Search published articles


Showing 3 results for Dematel
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. 

Identify and Prioritize the Critical Success Factors in Pharmaceutical Supply Chain and Distribution Using the DEMETEL Technique
Ali Abedini, Hamid Reza Irani, Hamid Reza Yazdani,
Volume 13, Issue 1 (5-2019)
Abstract
Background and Aim: In our country because of the security of production and distribution of medicine, Pharmaceutical producers and distributors are known for profitability. The weaknesses in this industry include low productivity in the raw material supply, inefficiency in Pharmaceutical distribution and increasing corporate finance costs. Therefore, the purpose of this research is to identify and prioritize the critical success factors in SCM and distribution of the pharmaceutical industry in the country to provide effective decision making in this field.
Materials and Methods: The research consists of two phases of library and surveying. In the first phase, by searching in scientific databases, CSFs in the supply chain and distribution were identified and were categorized in 25 dimensions. Based on the Pareto principle 9 dimensions out of 25 divided dimensions became the pairwise comparison in DEMATEL method to determine the impact and effectiveness. The statistical Society of this research is pharmaceutical producers and distributors in 2018. We have used 13 experts in marketing, SCM, and distribution of pharmaceuticals companies as samples. For data analysis, Excel and MATLAB software were used.
Results: Senior management commitments, use of information technology and government intervention were the first three influential factors and processes, service quality and trust were the first three effective factors. Also, the most challenging factor was the senior management commitment and the least interactive factor was government intervention.
Conclusion: Managers can not consider all the factors; they should invest in influential and challenging factors.

Effective Factors on the Development of Health Tourism, Study Case: Rasht Hospitals
Hamzeh Amin-Tahmasbi, Kimia Malekzadeh Shafaroudi,
Volume 16, Issue 4 (10-2022)
Abstract
Background and Aim: Today, treatment is one of the important goals of tourism. Tourism in health and healthcare is growing rapidly in the world. Despite the fact that Guilan province, as one of the most important and touristic provinces of the country, has an annual population of 500,000 foreign tourists and can be the center of health tourism in Iran. Unfortunately, this province has not been able to have a proper share of the revenues of this field and attract foreign patients in parallel with its treatment capacities.
Materials and Method: The aim of this study was to identify the factors affecting the development of health tourism. In this regard, first, literature review was used and opinions of experts in this field, who were employees in five hospitals in Rasht, including Velayat, PourSina, Aria, Pars and Qaem hospitals, were selected using the Snowball sampling method. Twenty-five effective factors were identified and using Delphi method, 14 factors were selected as the final factor. Then by used of the Best and Worst Method (BWM), the importance of each factor was determined. Finally, using DEMATEL method, the effect of this factor on each other was determined.
Results: After conducting two rounds of Delphi, 11 factors that had an average lower than the average of the total opinions of the experts and there was more disagreement about them were eliminated. Then, by implementing the best-worst method, the quality of medical services was determined as the most important factor, and the ease of booking an appointment in advance for admission and the status of the banking system were determined as the least important factors among the final factors. Also, based on the results of the DEMATEL method, the quality of medical services has the greatest effect and the ease of booking an appointment in advance for admission has the least effect on other factors. Finally, the quality of medical services is the most effective and appropriate advertising about health tourism in domestic and foreign chambers of commerce has the least effectiveness.
Conclusion: Health tourism in Iran despite the relative quality and cheap price, has not yet found its place in the market due to the lack of proper advertising is still taking the first steps. Considering the environmental conditions and the existence of tourism aspects of Rasht, carrying out measures such as improving the quality of medical services, appropriate marketing, and improving infrastructures will lead to the development and improvement of health tourism, and as a result, increasing satisfaction and attracting more customers.

Page 1 from 1     

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

Designed & Developed by: Yektaweb