Showing 251 results for Hospital
M Nekuee Moghaddam, F Behzadi , H Keshavarz,
Volume 11, Issue 1 (3-2012)
Abstract
Background: One of the main goals in each organization is to achieve success. The only way to achieve this goal is resort a kind of systematic, native and functional views. Remarkable successes in the recent decades by organizations with the minimum facilities and failure of the organizations by
the best material capabilities is on the other hand, demonstrates the significant role in non-material and spiritual factors in reach to success. The organizational culture is considered as an effective factor in organizational performance. The present study has been done to find relationships between
these two categories organizational culture and organizational success in the public hospitals of the Kerman cities (Kerman, Sirjan, Rafsanjan).
Materials and Methods: This was a descriptive analytical cross-sectional study during the last six months in 2009.The sample size composed the public hospitals in three selected cities of the Kerman province. To define organizational culture, Richard Deft Model was used, and also to identify the
organizational success orator elements were used. Simple random sampling used to choose samples and the Cochrane Formula used to define sample size. The gathered data were analyzed by descriptive (frequencies tables and diagrams) and analytical (correlation tests: Pearson, Spearman, XSquare,
t-tests, ANOVA test) statistics methods through SPSS software.
Results: The results showed that among all kinds of existed organizational culture, bureaucratic culture was the dominant culture with average score 3/162 and the others were: participatory:2/722, flexibility:2/525 and missionary:2/405 respectively. Comparing average score of organizational success
elements showed that flexibility element with average score 2/96 was the most important element and the others were: cohesiveness: 2/885, speed:2/88 and innovation:2/725 respectively. The dominant organizational culture of subordinate hospitals in the Ministry of Health and Medical Education are
bureaucratic culture. The dominant culture in subordinate hospitals of the Social Security Organization is a participatory culture. Also the average number of organization success in subordinate hospitals of the Social Security Organization is significantly greater than the average number of organization
success in subordinate hospitals of the Ministry of Health and Medical Education. In relationship between the organizational culture and organization success, the participatory culture only had a positive correlation with organization success and in the other cultures, either an assumption of lack of
relationship confirmed or a negative correlation was concluded.
Conclusion: Hospitals are the main organizations in providing services in the health care system in each country. Implementing participatory culture, increasing hospital flexibility in an accountability to customers and patients needs play basic roles in patient’s satisfaction to achieve the main mission
of the hospital organization that is providing services
Movahed Kor E, Arab M., Akbari Sari A, Hosseini M,
Volume 11, Issue 1 (3-2012)
Abstract
Background: Focusing on making opportunities to participate of patients in all levels of health care system is important in order to develop of system capability that could make improving of patients’ safety and quality of care services. The aim of this study was to determine inpatient perceptions in general hospitals of Tehran medical university regarding patient participate in treatment decisions and safety.
Material and methods: This was a cross-sectional study in 1390. First, the list of eight general hospitals affiliated to Tehran University of medical sciences and all clinical wards were obtained through the university website. Then, stratified random sampling method applied to collect 300 patients as a sample size. Data were collected by using a structured questionnaire that validity and reliability were accepted. Descriptive statistical methods, linear regression and multivariate logistic regression were applied to analyze.
Results: From total of 300 patients, 60% of them were female. The level of participating by patients in cure decision making were at high level (59.7%) and 27% in low level. The range of patients’ safety was at high (60%) and low (26%). The level of participate in decision making of cure process had high rate among young people and employed participants. The patients who were unmarried, educated, and employed had lower score in patients’ safety. The participants’ perception had no effect on the patients’ safety perceptions.
Conclusion: The symptoms that might be interpreted as an abnormal could be interpreted in different ways by the others. These unusual results could come from dissimilarities in demographic features
Z Kavousi , F Setoudehzade, E Kharazmi, R Khabiri , R Ravangard , H Rahimi ,
Volume 11, Issue 1 (3-2012)
Abstract
Background: The inefficiency of financing health care in developing countries made led in manyhealth policy-makers to consider alternate means of service provisions. Outsourcing public financed health services in private sector organization is one of the interventions. Advocates claim that the
contracting out of health care services will improve the service delivery performances throughstimulating competition among providers and also by creating economic incentives to improve performance through linking payment to provider performance. Materials and methods: The purpose of this cross sectional study was to provide decision matrix to guide decision-makers whether outsource hospital services or not. Tow kind of questionnaire were developed and used.
Results: Findings showed that the most propensities of outsource is in nutrition services (87%), and the least is in nursing services (43.4%) based on administrators’ attitude. Shaping of decision matrixshowed propensity to outsourcing of nursing, radiology, laboratory services are high while nutrition services is been low.some differences between results of decision matrix and administrators’ propensity to outsourcing in radiology and laboratory services. Lack of attention in
characteristics of the hospital services might be one of the reasons. Cost saving is the main reason for outsourcing the services while administrators should consider as an effect and side effect ofoutsourcings
Firooz Jamali, Mir Sattar Sadrmousavi, Mehdi Eshlaghi,
Volume 11, Issue 2 (8-2012)
Abstract
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.
Alireza Ilbeigi, Mostafa Kazemi, Mohammad Taghi Peivandi,
Volume 11, Issue 2 (8-2012)
Abstract
Background: The aim of this research was to measure and compare relative efficiency of general hospitals under supervision of Mashhad University of Medical Sciences (MUMS). The study also seek to investigate the likely relationship between the official evaluating scores reported by MUMS with findings of this study.
Materials & Methods: Data Envelopment Analysis (DEA) is utilized to determine relative efficiency of individual decision making units (DMUs). From state-run general hospitals in this study, 17 were selected based on the criteria suggested by the model. To distinguish efficient hospitals from inefficient ones, revised input-based BCC model was used incorporating ‘number of physicians' and ‘number of nurses' as inputs. Outputs were set as ‘the rate of inpatient days to staffed beds', ‘outpatient visits' and ‘number of surgeries' reported both at emergency and wards.
Results: The findings based on both CRS and VRS simulations indicate that the mean of technical efficiency was 0.823, mean managerial efficiency was 0.931 and subsequently mean scale efficiency was 0.881. It was further noticed that, there was no significant relationship between the performance appraisal outcomes from DEA model, and scores allocated to each hospital through official evaluation system.
Conclusion: Current official appraisal system based on pre-defined checklists may not be a reliable mean for evaluating and ranking efficiency of general hospitals.
Farbod Ebadi Fard Azar, Aziz Rezapoor, Asghar Tanoomand Khoushehmehr, Rezagh Bayat, Jalal Arabloo, Zahra Rezapoor,
Volume 11, Issue 2 (8-2012)
Abstract
Background: Patients' safety is a critical component of health care quality. As health care organizations continually strive to improve, there is important growing recognize of establishing a culture of patients' safety. To establish a safety culture in a healthcare organization, the first step is measuring the current culture. The aim of the study was to measure physicians, nurses and Para clinical personnel perceptions in patient safety culture in Tehran's selected hospitals, and to compare findings with U.S. hospitals.
Materials & Methods: Physicians, nurses, and Para clinical personnel who worked in training hospitals affiliated with Tehran university of medical sciences were asked to complete a self-administrated patients' safety culture survey (n = 145). Data collection was carried by using the Persian version of HSOPS, developed by Agency for Healthcare Research and Quality (AHRQ). Cronbach's alpha and chi-square tests were employed in statistical analyses.
Results: Among the dimensions of patients' safety culture with the highest percentage of positive responses the teamwork within units (67%) was higher, whereas that with the lowest percentage of positive responses was non-punitive response to error (51%). Except to Handoffs and transitions dimension the entire dimension scores were lower than the benchmark scores. The study revealed that more than half of the participants were not reported the errors.
Conclusion: Improving patients' safety culture should be a priority among hospital administrators. Meanwhile, Healthcare staff should be encouraged to report errors without fear of punishment action.
Feizollah Akbari, Mohammad Arab, Khosro Keshavarz, Alireza Dadashi,
Volume 11, Issue 2 (8-2012)
Abstract
Background: The hospital is one of the main organizations which offering health care and medical services in a high level allocated sources in the health sectors. Therefore, considering to efficiency costs is great importance. This study aims in considering the efficiency of the hospitals of Medical University in Tabriz, Iran, by using Data Exhaustive Analysis Method.
Materials & Methods: The study inspected and analyzed the technical efficiency and also effective factors on it in selected hospitals by using Data Exhaustive Analysis Method during the 3 period years (1384-1387). In order to conduct this study, the comprehensive Input-oriented Form of Data Exhaustive Analysis Method assuming in the variable return compared with the scale. The variables of the inputs in this study included number of physicians, non-physician staff, and active bed and annual costs of the hospital. The variables of the outputs included the coefficient of the occupied beds, number of admitted patients, and surgeries. To data analyzing, SPSS and data envelopment analysis software were used. It is worth mention that the data in this study were accumulated by using the forms devised by the authors and standardized questionnaire via referring and going to the hospitals.
Results: The findings of data exhaustive analysis method showed that there was %5(TE=0/953) possible capacity augment in the technical efficiency. The findings also suggest that there is a potential frugality in consuming the inputs in order to produce a constant amount of the output. Meanwhile, there is a potential augment of the output by using a constant amount of the input, as well. The findings also represent the effect of the demographic factors and functional factors on the efficiency of the hospitals.
Conclusion: It is suggested that to leave out the surplus staff, decrease the surplus costs of the hospital through replacing the energy consumption and a proper management of energy and other surplus inputs, hire sophisticated managers and applying the graduated field of management in health care and medical services and also hire the managers with high quality degrees, create the data envelopment analysis of enhancing efficiency should be one of the useful way to provide qualified medical services in our society as a comprehensive programming. Based on the findings of the data Exhaustive analysis method, improving the efficiency of the hospitals, health care system and medical section are essential as well.
J Moghri, A Ghanbarnezhad, M Moghri, A Rahimi Forooshani , A Akbari Sari, M Arab,
Volume 11, Issue 2 (8-2012)
Abstract
Background: Patient safety is one of the most important components of health care quality. Given that assessing the current culture of patient safety is the first step in improving patient safety, we decided to translate and validate one of the most used patient safety culture assessment tool (HSOPS questionnaire) for the first time in Iran, and in this way take a step toward improving patient safety in our hospitals.
Materials & Methods: This cross sectional study was done among four general hospitals of Tehran University of Medical Sciences (TUMS), which were selected purposefully. Questionnaires randomly distributed among 420 members of the study population, and were collected after completion. Results were analyzed using Confirmatory Factor Analysis (CFA), internal Consistency and correlation.
Results: The value of Fitness function (FF) was 14.25 and according to that, the value of Goodness of Fit Index (GFI) was 0.96. Almost in all of the dimensions, the internal consistency of items in the translated Persian questionnaire was lower than the original one and ranged between 0.57 to 0.8.
Conclusion: Regarding to the findings of this study the Persian translation of the HSOPS questionnaire is a valid tool for the assessment of patient safety culture in Iran's hospitals.
Abolghasem Pourreza, Mohammad Reza Monazam, Marzieh Abassinia, Mehdi Asghari, Hosein Safari, Mohammad Sorani, Farhad Habibi,
Volume 11, Issue 2 (8-2012)
Abstract
Background: Job Burnout is one of the important factors to reduce productivity, making mental and physical adverse effects on jobs related to human services and losing efficient manpower by considering the important role of nurses in the health care systems. This study has been done to survey the association between mental health and job burnout syndrome among nurses' staff in training hospitals in Qom province.
Materials & Methods: This is an analytic-descriptive study which has been performed among 200 nurses personnel in the training hospitals of Qom province with applying proboblity multistage statistical method.Three quetionnaires including demographic data,general health and Maslach,s Burnout questionnaire (Inventory) were used to data gathering by which validity and reliability were certified in the previous studies. Data analyzed by SPSS18. Descriptive statistics such as frequency, percentage, inferential statistics (Chi-square test and correlation coefficient of spearman and pearson) and also man-whitney test applied.
Results: Average score of job burnout was 60.8. Respecting general health, 53% of nurses was in danger. Average score of emotional fatique,the personalization and personal accomplishment was 27.2,12.17 and 21.7,respectively. 50 percent of nurses had physical dysfunction,44.5% suffered from anxiety and sleep disorders, 32.5 and 44.5% had social dysfunction and depression, respectively. There was a significant correlation between burnout syndrome and general health. Based on the spearman correlation test, there was a significant correlation between emotional fatique and physical disorders, anxiety and sleep disorders and social dysfunction.
Conclusion: Regarding srtessful nature of nursing job and high prevalence of disorders in general and mental health of nurses incomparision to others and also high prevalence of burnout among nurses in Qom province,it is nesecary to decrease these sort of problems through applying arrangements such as enhancing motivation, increasing work stability, increasing job satisfaction, clearance in how individuals respond to take actions and tasks division among personnels to reduce workload.
F Ebadifard Azar, A Rezapour, A Rahbar, P Abbasi Broujeni,
Volume 11, Issue 3 (10-2012)
Abstract
Background: Increasing the receivables collection period make problems in the payment of personal salaries, medicine fees & facilities under surveillance centers. It finally has negative effects on delivered services. At present economic circumstances, paying attention to liquidity and its present value is very important to doing economic activities and to decreasing receivables collection period. The aim of the study was calculating the receivables collection and turnover period in selected hospital of the Qom University of Medical Sciences.
Materials & Methods: This is a descriptive research that conducted in the selected hospital of Qom university of medical sciences during the fourth national development program (2005-2009). Data was Collected from information based on the financial documents of the kamkar hospital and registered into information sheets and analyzed by excel software.
Results: Results show that during the fourth national development program , Receivables turnover has gradually decreased and unlike thereceivables collection period increased. Both of these relations showed an undesirable circumstances and graving with the contracting insurance companies in the payment of their obligation with the hospital.
Conclusion: Findings indicated that the receivables collection period of insurance companies takes Long and taken a long way from its normal .It needs a serious monitoring & intervention in the large scale decision making, except by using the power of law during the fourth development national program which it hasn 't a good impact in repayment approach of the policy makers in this issue that expected all of the general managers in the giving of services.
M Zahiri, I Keliddar,
Volume 11, Issue 3 (10-2012)
Abstract
Background: Performance evaluation could provide information to managers that they need to evaluate and monitor of the current status and activities in hospitals. The PABON LASSO model was applied to evaluate performing of hospitals affiliated with Ahwaz Jundishapour University of Medical Sciences to produce the information that used by policy makers in their attempt to make more productivity health care system.
Materials & Methods: This cross-sectional & descriptive study involved in 26 hospitals, with 3824 available beds. Data for this study extracted from computerized databases within statistical department of vice- chancellor for clinical affairs. This study used the PABON LASSO model combining with three major indicators of hospital performance named as average length of stay, bed occupancy rate, and bed turnover which analyzed in PABON LASSO model. The statistical software SPSS-13 used to derive three basic performance indicators.
Results: Based on 10 hospitals in Zone 3 of the model the satisfactory level of efficiency indicated. Results in 2 hospitals demonstrated the inefficiency and underutilization of resources by falling into Zone 1 and 7 hospitals in zone 2 and 7 hospitals placed in Zone 4. The overall average length of stay, bed occupancy and bed turnover rates were 3.57 days, 63.13% and 79.37 times respectively.
Conclusion: The performance of hospitals affiliated with Ahwaz Jundishapour University of Medical Sciences was in a relatively desirable level. Future research should be focused on why and how this situation could be improved in the hospitals with low efficiency.
A Kafashpour, S Mortazavi, S Pour,
Volume 11, Issue 4 (2-2013)
Abstract
Background: Organizational commitment among nurses as care providers provided the quality of patient care by their conservation. Therefore, nurses are committed to the investment and the competitive advantage of clinics and hospitals which have a significant impact on increasing the quality of services. In this study, the effect of psychological contracts and organizational trust studied
as an organizational commitment of Ghaem hospital nurses in Mashhad province.
Materials and methods: Strategy survey - analysis of data obtained for the study of 193 Ghaem hospital nurses in the city of Mashhad through distributed questionnaires by the structural equations and partial the least squares method to seek the help of software were analyzed.
Results: The results indicated that the first, model of the material used has a strong theoretical model that is to predict nurses' organizational commitment. Secondly, all direct and indirect relationships between variables in the model were significant. But the relationship between organizational trust and nurses' continuous commitment was not confirmed.
Conclusion: This study indicates not only depends on nurses' organizational commitment to creating positive psychological space, but also they are in the reliability of this space gives rise to the obligation. On the other hand, the quality of the organizational commitment for nurses could be effective and efficient in use of available resources. Therefore, hospital administrators need to be more attention to an effective component of organizational commitment as supply facilities, participate in decision making, good communication, and job enrichment.
A Jonidi Jafari, S Golbaz, H Sajjadi,
Volume 11, Issue 4 (2-2013)
Abstract
Background: The environmental hygiene standards are one of the factors that compliance with them can help hospitals achieve their goals. Therefore having enough information about the environmental hygiene status of the hospital is of great importance. This study evaluates the environmental hygiene indexes status in hospitals.
Materials and Methods: A cross sectional - descriptive study was conducted in 2011. Using the census method, all of Karaj's hospitals formed the statistical population of this study (n=8). Data was collected from the checklist of National Program of Public Hospitals Accreditation (the hygiene and cleanliness segment) which included 68 questions with the overall score of 800 and evaluated the hygienic status of the hospital from 6 different aspects.. These checklists were filled, making interviews and observation of the status of each hospital. Data were analyzed using Excel and SPSS software (version 16).
Results: The results showed that among the different aspects of hygienic and cleanness situation of hospitals, water and wastewater hygiene and professional hygiene of the hospital had respectively the largest and lowest difference percentage with their highest standard levels. Overall, the average score of compliance with hygienic standards was about 742 ±1.9 in the entire centers. This average score was respectively, 716.5± 18, 760± 11.5 and 768 in university-related hospitals, private hospitals and hospitals related with the social security organization.
Conclusion: To improve the environment hygiene status of the hospitals, more effort through developing practical strategies, making appropriate decisions and allocating enough resources are recommended.
M Amiri, M Raei, Seiyed D Nasrollahpour Shirvani, Gh R Mohammadi, A Afkar, Ma Jahani-Tiji, Sh Aghayan,
Volume 12, Issue 1 (5-2013)
Abstract
Background: In case of disasters hospitals as one of the first centers to admit casualties need to be well prepared. This study aimed to determine the scale of preparedness of the hospitals located in the northern areas of Iran to deal with disasters.
Materials and methods: This applied and cross-sectional study was carried out in 2011. In this study all therapeutic-educational affiliated hospitals of Universities of Semnan, Shahroud, Mazandaran, Babol, and Guilan were investigated using the census method (53 hospitals). The data were collected using instruments were a managers' awareness Questionnaire (40 items) and a 141-item checklist which were filled using the self-assessment method. The data were analyzed using SPSS statistical software and Mann-Whitney , Kruskal Wallis and Pearson correlation coefficient statistical test.
Results: The average score of managers' awareness of the disaster confronting Preparedness status was 41.89±9.12 and hospital`s preparedness to confront disasters was 56.88±5.12 which show a mediocre level in all hospitals studied. There was a significant relationship (P=0.007) between the awareness of managers and receiving training on management of disasters. The least score was related to field of planning for decreasing structural risks (40.56±29.4 ).Significant relationships were observed between preparedness of hospitals in different universities and management plans for unanticipated events (P=0.047), hospital training program (P=0.019), planning for supporting vital services (P=0.005) and environmental health measures to deal with unanticipated events (P=0.001).
Conclusion: Regarding the previous of disasters in the studied provinces and the mediocre preparedness of the hospitals, educational planning to confront disasters, strengthening the hospital buildings and organizing practical maneuvers will be effective in enhancing the preparation of the hospitals.
M Farahbakhsh, A Nikniaz, A Mardi, A Hasan Zade, S Entezar,
Volume 12, Issue 1 (5-2013)
Abstract
Background: utilizing control chart in customer satisfaction evaluation is one of the effective tools in making results of customer analysis practical. This study was conducted to design the method of utilizing control chart in monitoring customer satisfaction in health care facilities.This prospective study measured service recipients' satisfaction in a three month period in a public hospital using a questionnaire in likert scale. After gathering initial data they were analyzed using SPSS and Excel soft wares .In order to evaluate customer satisfaction a ten parameter checklist and interview was used. The average and standard deviation of decuple and quintuple subgroups were compared.
Results: In a three month period the average patient satisfaction score was 4.5 in likert 5 score scale.There wasn't a significant statistical difference between 5,10,25 day duration in patient satisfaction. In addition there wasn't significant statistical difference between 5 samples per day and 10 samples per day and all samples in a day. R-X diagram was used for PSS monitoring.
Conclusion: The results of this study showed that the average PSS in 20 and 25 day periods had no significant difference with 3 month PSS and also there wasn't significant statistical difference between average PSS in decuple and quintuple subgroups.
M Asgari , M Arab , A Rahimi-E Foroushani , F Ebadi Fard-Azar , Mh Mousavi,
Volume 12, Issue 2 (9-2013)
Abstract
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.
Seyed A Alavi , A Ahmadabadi , M Molaei Qelichi , V Pato , K Borhani ,
Volume 12, Issue 2 (9-2013)
Abstract
Background: In Iran, the rapid growth of urbanization is in a way that it fits into the appropriate location for urban spaces are not switching. The main consequence of this is failure of service delivery and service system to citizens. One of the most important public services that hospitals provide most of the citizens' health. The purpose of this study, “Optimal locating of hospitals in region 7 in Tehran city”.
Material and methods: This research is descriptive - analytical study has been done. For collecting information and data is used field studies and According to information obtained, To review the study area in terms of access to communication road, green space, away from industrial centers, military, and the fault, as well as for weighting the criteria, is used the AHP model. Then, using a decision model of TOPSIS in GIS software, valuation of criteria has been studied and appropriate maps is prepared, finally map that represents the best location for the construction of hospitals in this area is extracted.
Results: with combination and overlaying of data layers, the final map was obtained and determined that the northeastern section (Cross Resalat Street and cabli), central (martyr Motahari streets and Miremad) and southeast (Bakhshi fard and part of Damavand street) in district 7 are have priority and more points to construct hospitals.
Conclusion : System of Multi Criteria Decision Making (MCDM) with GIS can be used as effective tool in site selection of hospitals. Being located of hospitals, near to green spaces and comunication road and its distance from the industrial and military areas as well as the fault, capability of this model in this study is prove.
M Mayel Afshar , A Pourreza , M Memarpour ,
Volume 12, Issue 2 (9-2013)
Abstract
Background: One of the behaviors taken into consideration in organizations such as hospitals is organizational citizenship behavior. Recent studies have shown that organization employees show interest in organizational citizenship behavior and this subject may be influenced by demographic specifications.This study aims to determine the relationship between organizational citizenship behavior and demographic specification (gender, age, marital status, educational qualifications, salary&wage ,ethnicity,employment type, work type, organizational post, place of employment and work experience) among selected hospitals employees of selected hospitals of Tehran and Shahid Beheshti Medical Sciencesis Universities. Materials and Methods: This research has been implemented in six selected Hospitals of Tehran and Shahid Beheshti Medical Sciencesis Universities and data was collected by distributing a questionnaire among 429 employees of these hospitals using a two-stages random sampling method.The research methodology has been cross-sectional- descriptive using field study. In order to accept or reject the research hypothesis kruskal-wallis and mann-whitneyU tests have been used. Results: Results showed that, the most studied demographic characteristics have an effect on organizational citizenship behavior of the staff of selected hospitals employees in Tehran and Shahid Beheshti Universities of Medical Sciences. Conclusion: Findings of this research indicated that men have shown more organizational citizenship behavior compared to women, Married people have shown higher organizational citizenship behavior compared to single and divorced people and people in the age class of 50 to 54 years have been the highest organizational citizenship behavior average. In addition to, people with master degree, have been the highest organizational citizenship behavior. Also our findings show that Ethnicity does not have effect on the incidence of organizational citizenship behavior.
R Ravangard, V Keshtkaran, Sh Niknam, A R Yusefi, A R Heidari,
Volume 12, Issue 3 (12-2013)
Abstract
Abstract
Background: Hospital managers' decision-making styles indicate the usual pattern managers use to make their decisions. This paper is aimed to determine the variety of managers' decision-making styles` in public and private hospitals in Shiraz.
Materials & Methods: In this cross-sectional study, 106 administrative, financial, internal and nursing managers were selected from 28 public and private hospitals through census sampling technique to participate in this study. The data were collected by a 22-item questionnaire (α = 0.86) and analyzed using T-Test and ANOVA in significance level of 0.05.
Results: Studied managers used rational decision-making style more often than avoidance of decision-making style. Older and official managers and private hospital managers used the intuitive decision-making style more often.Managers who had not attended management training courses used the intuitive and dependent decision-making styles more often. Managers who were teaching in the fields of nursing and midwifery used rational decision-making patterns more often.
Conclusion: It seems necessary to provide sufficient ground for scientific and evidence-based decision making for all hospital managers. Therefore identifying present obstacles and providing an environment in which managers could improve their decision-making skills is recommended.
F Azadi, M R Maleki, M Azmal,
Volume 12, Issue 3 (12-2013)
Abstract
Abstract
Background: Medical tourism industry as one of the tourism dimensions results in a sustainable development and dynamic economy in countries. This study was conducted to examine performance of Tehran’s selected public and private hospitals in attracting medical tourists from foreign costumers’ points of view.
Materials & Methods: This cross - sectional study was conducted in Tehran’s selected public and private hospitals in 2011. The study population included 79 foreign patients who referred to four hospitals in Tehran as medical tourists. Data were collected using a self-made questionnaire which consisted of 23 questions which evaluated eight hospital performance components in attracting medical tourists. Descriptive and analytic statistics was used for data analysis.
Results: Overall, the hospitals` performances were evaluated to be in an appropriate level. Through Patients` viewpoint, three components including staff number, staff performance quality and staff`s up to date knowledge and skills were in a proper level. Moreover, Staff’s acquaintance with foreign languages and giving proper notifications were reported to be in a very poor level. There was a significant relationship between all of the performance components in attracting medical tourists and hospital ownership excluding staff’s acquaintance with foreign languages and their familiarity with the facilities.
Conclusion: Teaching international languages to key staffs and empowering their communication skills can be effective in attracting medical tourists. Considering this, both public and private hospitals must have a serious plan to achieve this goal.
