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Niloofar Mohammadzadeh, Reza Safdari,
Volume 11, Issue 2 (7-2017)
Volume 11, Issue 2 (7-2017)
Abstract
Background and Aim: Agents can provide suitable infrastructure for follow-up data analysis and Chronic Heart Failure (CHF) management due to their many advantages such as autonomy and pro-activeness. The aim of this article is to explain the key points which should appropriately be considered in designing a CHF management system.
Materials and Methods: In this literature review, articles with the following keywords were searched in ScienceDirect, Google Scholar and PubMed databases without regard to their publication year: multi-agent system, chronic heart failure, and chronic disease management.
Results: In designing CHF management through a multi-agent system approach, there are key points in general and specific aspects that must be considered; for example, confidentiality and privacy, architecture, appropriate information and communication technology infrastructure, and legal and ethical issues.
Conclusion: Clearly, identifying and resolving technical and non-technical challenges are vital to the successful implementation of this technology. Thus, in the design and implementation of agent-based systems, many issues should be considered; for instance, reduced face-to-face communication between patients and doctors that can lead to increased stress in some CHF patients, appropriate architecture and application of communication standards and protocols, the mode of communication between agents, users’ attitudes, supporting stakeholders to use agent technology, sufficient budget, coverage of healthcare costs based on agent technology, financial capability, and identification of opportunities and barriers.
Materials and Methods: In this literature review, articles with the following keywords were searched in ScienceDirect, Google Scholar and PubMed databases without regard to their publication year: multi-agent system, chronic heart failure, and chronic disease management.
Results: In designing CHF management through a multi-agent system approach, there are key points in general and specific aspects that must be considered; for example, confidentiality and privacy, architecture, appropriate information and communication technology infrastructure, and legal and ethical issues.
Conclusion: Clearly, identifying and resolving technical and non-technical challenges are vital to the successful implementation of this technology. Thus, in the design and implementation of agent-based systems, many issues should be considered; for instance, reduced face-to-face communication between patients and doctors that can lead to increased stress in some CHF patients, appropriate architecture and application of communication standards and protocols, the mode of communication between agents, users’ attitudes, supporting stakeholders to use agent technology, sufficient budget, coverage of healthcare costs based on agent technology, financial capability, and identification of opportunities and barriers.
Fereydoon Azadeh, Zahra Jadidi, Hamid Haghani,
Volume 11, Issue 3 (7-2017)
Volume 11, Issue 3 (7-2017)
Abstract
Background and Aim: Creating personal information collections will bring the management needs. The purpose of this study was to determine the use level of personal information management and each of its four activities by Faculty members of Allied Medical Sciences Schools in Tehran, Shahid Beheshti and Iran Medical Sciences Universities in 2014 year.
Materials and Method: This applied study was an analytical survey. The participants of the study were Faculty members of Allied Medical Sciences Schools in Tehran, Shahid Beheshti and Iran Medical Sciences Universities. All participants (120) were studied. PIM was surveyed by using a questionnaire. Descriptive statistics were used for data analysis. In order to determine the significant differences, analytical statistics were applied. The validity was confirmed by the number of professors feedback and reliability calculated by the Cronbach's alpha 0.91.
Results: Storage with average of 73.59% and organization with average of 62.11% were at "good" level. Maintenance with an average of 54.4% and refind with an average of 59.93% were at "medial" level. "Personal information management" with an average of 62.51% was at "good" level. According to the research hypotheses test, the use of personal information management and each of its elements by members of the community in terms of university, academic rank and gender were not statistically significant.
Conclusion: Usage level of personal information management by faculty members is far from ideal situation. The main reasons can be included not having enough time, working pressure and lack of sufficient acquaintance with the activities required to personal information management.
Materials and Method: This applied study was an analytical survey. The participants of the study were Faculty members of Allied Medical Sciences Schools in Tehran, Shahid Beheshti and Iran Medical Sciences Universities. All participants (120) were studied. PIM was surveyed by using a questionnaire. Descriptive statistics were used for data analysis. In order to determine the significant differences, analytical statistics were applied. The validity was confirmed by the number of professors feedback and reliability calculated by the Cronbach's alpha 0.91.
Results: Storage with average of 73.59% and organization with average of 62.11% were at "good" level. Maintenance with an average of 54.4% and refind with an average of 59.93% were at "medial" level. "Personal information management" with an average of 62.51% was at "good" level. According to the research hypotheses test, the use of personal information management and each of its elements by members of the community in terms of university, academic rank and gender were not statistically significant.
Conclusion: Usage level of personal information management by faculty members is far from ideal situation. The main reasons can be included not having enough time, working pressure and lack of sufficient acquaintance with the activities required to personal information management.
Moustafa Rabeian, Iravan Masoudi Asl , Hamed Nazari, Samad Azari,
Volume 11, Issue 3 (7-2017)
Volume 11, Issue 3 (7-2017)
Abstract
Background and Aim: Total quality management (TQM) is defined as a system for the assurance of delivering high-quality and cost-effective services. In this regard, due to their service role, hospitals are important in external economic changes. This study was performed to measure the executive backgrounds of total quality management (TQM) in Tehran University of Medical Sciences (TUMS) teaching hospitals in 2012.
Materials and Methods: This cross-sectional study was done in TUMS hospitals. The data were collected using a valid and reliable questionnaire, and were analyzed by descriptive and analytical statistics.
Results: The findings of this study showed that the dimensions of trustworthiness (3.25±0.88) and the beauty of environment (3.06±0.87) got the highest scores; however, the speed of giving services (2.40±1.04) got the lowest scores. In addition, the executive grounds of TQM implementation were “moderate to low” in the studied hospitals with an average score of 2.88± 0.74.
Conclusion: According to the results, total quality management requirements are in a moderate-to-low condition in the studied hospitals. Although managers’ attitude towards TQM is rather positive, it is necessary to improve the quality of services, performances and processes through culture building, creating positive attitudes in managers and employees, providing trainings related to quality improvement, increasing the commitment of top managers, attracting staff participation, promoting innovation and creativity, and evaluating the quality of services.
Materials and Methods: This cross-sectional study was done in TUMS hospitals. The data were collected using a valid and reliable questionnaire, and were analyzed by descriptive and analytical statistics.
Results: The findings of this study showed that the dimensions of trustworthiness (3.25±0.88) and the beauty of environment (3.06±0.87) got the highest scores; however, the speed of giving services (2.40±1.04) got the lowest scores. In addition, the executive grounds of TQM implementation were “moderate to low” in the studied hospitals with an average score of 2.88± 0.74.
Conclusion: According to the results, total quality management requirements are in a moderate-to-low condition in the studied hospitals. Although managers’ attitude towards TQM is rather positive, it is necessary to improve the quality of services, performances and processes through culture building, creating positive attitudes in managers and employees, providing trainings related to quality improvement, increasing the commitment of top managers, attracting staff participation, promoting innovation and creativity, and evaluating the quality of services.
Kiana Farhadyar , Reza Safdari ,
Volume 11, Issue 6 (3-2018)
Volume 11, Issue 6 (3-2018)
Abstract
Background and Aim: Medication errors are preventable event, which may result inappropriate medication intake or damage to patients and, Medication management is a complicated process including multiple activities in order to improve patient safety. There are many documentations that indicate the considerable potential of information technology, especially mhealth in this area. The aim of this study was to review the mobile based medication management systems in order to extract the requirements for these systems development.
Materials and Methods: Four electronic databases (PubMed, Embase, Web of Science and Science Direct) were searched for papers regarding mhealth based medication management systems. After screening the abstracts and publications information a descriptive study was performed on 15 papers.
Results: In this study, 13 functional requirements were extracted and the user requirements was divided into six main groups. Also the technologies which was used in order to implement the functional requirements were extracted.
Conclusion: According to the current study, medication management systems using mhealth technologies are feasible for people with chronic diseases, elderly people and etc. but there is not any medication management system for visually impaired people. Although due to their disabilities they are at higher risk of medication errors and it is a research gap that should be considered in future works.
Materials and Methods: Four electronic databases (PubMed, Embase, Web of Science and Science Direct) were searched for papers regarding mhealth based medication management systems. After screening the abstracts and publications information a descriptive study was performed on 15 papers.
Results: In this study, 13 functional requirements were extracted and the user requirements was divided into six main groups. Also the technologies which was used in order to implement the functional requirements were extracted.
Conclusion: According to the current study, medication management systems using mhealth technologies are feasible for people with chronic diseases, elderly people and etc. but there is not any medication management system for visually impaired people. Although due to their disabilities they are at higher risk of medication errors and it is a research gap that should be considered in future works.
Mohammad Zoladl, Abolfazl Dehbanizadeh, Esmat Nouhi,
Volume 12, Issue 2 (7-2018)
Volume 12, Issue 2 (7-2018)
Abstract
Background and Aim: Providing safe healthcare services by medical groups, especially nurses, is a legal and human duty. Planning to prevent errors is of great importance, and the first step in this regard is to identify different types of errors and methods of error management. For this purpose, this study was conducted to examine the procedural and function errors of nurses working in Yasuj Shahid Beheshti Hospital.
Material and Methods: This study is a descriptive, cross-sectional research. The sampling method was complete enumeration and the target population included all nurses working at Yasuj Shahid Beheshti Hospital. The data collection tool was a researcher-made questionnaire. The validity and reliability (0.81) of the questionnaire were confirmed. The data were analyzed using SPSS software version 19.
Results: According to the findings of this study, 79.5% of nurses have procedural error. The most frequent error was the one made in the use of medical equipment in the ward (203 cases). Among the methods of error management, reporting and consulting with colleagues had the highest frequency (151 cases) and reporting to the patient had the lowest (8 cases).
Conclusion: The results showed that procedural and function errors by nurses were high and that nursing managers should organize training courses to identify and deal with nursing errors.
Reza Safdari, Hajar Hasan Nejadasl, Sharareh Rostam Niakan-Kalhori, Bahram Nikmanesh,
Volume 12, Issue 3 (9-2018)
Volume 12, Issue 3 (9-2018)
Abstract
Background and Aim: In recent years, tuberculosis is a major cause of illness and mortality due to infectious diseases. In fact, one of the reasons for increasing the incidence of tuberculosis is that it is often associated with HIV infection. The present study aimed to design and establish a mobile-based self-care system for controlling tuberculosis.
Materials and Methods: The data required in this research for evaluating the information and designing the application were collected in two main steps: first, the data required in this research for information needs assessment and application design were collected by searching in library resources. A questionnaire was applied by physicians to validate and determine the significance of these elements. Afterwards, based on information elements and the self-care, application was designed in the Android Studio environment.
Results: Information elements and functional capabilities required by the program were determined. Web-based services as a system interface, not only provided the communication between the patient and the care provider, also allowed for patient monitoring and disease control. Then evaluation of the performance and performance of the program was done by doctors and software experts. The findings showed user satisfaction with the application.
Conclusion: Monitoring of treatment electronically allows for less costly monitoring of the patient. In this study, we present a prototype of the relationship between self-care application and portal and its potential benefits, which will allow future studies to improve and add new capabilities.
Materials and Methods: The data required in this research for evaluating the information and designing the application were collected in two main steps: first, the data required in this research for information needs assessment and application design were collected by searching in library resources. A questionnaire was applied by physicians to validate and determine the significance of these elements. Afterwards, based on information elements and the self-care, application was designed in the Android Studio environment.
Results: Information elements and functional capabilities required by the program were determined. Web-based services as a system interface, not only provided the communication between the patient and the care provider, also allowed for patient monitoring and disease control. Then evaluation of the performance and performance of the program was done by doctors and software experts. The findings showed user satisfaction with the application.
Conclusion: Monitoring of treatment electronically allows for less costly monitoring of the patient. In this study, we present a prototype of the relationship between self-care application and portal and its potential benefits, which will allow future studies to improve and add new capabilities.
Reza Safdari, Mozhgan Rahmanian, Shahrbanoo Pahlevany Nejad ,
Volume 12, Issue 6 (3-2019)
Volume 12, Issue 6 (3-2019)
Abstract
Background and Aim: Preeclampsia is one of the most prominent cases of pregnancy related diseases that threatens health at global level, especially in developing countries. In Iran, with 14% of outbreak, it is the second most common cause of maternal mortality. The main goal of this study was to identify the information requirements of the Android-based preeclampsia self-Management application.
Materials & Methods: This was a descriptive study that was done in 2018 in Amir_Almomenin Hospital affiliated to Semnan University of Medical Sciences in two stages of reviewing the sources and the need for data elements. In the review phase, after studying the articles and study, the data requirements and factors which affecting the prevalence of preeclampsia were identified and a survey of qualified physicians was done by designing a researcher-made questionnaire.
Results: This research results indicate that 63.9% of the respondents assigned to the elements mentioned in the demographic findings. 75.9% of them identified health information elements as very important. Also, 77.85% of the research community considered the elements in the lifestyle sector to be of the highest importance. All participants recognized that reminder in the program was necessary. Approximately 33.33% of them reconsidered sport education to be at the lowest level, while 45.24% rated it as being of the highest importance.
Conclusion: The information requirements of this program were determined in 6 groups of health history, educational tips, lifestyle, alarms, referral, and reporting. These programs can help pregnant mothers with preeclampsia to control their disease to minimize complications by observing proper nutrition and principles of treatment.
Materials & Methods: This was a descriptive study that was done in 2018 in Amir_Almomenin Hospital affiliated to Semnan University of Medical Sciences in two stages of reviewing the sources and the need for data elements. In the review phase, after studying the articles and study, the data requirements and factors which affecting the prevalence of preeclampsia were identified and a survey of qualified physicians was done by designing a researcher-made questionnaire.
Results: This research results indicate that 63.9% of the respondents assigned to the elements mentioned in the demographic findings. 75.9% of them identified health information elements as very important. Also, 77.85% of the research community considered the elements in the lifestyle sector to be of the highest importance. All participants recognized that reminder in the program was necessary. Approximately 33.33% of them reconsidered sport education to be at the lowest level, while 45.24% rated it as being of the highest importance.
Conclusion: The information requirements of this program were determined in 6 groups of health history, educational tips, lifestyle, alarms, referral, and reporting. These programs can help pregnant mothers with preeclampsia to control their disease to minimize complications by observing proper nutrition and principles of treatment.
Leila Eslami Eshlaghi, Abbas Khamseh,
Volume 13, Issue 1 (5-2019)
Volume 13, Issue 1 (5-2019)
Abstract
Background and Aim: The present study was conducted to investigate the effect of knowledge management on innovation performance in the pharmaceutical industry, which leads to a sustainable competitive advantage. The purpose of this study was to determine the effect of knowledge management on innovation performance in Salamat pharmaceutical investment holding.
Materials and Methods: This study is a descriptive-survey applied in terms of data collection method, The statistical population of this research included all the experts and managers of the Salamat Holding Research and Development Unit located in Tehran in the first half of the year 2018. Data were collected through a census, and tools used in this study consisted of standard questionnaire of innovation performance, knowledge management and dynamic capabilities of knowledge management. Data analysis was done by using SPSS and SMART PLS software.
Results: The results indicate that R & D, product innovation, process innovation and organization size have a significant correlation with innovation performance, which with R2=0.98 have been able to predict the behavior of the variable of innovation performance. R & D with ß=0.466 has the most positive impact on innovation performance. But the hypothesis about the significant effect of knowledge management on innovation performance and, consequently, the moderating effect of KMdynamic capabilities on knowledge management relationships on innovation performance was not valid.
Conclusion: Considering the results of this study, Thinking about the transformation of traditional business methods into new forms and the provision of a behavioral and cultural context in the implementation of knowledge management is significant.
Materials and Methods: This study is a descriptive-survey applied in terms of data collection method, The statistical population of this research included all the experts and managers of the Salamat Holding Research and Development Unit located in Tehran in the first half of the year 2018. Data were collected through a census, and tools used in this study consisted of standard questionnaire of innovation performance, knowledge management and dynamic capabilities of knowledge management. Data analysis was done by using SPSS and SMART PLS software.
Results: The results indicate that R & D, product innovation, process innovation and organization size have a significant correlation with innovation performance, which with R2=0.98 have been able to predict the behavior of the variable of innovation performance. R & D with ß=0.466 has the most positive impact on innovation performance. But the hypothesis about the significant effect of knowledge management on innovation performance and, consequently, the moderating effect of KMdynamic capabilities on knowledge management relationships on innovation performance was not valid.
Conclusion: Considering the results of this study, Thinking about the transformation of traditional business methods into new forms and the provision of a behavioral and cultural context in the implementation of knowledge management is significant.
Maryam Ahmadi, Mashallah Torabi, Maryam Goodarzi, Hamideh Hamidi, Samira Elmi, Fatemeh Golmahi, Samira Mortezaie, Parisa Nezari,
Volume 13, Issue 4 (11-2019)
Volume 13, Issue 4 (11-2019)
Abstract
Background and Aim: The purpose of this study was to introduce a new model for indicator of letters in office automation of Tehran University of Medical Sciences.
Materials and Methods: The present study was an applied research and a developmental study in which old automation method has been modified to new model. Regarding to the dispersion of codes assigned to letters, there was no specific order in the codes of both old and new units defined in the system, and firstly, the letter indicators in the office automation system of university in combination with letters and numbers was done without classification, the decision was made to correct it in the office automation system. In new model, numbering the correspondence based on frequency of each university unit's subdivision was described and proposed model was presented.
Results: According to the new numerical model, integrated codes were assigned which were entirely numerical or the combination of numbers. Due to the abundance of units covered by the university, the research centers allocate the largest number to themselves. Therefore, a larger range of indicator codes for these units was considered than for other sections.
Conclusion: This model provides a new model for implementation of office automation indicator code in Tehran University of Medical Sciences and facilitates the search of letters based on the defined number.
Materials and Methods: The present study was an applied research and a developmental study in which old automation method has been modified to new model. Regarding to the dispersion of codes assigned to letters, there was no specific order in the codes of both old and new units defined in the system, and firstly, the letter indicators in the office automation system of university in combination with letters and numbers was done without classification, the decision was made to correct it in the office automation system. In new model, numbering the correspondence based on frequency of each university unit's subdivision was described and proposed model was presented.
Results: According to the new numerical model, integrated codes were assigned which were entirely numerical or the combination of numbers. Due to the abundance of units covered by the university, the research centers allocate the largest number to themselves. Therefore, a larger range of indicator codes for these units was considered than for other sections.
Conclusion: This model provides a new model for implementation of office automation indicator code in Tehran University of Medical Sciences and facilitates the search of letters based on the defined number.
Mohammad Yahyaei , Ali Akbar Ahmadi , Pirhossein Koulivand, Mojtaba Rajab Beygi,
Volume 13, Issue 5 (1-2020)
Volume 13, Issue 5 (1-2020)
Abstract
Background and Aim: In today's complex work environment, organizations need a strong link between strategy and effective strategy execution. The purpose of this research is to integrate Balanced Scorecard model with Kaizen management to meet this need and increase innovation efficiency in organization and create sustainable competitive advantage.
Materials and Methods: This study was a descriptive study in terms of purpose and in terms of data collection, in three stages. Two researcher-made questionnaires(validity and reliability of 0.852)were used perform this applied research in Shahroud hospitals. The first is identify factors using the Delphi method by 16 experts and The second was to confirm the indices, which were completed randomly by 829 hospital beneficiaries and analyzed by confirmatory factor analysis. Structural-interpretive model was used to determine the effect of indicators on each other. In order to determine the cause and effect relationships between the goals and the two models Quality Function Deployment matrix was used by expert opinion.
Results: This study showed that in order to achieve the goals of learning development perspective in BSC model, one needs to use "mura" in Kaizen model. Also, to achieve internal process goals, the muri dimension must be used, to achieve the financial perspective objectives of the "deletion"(muda), and for the customer perspective goals, the "mura" dimension must be applied.
Conclusion: Integration of BSC and Kaizen models can provide a suitable framework for continuous improvement of performance, because it has been successfully Performance in Shahroud hospitals, this research has shown that it seeks continuous improvement and increased productivity in the hospital.
Materials and Methods: This study was a descriptive study in terms of purpose and in terms of data collection, in three stages. Two researcher-made questionnaires(validity and reliability of 0.852)were used perform this applied research in Shahroud hospitals. The first is identify factors using the Delphi method by 16 experts and The second was to confirm the indices, which were completed randomly by 829 hospital beneficiaries and analyzed by confirmatory factor analysis. Structural-interpretive model was used to determine the effect of indicators on each other. In order to determine the cause and effect relationships between the goals and the two models Quality Function Deployment matrix was used by expert opinion.
Results: This study showed that in order to achieve the goals of learning development perspective in BSC model, one needs to use "mura" in Kaizen model. Also, to achieve internal process goals, the muri dimension must be used, to achieve the financial perspective objectives of the "deletion"(muda), and for the customer perspective goals, the "mura" dimension must be applied.
Conclusion: Integration of BSC and Kaizen models can provide a suitable framework for continuous improvement of performance, because it has been successfully Performance in Shahroud hospitals, this research has shown that it seeks continuous improvement and increased productivity in the hospital.
Reza Safdari, Majid Alikhani, Foziye Tahmasbi, Zohre Javanmard,
Volume 14, Issue 1 (3-2020)
Volume 14, Issue 1 (3-2020)
Abstract
Background and Aim: The incidence of osteoporotic fractures, which leads to morbidity and mortality in the elderly, is increasing worldwide. Mobile health application could empower patients to engage in managing their own health. This has a significant impact on improving health outcomes in chronic diseases. For this reason, this study was conducted to develop a mobile-based self-management application for patients with Osteoporotic fractures.
Materials and Methods: In this descriptive-developmental study, initially, the data required in this research were collected through searching in library resources, clinical guidelines and application review. Then, a questionnaire was applied by physician to validate and determine the significance of these elements and the rational design of application was provided with the obtained elements. Finally, the application was developed in Android Studio environment and then evaluated.
Results: The main application parts include: Disease prevention information, fracture risk assessment tool and information for self-management in osteoporotic fractures care which was divided into two parts: Hip fracture and other fractures. Moreover, provides functions like exercise program adjustments, reminders and patient records. The application functions were evaluated and was able to meet the expectations.
Conclusion: This is a mobile application with validated content and can be used to help patients with osteoporotic fractures to manage their disease and to obtain self-management skills.
Materials and Methods: In this descriptive-developmental study, initially, the data required in this research were collected through searching in library resources, clinical guidelines and application review. Then, a questionnaire was applied by physician to validate and determine the significance of these elements and the rational design of application was provided with the obtained elements. Finally, the application was developed in Android Studio environment and then evaluated.
Results: The main application parts include: Disease prevention information, fracture risk assessment tool and information for self-management in osteoporotic fractures care which was divided into two parts: Hip fracture and other fractures. Moreover, provides functions like exercise program adjustments, reminders and patient records. The application functions were evaluated and was able to meet the expectations.
Conclusion: This is a mobile application with validated content and can be used to help patients with osteoporotic fractures to manage their disease and to obtain self-management skills.
Azam Lari , Nehzat Goudarzi , Sareh Daneshgar , Mahnaz Taheri Pour,
Volume 14, Issue 4 (10-2020)
Volume 14, Issue 4 (10-2020)
Abstract
Background and Aim: The use of purchasing mechanisms in the field of Medical Equipment and with government law and regulation can serve as a way to move towards smart purchase and increase access to vulnerable groups in order to receive services promote justice. This study conducted to Review of purchase management of Medical Equipment in Hospitals of Tehran University of Medical Sciences.
Materials and Methods: In this applied study conducted in 2018, the study population consisted of 623 individuals and research sample of 431 individuals for each domain that were selected by stratified random sampling. Data were collected using researcher-made questionnaire whose variables were extracted from comparative studies and its validity was measured by content validity Ratio, content validity index and Cronbach's alpha coefficient were obtained. SPSS18 and AMOS software were used to analyze the data by statistical methods of exploratory and confirmatory factor analysis.
Results: According to the results, effective dimensions in purchase management of Medical Equipment in Hospitals of Tehran University of Medical Sciences included Technical, Organizational, Political and Economic dimension with path coefficient of 1.244 1. 151, 0.973 0.845. Values indicate that all study paths are meaningful; in the other words, path coefficients are applicable.
Conclusion: Based on this study, Effective dimensions in purchase management of Medical Equipment consist of four dimensions (Technical, Organizational, Political and Economic) which is a comprehensive and multidimensional concept. Therefore, consideration of all its dimensions and components can best guide the buyer agencies in moving towards efficient purchase.
Materials and Methods: In this applied study conducted in 2018, the study population consisted of 623 individuals and research sample of 431 individuals for each domain that were selected by stratified random sampling. Data were collected using researcher-made questionnaire whose variables were extracted from comparative studies and its validity was measured by content validity Ratio, content validity index and Cronbach's alpha coefficient were obtained. SPSS18 and AMOS software were used to analyze the data by statistical methods of exploratory and confirmatory factor analysis.
Results: According to the results, effective dimensions in purchase management of Medical Equipment in Hospitals of Tehran University of Medical Sciences included Technical, Organizational, Political and Economic dimension with path coefficient of 1.244 1. 151, 0.973 0.845. Values indicate that all study paths are meaningful; in the other words, path coefficients are applicable.
Conclusion: Based on this study, Effective dimensions in purchase management of Medical Equipment consist of four dimensions (Technical, Organizational, Political and Economic) which is a comprehensive and multidimensional concept. Therefore, consideration of all its dimensions and components can best guide the buyer agencies in moving towards efficient purchase.
Amin Reza Nabi Zadeh, Ali Reza Nobari,
Volume 14, Issue 5 (1-2021)
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.
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.
Miss Shima Khosravi, Dr Malikeh Beheshti Far, Amin Nikpoor,
Volume 15, Issue 1 (3-2021)
Volume 15, Issue 1 (3-2021)
Abstract
Background and Aim: The presence of a competent and capable human resource management is one of the preconditions for the success of the organization. Factors such as the emphasis on the need to establish knowledge-based companies, the activities of third-generation universities and technology, and the challenges of financing the health sector, the scientific and technological attractiveness of developed countries and the consequent withdrawal of active and specialized forces from the field of health, importance. Attention to the organization of human capital is more prominent and due to the fact that the modern development process of the organization is based on the paradigm of innovation, the interest in ways to guide the human resource management of the entrepreneur is increasing. Therefore, the purpose of this study is to predict the human resource management model based on a comprehensive organizational entrepreneurship system in the third generation of medical universities.
Materials and Methods: In the present study, with exploratory interviews, the proposed model for human resource management based on organizational
entrepreneurship was predicted and analyzed using content analysis method. The research population consists of basic and middle managers in the field of health, from which 20 people were selected as a sample by non-probability judgment sampling and snowball sampling.
Results: The results showed that in the field of organizational entrepreneurship (at all organizational levels in the field of health, including queuing and headquarters) 4 main and effective categories on soft and hard skills of human resource management can be classified. The three categories, including structural, behavioral and environmental branches in all government agencies and even in the field of industry have relatively similar concepts, codes and essentially functions. However, regarding the fourth category, namely excellence in the field of health, especially in medical universities, health centers and affiliated hospitals, it is quite noticeable.
Concolusion: Organizational strategies and decisions at the macro level have an undisputed and effective role in laying the groundwork for organizational
entrepreneurship and, ultimately, strengthening processes and feedback from human resource management at the level of health organizations.
Materials and Methods: In the present study, with exploratory interviews, the proposed model for human resource management based on organizational
entrepreneurship was predicted and analyzed using content analysis method. The research population consists of basic and middle managers in the field of health, from which 20 people were selected as a sample by non-probability judgment sampling and snowball sampling.
Results: The results showed that in the field of organizational entrepreneurship (at all organizational levels in the field of health, including queuing and headquarters) 4 main and effective categories on soft and hard skills of human resource management can be classified. The three categories, including structural, behavioral and environmental branches in all government agencies and even in the field of industry have relatively similar concepts, codes and essentially functions. However, regarding the fourth category, namely excellence in the field of health, especially in medical universities, health centers and affiliated hospitals, it is quite noticeable.
Concolusion: Organizational strategies and decisions at the macro level have an undisputed and effective role in laying the groundwork for organizational
entrepreneurship and, ultimately, strengthening processes and feedback from human resource management at the level of health organizations.
Mohammad Reza Mehregan, Shahrokh Yousefzadeh, Ali Reza Hatam Siahkal Mahalle,
Volume 15, Issue 2 (5-2021)
Volume 15, Issue 2 (5-2021)
Abstract
Background and Aim: The overall goal of the medical department is to develop and manage an efficient and effective supply chain. Intrinsic instability and unpredictability of treatment needs to require a flexible supply chain. Agility reflects the hospital's response to environmental changes, and agile hospitals are able to provide appropriate services to the patients. Hospital supply chain management agility needs to find the main aspects affecting the relationship and communication between them and to analyze the dimensions together. The purpose of this study was interpretive-structural modeling and analysis of dimensions of agile hospital supply chain management.
Materials and Methods: The research design combined descriptive - survey exploratory approach to the future. The population study were doctors, nurses and staff at the University of Medical Sciences. The Delphi technique was used to determine the dimensions of agility and the interpretive-structural modeling approach was used for analysis and modeling. Mick Mac software was used to analyze the dimensions of agility.
Results: The final model of agile hospital supply chain management with 16 dimensions had 8 levels, which was at the highest level of cost reduction and at the lowest level of organizational leadership commitment. The results indicate that leadership commitment is the foundation of supply chain agility in the hospital. Knowledge management variable had low impact and effectiveness and was known as a secondary leverage variable. The results showed that most agile supply chain management aspects of the main causes of complex communication and interaction, and the importance of agility in the hospital of the show.
Conclusion: The analysis and interpretation of functional from the aspect of Impact and Influence of agility dimensions in hospital environment Showed that, Dimensions of strategic planning, human resource development and staff skills training, human resource management and employee satisfaction, process management, process integration and organizational transformation, flexibility, organizational communication development and information management integration, service quality management and continuous improvement, acceptance of new technology and new ideas, speed of service, patient understand and satisfaction, monitor, find best responds demand and market sensitivity in the strategic area are located and They cause model instability and With high impact and high influence, They play an important role in the agility of hospital supply chain management.
Materials and Methods: The research design combined descriptive - survey exploratory approach to the future. The population study were doctors, nurses and staff at the University of Medical Sciences. The Delphi technique was used to determine the dimensions of agility and the interpretive-structural modeling approach was used for analysis and modeling. Mick Mac software was used to analyze the dimensions of agility.
Results: The final model of agile hospital supply chain management with 16 dimensions had 8 levels, which was at the highest level of cost reduction and at the lowest level of organizational leadership commitment. The results indicate that leadership commitment is the foundation of supply chain agility in the hospital. Knowledge management variable had low impact and effectiveness and was known as a secondary leverage variable. The results showed that most agile supply chain management aspects of the main causes of complex communication and interaction, and the importance of agility in the hospital of the show.
Conclusion: The analysis and interpretation of functional from the aspect of Impact and Influence of agility dimensions in hospital environment Showed that, Dimensions of strategic planning, human resource development and staff skills training, human resource management and employee satisfaction, process management, process integration and organizational transformation, flexibility, organizational communication development and information management integration, service quality management and continuous improvement, acceptance of new technology and new ideas, speed of service, patient understand and satisfaction, monitor, find best responds demand and market sensitivity in the strategic area are located and They cause model instability and With high impact and high influence, They play an important role in the agility of hospital supply chain management.
Tahereh Abolghasem, Maryam Nakhoda, Dr Sepideh Fahimifar, Dr Mohammad Khandan,
Volume 15, Issue 6 (3-2022)
Volume 15, Issue 6 (3-2022)
Abstract
Background and Aim: Knowledge management and employee engagement are the key factors for organizations to achieve competitive advantage, increase productivity and improve performance. The purpose of this study was to identify the relation of effective factors on employee engagement and healthcare knowledge management in the organization.
Materials and Methods: This research was applied in terms of systematic review and was done by meta-analysis-quantitative method. The statistical population included external research. Data collection tools are researcher-made checklist and EBL critical appraisal checklist (Glynn). For this purpose, comprehensive meta-analysis software version 2.0 was used.
Results: Findings showed that at 95% confidence level, employee engagement has a significant relation on healthcare knowledge management and was able to explain 37% of knowledge management. Leadership (0.349), Reward (0.616), Organizational Culture (0.655), Job Satisfaction (0.674), Innovation (0.493), productivity (0.411), organizational performance (0.775) and organizational learning (0.548) are factors that was affecting employee engagement and healthcare knowledge management. The results of heterogeneity tests showed that the studies were heterogeneous and therefore the random effect size was used. The funnel diagram shows high standard error and high bias. In other words, the distribution of research was not normal and random.
Conclusion: Managers can increase the level of engagement and management of organizational knowledge by focusing on the identified factors and its implementation in the organization and increase the level of desire and participation of employees in knowledge management processes.
Materials and Methods: This research was applied in terms of systematic review and was done by meta-analysis-quantitative method. The statistical population included external research. Data collection tools are researcher-made checklist and EBL critical appraisal checklist (Glynn). For this purpose, comprehensive meta-analysis software version 2.0 was used.
Results: Findings showed that at 95% confidence level, employee engagement has a significant relation on healthcare knowledge management and was able to explain 37% of knowledge management. Leadership (0.349), Reward (0.616), Organizational Culture (0.655), Job Satisfaction (0.674), Innovation (0.493), productivity (0.411), organizational performance (0.775) and organizational learning (0.548) are factors that was affecting employee engagement and healthcare knowledge management. The results of heterogeneity tests showed that the studies were heterogeneous and therefore the random effect size was used. The funnel diagram shows high standard error and high bias. In other words, the distribution of research was not normal and random.
Conclusion: Managers can increase the level of engagement and management of organizational knowledge by focusing on the identified factors and its implementation in the organization and increase the level of desire and participation of employees in knowledge management processes.
Shahrbanoo Pahlevanynejad, Reza Safdari, Mojgan Rahmanian, Mohammad Saleh Safari,
Volume 16, Issue 1 (3-2022)
Volume 16, Issue 1 (3-2022)
Abstract
Background and Aim: Preeclampsia is one of the most serious cases of high-risk pregnancies that endanger women’s health worldwide, especially in developing countries. Preeclampsia is a specific pregnancy syndrome with a prevalence of about 7-14%, which is one of the three leading causes of death in pregnant women. Preeclampsia is the second most common cause of maternal mortality in Iran and accounts for 14% of maternal mortality. The present study was conducted to design, create and evaluate mobile-based preeclampsia self-care application.
Materials and Methods: This study was conducted in four stages to assess the needs of information elements, design, create and evaluate preeclampsia self-care application. In needs assessment step, 42 specialists, assistants and personnel related to the subject working in the Amir Al-Momenin (AS) Educational, Research and Treatment Center affiliated to Semnan University of Medical Sciences participated. The program was then initially evaluated by 7 physicians, and finally the suggestions provided by users in the design of the program were applied and the final version of the program was completed. The application was designed in the Android Studio environment and then its usability was evaluated using the opinions of 20 mothers and the QUIS tool.
Results: The information elements and functional capabilities required by the program were determined. In addition, the program established communication between the patient and the provider, also created the possibility of care management and control of the disease process. The performance of the program was evaluated by physicians and experts and then evaluated by pregnant mothers in terms of usability. The findings showed that users were satisfied with the application.
Conclusion: The use of mobile-based applications is a useful way to increase knowledge and promote the health of pregnant mothers and facilitate their access to medical information and acquire the necessary skills in their disease. This program helps pregnant mothers with preeclampsia to control their disease by observing proper nutrition and treatment principles to minimize the complications of their disease.
Materials and Methods: This study was conducted in four stages to assess the needs of information elements, design, create and evaluate preeclampsia self-care application. In needs assessment step, 42 specialists, assistants and personnel related to the subject working in the Amir Al-Momenin (AS) Educational, Research and Treatment Center affiliated to Semnan University of Medical Sciences participated. The program was then initially evaluated by 7 physicians, and finally the suggestions provided by users in the design of the program were applied and the final version of the program was completed. The application was designed in the Android Studio environment and then its usability was evaluated using the opinions of 20 mothers and the QUIS tool.
Results: The information elements and functional capabilities required by the program were determined. In addition, the program established communication between the patient and the provider, also created the possibility of care management and control of the disease process. The performance of the program was evaluated by physicians and experts and then evaluated by pregnant mothers in terms of usability. The findings showed that users were satisfied with the application.
Conclusion: The use of mobile-based applications is a useful way to increase knowledge and promote the health of pregnant mothers and facilitate their access to medical information and acquire the necessary skills in their disease. This program helps pregnant mothers with preeclampsia to control their disease by observing proper nutrition and treatment principles to minimize the complications of their disease.
Ahmad Siar Sadr, Roohollah Tavallaee, Mohammad Ali Afshar Kazemi,
Volume 16, Issue 1 (3-2022)
Volume 16, Issue 1 (3-2022)
Abstract
Background and Aim: Enterprise Architecture based on laboratory needs, and by using of the commons of valid and existing enterprise architecture frameworks, leads to the aligns of needs with organizational strategies and goals and information technology infrastructure. The aim of this study was the investigation of the effect of enterprise architecture model implementation on laboratory information management systems.
Materials and Methods: In this quantitative study in 2020, proposed enterprise architecture model which was based on the compilation of Zachman and service-oriented architecture models was investigated by the maturity of enterprise architecture at Sharif University. The statistical community of this study was 100 laboratory specialists based on Morgan sample determination table CCM (Capacity Maturity Model), which was designed based on the Likert spectrum, was used as a questionnaire assessment tool. For data analysis, descriptive indicators such as frequency, percentage and one-sample t-test to compare the mean in SPSS software was used.
Results: Assessing the maturity of enterprise architecture including four areas of IT (Information Technology) planning and organization, IT development and implementation, IT service and support, and IT monitoring and evaluation. Among the various dimensions of enterprise architecture maturity, the lowest average was related to the field of monitoring and evaluation and the highest average was related to the field of service and support. Dimensions in terms of status were: service and support dimension, planning and organizing dimension, development and implementation dimension, monitoring and evaluation dimension, respectively. The test results were significantly different in the areas related to the maturity of enterprise architecture, including the planning and organization areas, development and implementation, service and support (P<0.0001). There was no significant difference in monitoring and evaluation.
Conclusion: The use of enterprise architecture specific to laboratory management systems causes the optimal use of resources and ease of interaction. Evaluation of the implementation of the proposed architectural framework in the laboratory environment showed that the proposed model has matured in the three areas of planning and organization, development and implementation, service and support. In order to improve the maturity of enterprise architecture, more attention should be paid to the field of monitoring and evaluation and the reform program should start from this field.
Materials and Methods: In this quantitative study in 2020, proposed enterprise architecture model which was based on the compilation of Zachman and service-oriented architecture models was investigated by the maturity of enterprise architecture at Sharif University. The statistical community of this study was 100 laboratory specialists based on Morgan sample determination table CCM (Capacity Maturity Model), which was designed based on the Likert spectrum, was used as a questionnaire assessment tool. For data analysis, descriptive indicators such as frequency, percentage and one-sample t-test to compare the mean in SPSS software was used.
Results: Assessing the maturity of enterprise architecture including four areas of IT (Information Technology) planning and organization, IT development and implementation, IT service and support, and IT monitoring and evaluation. Among the various dimensions of enterprise architecture maturity, the lowest average was related to the field of monitoring and evaluation and the highest average was related to the field of service and support. Dimensions in terms of status were: service and support dimension, planning and organizing dimension, development and implementation dimension, monitoring and evaluation dimension, respectively. The test results were significantly different in the areas related to the maturity of enterprise architecture, including the planning and organization areas, development and implementation, service and support (P<0.0001). There was no significant difference in monitoring and evaluation.
Conclusion: The use of enterprise architecture specific to laboratory management systems causes the optimal use of resources and ease of interaction. Evaluation of the implementation of the proposed architectural framework in the laboratory environment showed that the proposed model has matured in the three areas of planning and organization, development and implementation, service and support. In order to improve the maturity of enterprise architecture, more attention should be paid to the field of monitoring and evaluation and the reform program should start from this field.
Manouchehr Karami, Payam Kabiri, Farzaneh Fazli, Nahid Ramezanghorbani,
Volume 16, Issue 4 (10-2022)
Volume 16, Issue 4 (10-2022)
Abstract
Background and Aim: One of the most important challenges in the field of research information management is the use of reliable and qualified software to manage research resources in health domain. This study aimed to develop a validation tools for research information management systems in Iran to utilize by universities in the process of using existing research information management systems.
Materials and Methods: This was a descriptive study conducted in two stages. In the first stage, a validation tool for research information management systems (Pajoohan, Pajooheshyar, Jiro, Yektaweb, Kuiper) was designed, and in the next stage, in order to ensure the validity of the produced tool, a self-assessment survey was conducted by users of research information management systems in medical sciences universities. Therefore, this tool was completed by 104 researchers from all over the country. The collected data were analyzed by Excel and SPSS software.
Results: The developed validation tool of research information management systems included four components and 82 indicators: software design and architecture (17 indicators), usability and user environment (16 indicators), professional use (36 indicators) and management (13 indicators). Based on the self-declared results of the users, this tool has 57 mandatory features, 26 preferred and 4 optional features. The results of the validation of research information management systems based on this tool showed that the highest rank in the component of architecture, professional use and software management was related to the Kuiper system, and in the component of usability and user environment was related to the Pajoohan system. In the self-declaration done by the users ,12 cases of Jiro system ,11 cases of Kuiper system ,11 cases of Pajoohan system ,7 cases of Pajooheshyar, and 5 cases of Yektaweb system have received confirmation above 75%.
Conclusions: The validation tool which developed by this study can be used in the evaluation of current research information management systems and the selection of new systems for use in the research field. In addition, it can be used to improve current systems and purchase new systems by academic universities and research centers.
Materials and Methods: This was a descriptive study conducted in two stages. In the first stage, a validation tool for research information management systems (Pajoohan, Pajooheshyar, Jiro, Yektaweb, Kuiper) was designed, and in the next stage, in order to ensure the validity of the produced tool, a self-assessment survey was conducted by users of research information management systems in medical sciences universities. Therefore, this tool was completed by 104 researchers from all over the country. The collected data were analyzed by Excel and SPSS software.
Results: The developed validation tool of research information management systems included four components and 82 indicators: software design and architecture (17 indicators), usability and user environment (16 indicators), professional use (36 indicators) and management (13 indicators). Based on the self-declared results of the users, this tool has 57 mandatory features, 26 preferred and 4 optional features. The results of the validation of research information management systems based on this tool showed that the highest rank in the component of architecture, professional use and software management was related to the Kuiper system, and in the component of usability and user environment was related to the Pajoohan system. In the self-declaration done by the users ,12 cases of Jiro system ,11 cases of Kuiper system ,11 cases of Pajoohan system ,7 cases of Pajooheshyar, and 5 cases of Yektaweb system have received confirmation above 75%.
Conclusions: The validation tool which developed by this study can be used in the evaluation of current research information management systems and the selection of new systems for use in the research field. In addition, it can be used to improve current systems and purchase new systems by academic universities and research centers.
Setareh Talayeh, Farzad Firouzi Jahantigh, Fatemeh Bahman,
Volume 17, Issue 5 (12-2023)
Volume 17, Issue 5 (12-2023)
Abstract
Background and Aim: The tourism industry plays a very important role in the economic cycle of society. Medical tourism, as one of the types of tourism industries, has a direct result in globalizing health care. Therefore, by strengthening the supply chain in this area, a very high added value can be achieved. For this reason, the present study provides a conceptual framework for predicting the demand for medical tourism supply chain by determining the relationship between medical tourism demand and economic, medical, and welfare-service components of Zahedan city.
Materials and Methods: The present study is a descriptive-analytical and applied research. Data were collected using a questionnaire and field and library methods. The statistical population of interest was specialist doctors in Zahedan city, and 97 people were selected using simple random sampling with Morgan’s table. The validity of the questionnaire was confirmed by experts and its reliability was obtained using Cronbach’s alpha coefficient with SPSS software more than 0.7. Data analysis was performed using the tangent sigmoid neural network algorithm, linear regression criteria, and mean square error. For this purpose, SPSS software was used to examine the correlation between the data, and MATLAB software was used to design the neural network.
Results: There was anerrore in The basis for the optimality of the answers, linear regression criteria and mean square error. The results showed that the values related to regression, education, and health were more than 0.8 and were 0.9033, 0.8818, and 0.9985, respectively. The highest priorities of the respondents related to medical equipment, education, and health were 0.5657, 0.5558, and 0.20726, respectively.
Conclusion: According to the results obtained from the proposed model, the neural network has a high accuracy in predicting the demand for medical tourism supply chain in terms of education, health, and welfare. It is also predicted that the demand for medical tourism has been constant during the one-year period of research and it is expected that medical tourism in Zahedan city will decrease in future. Therefore, it is recommended that officials pay attention to the development and improvement of medical tourism to promote it.
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