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Change stages of inter-dental cleaning behavior based on transtheoretical model among pre-university students in Yazd, Iran
A Fallahi , Ma Morovati Sharifabad ,
Volume 3, Issue 2 (21 2009)
Abstract

Background and Aim: Teeth-mouth diseases include a cost between 10-5% of the total of cost of health care and have the damaging effects on childhood and in adult. Transtheoretical Model shows change of behavior dynamically. The purpose of this study was to determine Stages of change of inter-dental cleaning behavior based on Transtheoretical Model in male and female students in Yazd, Iran.

Results: In this study 54.8% female and 45.2% males participated with mean age of 17.35 ±.55 years. %49.6(59student) of students were in pre contemplation stage. Other participants were 5.3 % (19) in contemplation, 24.1 % (87) in preparation, 6.8% (31) in action and 12.5% (5) in maintenance stage. There was a positive significant relationship among stages of change with self-efficacy (r=0.33) and perceived benefits (r=0.19). Also a negative significant relation between stages of change and perceived barriers (r= -0.19) was oberved. Constructs of the model were statically significant predictors of stages of change and accounted for 0.15% of the variation that self efficacy was most important predictors (β=0.212).

Materials and Methods: This cross-sectional study was performed on pre-university 361 students in 8 schools cluster sampling. The instrument for collecting the information were questionnaires consisting of demographic characteristics, self-efficacy questions, decisional balance (perceived advantages and perceived obstacles) and stages of change of interdental cheaning behavior. Reliability and validity of questionnaires was confirmed. The data collected by interview and analyzed by SPSS.

Discussion and Conclusion : In this study, most of students were in pre contemplation stage. They will be probably exposed to dental caries. Not only Trans-theoretical Model can be a model to determine strategies to each stage of change of teeth-mouth self - care Behavior but can also be used in educational interventions.


Efficiency Appraisal Of Yazd University Of Medical Science Hospitals By Quantitative Approach Data Envelopment Analysis(DEA)
Roohollah Askari, Reza Goudarzi, Hossein Fallahzadeh, Bahareh Zarei, Arefeh Dehqani Tafti,
Volume 6, Issue 3 (7 2012)
Abstract

Background and Aim: Paying attention to efficiency of cost and performance in hospitals as the largest and the most costly performing unit of the health care systems is very crucial. This study aimed to assess the efficiency of hospitals related to Yazd University of Medical Sciences (YUMS).

Materials and Methods: In this study, the efficiency of Hospitals of YUMS was assessed by Data Envelopment Analysis method during years 2000- 2008. The variables were of two types: output variables including the percentage of occupied beds, inpatient days and the number of surgical procedures and input variables were number of active beds, nurses, medical staff and other personnel. The data was analyzed using Deap2.1 software.

Results: Average of technical, management and scale efficiency of hospitals was 0.958, 0.986 and 0.963 respectively. We concluded that the capacity of efficiency promotion in hospitals is increasable up to 5%. In addition, the nurses as one of the most important input variables, had the most apparent slack inputs.

Conclusion: Although the level of efficiency was optimal and there was little unused capacity for increasing efficiency in hospitals, however, managers should plan to increase the efficiency. Finally, assessing the effect of variables such as service quality and patient satisfaction on hospitals efficiency is recommended.


The Relationship between Organizational Innovation and Creativity among the Staff of TUMS General Hospitals
Sadigheh Asadi, Hossein Dargahi, Esmaeil Fallah Mehrabadi , Nahid Heydari Dastjerdi ,
Volume 11, Issue 5 (1-2018)
Abstract
Background and Aim: Creativity and innovation are considered among the most important factors that help an organization survive. Therefore, it seems necessary to examine the status of this important issue in healthcare organizations such as hospitals. The present study was conducted to determine the relationship between organizational innovation and creativity among the staff of teaching hospitals of Tehran University of Medical Sciences (TUMS).  
Materials and Methods: This descriptive-analytical and cross-sectional study was conducted on 285 staff members of TUMS selected teaching hospitals in 2015. To collect the required data, demographic data form, organizational creativity 
questionnaire and Martin Patchen’s innovation questionnaire were used. Data were analyzed in SPSS software version 21, using descriptive statistics, t-test, ANOVA and Pearson correlation analysis at a less-than-0.05 significance level. 
Results: The organizational creativity rate for the studied staff showed an average of 2.99±0.80, assessed at middle and lower middle levels and the organizational innovation rate showed an average of 19.37±3.71, assessed as middle and upper middle. A statistically significant relationship was observed between organizational creativity and organizational innovation (p=0.02, r=0.20).
Conclusion: The results suggest that an increase in creativity leads to an increase in innovation. Therefore, to survive and maintain a competitive advantage to provide more desirable treatment services at a high quality, hospital managers are required to use their best effort and expenditure so that they can enhance innovation within their organizations.

Evaluation of the Analytical Dashboard of Designed Health Insurance Deductions, based on Business Intelligence
Eng. Meisam Fallahnezhad, Reza Safdari,
Volume 15, Issue 3 (Aug & Sep 2021)
Abstract
Background and Aim: Large amounts of hospital costs are not reimbursed annually by health insurance as deductions. Therefore, reducing deductions is very important for the hospital. In the study of design and implementation of analytical dashboard of insurance deductions based on medical intelligence business, to improve financial management with the aim of focusing on assessing the level of satisfaction and its applicability has been done.
Materials and Methods: To design the questionnaire, first 27 questions were prepared through library studies and interviews with members of the hospital board of directors, and the validity and consistency of its items were determined through content validity and Cronbach’s alpha coefficient. Data were analyzed in SPSS software and the results were used to design and implement the dashboard.
Results: The study is of development-applied type. In the first phase, to determine Content Validity Ratio CVI (Content Validity Index), and CVR (Content Validity Ratio) a researcher-made questionnaire was provided to 20 experts. In the second phase, by building a data warehouse in SQL (Structured Query Language), the information of the tables related to the deductions of the hospital HIS system was transferred to it and the operational information of the organization was extracted and converted into DW format and the map information was tested. OLAP (Online Analytical Processing) services were then loaded on the created analytics database. In the last step, Power BI tool was selected and used to create business intelligence mechanisms, display and visualize information. In the third phase, using the QUIS (Questionnaire for User Interface Satisfaction) standard questionnaire, the level of satisfaction and usability of the dashboard was evaluated by 15 experts.
Conclusion: In this study, two questionnaires were used. CVR was measured in all items of the first questionnaire, more than 0.50 and CVI was measured in the upper areas of 0.90 and Cronbach’s alpha coefficient was obtained between 0.8 and 0.9, which indicated a good level. The second questionnaire was to evaluate the level of satisfaction and usability of the dashboard that the average of the total evaluation based on the indicators of the QUIS questionnaire is equal to 85.40. Therefore, the level of satisfaction and usability of the dashboard was “very good” for the evaluators.

Development of Iranian Provinces in Terms of Health Indicators Using Weighted Centrality and Numerical Taxonomy Methods
Mohammad Reza Shahraki, Motahare Fallah,
Volume 16, Issue 1 (3-2022)
Abstract
Background and Aim: The healthcare sector plays an important role in the development of communities by ensuring the health of individuals in each community and can have many social and economic effects on the lives of individuals in the community. The purpose of this study was to determine the development of the country’s provinces based on health facilities and the level of access to these facilities, to find solutions to reduce differences between different parts of the country.
Materials and Methods: This study was an applied study with a descriptive-analytical approach. In this study, 31 provinces of the country have been studied in terms of 10 indicators. Data and information of this study were extracted from the national statistical yearbook and ranked using Center-weighted index method by using Excel software. Then, using taxonomy method, the degree of development of the provinces has been determined. 
Results: The results of the study show that South Khorasan province with a centrality index of 45,692 is in the first place, Yazd province with a centrality index of 43,933 is in the second place and Ilam province with a centrality index of 40,668 is in the third place. East Azerbaijan province with a centrality index of 27,375 is ranked 29th, Qom province with a centrality index of 25,417 is ranked 30th and Hormozgan province with a centrality index of 24,286 is ranked 31st. The degree of development of the provinces is between 0.507 to 0.98, which in terms of development of Yazd province is in the first rank and Hormozgan province is in the last rank.
Conclusion: The results show that there is a deep gap between the provinces in terms of development and access to health indicators; Therefore, it needs more attention and adopt the necessary policies and plans to reduce this gap.

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