Journal of

Background and Aim: Clinical governance is the application of mechanisms at the right time and place to do tasks for patients properly and obtain maximum clinical results. The implementation of clinical governance definitely requires the skills and inclinations of those working in healthcare sector. The main objective of this study is to identify the relationship between human resource management (HRM) on the one hand and the implementation of clinical governance and the optimal establishment of its framework on the other hand through offering strategies for effective human resource management.

Materials and Methods: This is a descriptive analytical study conducted in a cross-sectional way in 2012. The sampling method was a two-step cluster sampling. Shariati, Imam Khomeini, and Hashemi Nejad were randomly selected from among the hospitals of Tehran University of Medical Sciences (TUMS). The data collection instrument was a researcher-made questionnaire and a checklist. In each hospital, 30 questionnaires were randomly distributed. The gathered data were analyzed by SPSS.

Results: The minimum and maximum scores of clinical governance pertained to Imam Khomeini (594) and Hashemi Nejad (753) hospitals, respectively. Moreover, significant relationships were found between variables of training, recruitment and employment, salaries and benefits on the one hand and clinical governance on the other.

Conclusion : Considering the significant relationship between HRM and the implementation of clinical governance, investment in this aspct of clinical governance as the one that influences success in other aspects can be effective in the establishment of clinical governance.

 Background and Aim: Entrepreneurial roles can be performed by managers at different levels. In fact, entrepreneurship can be interpreted as a tendency adopted by managers towards their environment in which they should have the ability to discover new opportunities for their innovative activities. This study aims to identify factors affecting entrepreneurial behavior of research centers managers at Tehran University of Medical Sciences (TUMS).

 Materials and Methods: Considering the sample size determined through Cochran’s formula, 90 questionnaires were distributed among TUMS research centers managers. The data were analyzed based on structural equation modeling applying partial least squares approach through Smartpls.2 software.

 Results: Of the 90 questionnaires distributed, 67 were acceptable for study. The model created for effective factors enjoyed an acceptable goodness of fit index (GOF=0.49). Factors loading for the observed variables were above 0.4 and the constructs had an acceptable level of reliability and validity.

 Conclusion : The results show that contextual and behavioral factors have a positive effect on entrepreneurial behavior and that structural factors have a negative effect on it. 

Background and Aim: In order to harmonize the demands of doctors and paramedics serving subject to the law Ministry of Health with intended policy of the health ministry on determining priorities and equitable distribution of mentioned resources, the first step that should be taken is to organize resources and to consider their viewpoints . The goal of this paper was to Identify and rank the indexes related to paramedics and ranking them on choosing their place of employment and their durability.

Materials and Methods: The research was a descriptive- Analytic study . Participants in the study were resources of law service of doctors and paramedics in 2012 . All data were analyzed by statistical software SPSS and EXCEL . Friedman test was used for prioritizing and determining the importance of each of the factors influencing the selecting places of employment . 

Results: Among all the factors , social / beliefs factors with mean value of (SD ) 3/52 (0/019) had the greatest influence on the choice of place of service of subject to the law, and it is the first priority of service location by field of study , educational level , place of service and the service index subjects served . 

Conclusion: In order to properly organize and direct the Ministry of Health , the most effective factor is correct understanding of the priorities , needs and mental ideal needs of the mentioned resources . Especially the changes in behavior patterns and easy access to information in large extend will create huge changes of current generation than previous generations.