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Showing 13 results for Healthcare

Akram Bayati, Fatemeh Ghanbari, Mohsen Shamsi, Razieh Rajabi,
Volume 6, Issue 6 (3-2013)

Background and Aim: Regarding the importance of communicators' presence in health programs and the fact that in recent years, we have witnessed a decrease in their cooperation or a cut in their relationship with the headquarters. This qualitative study was performed to clarify communicators and instructors' administrative-recreational experiences in breaking off with the headquarters.

Materials and Methods: This qualitative study was carried out on 60 healthcare communicators, 20 ex- communicators and 35 instructors selected through purposive sampling. The data were collected using focus discussion groups and semi-structured interviews with the participants. For data analysis, qualitative content analysis was employed.

Results: The findings of data analysis revealed two main levels: recreational and administrative. The key themes of the former included medical facilities, gifts, employment, futurism and camp and of the latter consisted of credit resources, instructors' conditions, organizational posts and orientation.

Conclusion: Expressing what is expected from communicators when selecting them can play a significant role in keeping them up with their jobs. Holding meetings between authorities and communicators' representatives to discuss their problems and present solutions, holding reward ceremonies, preparing the grounds for attracting financial resources to support communicators' programs, appreciating them and enhancing the communicators and instructors' academic level, and creating organizational posts for instructors can be effective in maintaining their presence and enhancing health communicators' program.

Abedin Saghafipour , Ahmad Rahbar , Hadi Hamidi Parsa , Sayed Mohammad Hoseini ,
Volume 7, Issue 3 (9-2013)

Background and Aim: Cutaneous leishmaniasis (CL) is prevalent in most tropical and subtropical countries of the world and leads to adverse economic consequences. This study was performed to estimate the cost of healthcare services delivered to CL patients in Qom Province.

Materials and Methods: Based on the data from 638 CL patients, this cross-sectional study was performed in Qom during 2009-2011. First, using researcher-made forms and based on the accounting documents, the direct and overhead costs of health services in the studied areas were calculated. Then, the out-of-pocket costs per patient were obtained. Finally, the gathered data were calculated using the excel software.

Results: In total, more than 1,600 million rials was spent on providing health services to 638 patients with cutaneous leishmaniasis in endemic foci of Qom. The direct healthcare cost was estimated to be about a thousand million and the overhead cost about 600 million rials. Besides, the state cost per patient was estimated to be over 2,520 thousand and the out-of-pocket cost per patient about 240 thousand rials. Moreover, the average total cost per patient was calculated to be 2,760,772 in the studied period.

Conclusion : Based on results, considerable costs are spent for CL diagnosis and treatment in Qom. Therefore, health planners should give priority to the prevention of this disease in their programs.

Seyed Javad Ghazi Mirsaeid , Mahya Mirzaie , Elham Haghshenas , Hossein Dargahi ,
Volume 7, Issue 5 (1-2014)

Background and Aim: Today, healthcare system is exposed to inappropriate human resources distribution challenges in all over the world. So far there is not an appropriate policy for human resources distribution in Iran. This deficiency may cause several problems for providing healthcare services. This research was aimed to determine the situation of human resources distribution among Tehran University Of Medical Sciences (TUMS) Hospitals.

Materials and Methods: This is a cross-sectional definitive study induced in four general and special TUMS hospitals. The research tool was a checklist that determine the number of nurses, paraclinic and supportive employees and finally the decrease and increased of the human resources among the departments of the hospitals regarding Iranian Ministry of Health (MOH) issues. The data was collected and analyzed by SPSS software and determined the differences between current situation in accordance to MOH issues.

Results: We observed the deficiency of human resources among all studied hospitals. Also the distribution of human resources among most of the hospitals departments was not coordinated with MOH issues.

Conclusion : It seems the distribution of human resources among Iranian healthcare system is not followed by a special model. Therefore, we suggest the model of health human resources planning should be determined and related by information, providers, services, education and policy as healthcare system factors and overlapping of these factors.

Zhila Najafpoor , Faezeh Fartaj, Mandana Shirazi , Fatemeh Keshmiri,
Volume 7, Issue 6 (3-2014)

 Background and Aim: Learning styles are among efficient factors in the teaching-learning process. The aim of the present study was to assess healthcare management students’ learning styles at Tehran University of Medical Sciences (TUMS).

 Materials and Methods: This descriptive cross-sectional study was conducted on healthcare management students selected randomly through stratified sampling (response rate = 85%). The data collection tool used in this study was Kolb learning style questionnaire (Cronbach Alpha was 0.7-0.9). The data were analyzed through descriptive and analytical tests (χ2 and t-test).

 Results: Most postgraduate students preferred the Accommodate Style (55.6% of PhD students and 64% of MCs students). The majority of undergraduate students, however, preferred the Convergent Style (45.67%).

 Conclusion: As to these students’ dominant learning styles, the results of the study emphasized the use of “teaching methods based on Role Playing and Simulation” among postgraduate students and “Problem-Based Learning” among undergraduate students.

Mehrdad Farzandipour, Zahra Meidani, Hamidreza Gilasi ,
Volume 8, Issue 2 (7-2014)

 Background and Aim: Due to the role of websites in delivering e-services, this study aims to benchmark rendering healthcare services at medical universities' websites based on Chandler and Emanuel’s four-stage e-government maturity model.

 Materials and Methods: This is a descriptive, cross-sectional study which was conducted using content analysis and benchmarking to evaluate the delivery of healthcare services through medical universities websites towards e-government maturity including Information, Interaction, Transaction and Integration services in 1390.

 Results: The results of the study revealed that type I universities were moderate in giving information, and type II and III universities were poor in this regard. Websites of type I, II and III universities were poor in interaction with scores 1.4±0.73, 1.3±0.75 and 1.2±0.62, respectively. The score of all universities was weak in transaction and integration of healthcare services (mean 1 ±0). 

 Conclusion: Medical universities' websites have lagged behind to render e-services. Due to the challenges of health services and information, realization of e-government in healthcare arena requires special consideration. Adopting e-government in other settings, detecting barriers, and formulating related laws and policies can pave the way to achieve e-government in healthcare arena


Morteza Arab Zozani, Saeid Bagheri Faradonbeh , Ebrahim Jaafari Pooyan,
Volume 9, Issue 4 (11-2015)

Background and Aim: Given the increasing growth of new technologies in health care and their rising cost, the necessity of concentration on assessing new technologies and their potential role in quality of health care is more crucial. The aim of this study was to investigate the role of health technology assessment (HTA) in improving healthcare quality and offer the best evidence for decision makers.

Materials and Methods: The study was based on systematic review of papers in health technology assessment via searching in databases such as Pubmed, Cochrane and other HTA related databases. The search has covered the period between years 2000 to 2013. Studies analyzed by narrative synthesis method.

Results: Related studies show that assessing new technologies has potential role in quality improvement of healthcare. HTA can boost the competition among companies which this in turn increases the quality of technologies and ultimately enhances the quality of health services and stakeholders satisfaction.

Conclusion: HTA may increase quality of healthcare services through facilitating a move towards evidence-based decision-making, providing safe health care and increasing patients’ trust and satisfaction to clinical procedures and team members.

Bahaman Khosravi, Moslem Sharifi, Ahmad Fayaz-Bakhsh, Mostafa Hosseini,
Volume 9, Issue 6 (3-2016)

Background and Aim: Learning is essential in healthcare environments, where knowledge and skills are quickly outdated due to continuous advances in medical science. Organizational learning is a dynamic process that enables learning organizations to be campatible with change in good time. The aim of this study was to determine the status of organizational learning in an Iranian healthcare organization in Tehran, and to assess the extent to which this organization could be considered as a learning organization.

Materials and Methods: In this cross-sectional and descriptive study, 200 nurses were selected in an Iranian healthcare organization. Dimension Learning Organizational Questionnaire (DLOQ) was used to collect data to be analyzed using descriptive statistics methods by frequency, percentage, mean, and standard deviation.

Results: The mean overall score for organizational learning was 3.36±0.69. Among the various dimension of organizational learning, continuous learning had the highest average (3.44±0.39), and the empowerment had lowest amount (2.72±0.06).

Conclusion: The findings from this study provide useful information for these organization's managers regarding the areas where there is a need for improvement in OL and to make it a more LO.

Alireza Soloukdar , Amir Ashkan Nasiripour, Shaghayegh Shafie Sabet,
Volume 10, Issue 6 (3-2017)

Background and Aim: Growing the number of private institutions offering health care and fierce competitive market conditions in the private hospitals industry cause to pressure these hospitals to provide high-quality services. The purpose of this study was to examine the effect of service quality on patient satisfaction in private hospitals of the Guilan province. 
Materials and Methods: Based on standard model of Büyüközkan et al (2011) a new dimension professionalism to SERVQUAL model was added that has used six dimensions including tangibles, reliability, responsiveness, assurance, empathy and professionalism as the dimensions of service quality. The number of samples was 360 patients hospitalized in four private hospitals and a standard questionnaire was used to assess the quality of services. Pearson Correlation Coefficient and Simple and Multiple Linear Regression was used to analyze the data and then by using ANOVA and Duncan’s and by Fuzzy Analytical Hierarchy Process technique, ranking of private hospitals was performed.
Results: Four dimensions: tangibles, responsiveness, empathy and professionalism on patient satisfaction have been found to be effective while Components of trust and assurance in private hospitals of the Guilan province had no significance effect.
Conclusion: Based on the effects of service quality dimensions except trust and assurance recommend that hospitals can increase patient satisfaction if they pay special attention to patient in empathy, updating facilities and technology in tangibles, fast response to patient in responsiveness, employing professional and skilled human resources in professionalism dimensions.

Mohamad Reza Shahraki, Nastaran Abbasi Hasanabadi,
Volume 12, Issue 6 (3-2019)

Background and Aim: One of the important dimensions of access to health services is uniform distribution. A survey on the distribution of health and treatment indices in different regions reveals inequalities in order to reduce inequalities. The study aims to rank the cities of Sistan and Baluchestan province from the perspective of access to healthcare services.
Materials and Methods: This is a descriptive-applied and cross-sectional study. The data were collected from the database of Statistical Center of Iran. The studied indices were weighted by Shannon entropy method, and the ranking of cities was done by TOPSIS method. The distribution of health services among the cities was shown by Spearman and Kendall correlation coefficient. Also, with the coefficient of variation, the important indices for creating imbalances were determined.
Results: The results of TOPSIS method showed a significant difference between the levels of access to health services indices. Zabol and Zahedan cities ranked first and second, and the cities of Ghasreghand, Sibsuran and Fanuj were in the last rank, respectively. Among the factors that led to a level difference, the number of PhDs, laboratory sciences doctors and rehabilitation centers caused the greatest difference between the cities. The findings show that there is little correlation between demographic rank and access to healthcare services, and health services are not distributed equitably according to the population.
Conclusion: More attention to cities that are ranked below the level of access to healthcare resources is needed. More healthcare resources should be given to this province because there are few healthcare indices relative to its population.

Hossein Samadi-Miarkolaei, Hamzeh Samadi-Miarkolaei,
Volume 13, Issue 5 (1-2020)

Background and Aim: Nowadays, the application of Information and Communication Technology is becoming increasingly prevalent in our daily lives, and especially in organizations. One of these phenomena is employees' use of the organization's Internet for personal purposes during work hours, which is referred to as cyberloafing. One of the important organizational variables that can strongly be influenced by this technology is the level of entrepreneurship in the organization. Therefore, this study seeks to investigate the relationship between cyberloafing and organizational entrepreneurship(OE) in Babolsar Healthcare and Treatment Network(HTN).
Materials and Methods: The present research is an applied study. The statistical population of the study includes all employees of Babolsar HTN. Using simple random sampling, 165 employees were selected as sample. In this study, standard questionnaires were used to measure cyberloafing and OE. Finally, the data were analyzed by using SPSS and LISREL softwares.
Results: The findings of this study showed that there was a significant and inverse relationship between OE and cyberloafing(P<0/001). There was also a significant inverse correlation between organizational entrepreneurship and cyberloafing in structural equation modeling test. On the other hand, the values of the fit indices were RMSEA=0.022, NFI=0.96, GFI=0.97 and χ2/df=1.07, that all indicate the suitability of the model.
Conclusion: The results of this study indicated that cyberloafing phenomenon in Babolsar HTN had an adverse effect on OE. Based on these results, it is suggested that HTN managers teach their employees how to use cyperloafing effectively.

Mohammad Hossein Ronaghi, Foroughosadat Hosseini,
Volume 14, Issue 1 (3-2020)

Background and Aim: The Fog Computing is a highly virtualized platform that provides storage, computing and networking services between the Cloud data centers and end devices. Fog computing fits the characteristics of real-time health monitoring systems. In such systems, a large amount of data is acquired from a multitude of bio and environmental sensors. On the other hand, its distribution and open structure makes it vulnerable and weak to security threats. Therefore, the aim of this paper was to identify the security challenges in healthcare.
Materials and Methods: This applied research has been done in three phases using mixed-method approach in 2019. In the first phase, security codes from library resources by content analysis was identified. In the second phase interpretation of experts by Delphi method, Panel of IT experts consists of twelve members who work on healthcare sector was evaluated. Finally, we used Analytic Hierarchy Process method for ranking security codes.
Results: According to fuzzy AHP results attacks(0.31), secure communications(0.23), authentication and access control(0.19), trust(0.15) and privacy preservation(0.12) are the most important criteria in security challenges of fog computing.
Conclusion: According to the results of this study, secure communications and network attacks are the major challenges in fog computing, because fog nodes are usually deployed in some places with relatively weak protection. They may encounter various malicious attacks. As a result, policymakers should be aware of the role of secure communications and network attacks in fog computing implementation.

Niloofar Mohammadzadeh, Dr Seyed Hadi Sajjadi, Seyed Hasan Sajjadi,
Volume 15, Issue 1 (3-2021)

Background and Aim: Social networks that provide users with health data not only educate them but also play an active role in the health decision-making process. Health social networks, in addition to being a good tool for better patient communication with health care providers, can play an effective role in connecting similar patients with each other to receive social support. Social networking is one of the biggest achievements of Web 2, which facilitates communication between people. Despite the spread of social networks, their use in the field of health is still at its early levels. To implement an information system, it is first necessary to identify, design and model the related processes. The main purpose of this study was to provide technical documentation for the development of social networks in the field of health in order to facilitate future developments.
Materials and Methods: This study was an applied research. Due to the review of texts in the first phase, this research was descriptive. It is also a developmental research due to its technological dimensions in modeling and pattern model presentation. First, extracted features were confirmed based on experts’ opinions. Then, according to the identified features, social network modeling was performed at three levels of data, functional and process. Based on the modeling, a prototype model was designed and evaluated.
Results: In this research, technical documents were prepared for the development of social networks in the field of health in the three axes of data modeling, functional modeling and process modeling. In the usability assessment by Nielsen model, the created prototype based on modeling was evaluated. Finally, the number of problems in each case of the Nielsen model was determined. The case of "Visibility of system status" with 26.31 and "Consistency and standards" with 5.27 were associated with the highest and lowest problems, respectively.
Conclusion: The growing need and expansion of the use of social networks has created a good platform for using this tool in the field of health and exploiting its benefits. The present study focuses on providing technical documentation for the development of health social networks and to facilitate the development of social networks in the field of health.

Tahereh Abolghasem, Maryam Nakhoda, Dr Sepideh Fahimifar, Dr Mohammad Khandan,
Volume 15, Issue 6 (3-2022)

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.

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