributed network of hospitals that deliver its services to the target population in minimal time, pollution and cost. The study has showed that if these criteria considered, it would assessed the extent to which authorities of hospital planning and administration have utilized in the planning.

Background: Patient`s self-discharge from the hospital is a process in which a patient leaves the hospital before completing his or her determined treatment period by his own will. This study is aimed to survey the factors affecting patient`s self-discharge from the hospital in emergency ward of a referred hospital. Materials and Methods: This is a case-control study. The 280 selected samples were divided to two groups, each with 140 members. The data were gathered using a questionnaire evaluating the scale of patients and their companions` satisfaction of the hospital services. Chi-square test was used for analyzing the relationship between independent variables and the patient discharge type. Moreover logistic regression was used in order to identify the effect of significant independent variables on own will-discharge possibility. Results: Results indicate that there is a meaningful relationship between variables such as age, having supplementary insurance, residency, income rate, reference shift, reference day, satisfaction of the physicians, satisfaction of the physical environment and welfare facilities, the patient`s satisfaction, the waiting time, satisfaction of the instructions given by nurses and physicians and total satisfaction with discharge type(p<0.05). Conclusion: The matter of patient`s self-discharge is a multi-dimensional phenomenon and depends on patient’s characteristics and structural and medical factors. Therefore predicting its scale and determining factors might play an effective role in controlling this phenomenon.