Journal of

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

Background & Aim: Planning in medical tourism is important. This study was conducted to assess factors, elements and development plans of medical tourism and situation study and analysis of Tehran University of Medical Sciences (TUMS).
Materials and Methods: This mixed method study was conducted in 2017. In systematic review, published studies searched between years 2006 to 2016. In the second phase, medical tourism data of TUMS explored as retrospective cross sectional and expert viewpoint analysis in medical tourism concept. 
Results: 39 published articles were assessed. According to results, admissions and total payment of foreign patients in all hospitals of TUMS in 2016 were 21788 and around 18.5 billion Tomans respectively.
Qualitative results showed that, there were not transparence program and suitable physical area and TUMS needs to comprehensive planning, supportive infrastructure of foreign patients, correction of transportation system and improve marketing.
Conclusion: Despite the history of TUMS hospitals in attraction of foreign patients and analyzing it, there were many limitations to achieve good situation. Although assessing patients viewpoints can provide a platform to solve problems and limitations according to priorities. 

Background and Aim: In each organization, there is a debate about the use of IT. Human development is one of the factors influencing the efficiency and success of any organization. The present study aimed to investigate the effects of information technology on empowerment of staff working in Tehran University of Medical Sciences.
Materials and Methods: This study was descriptive-survey research and applied in terms of purpose. A total of 274 staff members from the Tehran University of Medical Sciences were surveyed by sampling according to the Krejcie-Morgan table from among 950 employees. The tools used in the Ardalan questionnaire were divided into two parts of IT, including 10 questions and a staff empowerment questionnaire containing 23 questions. Data were analyzed by SPSS 13 software, Kolmogorov-Smirnov test and one-sample T-test.
Results: The research findings showed that the use of information technology on five dimensions of job empowerment including competency, improvement of quality of work, increased decision-making power, increasing self-control, and reducing job stress have a significant effect.
Conclusion: The most important task of managers of universities is to improve the ability and job satisfaction of employees, holding in-service training courses in the field of computers and the Internet and encouraging employees to use more computers in their related activities.

Background and Aim: With the development of the Internet and databases and the increasing need to institutionalize evidence-based medicine, physicians' awareness and use of evidence-based medical databases and concepts are considered to be necessary. Therefore, the aim of this study is to evaluate the knowledge and use of evidence-based medical concepts and databases among residents of Shahid Beheshti University of Medical Sciences (SBMU).
Materials and Methods: The present study is an applied and descriptive research. The population of this study comprised 192 SBMU residents in 2016. A questionnaire was used for data collection and SPSS software was applied for data analysis.
Results: The findings showed that residents obtained 2.99 for knowledge and 2.73 for the use of evidence-based medical databases out of a total average of 5 points, which indicates that their knowledge and practical use of evidence-based medical databases are moderate. Databases about which residents have the highest knowledge and practical use are UpToDate, PubMed Clinical Queries, and 
Cochrane, respectively. 
Conclusion: The majority of residents at Shahid Beheshti University of Medical Sciences do not have sufficient awareness about databases and concepts of evidence-based medicine; in fact, most of the resources that are used to answer their information needs are non-evidence-based resources. Therefore, planning to accept evidence-based medicine and databases and teach them to residents is essential.

Background and Aim: The review of scientific products in reputable international databases is a guideline for policy-making and planning, in addition to determining the present status and shortcomings. The aim of this study is to investigate the scientific products of the research centers affiliated to Tehran University of Medical Sciences (TUMS) and Isfahan University of Medical Sciences (MUI) indexed in Scopus during 2009-2013.
Materials and Methods: This is a descriptive, cross-sectional study with a functional approach. All articles of research centers of TUMS (5880 articles) and MUI (2154 articles) from 2009 to 2013 were retrieved from Scopus and analyzed. To compare the means, t-test was used.  Moreover, the data were analyzed by SPSS and Excel softwares.
Results: The scientific products of both universities’ research centers in Scopus index have grown in the years under review. Most of the papers were from Tehran Endocrinology and Metabolism and Isfahan Cardiovascular Research Centers, and most of the products belonged to the subject areas of the endocrinology and metabolism, pharmaceutical sciences and cardiovascular science. No significant difference was found between the scientific products of the centers of the two universities. 
Conclusion: The growth of scientific production of these research centers indicates the importance of scientific products in line with sustainable development in Iran. Presenting the findings of similar studies can be effective in motivating researchers and supporting research by institutions.

Background and Aim: In today's challenging world, the ethical issues of work as a requirement in organizations have always been discussed and its relevance to organizational citizenship behavior as a kind of antitrust behavior has always been raised. The aim of this study was to determine the relationship between organizational citizenship behavior and work ethic among the staffs of the faculties of Tehran university of medical sciences in 2016-2017.
Materials and Methods: The present research was descriptive-analytic and the statistical population of the study was 426 employees of colleges. They were selected according to the Cochran formula as proportional sample and selected by random sampling. Organizational citizenship behavior inventory (1988) and Grigory, et al, Patty (1990) questionnaire, whose validity was assessed by the experts. The cronbach's alpha coefficient, organizational citizenship behavior inventory (0.793), and job ethics (0.764), represent the internal consistency of the questionnaire. For analysis of variables, descriptive statistics and spearman correlation test were used and kolmogorov-smirnov test was used to normalize the data.
Results: Most male respondents, aged between 20-30 years; in terms of graduate degrees, were in a professional contract with a record of 5-10 years. Results showed that there was a positive and significant relationship between organizational citizenship behavior and work ethics (p=0.783).
Conclusions: Higher organizational citizenship behavior leads to higher levels of work ethics. Therefore, by training and strengthening organizational citizenship behavior, the level of work ethics among employees can be improved.

Background and Aim: The field of medical engineering is the flagship interdisciplinary approach in Iran, which, due to its attention to knowledge-based economy, takes a step towards prosperity and smoothing progress and development. The purpose of this study is to investigate the interactions between university, industry and government of Iran in scientific articles in the field of medical engineering using the triple helix model. 
Materials and Methods: This is an applied research with a quantitative approach and uses scientometric techniques. The status of dynamic interactions of the main pillars of Iranian innovation in the field of medical engineering in WoS (Web of Science) database has been calculated using the .exe and the 4.exe softwares in the period of 2010-2019, and the transmission degree of uncertainty index in dual and national dimensions has been determined.
Results: The T-index ranking was assigned to university-government(23.38 mb), university-industry(8.47 mb) and industry-government (1.13 mb), respectively, and finally, national interaction(-12.48 mb) was obtained. The interaction between university and industry had an increasing trend and the strongest dual interaction belonged to the university-government. Over the last ten years, national interaction has always had a negative value, which indicates the existence of dynamics in interactions in the national dimension.
Conclusion: The dual university-industry interaction has been increasing in recent years; however, in the long run, the national interaction of the pillars has been facing a declining trend, according to which some science and technology policies, and research and industrial strategies have been proposed as a necessity to promote the university-industry-government innovation network in the field of medical engineering in Iran.

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.
 

Background and Aim: Increasing the use of smartphones, improving the state of World Wide Web, and also the need for flexibility in the education process have made the implementation of e-learning in human society inevitable, eliminated time and space limitations, and provided equal education. However, the pace of its creation and development, especially in universities and higher education centers in developing countries such as Iran, is very slow. Therefore, the present study aims to investigate the factors affecting the creation and development of e-learning from the viewpoint of students of Zahedan University of Medical Sciences.
Materials and Methods: This is an applied and descriptive-survey study. The sample includes 313 students studying at Zahedan University of Medical Sciences during 2016-2017, who were selected by simple random sampling. Data were collected using a researcher-made questionnaire and analyzed using statistical tests and SPSS software.
Results: The findings show that the six selected factors of this study affect the creation and development of e-learning from the viewpoint of Zahedan University of Medical Sciences students. From the highest to the lowest effect, these factors include the quality of information and content (4.25), learners’ willingness (4.11), system quality (4.10), facilitators (4.05), student-professor interaction (3.98) and professor quality (3.84).
Conclusion: According to the findings of the present study, it can be concluded that policy makers and university administrators, considering the importance of each factor, invest and develop e-learning to provide better services to students and faculty.