Showing 30 results for Aye
Afshin Moayedinia, Karim Kiakojouri,
Volume 20, Issue 3 (12-2021)
Abstract
Introduction: In the present era, the implementation of open innovation process is necessary for any organization, and hospitals as the main medical centers are no exception. In fact, hospitals, as health operational units, are always directly exposed to changes in the field of health services. Therefore, the present study has investigated the factors affecting open innovation in public hospitals in Guilan province.
Methods: From the point of view of purpose, this research is an applied study and in terms of data collection, it is in the category of descriptive research, which was conducted cross-sectionally in 1400. The statistical population of the study was 1600 senior managers and staff of public hospitals in Guilan province. For sampling, a non-randomized judgmental sampling method was used to access community members (senior managers and employees with at least a bachelor's degree). 250 questionnaires were used to perform the test. Data collection tools are standard questionnaires. The reliability of the questionnaire was confirmed through Cronbach's alpha, and the validity of the questionnaires was confirmed through the face and content validity, convergent and divergent validity. The structural equation modeling method has been used to test the research hypotheses. The software used in this research is SPSS 26 and Smart PLS3.
Results: The results of the structural equation modeling test showed that among the external factors, cooperation with partners and the user, among the internal organizational factors, organizational structure, exploratory learning, and organizational culture, and finally among the individual internal factors, organizational motivation affects the open innovation of public hospitals in Guilan province. The impact of trust between partners, technology, personality traits, and knowledge on hospital open innovation has been rejected.
Conclusion: In collaboration with other health care services, universities, and users, hospitals should develop appropriate policies to transition from a closed innovation system to open innovation, and support effective measures in this regard.
Sajad Ghorbanizadeh, Fatemeh Tajar, Zahra Asadi Piri, Satar Rezaei, Yaser Mokhayeri, Soraya Nouraei Motlagh,
Volume 20, Issue 3 (12-2021)
Abstract
Introduction: Socio-economic inequalities in the use of dental services are a major challenge to health policies in many countries. This cross-sectional study was conducted to investigate socio-economic inequalities in utilization of dental services in households of Lorestan province and comparing it with neighboring provinces.
Methods: Data required for the study were collected from the household expenditure and income survey (HIES). The study population included 5547 households in the western provinces of the country. Logistic regression method was used to determine the most important factors affecting the use of dental services, and the focus index was used to measure inequality between income groups. Data analysis was performed using Stata software version 14.
Results: The highest and lowest percentages of dental services among households were related to Hamedan (7.02%) and Lorestan (3.19%) provinces, respectively. The results of the focus index showed that the benefits and costs of dental services were concentrated among households with higher socio-economic status. In other words, inequality benefits the rich. Being a female head of household and increased size of the household leads to a decrease in the use of these services. The higher education level of the head of the household and the increase in the number of employed and literate household members showed a positive relationship with the utilization of dental services.
Conclusion: Benefiting from dental services was significantly higher among higher socio-economic groups. These inequalities can be avoided by introducing and implementing targeted policies. Low-income households, lower education levels, and the unemployed should be the focus of health policies to address unmet dental care needs.
Homa Azadi, Ahmad Ghazanfari, Maryam Chorami, Tayebeh Sharifi,
Volume 21, Issue 3 (12-2022)
Abstract
Purpose: Considering the problems of nursing profession, it is very important to find the best method to improve the resilience of nurses. The purpose the present study was to compare the effectiveness and durability of treatment based on acceptance and commitment and paradoxical time schedule of resilience of emergency department nurses.
Methodology: To perform this quasi-experimental research, which was carried out with a pre-test-post-test design with a control group and a follow-up stage, 45 nurses working in the 5 emergency departments of Isfahan hospitals in the second half of 2019 were selected using convenience sampling method. They were randomly divided into three groups of 15 subjects: treatment based on acceptance and commitment, paradoxical schedule treatment and control. Subjects in the acceptance and commitment treatment experimental group participated in 8 sessions and the paradoxical schedule treatment group in 6 90-minute sessions but for the control group, there was no intervention. Participants completed the resilience scale by Connor and Davidson (2003) in three steps. The research data were analyzed using the variance analysis method with repeated measurements in SPSS-26 software.
Results:The results showed that there is a significant difference between the resilience score in three stages of pre-test, post-test and follow-up measurements. It was also found that there was a significant difference between scores of two experimental groups and control group, but there was no significant difference between the scores of the two experimental groups.
Conclusion: According to the results, it is recommended that the authorities use these two types of treatment programs under expert supervision to improve the resilience of nurses.
Mahnaz Mayel Afshar, Maryam Goodarzi,
Volume 22, Issue 1 (5-2023)
Abstract
Background: Corona virus is a phenomenon that has faced the world with a crisis due to its rapid spread and uncontrollable nature. Although this crisis is only related to the medicine and health system, it is a multidimensional phenomenon whose effects and consequences can be observed and tracked in various economic, social, and political fields. The purpose of this article is to investigate the results of the Corona Virus on the environment.
Materials & Methods: The current study is a scoping review article that was performed based on the collection of information from articles published in the databases ScienceDirect, Web of Science, Google Scholar, and PubMed in the period from 2019 to 2022 with the aim of investigating the consequences of the Corona crisis on the environment.
Results: The findings of this research illustrate that the corona virus crisis and the quarantine conditions have brought many consequences for the environment. On the one hand, as a result of the cessation of many human activities, there is a significant reduction in the emission of pollutants, including greenhouse gases, and on the other hand, waste, especially medical and plastic waste, has increased.
Conclusion: Despite the positive effects of Covid-19 on environmental factors, its short-term and long-term negative effects are obvious. In addition, it seems that the economic activity of country will intensify after Corona, and therefore, with a comprehensive analysis of the effects of Covid-19 on several sectors, significant proceedings should be taken in this field.
Reza Pirayesh, Hamed Rastegarnia, Fatemeh Alilou,
Volume 22, Issue 2 (9-2023)
Abstract
Background and Objective: Employee creativity is a key element for
achieving sustainable competitive advantage in both private and public
organizations. This study aims to explore the influence of leadership styles
and feedback behavior on employee creativity growth, considering the
mediating role of the communication mechanism among employees of
public clinics in Zanjan.
Materials and Methods: This applied study follows a descriptive-survey
approach. Data were collected through field observations, questionnaire
distribution, and library research related to the study variables. The
statistical population included all employees of public clinics in Zanjan. From
209 people, 135 were randomly selected as the sample based on Cochran's
formula. The questionnaires were distributed and completed by these
individuals. Data collected via questionnaires were analyzed using structural
equation modeling with PLS and SPSS software.
Results: Feedback behavior (coefficient = 0.256), leadership styles
(coefficient = 0.543), and the communication mechanism (coefficient =
0.126) significantly influenced employee creativity. Additionally, feedback
behavior (coefficient = 0.267) and leadership styles (coefficient = 0.348)
significantly impacted the communication mechanism. The results also
indicated that the communication mechanism effectively mediated the
relationship between leadership styles (coefficient = 0.044) and feedback
behavior (coefficient = 0.034) on employee creativity growth.
Conclusion: The findings suggest that leadership styles and feedback
behavior significantly influence employee creativity growth through the
mediating role of the communication mechanism. Organizational managers
should leverage these factors to enhance their employees' creativity
Sanaz Zargar Balaye Jame, Nader Markazi Moghaddam, Hesam Sharifnia, Mehrdad Khoshian,
Volume 22, Issue 3 (12-2023)
Abstract
Background and Purpose: Medical imaging is one of the most expensive sections of a hospital due to the use of superior technology, specialized personnel, and adherence to special protective regulations, all of which have a direct impact on the diagnosis and treatment of diseases. Time-driven activity-based costing (TDABC) provides an overview of hospital activities, enabling the identification and management of costs and resources with greater accuracy and ease. The purpose of this study is to examine the total costs of services and the unused capacity of resources to provide financial management solutions for hospital administrators.
Materials and Methods: This descriptive and retrospective study was conducted on the statistics and accounting data of a general hospital in Tehran in 2018. The study falls under the category of applied research due to the potential use of the results in financial management and resource consumption. The data collection method included the review of documents and financial statements, timing of all activities in the imaging department, and calculations based on the time-driven activity-based costing method, using Excel software, with the elimination of the cost of unused resources.
Results: The study found that the total cost was mostly below the approved tariffs, with the main cost components being 34% manpower, 23% overhead, 22% equipment, and 15% consumables. The findings indicated that only 58% of resource provisioning expenses played a role in determining the total cost of services.
Conclusion: The findings of this research suggest that reducing the unused capacity of resources and organizational reforms can decrease the total cost of services, increase profitability, and optimize resource usage to enhance the quality of hospital services.
Saeede Afshari, Shaghayegh Vahdat, Iravan Masoudi Asl, Somayeh Hesam,
Volume 22, Issue 4 (1-2024)
Abstract
Background and purpose: In today’s competitive organizational landscape, the significance of recruiting and developing competent human resources has become paramount. Organizations not only aim to select and attract capable and efficient personnel but also seek to enhance and expand their capabilities. Consequently, the concept of meritocracy has become a key concern for modern organizations. This study aims to investigate the factors influencing succession planning in the leadership of healthcare organizations in Iran.
Methods: This qualitative study was conducted using content analysis in 2020. The statistical population comprised key decision-makers and policymakers in successful and prominent Iranian organizations known for effective succession planning, such as the Islamic Revolutionary Guard Corps (IRGC) and the public banking system. A total of 15 experts were selected through purposive and snowball sampling, with data collection continuing until theoretical saturation was achieved. Data were gathered through structured interviews, and the analysis and coding were performed using MAXQDA 11 software.
Results: The study identified five main themes: alignment of strategic goals and needs analysis, strategic communication and organizational structure, talent identification and empowerment, development and excellence of qualified individuals, and monitoring of succession planning programs. These were further divided into 13 sub-themes.
Conclusion: Organizations and managers should provide comprehensive support and demonstrate commitment to the effective implementation of succession planning programs. This will lead to improved organizational decisions and policies, ensuring that competent and qualified individuals are placed in key positions. Additionally, this approach will enhance work quality, boost employee motivation, reduce resource wastage, and improve career advancement opportunities for staff.
Mehrak Pourmotahari, Soad Mahfoozpour, Shahram Tofighi, Shaghayegh Vahdat, Irvan Masoudi Asl,
Volume 22, Issue 4 (1-2024)
Abstract
Background and purpose: As health resources face increasing constraints, the use of medical imaging services has risen significantly. On average, diagnostic services account for approximately 10% of total healthcare expenditures, and this figure is steadily increasing. This study aims to identify the causes of irrational utilization of medical imaging services and propose corrective measures.
Methods: This descriptive-survey research was conducted in two phases. In the first phase, a comprehensive literature review was performed using both international and national databases, covering the period from 1990 to November 2021. Relevant studies were identified using specific keywords. In the second phase, a semi-structured questionnaire was developed, and a series of in-depth interviews with experts and professionals were conducted. Data were analyzed using the six-step thematic approach by Braun and Clarke, utilizing MAXQDA software.
Results: A total of 605 studies were initially identified, of which seven met the inclusion criteria after rigorous screening. In the second phase, 12 in-depth interviews were conducted, yielding 65 codes, which were organized into 12 themes. The identified themes included legal issues, conflict of interest, monitoring challenges, poor governance and stewardship, inappropriate policymaking and planning, financial incentives, inadequate service provision infrastructure, health culture, education and continuous training systems, financing and purchasing services, political factors, and inadequate insurance systems. Various strategies for controlling the inappropriate use of diagnostic and therapeutic services were proposed, including policy interventions, monitoring and evaluation, and training.
Conclusion: The irrational use of healthcare services is a significant challenge in many countries. Key contributing factors include incomplete insurance coverage, out-of-pocket payments by patients, defensive medical practices, and gaps in knowledge. Addressing these issues requires targeted interventions and reforms.
Leila Bornaye Agah, Amin Qasem Beglou, Abasat Mirzaei,
Volume 23, Issue 4 (2-2025)
Abstract
Background and purpose: Developing countries strive for solutions to attract medical tourists. Digital marketing is explored here. The aim is to assess digital medical marketing criteria and their relation to health tourist acceptance in selected Tehran hospitals in 2022.
Methods: A descriptive-analytical approach using mixed methods. Qualitatively, through text review, digital medical marketing criteria were identified using fuzzy Delphi, resulting in 5 factors and 61 concepts. Quantitatively, after distributing questionnaires among 30 experts, 25 valid questions were retained. The sample included 125 experts from health tourism units and hospital staff. Kendall's correlation and Chi-square tests were run via SPSS 18.
Results: Identified criteria encompassed multilingual websites, content, digital systems, human resources, and health tourist attraction. Kendall's correlation indicated significant relations with human resource performance (r=0.413), website content (r=0.247), and digital systems (r=0.235) significantly influencing tourist attraction (p<0.01). Chi-square tests revealed significant differences in multilingual websites, website content, digital systems, and human resource performance impacting health tourist attraction (p<0.01).
Conclusion: Iran's medical tourism benefits from enhancing service quality, website content, human resource performance, and digital systems, leading to increased health tourist attraction.
Yousef Hamidzadeh Arbabi, Mohammad Panahi Tosanloo, Rohqayeh Farrokhi, Amin Ahmadi,
Volume 24, Issue 2 (9-2025)
Abstract
Background and purpose: Workplace Violence (WPV) is a significant occupational hazard and is increasingly recognized as a critical crisis within the healthcare sector. Due to the inherent nature of their services, healthcare organizations are more susceptible to this phenomenon than other sectors. This study aimed to investigate the prevalence of workplace violence and its role in predicting the job satisfaction of healthcare workers in Ardabil.
Methods: This descriptive-analytical cross-sectional study was conducted in 2024. A total of 300 employees working under the auspices of the Ardabil Health Center were selected using stratified random sampling. Data collection utilized two standardized instruments: the Minnesota Satisfaction Questionnaire (MSQ) and the Workplace Violence in the Health Sector Questionnaire. Data were analyzed using SPSS software (version 20) via descriptive statistics, t-test, ANOVA, Pearson correlation coefficient, and linear regression analysis.
Results: The overall job satisfaction rate was calculated at 58.75%. In terms of prevalence, 63.8% of the participants reported experiencing workplace violence at least once during the past year. The mean score of experienced violence was 27.35%. Psychological violence was the most frequent form (51.5%), while physical violence was the least frequent (9.4%). Significant statistical relationships were observed between demographic characteristics, workplace violence, and job satisfaction (P<0.05). Linear regression analysis identified workplace violence (β = 0.181) as the third most influential predictor of job satisfaction, following the payment system (β = 0.482) and advancement opportunities (β = 0.312).
Conclusion: The findings suggest that healthcare workers may have normalized workplace violence as an inherent part of their professional environment. Consequently, their job satisfaction appears to be more heavily influenced by economic factors—specifically the compensation and payment system—than by the adverse effects of occupational violence.
