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Alireza Hatam, Sajad Rezaei, Leila Kouchaki Nejad, Shahrokh Yousefzadeh,
Volume 13, Issue 4 (3-2015)
Abstract

Background & Aim:‌ Improving the quality of work life in hospital personnel is introduced as one of the important factors for ensuring the sustainability of the health system. The aim of this study was to investigate the relationship among organizational justice and commitment, and job satisfaction with quality of work life in Pour-Sina state hospital personnel. 

Materials & Methods: ‌The study design was descriptive and cross-sectional, and statistical population included all of physicians, nurses, radiology and administrative staff and service workers of Poursina State Hospital in Rasht. 216 individuals were selected by quota sampling and filled the questionnaires on demographic information, quality of work life, organizational justice and commitment and job Descriptive Index‌(JDI).All data were analyzed with SPSS 16 software and by correlation coefficient and multiple regression.

Results:‌ Among the demographic characteristics, only work history had a significant negative correlation with quality of work life ‌(r=-0.155,‌P<0.05).‌ All dimensions of organizational commitment‌(except continues commitment) and organizational justice had a positive and significant relationship with quality of work life(P<0.0001).in regression analysis variables of distributive justice (P=0.0001,β=0.318),pay satisfaction (P=0001.0,β=0.288), affective commitment (P=0.007,β=0.144), promotion satisfaction (P=0.003,β=0.172), procedural justice (P=0.013,β=0.139 ), and normative commitment (P=0.003, β=0.172) significantly predicted the levels of  quality of work life and totally explained 60% of shared variance‌‌(P<0.0001,F=46.913).

Conclusion: individuals working in hospital are always at risk of burnout. Thus, it is proposed that much attention be paid to dimensions of job satisfaction, organizational commitment and justice in order to increase the quality of work life in hospital environments.


Dr Masoud Etemadian, Dr Hossein Shahrokh, Dr Aidin Aryankhesal,
Volume 18, Issue 4 (1-2020)
Abstract

Background: This study aimed to explore the process of establishing a non-governmental and nonprofit  hospital, as a corporate infantry, and a model for the establishment of autonomous and corporate hospitals.
Materials and Methods: This was a qualitative case study. The data were collected by interviewing the founders of Moheb Mehr Hospital, staff and some university officials and charity organizations. The data analysis was conducted based on grounded theory principles and data were coded in three stages of open, axial and selective coding.
Results: The primary factors behind the establishment of Moheb Hospital were the low level of physicians' fees and the physicians’ dual practice in the public and private sectors. The existence of unused spaces at Hashemi-Nejad Hospital and the possibility of contracting supplementary insurance were the secondary factors. The reaction included welcoming from hospital physicians and opposition from the government and the Ministry of Health. A good patient access was created due to the lower charges, in comparison to the private sector, and having contract with the supplementary insurance. The negative comments from the government and the Ministry were gradually adjusted.
Conclusion: The decentralization initiatives of the public sector in hospitals should be considered as a bottom-up process. Instead of turning government hospitals into independent or corporate, it is better to re-establish them in an autonomous or corporate form. Also, before any decentralization action, financial and managerial stability must be created in the organizations. Morevoer, employee benefits must be preserved. Instead of receiving government funding, it is better to use the capacity of the endowment and receive bank loans.
 

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