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Showing 5 results for Physicians
Inequitable Distribution Of Specialists And Hospital Beds In West Azerbaijan Province
Hakimeh Mostafavi , Siamak Aghlmand, Hamed Zandiyan, Minoo Alipoori Sakha , Mohsen Bayati , Sahar Mostafavi ,
Volume 9, Issue 1 (5-2015)
Abstract

Background and Aim: Equitable distribution of resources in health sector is one of the prerequisites of social justice in any society. The aim of this study is to determine inequality in the distribution of specialists and hospital beds in West Azerbaijan Province.

Materials and Methods: This was a descriptive study. The population of the study consists of all hospital beds in the public sector and all specialists working in the health sector of West Azerbaijan Province in 2012 . The required data were collected after referring to health and treatment d eputies of Urmia University of Medical Sciences and Statistical Center of Iran . To determine inequity in the distribution of specialists and hospital beds, per capita resource indicators, the Gini coefficient, and Lorenz curve were employed.

Results: Distribution of specialist physicians in the province was not equitable the situation was the same as regards hospital beds, too.

Conclusion: It seems that neither the distribution of specialist physicians nor the number of hospital beds is proportional to the population. Besides, measures such as p roviding special welfare facilities, paying higher wages, and considering the health needs of people in the province can better attract physicians and modify the existing shortcomings.


Physicians' Knowledge about Different Radiobiology Aspect and Radiation Dose, Received by Patients in Diagnostic Radiology in 2013
Aram Rostami, Mohamad Reza Cheshmyazdan, Mahdi Payande Vafa , Leila Kia, Fateme Saadat Ghoreishi ,
Volume 10, Issue 1 (4-2016)
Abstract

Background and Aim: The first step in reducing patient dose can be administered at the radiological examinations are taken. Since physicians request radiological tests, this study examined physicians' knowledge of the risks of radiological examinations.

Materials and Methods: This descriptive, analytical and cross-sectional study was conducted in 160 general practitioners and specialists' physicians. Based on the estimated dose posterior-anterior hand X-ray, and put it as a single exposure, medical information of physicians about the patient dose in diagnostic radiology tests were examined. The validity of the questionnaire was confirmed by expert panel, and its reliability was 0.80 by Alpha-Cronbach technique.

Results: Most of the general practitioners and specialists did not estimate correctly the radiation dose received by patients in the posterior-anterior hand X-ray, and majority of them underestimated the radiation dose of other radiological examination. The results showed that 48% of General Physician and 5/53% of specialist physicians were familiar with the unit dose.

Conclusion: Training of physicians in the field of radiology patients received doses can be an effective measure for reducing doses to patients.


The Effects of Organizational Contextual Factors on Physicians’ Attitude toward Adoption of Electronic Medical Records, Based on Technology Acceptance Model
Mohammadhiwa Abdekhoda, Maryam Ahmadi, Mahmodreza Gohari, Alireza Noruzi,
Volume 10, Issue 2 (5-2016)
Abstract

Background and Aim: Inclusive implementation of Electronic Medical Records (EMR) is more serious because of physicians’ perception. This study was carried out to identify the effects of organizational contextual factors on physicians’ perception regarding EMR’s adoption in 2013 (The merger of Tehran University and Iran). 
Materials and Methods: This was a descriptive, analytical and cross- sectional study in which a sample of 270 physicians working in hospitals affiliated to Tehran University of Medical Sciences was selected. Physicians’ perception toward adoption of EMR has been assessed by Technology Acceptance Model or TAM questionnaire and organizational context variables. Collected data were analyzed by SPSS. The study model was tested by Structural Equation Modeling (SEM) and represented by AMOS. 
Results: The findings showed that perceived usefulness (PU), perceived ease of use (PEOU), management support, physicians’ involvement, physicians’ autonomy, and physician- patient relationship have direct and significant effect on physicians’ attitudes toward EMR adoption. However, training has no significant effect on TAM variables. Moreover, the results showed authorizing proposed conceptual path model explained about 56 percent of the variance of EMR adoption.
Conclusion: The present study revealed that organizational context factors had significant effect on physicians’ attitude toward EMRs’ adoption. The study clearly identified six relevant factors that affected physicians’ perception regarding EMR adoption. These factors should be considered when comprehensive implementation is pursued.  


A Qualitative Study of Barriers to Physicians' Participation in Accreditation Program in Public Hospitals
Seyyed Morteza Mojtabaeian, Fatemeh Monfared,
Volume 16, Issue 5 (12-2022)
Abstract
Background and Aim: The participation of doctors and clinical leadership in organizational strategies to improve quality performance is a necessary precondition for providing safe and high-quality care, and since improving the quality of health care services and increasing the participation of doctors in accreditation is very necessary, the present study was conducted with the aim of explaining the obstacles of doctors' participation in the accreditation programs of Iranian hospitals with a qualitative approach.
Materials and Methods: In this study, using the snowball sampling method, interviews were conducted with 11 managers, 9 doctors and 8 officials and experts in the field of quality management (a total of 28 people) in the field of hospital accreditation. Interviewees were selected through purposive snowball sampling. To collect data, unstructured and semi-structured in-depth interviews were conducted. The obtained data were analyzed using the conceptual framework method in ATLAS.ti.
Results: The results of this research extracted 3 main issues including cultural, organizational and behavioral factors. Also, this research found 12 sub-themes and 57 items. Subtopics in the cultural area were motivation, patient demand, mutual trust, and evaluation system. The organizational field included seven sub-topics, including high workload, understanding the role of the quality management unit, unrealistic accreditation, the nature of accreditation, empowering doctors in the field of quality, effective communication, and limited resources. Subthemes in the behavioural dimension were role ambiguity and uncertainty about how to participate in the accreditation program. The most repeated challenges in the interviews were expressed in the field of effective communication and the least in the field of role ambiguity.
Conclusion: Physicians' participation in accreditation programs can be increased through culture building and proper training in accreditation activities in the medical community. By revising the categories of activities performed in the hospital by doctors and including a specific time to perform activities to improve quality and accreditation and create a balance between the quantity and quality of services provided in the hospital, it is possible to increase the participation of doctors in the accreditation program.


Explaining the Performance Evaluation Dimensions of Physicians in Tehran University of Medical Sciences (Phenomenological Study)
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)
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.

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