Journal of

  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.

Background: Enhancing the need for health care services and its related costs, lead hospitals to improve and organize their processes. The aim of current study was to assess the Patients' Hospitalization and Discharge Processes Based on Kaizen approach and Multiple-Criteria Decision Making (MCDM) in an internal ward of one Hospital.

Materials and Methods: In this descriptive analytical study, ten managers completed the hospitalization and discharge questionnaires and answered three open questions according to Kaizen principles. Then, satisfaction score was measured for 100 patients using a reliable questionnaire (α=0.93). At third phase, after evaluating the proposed solutions using Analytic Hierarchy Process (AHP), the managers prioritized them based on cost, time and effectiveness considering indicators.

Results: Study findings revealed that mean scores of activity in hospitalization and discharge processes were 88.52 and 90.33 (out of 100) respectively, which showed high conformity with Kaizen approach. Also, mean scores of hospitalization and discharge satisfaction which indicated desirable satisfaction were 76.75 and 78.6 (out of 100), respectively. Based on managers' view points, results of MCDM and AHP methods indicated that effectiveness was the most important indicator and time as well as cost gained next priorities for solutions implementation.

Conclusion: This study showed that although, hospitalization and discharge processes were relatively desirable in the internal ward in mentioned hospitals, it is still a necessary to seek the best solutions in terms of effectiveness, time and cost for patients' satisfaction.