Search published articles


Showing 4 results for Anp
Evaluation Of Manpower, Equipment And Quality Control Standards In Peripheral And Intermeiate Laboratories Assessment Checklist Within Seven Selected Provinces In 2011
Fateme Monjazebi , Rahim Rozbahany , Arezo Memarian, Parisa Farnia ,
Volume 7, Issue 3 (9-2013)
Abstract

Background and Aim: Peripheral and intermediate laboratories have an important role in diagnosis, treatment and prevention of tuberculosis. Today, without these laboratories, maintaining health and preventing the spread of tuberculosis is not possible. The aim of this study was Evaluation of manpower, equipment and quality control standards in peripheral and intermediate laboratories assessment checklist within seven selected provinces in year 2011.

Materials and Methods: This study was a cross-sectional survey. In this study eighty tow peripheral and intermediate laboratories from seven selected provinces were studied in year 2011. A standardized checklist was used to assess peripheral and intermediate laboratories.

Results: The result showed that Esfahan with 20 labs and 8870000 population had the highest number of labs and coverage people between other provinces. Khorasan Razavi with an average of 263 per month has the highest number of admission number and Golestan, with an average of 139 positive cases per month, had the highest number of positive cases between other provinces. In 82 labs 117 laboratory technicians were engaged providing services to patients.

Conclusion : The results of this study showed that conditions of most peripheral and intermediate laboratories are optimum and nearly standard. Control and evaluation of peripheral and intermediate laboratories, expert personnel, facilities and equipment are necessary to improve the TB control program in the country.

 


Identification And Ranking The Components Serving Doctors And Paramedics Manpower In Choosing Their Place Of Employment And Durability
Hosein Sanjari , Zeinab Moghadamifard, Behnosh Heydarzadeh, Hosein Mobaraki,
Volume 8, Issue 6 (3-2015)
Abstract

Background and Aim: In order to harmonize the demands of doctors and paramedics serving subject to the law Ministry of Health with intended policy of the health ministry on determining priorities and equitable distribution of mentioned resources, the first step that should be taken is to organize resources and to consider their viewpoints . The goal of this paper was to Identify and rank the indexes related to paramedics and ranking them on choosing their place of employment and their durability.

Materials and Methods: The research was a descriptive- Analytic study . Participants in the study were resources of law service of doctors and paramedics in 2012 . All data were analyzed by statistical software SPSS and EXCEL . Friedman test was used for prioritizing and determining the importance of each of the factors influencing the selecting places of employment . 

Results: Among all the factors , social / beliefs factors with mean value of (SD ) 3/52 (0/019) had the greatest influence on the choice of place of service of subject to the law, and it is the first priority of service location by field of study , educational level , place of service and the service index subjects served . 

Conclusion: In order to properly organize and direct the Ministry of Health , the most effective factor is correct understanding of the priorities , needs and mental ideal needs of the mentioned resources . Especially the changes in behavior patterns and easy access to information in large extend will create huge changes of current generation than previous generations.


Throughput Improving Model for Patients with Chest Pain in Heart Emergency Department
Mohammad Mehdi Sepehri, Sara Naderi , Mansoureh Naderi ,
Volume 11, Issue 2 (7-2017)
Abstract
Background and Aim: Throughput improvement is a process that simultaneously increases the volume of services provided to patients, while decreasing the operating costs. The aim of the present study was to extract and prioritize the factors affecting throughput in an emergency department for heart disease patients.
Materials and Methods: This is a descriptive case study conducted through: interviews with experts, and the design of a questionnaire based on the emergency management criteria specified by the Ministry of Health and Medical Education (MOHME), and the completion of the questionnaire by academic experts in a teaching hospital in Tehran. 
Six indicators and 26 sub-indicators were extracted and the data was analyzed using multi- criteria decision analysis methods including ANP and DEMATEL.
Results: Among the 26 sub-indicators, six sub-indicators were identified as the top priority ones with a 72 percent impact on throughput. And out of the six top indicators, cardiac emergency clinical guidelines were identified as the most important in maximizing throughput for patients with chest pain in the emergency department under study. 
Conclusion: This study identified the priorities in enhancing throughput in an emergency cardiac unit. For the first time in Iran the study used a hybrid 
ANP-DEMATEL method. This study can provide insights for health system planners and policy-makers on the enhancement of throughput in care delivery 
organizations, especially teaching hospitals. 

Development of a Balanced Scorecard Suitable for Health Care Centers Based on DANP Hybrid Multi-Criteria Decision Making
Mahdi Hadi, Ali Jahan, Lila Najafi, Mohamad Ali Shariat,
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.

Page 1 from 1     

© 2024 , Tehran University of Medical Sciences, CC BY-NC 4.0

Designed & Developed by: Yektaweb