Showing 232 results for Hospital
Sh Hosseini, Mh Yarmohamadian, S Ajami,
Volume 8, Issue 2 (6-2009)
Abstract
Background: of this study try to determine the Relationship between organizational culture & organizational Maturity of staffs in Isfahan Medical University Hospitals (IMUHs ).
Material and Methods: Three questioners (organizational culture , organizational Maturity) was used for accomplishment of this descriptive & Corelational research.The reliability of These questioners was assest with the cronbach alpha coefficient .this questioners were distribute between 360 employees of IMUHs .Data was analysed by SPSS software.
Results: Funding showed that the organizational culture scores of 5 hospitals were average & 6 hospitals were lower than average . The level of organizational Maturity was average .
Conclusion: There was a significant relationship between organizational culture & organizational Maturity .Hospital Manager should change their organizational culture in order to increases the level of organizational Maturity .
M Ebrahimnia, A Amerion, M Azizabadi, H Khodami, S Herdari,
Volume 8, Issue 2 (6-2009)
Abstract
Background: Nowadays, researchers pay special attention to patients' satisfaction with emergency care services, as the first line of hospital health care services. However, few researches have been done about its related factors in our country. The aim of this study was assessment of patients' satisfaction with emergency care services in six military hospitals in our country and its related factors.
Material and Methods: In this cross-sectional study, Satisfaction level of 360 patients of emergency care services in six military hospitals of Iran in 2007 was assessed. After discharge from emergency ward, a checklist containing basic information and a 12-item questionnaire about their satisfaction level with emergency care services was completed for each patient. A 5-level Likert scale was used for the response of each item. 20 to 100 scores were allocated to each response (completely dissatisfied to completely satisfied), respectively.
Results: 3559/4220 responses (82.4%) were completely satisfied or satisfied. In respect to priority "Observation of moral points", "giving information" and "behavior of reception personnel" had the highest and on the other hand, "variety of medical specialists", "emergency ward facilities" and "speed in calling doctor" had the lowest satisfaction scores. The total satisfaction score which was reported by patients older than 35 yr(p=0.022), insurance coverage(p=0.002) and with history of previous referring to that emergency ward(p=0.017) were significantly higher than others. Sex, marital status and educational level had no statistical correlation with the total satisfaction score(p>0.05).
Conclusion: The findings of this study revealed favorable satisfaction level of patients with emergency care services in military hospitals. However, it seems that using a variety of expert physicians and more facilities and also improvement in the process of calling doctor in emergency ward are the aspects which need the most amount of concern of health care managers in emergency centers.
A.a Nasiripoor, J Tabibi, M.r Maleki, T Nourozi,
Volume 8, Issue 3 (2-2010)
Abstract
Background: The most basic financial information and data which are needed for a laboratory manager is the costs allocated to the cost unit and the cost of services. The cost prime can increase the managers function in practical beget and strategies plan and this article based on function , is don to calculate the cost prim of clinical laboratories services in VALI A SR Hospital in Tehran by using of ABC model .
Material & Methods: the study is a practical research done by descriptive-analytic method in a periodical and retrospective form during Forward to Esfand of 1378. Thirty tests were chosen according to the fluency chart. Data collecting tools, information sheets, interviews and direct observations were collected and analyzed and the cost price of laboratory services calculated by the help of MY ABCM software.
Results: In VALI A SR Hospital's laboratory, Findings demonstrate that, maximum and minimum costs are related to human recourses cost (44%) and energy cost (.5%) also about activities, most activities is related to expertise activates(97% of total ). these result show THE importance of human recourses especially expert human recourse in prime cost. the maximum prime cost is related to urine analysis(11%) and the minimum prime cost is related to sodium an of biochemistry's group(21%). it means more frequency of services lead to reduce of services prime cost. Finally the average of calculated prime cost was different to hygiene ministry tariff (about 63%).this difference is result of unrealistic tariffs vs. prime cost of services.
Conclusion: According to volume test operational and other conveniences in the Valia'asr hospital's laboratory, this laboratory encounter to missing budget. We can reduce the service's prime cost by improvement of performance management especially in human recourse filed and consume recourses in best way by standardization of consumption.
Azra Ramezankhani, N Markazi Moghaddam, A Haji Fathali, H Jafari, M Heidari Mnfared, M Mohammadnia,
Volume 8, Issue 3 (2-2010)
Abstract
Background: Operating room efficiency is a major determinant of hospital cost. Maximizing throughput, while maintaining quality, is therefore paramount to maintenance of financial viability. Cancellation of surgery may increase a hospital's cost and affect the efficiency of operating room and waste of resources. This study was conducted to determine the rate and causes of canceled surgeries, and identifies areas for improvement in a teaching hospital in Tehran.
Material & Methods: We carried out a descriptive study of the reasons for canceling scheduled operations. Data were collected during 9 consecutive months. The reasons for cancellation were identified by theatre staff. We grouped all the reasons into 13 reasons. Other necessary information like operated surgery was obtained from IT department. Descriptive statistics (frequency, percentage, 95% confidence interval) were used to analyses of data. Statistical analyses were performed using SPSS and Excel Microsoft office.
Results: in this study, 18.2% of the 3381 scheduled operation were canceled on the day of surgery, 32.1% of them because of vascular surgery, followed by orthopedics (18.7%), general surgery (15.5%) and nose and throat surgery (13.7%). The common reasons for cancellation were lack of theatre time, clinical change in the patient's condition, lack of paraclinic tests and consultant's report on patient flow problems, blood preservation, drug and necessary equipment for surgery.
Conclusion: This study demonstrated that most cancellations of scheduled operation are due to hospital deficiencies and medical team reasons that most of them are preventable. Several changes like better infrastructural facilities, enhanced interdepartmental communication are suggested to try and reduce the cancellation rate.
Sj Tabibi, Mj Kakhani, Mr Gohari, S Shahri,
Volume 8, Issue 3 (2-2010)
Abstract
Background: the competitive of existing area in servicing organizations which are showing the desired services, the importance and satisfy customers and making content about their needs more than before.
Material & Methods: The present study descriptive survey of practical purpose and its method correlation study has been done. Statistical Society of this research is all referred patients to outpatient clinics in private and governmental hospitals at Tehran province(N=260). The data collecting tools have included two questionnaires, so for measuring of services quality was used from servqual standard questionnaire and part of parasoraman, zitamel and berry(1996) standard questionnaire about customer's behavioral tendencies for measuring of loyalty.
Results: T-test was used for comparing the average in private and governmental section at all the five dimentions and pierson correlation coefficient was used for determining the relation between one by one the five dimentions of services quality with patient 's loyalty and also used regression test. 36% of variance in patients' loyalty is due to components of service quality. A change of one unit in tangible factors, ensuring, and empathy results in 0.263, 0.285, and 0.116 change in patient 's loyalty, respectively. Regression model cannot make any prediction for other components because the significance levels of components are greater than 0.05.
Conclusion: whereas in this research there is meaningful relation between services quality and patient's loyaltyit seems that in such organizations the strategic application which cause the improving of qualitywill redound the increasing of patient'sloyalty and finally it will cause more profitability for hospitals.
A Tol, A Pourreza,
Volume 8, Issue 3 (2-2010)
Abstract
Background: Multiple environmental factors have roles in producing anxiety. Individualized differences and environmental conditions can affect the anxiety level. So, hospital environment and especially cardiac surgery ward have a great importance because they can save the patient's life.
Material & Methods: The present study is a descriptive- analytical one which has been conducted upon studying the level of anxiety pre and post coronary artery bypass graft surgery in the hospitals of Tehran University of Medical Sciences and preparing an educational program for such patients, was the other goal of the study.
Study population consists of 150 patients under examination that at the time of the study have been voluntaries to coronary artery bypass graft surgery. The sample was studied 24 hours before and weeks after surgery. The sample was selected randomly and data collected through a questionnaire with two separate parts. For the purpose of data analysis, SPSS software was employed.
Results: The result of the study shows that the level of anxiety before coronary artery bypass graft have been more than the level of anxiety after the operation. The difference between of the levels of anxiety have had significant relations with some of independent variables of the study such as sex, age, number of children and marital status, but there were not significant relations between occupation, educational level, non cardiac disease background, background of MI, non cardiac surgery background, the period of suffering from coronary disease background of hospitalization.
Conclusion: It seems that the men's ability to return to pre-operation socio-economic condition reduces their post operation anxiety. When people become older, they will be more fearful regarding the future's events but people older than 46 years old will obtain more life expectancy after surgery due to more extended familial relationship.
Married people experience less anxiety due to post operation, familial responsibilities and relief of cardiac symptoms. It can be concluded that anxiety reduction in these patients can result from cultural, socio-economic and demographic variables. Believes as cultural factors in the life have a great role in appearance and the level of anxiety.
F Akbari Haghighi, E Jaafari Pooyan,
Volume 8, Issue 3 (2-2010)
Abstract
Background: Various studies have highlighted the importance of accreditation as a ubiquitous performance measurement system of hospitals. However, the effectiveness of this mechanism has not been addressed, as much it deserves, in developing countries. Therefore, current study intends to investigate the performance of the system using the SERVQUAL model.
Material and Methods: This research is an applied and cross-sectional survey. Decision-making Board of Hamedan Hospitals (N= 200) constitutes the target group. A self-administered questionnaire including both structured and open-ended questions has been used for data collection. Analysis of the quantitative and qualitative data was conducted using SPSS and Thematic Content Analysis (TCA), respectively.
Results: Only 39 percent of the target group had high awareness of current accreditation programme.
The highest rate of gap, 55.8%, between the group's perceptions and expectations from accreditation system, belonged to the indicator of staff's satisfaction and the lowest rate, 17.3%, to structures and establishments.
Conclusion: The low score of the target group's perceptions towards the accreditation programme could be a sign of the low degree of their satisfaction, which might result in their poor cooperation. More and effective attention to hospital managers' views, recommendations and reactions might be an appropriate preventive solution.
M Mohammadnia, B Delgoshaei, Sh Tofighi, L Riahi, A Omrani,
Volume 8, Issue 3 (2-2010)
Abstract
Background: However nurses are responsible for patients quality care legally and ethically, in other side, patients have rights to receive appropriate and quality care. The aim of this descriptive study was to explore SERVQUAL dimensions (Reliability, Responsiveness, Assurance and Empathy) of Nursing Service Quality (NSQ) at Tehran Social Security Organization (SSO) Hospitals.
Material and Methods: This study was carried out as an applied, descriptive and cross- sectional study during the summer and autumn of 2009 in Tehran SSO hospitals. Study tool was prepared on the basis of the standard and modified questionnaire of SERVQUAL based on Parasuraman, Zeithaml and Berry questionnaire (1988) for NSQ and consisted of 4 dimensions which were Reliability, Assurance, Empathy, and Responsiveness. The population for this study included of all inpatients of selected Tehran SSO hospitals who were selected by random sampling (N=200). For accounting Means, Standard Deviations and percents SPSS (ver. 16) have been used.
Result:The total percentage of NSQ was upper middle (66), prescriptively Reliability (74), Assurance (69) and Empathy (64) were the most ones and Responsiveness (58) was the lowest.
Conclusion: The results of this study showed that NSQ was in desired degree from patients` perspective in selected hospitals. The health care managers should have been attention to nursing as an important workforce of a hospital for raising the service quality of their organizations .Nurses are main role in quality care improvement and patients satisfaction. So, actions regarding to improve their performance are useful and necessary. Due to lowest score of Responsiveness among nursing staff, we suggest training courses for improving organizational culture on responding and effective communication to achieve high quality performance of all nursing group staff.
N Nasiriad, A Rashidian, H Joodaki , F Akbari Haghighi, M Arab,
Volume 9, Issue 1 (9-2010)
Abstract
Objective: the aim of this study was to determine the types of relationships and problems between basic insurance organizations and university hospitals.
Methods: this is a qualitative study conducted in 2010. We interviewed revenue officials of hospital and resident representatives of insurance organizations in nine hospitals affiliated to the Tehran University of Medical Sciences using semi-structured interview techniques. Interviews focused on relationships, problems and solutions between basic insurers and hospitals. We used the framework method for the analysis of qualitative data.
Findings: six themes were identified: relationship between insurers and hospitals, supervision tasks of insurers in hospital, causes of deductions, deduction solutions, hospital problems with insurer organizations, and insurers' representatives problems with hospitals. Conclusions: Hospitals and basic insurer should establish effective communications. The results of such relationships, in addition to solve their own problems, helps the patients. Inappropriate relationship between hospital and basic insurer organizations mostly affects the patients.
Reza Safdari, Hussein Dargahi, Leila Shahmoradi,
Volume 9, Issue 1 (9-2010)
Abstract
Introduction: Evaluations of a system of information, without analyzing its users understand is impossible. User satisfaction is as key factor of success information system. It is essential to consider information system context (user, task, equipment and environment), user type and user experience in quality ergonomic computerized information systems. Therefore in this study HIS quality ergonomic of Iran compared with other software.
Methods: A comparative study in 1389 was conducted. In order to compare the evaluation results of hospital information system with other software, applications were selected that already were evaluated using isometric questionnaire. These software are a) IS-H * med (software evaluated by Hamburg and colleagues in 2004), b) SAP-HR (software evaluated by Gruber 2000) and c) Microsoft word for Windows (software evaluated by Gediga and colleagues in 1999). Users view analyzed through descriptive statistical and one sample t-test. Data analyzed through SPSS and Excel.
Results: HIS than IS-H * med of is significantly more usable. HIS than SAP-HR in terms of the IsoMetric Scales such as "suitable for task," "suitable for learning", "Error tolerance" and "learning ability" is significantly more usable. HIS vs. Microsoft's word is significantly less usable.
Conclusion: The results of this study showed that hospital information system in Iran than the other software studied is average level in terms of ergonomic software quality. It is recommended regarding user expectations when designing and developing of information systems.
Mohammad Nekoei Moghadam, Sajad Delavari, Mina Salajeghe, Mohammadhossein Ghorbani,
Volume 9, Issue 1 (9-2010)
Abstract
Background: One of the necessities of hospital administrations is that the top and middle managers should be familiar with leadership styles and conflict management strategies completely and select a right managerial method. Through this, they can actively play a significant role in improving effectiveness and efficiency of hospital performance. The main objective of this research is surveying the relationship between Fidler's LPC score (as a sign for leadership style) and conflict management strategies (avoidance oriented, solution oriented, control oriented).
Materials and Methods: For surveying leadership styles Fiddler's Least Preferred Coworker questionnaire and for surveying conflict management strategies, another questionnaire was used. The reliability of these two was 0.90 and 0.88 respectively. The survey population was consisted of the high and middle managers of Kerman's educational hospitals (81), and a sample 67 individuals was selected for survey.
Results: The result showed that respondents mostly use communication oriented style and employed conflict management strategies are avoidance, solution and control respectively. Also it was observed that there is a positive and significant relation between LPC score and avoidance and solution strategies (r= 0.512 and 0.298 respectively). But there is a negative and significant relation between LPC score and control oriented strategy (r= -0.474).
Conclusion: According to the findings it is suggested that, the reasons of using avoidance strategy should be surveyed and try to encourage people to state their inconsistent ideas and converse freely. This could help organization to improve its performance. But communication oriented style is suitable and its maintenance should be taken into consideration.
Bahram Delgoshyii, Leyla Riahi, Monika Motaghi,
Volume 9, Issue 1 (9-2010)
Abstract
Background: The purpose of the present study was to compare quality of working life in Kashan teaching and non-teaching hospitals and to determine its relationship with knowledge mamangment.
Materials and Methods:the study was descriptive in nature.The statistical population comprised of middle and senior managers at Kashan teaching and non-teaching hospitals.The data were collected using a valid Likert style questionaire (Very little to very much).Data analysis was carried out using SPSS.
Results : Worke space gained the highest score among another parameters (3.64 in teaching hospitals and 3.47 in non-teaching hospitals.Material facilities scored the lowest in teaching hospitals (2.7). Job designe also attained the lowest score in non-teaching hospitals (2.81).
Democracy showed the strongest correlation with knowledge management in teaching hospitals (r=0.83). There was a strong correlation between education and knowledge management in non-teaching hospitals (r=0.69).
There was a strong correlation between quality of working life and knowledge managment both in teaching and non-teaching hospitals (r=0.92 and r=0.83), respectively.
Conclusion : Based on the fidinges of the study, paying special attention to participation in decision-making and education could play a crucial role in improving work life quality.
Neda Darvish, Farzad Towhidkhah, Rasoul Khyhti, Mahnaz Vaezi,
Volume 9, Issue 1 (9-2010)
Abstract
Background: Achieved results from this research shows that despite in health system in country efficiencies such as work force efficiency(doctors and nurses) is not incomputable and percentage of bed occupation and regulating shift work program prepare manually and with paper, this issue results in time consuming of managers and wasting costs and errors in carried out computations. Therefore with technology improvement and automation system there is possibility of making such automatic data is provided. Using of intelligent system consider essentially for preparing optimal program. Studying of Data showed that the present situation of planning and determination of efficiency in Iran Hospitals is not desirable. In this research, Markov methods and Petri net and genetic algorithm as modeling method and developments of model and intelligent optimization for solving problems, reducing costs and planning for work force was used successfully and there is the possibility to generalize it with changes and reforms in programming. In Achieved results of studies show that, the present research is a suitable base for expanding researches in future in field of system designs in a way that can be used in different wards and can provide more facilities to approach the real world
Material & Methods: the present study is applied and descriptive-analysis one which had been as the software design and data collection tool was the checklist of Booali Hospital's patients' files which its admissibility confirmed by the related experts and studied after observation, chronoscope and also time of manpower servicing to several patients and study of the nurse and doctors working scheduling with use of intelligent system's designing. Data analysis and planning is carried out with the method of Petri net and Markov and genetic algorithm with use of Matlab and Hpsim software
Results:42 % improvement in expense decreasing and 87% time saving in servicing time to patients can be seen from comparing prepared program and designed system.
Conclusion: Research various models can be used as a suitable tool for scheduling and determination staffs optimized number needed in several parts of a hospital which has a vital role. In case that the designed system in the current project is limited to the achieved and collected data from educational center of Booali attached to Tehran Islamic Azad university, it is need to make changes in programming based on data for generalizing it and optimized utilization in other hospitals. So it is recommended to make the prepared program close to the real world for make these systems utilizable in other hospitals and increasing restrictions.
Ali Ardalan, Arezu Najafi, Anita Sabzghabaie, Vahid Zonoobi, Saeed Ardalan, Hamidreza Khankeh, Gholamreza Masoumi , Mohsen Abbasi, Amir Nejati, Mehdi Zahabi,
Volume 9, Issue 3 (2-2011)
Abstract
Background: vulnerable events could damage structural, non structural and functional components of hospitals that might lead to community crisis, accordingly. Risk assessment is the first step to develop of a hospital disaster plan. In this study, a primary phase of developing a local tool for Iran's hospital disaster risk assessment entitled "Hospital Safety Index (HSI)" was conducted by World Health Organization originally.
Materials and Methods: First, the original index was translated into Farsi in five forms and 145 items. Then a group of four experts from the fields of medicine and engineering assessed the items one-by-one for their relevance and applicability. Revised edition tested three times at Shariati hospital in Tehran. An expert panel also evaluated the feature and content validity of the index. They also weighted the items as well.
Results: Test-retest of the index by two independent research groups found 93% of agreement. Furthermore, 244 points were revised or added to the original edition. The most important changes included: Combining instruction parts with related items for increasing educational properties, completing the list of hazards, developing a plan to analysis, and to present a quantitative and graphic of the model and finally to prepare an educational package as well.
Conclusion: Persian version of HSI, in response to needs of Iranian's health system, represents a rapid no-expensive tool for screening disaster risks at hospitals based on an international template that was tested in several countries. Based on this study, the Farsi index would be evaluated in more hospitals around the country. The assessment results will provide Iranian's health system with evidence-based information for more effective allocated resources and interventions evaluating.
Mahmoud Nekuei Moghaddam, Azadeh Taghavi Rad, Saeedeh Hakimipour, Milad Shafiei, Gholamreza Goudarzi,
Volume 9, Issue 3 (2-2011)
Abstract
Background: The world is changing continually and organizations as the subsystems of the world should be adapted with these changes by helping to develope of creativity and innovation.This study to evaluate the relationships between conflict management styles and creativity of staff in training hospitals in Kerman province.
Materials & Methods:This is a cross-sectional study from aspect of descriptive -analytical. For gathering data, the standard questionnaires of conflict management for managers and creativity for staff applied. The participants in the study were all disciplinary managers from selected hospitals in one group and all disciplinary staff of selected hospitals in another group.Data analysis used in SPSS software.
Results:The results showed that there is a significant and opposite assosiation between enforcing styles and negotiating styles between managers (P<0/05, r= -0/187) and creativity of staff (P<0/05 , r= -0/155) . Meanwhile, there is a significant relation between marital status and educated staff and their creativity. This research reveales that avoiding styles applied among men is less than women.
Conclusion: To develop creativity of staff and managers should decrease using of enforcing and negotiating styles to solve the conflicts in hospitals.
J Fekari, A Ghiasi, M Ezzati, M Pakdaman, A Khalafi,
Volume 9, Issue 3 (2-2011)
Abstract
Background: Assessing applied resources in a hospital as a health system will lead to identify organizational problems in this section and subsequently the necessary actions to resolve them. The aim of this study was to determine measurement of inappropriate admission and hospitalization (ISP: Inappropriateness Patient Stay) and associated reasons.
Materials & Methods: One widely used tools to assess appropriate use of hospital recourse is Appropriateness Evaluation Protocol which include objective criteria related to clinical services provided to the patient. Survey of admission and hospitalization in a cross-sectional and prospective study for 246 patients in the Alinasab hospital affiliated insurance organization carried out in Tabriz.
Results: The total of 7 percent of admissions and 6.2 percent of hospitalized were diagnosed inappropriate manner. There was no significant association between inappropriate admissions and other variables. There was significant relationships between Inappropriate bed days with insurance (P=0/041) and duration of hospital stay (P=0/041). However, there were no association between sex, disease diagnosis and hospital days per week with Inappropriate bed days.
Conclusion: The reasons of inappropriate admission and hospitalization in Iran are similar to other countries. Upgrading strategies to referral system performance, creating standard protocols to evaluate criteria for medical personnel and increasing outpatient diagnostic institutions could be reduce inappropriate admissions and stay of patients.
M Arab, M Hosseini, M Ranjbar, A Rashidian, A Pourreza, M Varmaghani, M Tajvar,
Volume 9, Issue 3 (2-2011)
Abstract
Background: The elderly population in Iran is increasing . The aim of this study is the survey of satisfaction rate and the effective factors on the elderly - aged peoples satisfaction regarding to the given services in the hospitals affiliated to the Tehran university of medical sciences.
Materials & Methods: This research is a descriptive - analytical study with applied results. It shows the problems cross - section ally.The research society involves the whole elderly - aged people whit 65 years old and more than that used the bedridden services of the hospitals affiliated to the Tehran university of medical sciences. The sample involves 360 elderly. For collecting the data, a questionnaire with three parts was used. The validity of questionnaire by the content measurement and the reliability of questionnaire by test re test (r = 0.84) were achieved. And also we used SPSS software for data analysis.
Results: : Results showed that 25/6%patients from management type, 41/9%from facilities ,17/2% from behavior personality and 30/3% from public services are dissatisfaction. A total of 12 variable were analyzed, and the results showed that: The education level, age, sex, type of refer, dealing with the bed shortage and occupations have the meaningful relation with their satisfaction rate. The one - variable - analyzers in the logistic regration model showed that among the whole meaningful variables, the education level has the strongest relation with satisfaction. With increasing the education level, the satisfaction rate have been decreased.
Conclusion: Due to results satisfaction rate among participant of this study is good and accepted. Using of results is effective step in increase productivity services and further evaluation needed to be done for functional styles patient elderly satisfaction.
R Khodayari, S Tourani, A Qaderi, M Salehi, H Jafari,
Volume 9, Issue 3 (2-2011)
Abstract
Background: Medical tourism is an increasing industry that patients travel to abroad for receiving health care services. The countries which are successful in this industry have global accrediting quality. This research is aimed to access capabilities of selected hospitals in Iran University of Medical Sciences in attracting medical tourists according to JCI patient-oriented standards.
Materials & Methods: This research is a descriptive, cross-sectional study that carried out in Hasheminejad, Rajaie and Motahhari hospitals. To collect data patient-oriented checklist of JCI standard used. Data analyzed by using descriptive statistic techniques.
Results: The results showed the high rates of consideration is related to medication management and standards used (84/5%), and anesthesia and surgical care standards (80%) that both of them are related to Hasheminejad hospital and also patient and family rights standards (47/5%) are low rates of considerations that are related to Motahhari hospital. Generally, the mean rates of consideration in Hasheminejad (71/8%) are more than Rajaie hospital (67%) and these hospitals are more than Motahhari hospital (62/3%).
Conclusion: Generally, the selected hospitals had rather readiness and possible and appropriate capabilities in attracting medical tourists. Some standards (access to care and continuity of care, patient and family education, assessment of patients, anesthesia and surgical care) were appropriate and some of them were insufficient (patient and family rights, care of patients and patient and family education). According to identify strengths and weaknesses of the hospitals in medical tourism, they could use SWOT analytical model to increase their capabilities.
Amir Ashkan Nasiripour, Leila Salmani,
Volume 9, Issue 3 (2-2011)
Abstract
Background: Medical tourism is an opportunity for hospitals to fuel growth by tapping the potential of the international patient marketing. Some countries have specifically considered the need of the 21st century that man to fully benefit from the topic of "medical tourism" to use the available opportunities in their countries. The aim of this study was to develop of medical tourism through capability of the Tehran's hospitals.
Materials & Methods: This research is a practical in the aim used of correlations as in method. In this regards 4 hospitals in Tehran city which were active in the medical tourism area with a high number of foreign patients collected. The participants were 63 doctors and nurses worked in these hospitals. The Questionnaire was researcher made including 6 Likert scale points (5 = very much, 4=much, 3=mid, 2=little, 1 = very little and 0 = none) as the data collection tool. Validity was confirmed by using the expert opinion professional and the reliability was approved by obtaining a Cronbach alpha of 0.859. SPSS software was used for statistical analysis and Spearman's correlation coefficient was used to measure the associations between variables.
Results: The results showed that medical equipments had the best status with the mean score of 3.9 and information applying and communication techniques recorded the lowest scores with the mean of 1.7. The correlation between average revenue of foreign patients and medical equipment status followed by costs of services was 1 score with a positive significant correlation (P = 0.000).
Conclusion: Using the advance of medical equipments with high international technology and standards make a clear statement in the field of medical services fees, and making the competitive costs is the great benefit to develop medical tourism.
F Akbari, F Kokabi, Sh Yousefian,
Volume 9, Issue 3 (2-2011)
Abstract
Background: Hospital is the most expensive part of a health system. Manpower is the mainly valuable factor in productivity and service delivery. Since personnel costs make up more than 60% of hospital costs, increasing productivity and efficiency of human resources are significant. The most important ways to increase utilization of this valuable resource is to standardize the quantity and composition of the human distribution. This study determined the standardizing of nurses resources in a sample hospital.
Materials & Methods: The descriptive and cross-sectional study applied in 2008. Data of study collected by questionnaires and library studies by using descriptive statistics were analyzed. Sample of study is the private general hospital with 85 active beds, including gynecology, surgery, men and children, women, surgery, neonatal intensive care wards. Data collection tools were tables containing the number and composition of nurses and hospital performance indicators. After gathering data, it compared with the standards and recommendations were conducted. Using standard of job hours of nursing care required for each group of patients and protocols of Ministry of Health and Medical Education.
Findings: The numbers of nursing staff in the hospital were 96 people, including 38 nurses, 16 assistance nurses and 42 aid nurses. The optimum numbers based on average annual bed occupancy in different sectors were: 94 nurses, including 60 nurses, 34 assistance nurses and aid nurses.
Conclusion: A sample hospital uses healthcare workers as an aid nurses to assist in a wide range of patients' care. With regard to development of medical sciences and become more specialized nursing care industry and major changes in techniques and equipments, to move on from traditional invasive surgical procedures to non-invasive medical practices and the incidence of further complex cases, it will be effected to replace them with educated nurses to care of patients.
