Showing 36 results for Tehran University of Medical Sciences
Mohammadhiwa Abdekhoda, Maryam Ahmadi, Mahmodreza Gohari, Alireza Noruzi,
Volume 10, Issue 2 (5-2016)
Abstract
Background and Aim: Inclusive implementation of Electronic Medical Records (EMR) is more serious because of physicians’ perception. This study was carried out to identify the effects of organizational contextual factors on physicians’ perception regarding EMR’s adoption in 2013 (The merger of Tehran University and Iran).
Materials and Methods: This was a descriptive, analytical and cross- sectional study in which a sample of 270 physicians working in hospitals affiliated to Tehran University of Medical Sciences was selected. Physicians’ perception toward adoption of EMR has been assessed by Technology Acceptance Model or TAM questionnaire and organizational context variables. Collected data were analyzed by SPSS. The study model was tested by Structural Equation Modeling (SEM) and represented by AMOS.
Results: The findings showed that perceived usefulness (PU), perceived ease of use (PEOU), management support, physicians’ involvement, physicians’ autonomy, and physician- patient relationship have direct and significant effect on physicians’ attitudes toward EMR adoption. However, training has no significant effect on TAM variables. Moreover, the results showed authorizing proposed conceptual path model explained about 56 percent of the variance of EMR adoption.
Conclusion: The present study revealed that organizational context factors had significant effect on physicians’ attitude toward EMRs’ adoption. The study clearly identified six relevant factors that affected physicians’ perception regarding EMR adoption. These factors should be considered when comprehensive implementation is pursued.
Hossein Dargahi, Shiva Toloui Rakhshan , Jamil Sadeghifar,
Volume 10, Issue 3 (7-2016)
Abstract
Background & Aim: One of the most important and useful models for assessing hospital performance is the Pabon Lasso Model, a graphical model that determines the relative performance of hospitals using three indicators: 1. Bed Occupancy Rate (BOR); 2. Bed turnover (BTO); 3 Average Length of Stay (ALS). The aim of this research is to investigate the performance of the hospitals affiliated with Tehran University of Medical Sciences in Iran during the year 2011 based on the Pabon Lasso Model.
Materials & Methods: This descriptive and cross-sectional study conducted in 2011. All the 16 hospitals affiliated to Tehran University of Medical Sciences formed the study population. Data was analyzed by Excel software and Pabon lasso model.
Results: The following average results for each performance indicator were obtained: Average Length of Stay (ALS) = 6.55 days. Bed Occupancy Rate (BOR) = 74.151% and Bed Turnover (BTO) = 70.24 times per year18.75% hospitals were located in the Pabon Lasso Model zone 1.25% hospitals in zone 2.25% of hospitals in zone 3, and 31.25% hospitals in zone 4 of the model.
Conclusion: The study showed that 75% of the studied hospitals were inefficient. Applying Pabon Lasso model compared hospital's performance. Thus, using one of the active ways of problem recognition in hospitals and perceiving the relation of performance indicators will be helpful in establishing new policy and reviewing current policy in order to maximize performance capacity.
Fereshteh Sepehr, Ashrafsadat Bozorgi, Shokouh Sedghi,
Volume 10, Issue 5 (1-2017)
Abstract
Background and Aim: By conducting cloud computing and using cloud library, better library's services were prepared for universities’ libraries. The present research aims to determine the possibility of conducting cloud computing in Medical Sciences Universities’ libraries in Tehran from the librarian's perspective.
Materials and Methods: This was a descriptive, cross sectional study. A questionnaire survey was used for the collection of data. Face and content validity of the questionnaire has been examined by librarian experts, and also Cronbach’s Alpha Coefficient (0.77) was used for confirmation of reliability. Questionnaires were mailed to 42 selected library professionals, and a total of 40 libraries filled out the questionnaires. The results were analyzed by SPSS software and calculating independent t-test, binomial and chi-square test.
Results: In the present study, the result showed that the mean of librarians skills for management viewpoint (22.5), the specialist personnel (19.6), the librarian attitudes toward security issues associated with cloud computing (13.15), and situation infrastructures (18.13) were significantly meaningful in all of the cases. Also budgeting and availability of electronic services were found to be the least significant. With comparing the requirements of conducting cloud computing and library features by Chi-square test, 80.7 vs. 19/3 respectively showed that libraries have good position.
Conclusion: It was found that the cloud computing by using different technological advantages is a solution for providing better and quicker services with lower prices where budgets are limited and facilities are inadequate in Tehran's medical sciences universities’ libraries.
Seyedeh Bahareh Kashian, Abbas Afrazeh, Seyed Mohsen Tabatabaei, Mahmood Biglar,
Volume 10, Issue 5 (1-2017)
Abstract
Background and Aim: Modeling of organizational knowledge creation process is one of the key areas of research in knowledge management. The aim of this paper was to determine solutions for developing and improving evolutionary knowledge creation model based on the model validation results in real world.
Materials and Methods: This study was an analytical and empirical research that was done by multi case study and simulation strategy. The committee was formed to collect information from various source of data including organizational documents and interview with senior managers about knowledge creation history for 5 years in Development and Planning Management department of Tehran University of Medical Sciences. Data analysis was done using descriptive statistics and qualitative analysis. Also, the mathematical formulation was analyzed using simulation in Excel.
Results: In most of analyzed knowledge creation cases, knowledge absorption from external source through changing managers or employing consultant following integration with exist knowledge was occurred. Also, simulation results show that, mathematical relations were not well defined and changing them makes results more acceptable.
Conclusion: Knowledge grow in organization has occurred through three ways including planned knowledge creation based on managerial decisions, planned knowledge absorption based on managerial decisions, and random knowledge creation mechanism, and all of them have impact on essential knowledge contents.
Zeynab Rajabnezhad, Hossein Dargahi, Hamideh Reshadatjo ,
Volume 11, Issue 3 (9-2017)
Abstract
Background & Aim: Spiritual quotient is an essential factor of managers’ competencies for development of organizations. The managers need high spiritual quotient to impress the staffs’ organizational commitment. This research is aimed to determine the correlation between the managers’ spiritual quotient with the employees organizational commitment in Tehran University of Medical Sciences (TUMS).
Materials and Methods: This research was a descriptive-analytical, and cross-section study that induced in TUMS headquarters among 80 of the managers and 225 of the staffs at 2014-2015. The research tools were two questionnaires, including spiritual quotient and organizational commitment that used after the validity and reliability of these questionnaires was confirmed. The data was analyzed by SPSS software, average and standard deviation, for descriptive results, and used T-Test, One-Way Variance Analysis, and Pearson technique for analytical statistics.
Results: Average of the managers’ spiritual quotient was desired. Although, the average of the staffs organizational commitment was moderate. There was a significant correlation between spiritual quotient of managers with organizational commitment of the staffs (p=0.034).
Conclusion: The managers should emphasize to develop their spiritual quotient in order to promote the organizational commitment of the staffs. Using organizational psychologist to develop this relationship is our suggestion.
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.
Abdollah Naami , Azadeh Chatrooz ,
Volume 11, Issue 5 (1-2018)
Abstract
Background & Aim: Planning in medical tourism is important. This study was conducted to assess factors, elements and development plans of medical tourism and situation study and analysis of Tehran University of Medical Sciences (TUMS).
Materials and Methods: This mixed method study was conducted in 2017. In systematic review, published studies searched between years 2006 to 2016. In the second phase, medical tourism data of TUMS explored as retrospective cross sectional and expert viewpoint analysis in medical tourism concept.
Results: 39 published articles were assessed. According to results, admissions and total payment of foreign patients in all hospitals of TUMS in 2016 were 21788 and around 18.5 billion Tomans respectively.
Qualitative results showed that, there were not transparence program and suitable physical area and TUMS needs to comprehensive planning, supportive infrastructure of foreign patients, correction of transportation system and improve marketing.
Conclusion: Despite the history of TUMS hospitals in attraction of foreign patients and analyzing it, there were many limitations to achieve good situation. Although assessing patients viewpoints can provide a platform to solve problems and limitations according to priorities.
Saied Ghaffari , Sholeh Zakiani , Zohreh Rezaie ,
Volume 11, Issue 6 (3-2018)
Abstract
Background and Aim: In each organization, there is a debate about the use of IT. Human development is one of the factors influencing the efficiency and success of any organization. The present study aimed to investigate the effects of information technology on empowerment of staff working in Tehran University of Medical Sciences.
Materials and Methods: This study was descriptive-survey research and applied in terms of purpose. A total of 274 staff members from the Tehran University of Medical Sciences were surveyed by sampling according to the Krejcie-Morgan table from among 950 employees. The tools used in the Ardalan questionnaire were divided into two parts of IT, including 10 questions and a staff empowerment questionnaire containing 23 questions. Data were analyzed by SPSS 13 software, Kolmogorov-Smirnov test and one-sample T-test.
Results: The research findings showed that the use of information technology on five dimensions of job empowerment including competency, improvement of quality of work, increased decision-making power, increasing self-control, and reducing job stress have a significant effect.
Conclusion: The most important task of managers of universities is to improve the ability and job satisfaction of employees, holding in-service training courses in the field of computers and the Internet and encouraging employees to use more computers in their related activities.
Seyed Javad Ghazi Mirsaeid, Nadia Motamedi, Seyede Malihe Emami,
Volume 12, Issue 2 (7-2018)
Abstract
Background and Aim: The review of scientific products in reputable international databases is a guideline for policy-making and planning, in addition to determining the present status and shortcomings. The aim of this study is to investigate the scientific products of the research centers affiliated to Tehran University of Medical Sciences (TUMS) and Isfahan University of Medical Sciences (MUI) indexed in Scopus during 2009-2013.
Materials and Methods: This is a descriptive, cross-sectional study with a functional approach. All articles of research centers of TUMS (5880 articles) and MUI (2154 articles) from 2009 to 2013 were retrieved from Scopus and analyzed. To compare the means, t-test was used. Moreover, the data were analyzed by SPSS and Excel softwares.
Results: The scientific products of both universities’ research centers in Scopus index have grown in the years under review. Most of the papers were from Tehran Endocrinology and Metabolism and Isfahan Cardiovascular Research Centers, and most of the products belonged to the subject areas of the endocrinology and metabolism, pharmaceutical sciences and cardiovascular science. No significant difference was found between the scientific products of the centers of the two universities.
Conclusion: The growth of scientific production of these research centers indicates the importance of scientific products in line with sustainable development in Iran. Presenting the findings of similar studies can be effective in motivating researchers and supporting research by institutions.
Mahdi Hajian Nosrat, Malikeh Beheshtifar,
Volume 12, Issue 4 (11-2018)
Abstract
Background and Aim: Workplace spirituality is an active process that strengthens people and motivates them to do purposeful activities. According to studies, several factors can promote workplace spirituality. Factors which are studied in this research include job motivation, psychological ownership, mental maturity, and moral behavior. The aim of this research is to prioritize the factors affecting workplace spirituality in Tehran University of Medical Sciences (TUMS) in 2017.
Materials and Methods: This is a correlational descriptive study. The sample included 1230 staff members, of whom 294 were selected using Morgan table. To collect data, 5 questionnaires were used. And for data analysis, structural equation modeling and Amos and SPSS software were applied.
Results: The findings showed that psychological ownership (path coefficient 0.110), mental maturity (path coefficient 0.172), and moral behavior (path coefficient 0.871) had an effect on workplace spirituality, but job motivation (path coefficient - 0.090) had no effect on it. Also, moral behavior, mental maturity, and psychological ownership had the greatest effect on workplace spirituality, respectively; but job motivation had no effect on it.
Conclusion: According to the results of this study, putting moral behavior as the basis, promoting mental maturity, and emphasizing psychological ownership in order of prioritizing effective factors caused workplace spirituality to increase among employees.
Hossein Dargahi, Farough Nomani , Kamran Irandoost,
Volume 12, Issue 6 (3-2019)
Abstract
Background and Aim: In educational systems, the burnout of faculty members and lecturers is a big problem that affects their interaction with students. Therefore, this research aims to determine the rate of burnout syndrome among the lecturers and faculty members in a school in Tehran University of Medical Sciences (TUMS).
Materials and Methods: This study was a descriptive-analytical and cross-sectional research performed by Maslach′s burnout questionnaire among 40 academic members and lecturers selected by census method. The data were analyzed by SPSS software version 20.
Results: The mean age of respondents was 48±18 years. Some (42.5%) of the subjects had 21-30 years of educational work experience. The emotional burnout of the participants was at a high level in this study. However, in the dimension of depersonalization disorder, it was moderate. Meanwhile, their job performance was below moderate. Also, there was a significant correlation between emotional burnout and gender (P=0.043) and between depersonalization disorder and executive work experience (P=0.043).
Conclusion: Due to the remarkable high frequency of job burnout among faculty members and lecturers, holding in-person meetings, the analysis and pathology of causes of burnout, and application of supportive mechanisms are recommended to improve their job performance.
Amin Reza Nabi Zadeh, Ali Reza Nobari,
Volume 14, Issue 5 (1-2021)
Abstract
Background and Aim: Business process management is a comprehensive management approach that aims to align all dimensions and activities of the organization in line with customer needs and automates all processes of the organization. The aim of this study was to determine the effect of business process management on the financial performance of Tehran University of Medical Sciences.
Materials and Methods: This research is an applied, descriptive and survey type and was conducted between the financial managers of Tehran University of Medical Sciences and Health Services in 2019. The research sample is 181 managers of 85 hospitals, faculties and research and development centers of the university who were selected from Cochran's formula and targeted sampling method. Data collection was done by questionnaires, in financial performance of Hernaeus et al.(2012) and business process management questionnaire, Yarmohammadian, et al.(2012). The validity of the questionnaires was confirmed by convergent and divergent validity and Cronbach's alpha reliability. In data analysis, 65.2% of male respondents, 55.49% had a master's degree or higher, 40.49% had an age of 40 years and 34.4% had more than 20 years of experience. Structural equation modeling (Smart.PLS software) was used to test the hypotheses.
Results: Correlation of index structures of guidelines and treatment procedures and electronic files with mean variance(AVE) of 0.587 and 0.823 and profitability structures of medical centers, return on investment and value added 0.737, 0.755 and 0.750, Shows sufficient and high correlation. The effect of business process management on university financial performance was confirmed as the main hypothesis with a path coefficient of 0.881 and a significant value of 15.383. Also, the effect of corrections related to guidelines and treatment procedures with financial performance with a coefficient of 0.422 and a significant value of 3.702 and corrections related to electronic records of patients with a coefficient of 0.476 and a value of 4.334.
Conclusion: Business process management system includes tools for modeling and analyzing data, integration programs, monitoring and optimization of activities that are effective in financial performance.
Hossein Dargahi, Farugh Nomani, Mohammad Rahim Ghohestani,
Volume 15, Issue 2 (5-2021)
Abstract
Background and Aim: Managers’ sufficient awareness about rules and regulations and the legal issues of health system may lead to their optimal performance in organizations. Therefore, this study is conducted to determine senior managers’ level of knowledge about legal rules and regulations related to the health system in Tehran University of Medical Sciences (TUMS).
Materials and Methods: The present descriptive-analytical cross-sectional study was conducted in 2017. The sample consisted of 75 senior managers. The research tool was a researcher-made questionnaire whose face validity was confirmed using the opinions of 7 specialists and experts in the field of medical law, health care and medical services management; besides, regarding its reliability, Cronbach's alpha and test-retest reliability coefficients were 0.89 and 0.79, respectively. With SPSS software, data analysis was performed using descriptive statistics including absolute and relative frequency and inferential statistics including Pearson and Ka-square correlation tests.
Results: The level of knowledge of the studied managers was below average in most legal areas and legal standards related to the health system. There was a significant inverse relationship between the level of knowledge of organizational, financial and transactional areas, and administrative and employment of managers with passing relevant training courses (P=0.01 and P=0.04).
Conclusion: TUMS senior managers' level of knowledge in the three areas of organizational, financial, and rules and regulations is at medium and lower than medium levels. To raise the awareness of managers, necessary arrangements such as holding training courses with new methods such as simulation, screenwriting, case study and experimentation and using new technologies such as hybrid knowledge management and technology integration are suggested. Also, creating managers' strategic competency system at the levels of general and specific skills, along with continuous training and monitoring the accountability and feedback provided in management processes, will ensure future reforms.
Seyed Amir Reza Nejat, Mahmoud Bigler, Seyedeh Bahareh Kashian,
Volume 16, Issue 1 (3-2022)
Abstract
Background and Aim: Intellectual capital, with its basic knowledge nature, is an intangible, strategic, unique and competitive advantage resource. The purpose of this study is to investigate the current state of intellectual capital maturity in the field of management and planning of Tehran university of medical sciences.
Materials and Methods: This research was applied in terms of purpose and with a quantitative approach in 1400 and a questionnaire was used to collect information. The statistical population is the middle and basic managers of the Vice Chancellor for Resource Management Development and Planning. Using Morgan table, 57 people were randomly selected and analyzed by t-test and non-parametric statistical tests using SPSS software. Has been. The content validity of the questionnaire was obtained by examining the research background and obtaining the opinions of experts, and the Cronbach’s alpha coefficient was used to assess the reliability, the value of which was 0.874.
Results: Statistical tests show that the five levels of intellectual capital management maturity follow a nonlinear pattern and the level of realization of the initial level characteristics, ie lack of intellectual capital structure, is higher than acceptable, but the statistical test of other levels of maturity Included; Managed, defined, quantified and optimal management is not significant at the significance level of 0.05.
Conclusion: The current situation of intellectual capital in the study population indicates that management is unaware of the importance of intellectual capital and no action has been taken to implement the knowledge capital management process. Although there is a lot of necessary infrastructure in the Vice Chancellor, however, insufficient understanding of the capabilities of intellectual capital management as a strategic resource is evident in this research. To reach the defined level and the next levels, the organization needs to identify, activate and direct the intangible source and then quantify, standardize and manage quantitatively and analyze the strengths and weaknesses and finally the continuous improvement of processes and Focus on innovation.
- Zeinab Hashemzadeh, Farhad Habibi, Hossein Dargahi, Mohammad Arab,
Volume 17, Issue 1 (3-2023)
Abstract
Background and Aim: Home care is an alternative method of hospitalization, especially for chronic patients and is an innovative approach to improve care and reduce the costs of hospital readmissions. The present study was conducted with the aim of investigating the benefits and challenges of implementing the home care plan after being discharged from the hospital considering the perspective of health service recipients and providers at Tehran University of Medical Sciences in 2021.
Material and Methods: The present study is an applied research that was conducted qualitatively using structured and semi-structured interviews. The research sample was those responsible for the implementation of this project at the ministry and university level, the implementers of this project in 4 hospitals, 5 institutions providing home care services, and family of patients. Twenty-eight people from the research community were included in the study using the purposeful and snowball sampling method. Content analysis method was used to analyze the interview data. MAXQDA2020 software was used for data classification.
Results: The results were classified into two categories: benefits and challenges of the home care plan after discharge. A total of 61 open codes were extracted from the analysis of research interviews, so that 27 codes led to the identification of 5 themes (Including improving service delivery, reducing costs, achieving health goals, cultural and social benefits, providing the necessary infrastructure) in the benefits and 34 codes led to the identification of 7 themes (including policy-making, legal and ethical, economic, manpower, cultural-social-communication, service provision limitations and time and place limitations) in the challenges.
Conclusion: The result of this research showed that home care services after being discharged from the hospital play an important role in completing the provision of healthcare services. Home care services after being discharged from the hospital improves service delivery, reduces costs, and helps in achieving health goals. It also benefits patients, society and the government in various cultural and social fields. On the other hand, it seems that there are challenges in the political, legal, economic and cultural fields in the way of the optimal implementation of this plan. Therefore, planning to evaluate and solve the problems facing these services is essential.
Mashallah Torabi, Sara Naeimi, Elnaz Vahedi, Hamideh Hamidi,
Volume 17, Issue 6 (2-2024)
Abstract
Background and Aim: Educating the audience is one of the things that can affect their mental perception of the usefulness and ease of utilizing technology. Due to the lack of knowledge about the unique features and ease of use of Tehran University of Medical Sciences website, some audiences prefer to use the old website and do not accept the changes on the university website well. This research was conducted with the aim of comparing the two methods of face-to-face training and clip training in accepting information technology changes on the university website and evaluating the audience’s awareness of branding features on the web.
Materials and Methods: There were 90 people who participated in this study, 45 of whom received face-to-face training and 45 of them received training about site changes through video clips. Research data collection was done based on Davis questionnaire and data analysis was done using SPSS and Padprism graph software. To compare a quantitative variable in more than two groups, one-way analysis of variance test or Kruskal-Wallis test and also, and also, one-way ANCOVA test were used to check the difference between groups before and after training.
Results: In face-to-face training, variables such as awareness, usefulness and perceived ease of use, as well as attitude and performance regarding the use of information technology before and after face-to-face training or clip did not have significant differences.
Conclusion: Examining the effectiveness of the teaching methods in this project will help the public relations of the university to act quickly for the changes that will occur in the field of web branding in the future, in terms of preparing and accompanying the audience.
