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Showing 27 results for Performance
Hossein Dargahi, Shiva Toloui Rakhshan , Jamil Sadeghifar,
Volume 10, Issue 3 (7-2016)
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.
Amir Ashkan Nasiripour, Shirin Jafari,
Volume 10, Issue 4 (9-2016)
Volume 10, Issue 4 (9-2016)
Abstract
Background and Aim: In health sector, improving quality of treatment services and patient safety are considered as vital. The objective of this study was to determine the relationship between the quality improvement and patient safety (QPS) and the hospital performance indicators.
Materials and Methods: In this descriptive analysis research, the statistical population included managers, matrons, one of the members of the quality improvement committee and one of the clinical governance office members of Shahid Beheshti University of Medical Science teaching hospitals (N=44). In order to evaluate QPS, data were gathered through questionnaire and the hospital performance indicator data were gathered through interview and observation. Also independent T test was used to determine the relationship between the quality improvement and patient safety and performance indicators.
Results: All five areas of (QPS) including leading and planning, designing clinical and managerial processes, collecting the data, analyzing the data and improvement were significant in QPS score and according to independent T-test, the relationship between (QPS) and bed occupancy percentage, average length of inpatient stay, bed turnover interval, bed turnover rate and gross death rate was significant (p-value<0/05).
Conclusion: Considering (QPS) standards can improve hospital performance indicators.
Asadollah Khahande Karnama , Amer Dehghan Najm Abadi , Mehdi Tajpour,
Volume 11, Issue 2 (7-2017)
Volume 11, Issue 2 (7-2017)
Abstract
Background and Aim: The study of relationship between entrepreneurial orientation and performance leads to the improved competitive performance of organizations. The purpose of the present study is to determine the relationship between entrepreneurial orientation and occupational performance.
Materials and Methods: This study is a descriptive-analytical applied research. As regards the type of collected data, the present study is quantitative with the standard questionnaire of Lumpkin and Dess for the measurement of entrepreneurial orientation and the standard questionnaire of Byrne and Conway for the measurement of occupational performance. One hundred and eight employees at Tehran University of Medical Sciences (TUMS) Student Health Center formed the sample of the study. Data analysis was done by using SPSS and SMART PLS in two parts: part of measurement model and structural part.
Results: The results indicate a positive and meaningful relationship between entrepreneurial orientation and its dimensions (innovation, risk-taking, and proactivity) and the staff members’ occupational performance. Also, the dimensions of entrepreneurial orientation have a high correlation with each other, but they do not have the same effect on occupational performance. Regarding the importance of each entrepreneurial orientation dimension, it is proposed that facility managers define activities that lead to the increase of occupational performance.
Conclusion: Considering the results of this study, taking measures to enhance the staff’s entrepreneurial activities in health centers can lead to the increase of job performance in these centers.
Abdullah Khanzadeh, Mohammad Esmaeil Motlagh, Abdolreza Mirshakak, Maryam Niakan, Neda Akbari Nassaji , Seiyed Davoud Nasrollahpour Shirvani,
Volume 11, Issue 2 (7-2017)
Volume 11, Issue 2 (7-2017)
Abstract
Background and Aim: Benchmarking is known as the process of searching for the best where organizations are motivated with growth and development effort to identify successful experiences and achievements, and also improvement of functional indicators. This study was aimed at determining the frequency of benchmarking by managers and experts of Abadan School of Medical Sciences in the past two years.
Materials and Methods: A cross-sectional study was conducted in 2014. The population of study was all managers and experts of Abadan School of Medical Sciences that were chosen by the census. A researcher-made questionnaire was utilized to collect data containing demographic characteristics (8 questions) and registration table of patterned cases (4 open and close-ended questions) which its validity and reliability were approved. The collected data were analyzed by SPSS18 software.
Results: From the 139 managers and experts, 56 (40.3%) persons used 106 cases of successful experiences and achievements of other organizations to improve and develop their organizational performance including 67 cases (63.3%) in the area of management and organizational, 96 cases (90.6%) in the government agencies, 103 cases (90.6%) in Iran and 44 cases (41.5%) through site visit. There were no significant relationships between personal and organizational variables with benchmarking (P>0.05).
Conclusion: Given the present findings, benchmarking in Abadan School of Medical Sciences was low. Therefore, designing and implementing intervention programs appeared to be likely beneficial for promotion and development of benchmarking.
Materials and Methods: A cross-sectional study was conducted in 2014. The population of study was all managers and experts of Abadan School of Medical Sciences that were chosen by the census. A researcher-made questionnaire was utilized to collect data containing demographic characteristics (8 questions) and registration table of patterned cases (4 open and close-ended questions) which its validity and reliability were approved. The collected data were analyzed by SPSS18 software.
Results: From the 139 managers and experts, 56 (40.3%) persons used 106 cases of successful experiences and achievements of other organizations to improve and develop their organizational performance including 67 cases (63.3%) in the area of management and organizational, 96 cases (90.6%) in the government agencies, 103 cases (90.6%) in Iran and 44 cases (41.5%) through site visit. There were no significant relationships between personal and organizational variables with benchmarking (P>0.05).
Conclusion: Given the present findings, benchmarking in Abadan School of Medical Sciences was low. Therefore, designing and implementing intervention programs appeared to be likely beneficial for promotion and development of benchmarking.
Davood Feiz, Amin Kohyari Haghighat , Koorosh Kohyari Haghighat ,
Volume 11, Issue 3 (7-2017)
Volume 11, Issue 3 (7-2017)
Abstract
Background and Aim: In recent years, the growing importance of health care has led to a focus on improving the quality of services, and healthcare centers have paid attention to it as a strategic competitive advantage. The aim of this study was to investigate the role of improving the quality of services in the promotion of brand performance in healthcare industry.
Materials and Methods: In this study, 392 patients of Tehran hospitals were selected through cluster sampling. Structural Equation Modeling (SEM) and Confirmatory Factor Analysis (CFA) were used for data analysis. Also, to compare public and private hospitals, independent samples t-test was used.
Results: Research findings indicate that the desirable quality of services has a significant positive effect on brand equity; and brand equity has a meaningful effect on brand preference, repurchasing and brand performance. Moreover, brand preference has a significant effect on brand performance and the decision to repeat purchasing. In the end, the meaningful effect of repurchasing decision on brand performance in healthcare industry was confirmed.
Conclusion: According to the results, it can be stated that considering healthcare improvement plans, hospitals can enhance their brand among many healthcare centers. This entails both the promotion of community’s health and the increase of profitability.
Materials and Methods: In this study, 392 patients of Tehran hospitals were selected through cluster sampling. Structural Equation Modeling (SEM) and Confirmatory Factor Analysis (CFA) were used for data analysis. Also, to compare public and private hospitals, independent samples t-test was used.
Results: Research findings indicate that the desirable quality of services has a significant positive effect on brand equity; and brand equity has a meaningful effect on brand preference, repurchasing and brand performance. Moreover, brand preference has a significant effect on brand performance and the decision to repeat purchasing. In the end, the meaningful effect of repurchasing decision on brand performance in healthcare industry was confirmed.
Conclusion: According to the results, it can be stated that considering healthcare improvement plans, hospitals can enhance their brand among many healthcare centers. This entails both the promotion of community’s health and the increase of profitability.
Zeinab Ghaderabadi , Alireza Amirkabiri , Mohammadreza Rabiee Mandejin ,
Volume 11, Issue 4 (12-2017)
Volume 11, Issue 4 (12-2017)
Abstract
Background and Aim: Emotional intelligence Skills is highly crucial in career success and achivement critical responsibilities accompolishments. Psychologists believe that 20% and 80% of individuals’ success depends on IQ and emotional intelligence (EQ) respectively. This study is aimed to investigate the relationship between emotional intelligence and job performance among the staff of Shariati Hospital at Tehran University of Medical Sciences in 2016.
Materials and Methods: In a descriptive-analytical method, 1030 individuals from different units of shariati hospital`s staff were studied. 280 persons were randomly selected by using a Cochran formula. Two questionnaires regarding Schering Siberia emotional intelligence (1990) and Patterson job performance (1975) were used after being validated through experts and specialists` view and reliablity analysis (Cronbach's alpha values of questionare of emotional intelligence=0.734 and job performance=0.768). The data were analysed by use of descriptive statistics, Pearson correlation test and Friedman test.
Results: The total studied staff was included 73% women 62% married and 67% college education. The average emotional intelligence rating was 182 (with IE of 34) and average job performance was 109 (with IE of 22).The result showed a significant correlation between emotional intelligence and job performance (p=0.030). Using Friedman statistical test, ranking of emotional intelligence components were conducted; the self-awareness and social skills had the first and fourth rank respectively.
Conclusion: Training and the improvement of emotional intelligence skills and capabilities can be used to enhance the process of the hospital staff recrument andimprove their performance level.
Materials and Methods: In a descriptive-analytical method, 1030 individuals from different units of shariati hospital`s staff were studied. 280 persons were randomly selected by using a Cochran formula. Two questionnaires regarding Schering Siberia emotional intelligence (1990) and Patterson job performance (1975) were used after being validated through experts and specialists` view and reliablity analysis (Cronbach's alpha values of questionare of emotional intelligence=0.734 and job performance=0.768). The data were analysed by use of descriptive statistics, Pearson correlation test and Friedman test.
Results: The total studied staff was included 73% women 62% married and 67% college education. The average emotional intelligence rating was 182 (with IE of 34) and average job performance was 109 (with IE of 22).The result showed a significant correlation between emotional intelligence and job performance (p=0.030). Using Friedman statistical test, ranking of emotional intelligence components were conducted; the self-awareness and social skills had the first and fourth rank respectively.
Conclusion: Training and the improvement of emotional intelligence skills and capabilities can be used to enhance the process of the hospital staff recrument andimprove their performance level.
Jayran Zebardast, Nikzad Eisazadeh, Khorshid Vaskoei Eshkevari , Abolalfath Ghafari , Fatemeh Mirbazegh,
Volume 11, Issue 5 (1-2018)
Volume 11, Issue 5 (1-2018)
Abstract
Background and Aim: Nurses’ knowledge, attitude and performance towards the principles of Islamic ethics are remarkable in nursing care in Tehran University of Medical Sciences (TUMS).
Materials and Methods: In this cross-sectional study, the knowledge, attitude and performance of 551 nurses were evaluated based on their age, sex, education, and type of employment in TUMS hospitals (by a valid questionnaire). All data were analyzed by SPSS. In this study, a questionnaire was designed through a Focus group discussion and then its validity was evaluated. Moreover, the reliability of the questionnaire was estimated by test-retest method.
Results: Our study showed that female sex, work experience of 15-20 years, type of employment, and higher education were associated with a higher level of knowledge, attitude and performance towards principles of Islamic ethics. Also, according to our analysis, there was a significant relationship between age and level of knowledge, attitude and performance of the principles of Islamic ethics (p<0.05) especially at the age of 40's.
Materials and Methods: In this cross-sectional study, the knowledge, attitude and performance of 551 nurses were evaluated based on their age, sex, education, and type of employment in TUMS hospitals (by a valid questionnaire). All data were analyzed by SPSS. In this study, a questionnaire was designed through a Focus group discussion and then its validity was evaluated. Moreover, the reliability of the questionnaire was estimated by test-retest method.
Results: Our study showed that female sex, work experience of 15-20 years, type of employment, and higher education were associated with a higher level of knowledge, attitude and performance towards principles of Islamic ethics. Also, according to our analysis, there was a significant relationship between age and level of knowledge, attitude and performance of the principles of Islamic ethics (p<0.05) especially at the age of 40's.
Conclusion: Based on the results of this study, there is a significant relationship between educational indices and work experience, and the age of nurses with the level of knowledge, attitude and practice regarding the principles of Islamic ethics. It is suggested that educational courses about Islamic ethics be presented based on nurses’ educational levels and age.
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.
Reza Safdari, Abdorreza Naser Moghadasi, Sahar Khenarinezhad, Ehsan Ghazanfarisavadkoohi,
Volume 14, Issue 5 (1-2021)
Volume 14, Issue 5 (1-2021)
Abstract
Background and Aim: Taking a wide range of medications in Multiple sclerosis (MS) patients can lead to side effects and drug interactions. Therefore, the use of intelligent systems such as drug monitoring systems can help in the effective and timely treatment of MS disease. In this regard, the present study was conducted to design, development, and evaluation of the drug monitoring system for multiple sclerosis patients.
Materials and Methods: The present descriptive-developmental study was performed in four stages. In the first stage, by searching the library resources and valid guidelines, the minimum data set was determined and provided to neurologists and MS fellowships in the form of checklists for validation. Then the software was designed logically and coded based on the opinion of experts. In the last stage, the software was evaluated by end-users.
Results: The information elements in the software design were categorized into patient demographic information, medical history, clinical signs, imaging procedures, laboratory tests for ocrelizumab and fingolimod drugs, counseling, and treatment data. Finally, the performance of the drug monitoring system was evaluated with an average of 7.9 and was approved by users.
Conclusion: The results of software evaluation showed that the drug monitoring system can help general practitioners, neurologists, and MS fellowships in monitoring and follow-up of patients and lead to increased patient safety.
Materials and Methods: The present descriptive-developmental study was performed in four stages. In the first stage, by searching the library resources and valid guidelines, the minimum data set was determined and provided to neurologists and MS fellowships in the form of checklists for validation. Then the software was designed logically and coded based on the opinion of experts. In the last stage, the software was evaluated by end-users.
Results: The information elements in the software design were categorized into patient demographic information, medical history, clinical signs, imaging procedures, laboratory tests for ocrelizumab and fingolimod drugs, counseling, and treatment data. Finally, the performance of the drug monitoring system was evaluated with an average of 7.9 and was approved by users.
Conclusion: The results of software evaluation showed that the drug monitoring system can help general practitioners, neurologists, and MS fellowships in monitoring and follow-up of patients and lead to increased patient safety.
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.
Omid Zadi Akhule, Mojgan Lotfi, Ebrahim Nasiri, Saba Chalangari, Yasna Torkali Pur,
Volume 14, Issue 6 (1-2021)
Volume 14, Issue 6 (1-2021)
Abstract
Background and Aim: In order to improve patient safety, countries are seeking to monitor the safety of health systems and since surgical safety is an important part of patient safety, this study aimed to determine performance of Operating Room Personnel regarding the observance of surgical safety principles.
Materials and Methods: This cross-sectional descriptive study was conducted on operating rooms of hospitals of Mazandaran university of medical sciences in 2019. Research population included 271 personnel of operating room selected via stratified random sampling. Data were collected using demographic characteristics questionnaire and Surgical Safety Checklist of the World Health Organization. The data was analyzed using SPSS software.
Results: The mean scores of performance of surgical technologists in the circulating and scrub roles and anesthesia technologists regarding the observance of surgical safety principles, were 23.2±3.1, 18.4±3 and 28.2±3.5 respectively. The performance level of all three specialties was moderate. Findings showed that there was a significant difference between performance score with educational level. The mean score of performance was significantly higher in the technologists with bachelor’s degree as compared to the technologists with associate degree (p<0.05).
Conclusion: Considering that the performance of the participants of the study regarding the observance of surgical safety principles, it was not at a desirable level, thus it is recommended to encourage operating room personnel to upgrade their education and to continue monitoring the performance of them regarding the observance of surgical safety principles.
Materials and Methods: This cross-sectional descriptive study was conducted on operating rooms of hospitals of Mazandaran university of medical sciences in 2019. Research population included 271 personnel of operating room selected via stratified random sampling. Data were collected using demographic characteristics questionnaire and Surgical Safety Checklist of the World Health Organization. The data was analyzed using SPSS software.
Results: The mean scores of performance of surgical technologists in the circulating and scrub roles and anesthesia technologists regarding the observance of surgical safety principles, were 23.2±3.1, 18.4±3 and 28.2±3.5 respectively. The performance level of all three specialties was moderate. Findings showed that there was a significant difference between performance score with educational level. The mean score of performance was significantly higher in the technologists with bachelor’s degree as compared to the technologists with associate degree (p<0.05).
Conclusion: Considering that the performance of the participants of the study regarding the observance of surgical safety principles, it was not at a desirable level, thus it is recommended to encourage operating room personnel to upgrade their education and to continue monitoring the performance of them regarding the observance of surgical safety principles.
Amin Jalili Sarqaleh, Mohammad Azizi, Kianosh Khamoshyan,
Volume 16, Issue 1 (3-2022)
Volume 16, Issue 1 (3-2022)
Abstract
Background and Aim: Multiple Sclerosis is a chronic disease of myelin sheath degradation that reduces the quality of life in patients. Recent studies emphasize on the effect of exercise and natural supplements on the improvement of disease symptoms and quality of life. The aim of this study was to evaluate the effect of eight weeks combined training at home with red grape juice supplementation on quality of life in women with Multiple Sclerosis.
Materials and Methods: In this study, 48 women with MS in the age range of 20-40 years were voluntarily selected and divided into 4 groups: training (n=12), supplement (n=12), training+supplement (n=12) and control (n=12). Combined training included 8 weeks and 3 sessions per week for 60 minutes of endurance and resistance training with an intensity of 10-12 rate of perceived exertion. Subjects consumed 250 cc of grape juice supplement with 68% concentration for 8 weeks, 3 times a week. The control group engaged in their daily activities. Quality of life was measured with standard questionnaire (WHOQOL-BREF) 48 hours before and after the end of the study.
Results: Eight weeks of intervention made a significant change in the quality of life. Based on the correlation t the results were as follows training groups (P=0.001)(7.1%), supplement (P=0.001)(10.5%) and training+supplement (0.000), There was a significant difference between the pre-test and the post-test (P≤0.05). But the changes in the training+supplement group were more than the other groups (P=0.000)(13.3%). In addition, based on the results of one-way analysis of variance, the amount of changes between the groups was also significant (P≤0.05). There was a significant difference between the training group and the control group, supplement group and supplement+training group (P≤0.05). Also, the supplement group had a significant difference with the exercise group and the control group, but there was no significant difference with the supplement + training group (P≥0.05). A significant difference was observed in the supplement+training group with all groups except the supplement group (P≤0.05).
Conclusion: According to the results of the present study, women with Multiple Sclerosis can use combined training at home with red grape juice supplement to improve their quality of life.
Materials and Methods: In this study, 48 women with MS in the age range of 20-40 years were voluntarily selected and divided into 4 groups: training (n=12), supplement (n=12), training+supplement (n=12) and control (n=12). Combined training included 8 weeks and 3 sessions per week for 60 minutes of endurance and resistance training with an intensity of 10-12 rate of perceived exertion. Subjects consumed 250 cc of grape juice supplement with 68% concentration for 8 weeks, 3 times a week. The control group engaged in their daily activities. Quality of life was measured with standard questionnaire (WHOQOL-BREF) 48 hours before and after the end of the study.
Results: Eight weeks of intervention made a significant change in the quality of life. Based on the correlation t the results were as follows training groups (P=0.001)(7.1%), supplement (P=0.001)(10.5%) and training+supplement (0.000), There was a significant difference between the pre-test and the post-test (P≤0.05). But the changes in the training+supplement group were more than the other groups (P=0.000)(13.3%). In addition, based on the results of one-way analysis of variance, the amount of changes between the groups was also significant (P≤0.05). There was a significant difference between the training group and the control group, supplement group and supplement+training group (P≤0.05). Also, the supplement group had a significant difference with the exercise group and the control group, but there was no significant difference with the supplement + training group (P≥0.05). A significant difference was observed in the supplement+training group with all groups except the supplement group (P≤0.05).
Conclusion: According to the results of the present study, women with Multiple Sclerosis can use combined training at home with red grape juice supplement to improve their quality of life.
Ehsan Zarei, Kheyrollah Chavosh Sani, Mohammad Saadati, Soheila Khodakarim,
Volume 16, Issue 4 (10-2022)
Volume 16, Issue 4 (10-2022)
Abstract
Background and Aim: In recent years, public trust in health system has been considered one of the performance evaluation indicators of health systems. However, most of the research on public trust in health system is related to developed countries, and research in this regard is limited in Iran. A better understanding of trust in health system and some influential factors helps to develop targeted interventions to increase trust. The present study was conducted to investigate the level of public trust in health system in Rasht County.
Materials and Methods: In this cross-sectional study, 680 households (510 urban and 170 rural) were included. The data collection tool was a questionnaire to measure public trust in health system with 30 items and six dimensions, whose validity and reliability were confirmed. Mann-Whitney and Kruskal-Wallis tests were used to compare and analyze the difference in public trust in health system between groups.
Results: The overall score of trust in health system was 66.7 out of 112. The highest score for the quality-of-care dimension was 16.38 out of 28, and the lowest for the cooperation quality of providers dimension was 7.47 out of 12. Among service providers, the highest trust was in nurses and specialist doctors, and the least was in traditional medicine service providers. Women, government employees, people without health insurance, people with excellent and good health status, those who had used hospital services, and those who were satisfied with the last service received had a high level of trust in the health system (P<0.05).
Conclusion: The results showed that despite people’s trust in the expertise and knowledge of physicians and other providers, public trust in health system was relatively moderate, indicating deficiencies in the health system’s performance. Focusing on physician-patient communication and improving communication skills, establishing electronic records and sharing patient information between health service providers, and respecting patient rights can build greater trust in the health system.
Materials and Methods: In this cross-sectional study, 680 households (510 urban and 170 rural) were included. The data collection tool was a questionnaire to measure public trust in health system with 30 items and six dimensions, whose validity and reliability were confirmed. Mann-Whitney and Kruskal-Wallis tests were used to compare and analyze the difference in public trust in health system between groups.
Results: The overall score of trust in health system was 66.7 out of 112. The highest score for the quality-of-care dimension was 16.38 out of 28, and the lowest for the cooperation quality of providers dimension was 7.47 out of 12. Among service providers, the highest trust was in nurses and specialist doctors, and the least was in traditional medicine service providers. Women, government employees, people without health insurance, people with excellent and good health status, those who had used hospital services, and those who were satisfied with the last service received had a high level of trust in the health system (P<0.05).
Conclusion: The results showed that despite people’s trust in the expertise and knowledge of physicians and other providers, public trust in health system was relatively moderate, indicating deficiencies in the health system’s performance. Focusing on physician-patient communication and improving communication skills, establishing electronic records and sharing patient information between health service providers, and respecting patient rights can build greater trust in the health system.
Saeed Nateghi, Ali Ganjali Khan Hakemi, Soheila Damiri, Samira Raoofi, Elham Haghshenas, Sara Akhavan Rezayat, Shamsi Ekhtiyar, , Maryam Radin Manesh,
Volume 16, Issue 5 (12-2022)
Volume 16, Issue 5 (12-2022)
Abstract
Background and Aim: Effective monitoring and evaluation of human resources in countries require an agreed set of indicators and measurement tools. Due to the existence of different payment mechanisms, this study aimed to identify performance evaluation indicators in hospitals affiliated with the Tehran University of Medical Sciences.
Materials and Methods: A qualitative phenomenological study was conducted in 2022. Data were collected using semi-structured interviews, purposive sampling, and participation of 23 members of the Senior executives and financial team of hospitals affiliated to Tehran University of Medical Sciences and analyzed by content analysis method using MAXQDA-10 software.
Results: Twenty-three experts participated in this research, 78.2% were men and 21.7% were women, and a total of 526 final codes were identified and according to the balanced scorecard management tool in 4 main themes of finance, customers, internal processes, and growth and Development. Also 8 sub-themes of resource efficiency with 86%, medical tourism with 52%, professional ethics with 65%, satisfaction with 78%, accreditation with 48%, diagnosis and treatment with 78%, education with 56% and The research was categorized with 78%.
Conclusion: The provision of optimal medical services requires managers to be aware of the performance of subordinate personnel, which makes it possible to choose the appropriate criteria, develop performance evaluation systems and conduct correct evaluation, informing Doctors regarding the indicators considered for more accurate evaluation are among the suggestions that can be a solution to the existing problems. Another important point considering the limited available resources is the role of doctors in the field of health tourism to which attention will lead to an increase in financial resources.
Materials and Methods: A qualitative phenomenological study was conducted in 2022. Data were collected using semi-structured interviews, purposive sampling, and participation of 23 members of the Senior executives and financial team of hospitals affiliated to Tehran University of Medical Sciences and analyzed by content analysis method using MAXQDA-10 software.
Results: Twenty-three experts participated in this research, 78.2% were men and 21.7% were women, and a total of 526 final codes were identified and according to the balanced scorecard management tool in 4 main themes of finance, customers, internal processes, and growth and Development. Also 8 sub-themes of resource efficiency with 86%, medical tourism with 52%, professional ethics with 65%, satisfaction with 78%, accreditation with 48%, diagnosis and treatment with 78%, education with 56% and The research was categorized with 78%.
Conclusion: The provision of optimal medical services requires managers to be aware of the performance of subordinate personnel, which makes it possible to choose the appropriate criteria, develop performance evaluation systems and conduct correct evaluation, informing Doctors regarding the indicators considered for more accurate evaluation are among the suggestions that can be a solution to the existing problems. Another important point considering the limited available resources is the role of doctors in the field of health tourism to which attention will lead to an increase in financial resources.
Mohammad Jalali, Ehsan Zarei, Ali Maher, Soheila Khodakarim,
Volume 16, Issue 5 (12-2022)
Volume 16, Issue 5 (12-2022)
Abstract
Background and Aim: With the outbreak of the COVID-19 pandemic, the performance of hospitals were affected, and changes were made in the utilization of hospital services. Analyzing hospital performance data during the COVID-19 pandemic can provide insights into service utilization patterns and care outcomes for managers and policymakers. This study was conducted to investigate the impact of COVID-19 on selected outcome indicators in the hospitals of Shahid Beheshti University of Medical Sciences, Tehran.
Materials and Methods: This research was descriptive-analytical and of the time series analysis type. Six outcome indicators were considered: hospitalization rate, bed occupancy rate, the average length of stay, emergency visits, laboratory tests, and imaging requests. Related data from 12 affiliated hospitals from 2017-2019 (pre-COVID) and 2020 (post-COVID) were obtained from the hospital's intelligent management system. The data were analyzed using R software's interrupted time series analysis method.
Results: The hospitalization rate (P=0.015), bed occupancy rate (P=0.04), and the number of laboratory tests (P=0.003) significantly increased immediately after the outbreak of the pandemic. In contrast, emergency visits (P=0.034) have significantly decreased. The bed occupancy rate and the number of imaging requests showed no significant change. The decrease in emergency room visits within one year after the pandemic was significant, but the changes in other outcome indicators were non-significant (P>0.05).
Conclusion: Understanding the changes and impact of a major event on hospital outcome indicators is necessary for decision-makers to effectively plan for resource allocation and effective pandemic response. The outbreak of COVID-19 has caused a change in performance and hospital outcomes by affecting the supply and demand of services. In a year after the pandemic's beginning, except for emergency visits, the other indicators have not experienced significant changes. Preservation of essential services such as emergency room visits is recommended in the strategy of rapid response to an epidemic outbreak and public campaigns to encourage people to seek medical care if needed in future waves of the pandemic.
Materials and Methods: This research was descriptive-analytical and of the time series analysis type. Six outcome indicators were considered: hospitalization rate, bed occupancy rate, the average length of stay, emergency visits, laboratory tests, and imaging requests. Related data from 12 affiliated hospitals from 2017-2019 (pre-COVID) and 2020 (post-COVID) were obtained from the hospital's intelligent management system. The data were analyzed using R software's interrupted time series analysis method.
Results: The hospitalization rate (P=0.015), bed occupancy rate (P=0.04), and the number of laboratory tests (P=0.003) significantly increased immediately after the outbreak of the pandemic. In contrast, emergency visits (P=0.034) have significantly decreased. The bed occupancy rate and the number of imaging requests showed no significant change. The decrease in emergency room visits within one year after the pandemic was significant, but the changes in other outcome indicators were non-significant (P>0.05).
Conclusion: Understanding the changes and impact of a major event on hospital outcome indicators is necessary for decision-makers to effectively plan for resource allocation and effective pandemic response. The outbreak of COVID-19 has caused a change in performance and hospital outcomes by affecting the supply and demand of services. In a year after the pandemic's beginning, except for emergency visits, the other indicators have not experienced significant changes. Preservation of essential services such as emergency room visits is recommended in the strategy of rapid response to an epidemic outbreak and public campaigns to encourage people to seek medical care if needed in future waves of the pandemic.
Mahdi Hadi, Ali Jahan, Lila Najafi, Mohamad Ali Shariat,
Volume 17, Issue 1 (3-2023)
Volume 17, Issue 1 (3-2023)
Abstract
Background and Aim: Parallel to the progress of services, organizational complexity levels in health care centers (HCCs) have increased. The influential factors in this regard include the variety of services, the non-uniformity of the centers’ management conditions, and the rising expectations from the health system. Therefore, considering many factors influenced and effective, improvement of health services requires development of a systematic approach to evaluate their efficiency and management system. The aim of this study was to develop a balanced scorecard (BSC) model suitable for HCCs using a hybrid approach that combines the Fuzzy Delphi and DNAP techniques.
Materials and Methods: This research was a combined qualitative-quantitative study that was conducted with the aim of developing a BSC model suitable for HCCs. The statistical population consisted of 15 experts in health and medicine, who were selected based on the targeted snowball sampling. A researcher-made questionnaire and a 20×20 matrix questionnaire were used to collect the data. The questionnaire validity was calculated based on the experts’ opinions and the reliability was calculated using Cronbach’s alpha and consistency rate. The data was analyzed using Excel and MATLAB, and DNAP technique was used to determine the cause-and-effect relationship and the influence levels of the objectives.
Results: According to the results of the Fuzzy Delphi technique in the panel of experts, 5 viewpoints with 20 objectives of the BSC suitable for HCCs were identified and replaced the traditional viewpoints of the BSC. In addition, these results showed that the views of growth and development, intra-organizational processes, and social responsibility are considered as the influential factors due to the positive D-R values, while the views of patients and society, financial status, and performance are considered as the factors that are effective due to the negative D-R values.
Conclusion: The results of this study indicated that those points of view that are consistent with the goals of the HCCs should be used in the BSC in order to evaluate their performance. Also, prioritizing and determining the cause-and-effect relationship and considering the contribution of each point of view for achieving the goals of the HCCs can increase the performance.
Materials and Methods: This research was a combined qualitative-quantitative study that was conducted with the aim of developing a BSC model suitable for HCCs. The statistical population consisted of 15 experts in health and medicine, who were selected based on the targeted snowball sampling. A researcher-made questionnaire and a 20×20 matrix questionnaire were used to collect the data. The questionnaire validity was calculated based on the experts’ opinions and the reliability was calculated using Cronbach’s alpha and consistency rate. The data was analyzed using Excel and MATLAB, and DNAP technique was used to determine the cause-and-effect relationship and the influence levels of the objectives.
Results: According to the results of the Fuzzy Delphi technique in the panel of experts, 5 viewpoints with 20 objectives of the BSC suitable for HCCs were identified and replaced the traditional viewpoints of the BSC. In addition, these results showed that the views of growth and development, intra-organizational processes, and social responsibility are considered as the influential factors due to the positive D-R values, while the views of patients and society, financial status, and performance are considered as the factors that are effective due to the negative D-R values.
Conclusion: The results of this study indicated that those points of view that are consistent with the goals of the HCCs should be used in the BSC in order to evaluate their performance. Also, prioritizing and determining the cause-and-effect relationship and considering the contribution of each point of view for achieving the goals of the HCCs can increase the performance.
Zohre Abbaszade Molaei, Aeen Mohammadi, Manijeh Hooshmandja,
Volume 18, Issue 5 (11-2024)
Volume 18, Issue 5 (11-2024)
Abstract
Background and Aim: With the advancement of information technology in the new century, changes are experienced in all aspects of life. One of the reflections of these changes in education is conducting exams electronically instead of paper-and-pencil examinations. The success of virtual education is not achievable without considering the students’ viewpoints towards it. This study aimed to investigate the attitude and performance of students in online exams and their relationship with academic achievement.
Materials and Methods: This research is a mixed-method study (qualitative-quantitative). First, all related articles published, between 2000 to 2022, were extracted from ERIC, PubMed, ScienceDirect databases, and the Google Scholar search engine. Then, the attitude and performance questionnaire was designed and validated based on the literature review results. All BSc and MSc. nursing and midwifery students of Sarivar Nassibeh School filled out the questionnaire. Two hundred and five questionnaires were analyzed with SPSS using descriptive (mean and standard deviation) and inferential (t-test) statistics.
Results: Based on a content analysis of 15 selected articles, the extracted components were structured into 12 items. A preliminary questionnaire was designed with 28 questions across these 12 extracted components. Face validity was assessed using expert opinions, and necessary revisions were made. Both the Content Validity Index (CVI) and Content Validity Ratio (CVR) coefficients were employed for content validity. The final questionnaire comprised 22 items using a five-point Likert scale, ranging from strongly agree (score 5) to strongly disagree (score 1), with an internal consistency of 0.69. Exploratory factor analysis revealed that the questionnaire has six factors: “validity and accuracy”, “technical problems”, “types of questions and announcing the results”, “technique and simplicity”, “motivation and anxiety”, and “speed and error recording” that explain 60.88 percent of the total variance. Correlation results indicated no relationship between students’ attitudes and performance toward electronic examinations and academic achievement (r = 0.055, P-value = 0.432). There was a significant difference between male and female groups, BSc. and MSc. nursing and midwifery students, and semester of study.
Conclusion: The tool for measuring students’ attitudes and performance towards electronic exams has acceptable validity and reliability. This tool can be used to assess online exams and improvement plans.
Materials and Methods: This research is a mixed-method study (qualitative-quantitative). First, all related articles published, between 2000 to 2022, were extracted from ERIC, PubMed, ScienceDirect databases, and the Google Scholar search engine. Then, the attitude and performance questionnaire was designed and validated based on the literature review results. All BSc and MSc. nursing and midwifery students of Sarivar Nassibeh School filled out the questionnaire. Two hundred and five questionnaires were analyzed with SPSS using descriptive (mean and standard deviation) and inferential (t-test) statistics.
Results: Based on a content analysis of 15 selected articles, the extracted components were structured into 12 items. A preliminary questionnaire was designed with 28 questions across these 12 extracted components. Face validity was assessed using expert opinions, and necessary revisions were made. Both the Content Validity Index (CVI) and Content Validity Ratio (CVR) coefficients were employed for content validity. The final questionnaire comprised 22 items using a five-point Likert scale, ranging from strongly agree (score 5) to strongly disagree (score 1), with an internal consistency of 0.69. Exploratory factor analysis revealed that the questionnaire has six factors: “validity and accuracy”, “technical problems”, “types of questions and announcing the results”, “technique and simplicity”, “motivation and anxiety”, and “speed and error recording” that explain 60.88 percent of the total variance. Correlation results indicated no relationship between students’ attitudes and performance toward electronic examinations and academic achievement (r = 0.055, P-value = 0.432). There was a significant difference between male and female groups, BSc. and MSc. nursing and midwifery students, and semester of study.
Conclusion: The tool for measuring students’ attitudes and performance towards electronic exams has acceptable validity and reliability. This tool can be used to assess online exams and improvement plans.
Mojtaba Salimi Bani, Mehdi Ghassabi Chorsi, Roghayeh Ershad Sarabi,
Volume 18, Issue 6 (2-2025)
Volume 18, Issue 6 (2-2025)
Abstract
Background and Aim: Malaria is one of the health challenges in many countries worldwide. Iran is among the countries that have prioritized a malaria elimination program, aiming to interrupt local transmission of the disease by 2025. Health workeres (community health workers) play an important role in primary healthcare for identifying, controlling, and preventing malaria. Keeping their knowledge and skills up-to-date through continuous training can be effective in the success of this program. Virtual training is a modern educational method that facilitates such training courses. This study aimed to investigate the impact of virtual retraining courses on the knowledge, attitude, and performance of konarak health workers in implementing the malaria elimination program in 2022.
Materials and Methods: This research was a quasi-experimental study with a single-group pre-test and post-test design. The population included 69 individuals who were enrolled using a census method. Initially, a pre-test was conducted to assess the baseline level of knowledge, attitude, and performance of participants regarding malaria elimination strategies. Then, the educational intervention was delivered virtually, followed by a post-test to evaluate the outcomes. The educational content was provided in eight 45-minute sessions by an instructor from the Health worker Training Center using the Sky Room platform. Data collection was performed using a researcher-made questionnaire. Content validity of the questionnaire was confirmed, and its reliability was assessed in a pilot study prior to the training by the responsible expert; the Cronbach’s alpha coefficient of the questionnaire items was calculated at an acceptable level (r=0.83). Data were analyzed using SPSS software and paired t-tests.
Results: Out of 69 participants, 40 (58%) were male and 29 (42%) female. Comparison of pre-test and post-test results showed that the mean scores of knowledge, attitude, and performance of health workeres increased by 1.05, 1.2, and 1.17 units respectively after the training, and these differences were statistically significant (P=0.000).
Conclusion: Based on the results, considering the advantages of virtual training such as easy access, lower cost, and wide coverage, this method is recommended as a strategy for educational programs for healthcare staff.
Materials and Methods: This research was a quasi-experimental study with a single-group pre-test and post-test design. The population included 69 individuals who were enrolled using a census method. Initially, a pre-test was conducted to assess the baseline level of knowledge, attitude, and performance of participants regarding malaria elimination strategies. Then, the educational intervention was delivered virtually, followed by a post-test to evaluate the outcomes. The educational content was provided in eight 45-minute sessions by an instructor from the Health worker Training Center using the Sky Room platform. Data collection was performed using a researcher-made questionnaire. Content validity of the questionnaire was confirmed, and its reliability was assessed in a pilot study prior to the training by the responsible expert; the Cronbach’s alpha coefficient of the questionnaire items was calculated at an acceptable level (r=0.83). Data were analyzed using SPSS software and paired t-tests.
Results: Out of 69 participants, 40 (58%) were male and 29 (42%) female. Comparison of pre-test and post-test results showed that the mean scores of knowledge, attitude, and performance of health workeres increased by 1.05, 1.2, and 1.17 units respectively after the training, and these differences were statistically significant (P=0.000).
Conclusion: Based on the results, considering the advantages of virtual training such as easy access, lower cost, and wide coverage, this method is recommended as a strategy for educational programs for healthcare staff.
Roya Rajaee, Marziyeh Najafi, Nasrin Donyaee, Masoumeh Vaziri Seta, Hojjat Rahmani, Ghasem Rajabi, Mahsa Akbari,
Volume 19, Issue 4 (11-2025)
Volume 19, Issue 4 (11-2025)
Abstract
Background and Aim: Budgeting in the health system plays a crucial role in enhancing the quality of healthcare services, increasing equitable access to health care, and reducing costs. Financial decision-making based on scientific data and evidence can improve the efficiency of the health system and ensure equity in resource allocation. This study aimed to examine the scientific status and trends of published literature on budgeting methods in the health system using bibliometric analysis to assist policymakers in making better financial decisions.
Materials and Methods: This study is a bibliometric review with a descriptive–analytical approach, analyzing 222 scientific documents indexed in Scopus between 1974 and 2024. Data were analyzed using Excel, Bibexcel, VOSviewer, and Gephi software to map the knowledge structure, co-word relationships, and international collaborations in this field.
Results: The United States (30%), Taiwan (15%), and Canada (10%) were the leading contributors to scientific output in this field. Journal articles comprised nearly 90% of all publications. The most frequent keywords were “budget,” “health care cost,” and “financial management,” reflecting a strong emphasis on cost control and resource management. Three main budgeting approaches were identified: performance-based, traditional (historical), and needs-based. Traditional budgeting remains dominant in developing countries, particularly where information infrastructure and managerial capacity are limited. International collaboration involved 18 countries, with the strongest cooperation observed between the United States and Taiwan.
Conclusion: Improving the health budgeting system requires strengthening information systems, training managers, and enhancing international scientific collaboration. Resource allocation based on scientific data and bibliometric insights can optimize resource distribution and enhance equity in access to health services. Such measures would lead to greater health system efficiency and more comprehensive financial decision-making.
Materials and Methods: This study is a bibliometric review with a descriptive–analytical approach, analyzing 222 scientific documents indexed in Scopus between 1974 and 2024. Data were analyzed using Excel, Bibexcel, VOSviewer, and Gephi software to map the knowledge structure, co-word relationships, and international collaborations in this field.
Results: The United States (30%), Taiwan (15%), and Canada (10%) were the leading contributors to scientific output in this field. Journal articles comprised nearly 90% of all publications. The most frequent keywords were “budget,” “health care cost,” and “financial management,” reflecting a strong emphasis on cost control and resource management. Three main budgeting approaches were identified: performance-based, traditional (historical), and needs-based. Traditional budgeting remains dominant in developing countries, particularly where information infrastructure and managerial capacity are limited. International collaboration involved 18 countries, with the strongest cooperation observed between the United States and Taiwan.
Conclusion: Improving the health budgeting system requires strengthening information systems, training managers, and enhancing international scientific collaboration. Resource allocation based on scientific data and bibliometric insights can optimize resource distribution and enhance equity in access to health services. Such measures would lead to greater health system efficiency and more comprehensive financial decision-making.
Creating a Management Dashboard for the Oncology Ward to Monitor Health Data of Children with Cancer
Saber Yazdani Damavandi, Tayebeh Baniasadi, Mohammad Ali Molavi, Farid Khorrami,
Volume 19, Issue 5 (12-2025)
Volume 19, Issue 5 (12-2025)
Abstract
Background and Aim: Cancer has been recognized as the second leading cause of child mortality in recent years. Due to the increasing amount of healthcare data for cancer patients, healthcare providers need a tool to monitor patients for immediate intervention. An intelligent and dynamic information management dashboard is capable of compiling and displaying data using charts and tables. In the present study, a management dashboard was designed for the oncology department of a children’s hospital, and its usability was evaluated.
Materials and Methods: This developmental–applied research was conducted in 2024 at the Educational, Medical, and Research Center for Children in Bandar Abbas. In order to create a management dashboard for the pediatric oncology department, three stages were carried out. In the first stage, all necessary content to be displayed on the dashboard was extracted based on a review of literature and documents from the oncology department of Bandar Abbas Children’s Hospital. This content was then validated by experts using the Delphi method in two rounds. In the second stage, a prototype of dashboard for the oncology ward was designed using Power BI Desktop software. Finally, its usability was evaluated using a SUS questionnaire by 20 users. The data were analyzed using descriptive statistics with SPSS software.
Results: Following the screening of 3,435 initial records and a review of 22 articles alongside 38 patient files, a preliminary set of 104 managerial and 67 clinical indicators was extracted. These indicators were validated through a tworound Delphi process with 12 experts, resulting in the final selection of 105 managerial and 71 clinical indicators for dashboard inclusion. Based on this validated set, a tenpage managerial dashboard was developed to present key performance metrics. Usability assessment using the System Usability Scale (SUS) yielded a mean score of 75.87, which, according to the Bangor scale, is classified as “acceptable” and corresponds to a grade of “excellent.” User feedback informed subsequent refinements to the dashboard’s data visualizations and interface. In summary, the developed dashboard represents an effective and userfriendly tool for monitoring and managing information within a pediatric oncology department.
Conclusion: The pediatric oncology management dashboard facilitates the integration and summarization of essential data for healthcare providers, thereby assisting them in making timely diagnoses and interventions for children with cancer. Additionally, the present dashboard demonstrates appropriate usability, which enhances users’ understanding of health information and leads to more accurate decision-making.
Materials and Methods: This developmental–applied research was conducted in 2024 at the Educational, Medical, and Research Center for Children in Bandar Abbas. In order to create a management dashboard for the pediatric oncology department, three stages were carried out. In the first stage, all necessary content to be displayed on the dashboard was extracted based on a review of literature and documents from the oncology department of Bandar Abbas Children’s Hospital. This content was then validated by experts using the Delphi method in two rounds. In the second stage, a prototype of dashboard for the oncology ward was designed using Power BI Desktop software. Finally, its usability was evaluated using a SUS questionnaire by 20 users. The data were analyzed using descriptive statistics with SPSS software.
Results: Following the screening of 3,435 initial records and a review of 22 articles alongside 38 patient files, a preliminary set of 104 managerial and 67 clinical indicators was extracted. These indicators were validated through a tworound Delphi process with 12 experts, resulting in the final selection of 105 managerial and 71 clinical indicators for dashboard inclusion. Based on this validated set, a tenpage managerial dashboard was developed to present key performance metrics. Usability assessment using the System Usability Scale (SUS) yielded a mean score of 75.87, which, according to the Bangor scale, is classified as “acceptable” and corresponds to a grade of “excellent.” User feedback informed subsequent refinements to the dashboard’s data visualizations and interface. In summary, the developed dashboard represents an effective and userfriendly tool for monitoring and managing information within a pediatric oncology department.
Conclusion: The pediatric oncology management dashboard facilitates the integration and summarization of essential data for healthcare providers, thereby assisting them in making timely diagnoses and interventions for children with cancer. Additionally, the present dashboard demonstrates appropriate usability, which enhances users’ understanding of health information and leads to more accurate decision-making.
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