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Determining the Sources of Evidence Used in Decision Making of Staff Managers in Iran University of Medical Sciences:2019 确定伊朗医学大学管理人员决策中使用的证据来源:2019
Q3 Medicine Pub Date : 2021-01-10 DOI: 10.29252/JHA.23.4.61
I. Asl, Ebrahim Hasanzadeh, P. Raeissi
Corresponding Author: Ebrahim Hasanzadeh e-mail addresses: Management.iums63@gmail.com Introduction: One of the approaches that influences the decisionmaking and management of universities is evidence-based management. Evidence-based management requires managerial and organizational decisions and informed actions using the best available evidence in which the best evidence is used as norms and standards. Therefore, in line with the importance of this issue, the present study aimed to determine the sources of evidence used in decision making of staff managers in Iran University of Medical Sciences. Methods: The present descriptive-analytical study was conducted in 2019 among 71 managers of Iran University of Medical Sciences. The research tool was a standard evidence-based management questionnaire. In this study, the sampling was not carried out and all managers participated in it. Spearman test and SPSS-24 software were also used to analyze the data. Results: The findings of the study on the sources of evidence used by managers in organizational decisions and programs showed that the highest source of evidence was socio-political development program and the lowest was the use of sources of scientific research evidence. Conclusion: Any decision that is made without evidence-based management cannot be considered evidence-based and can have negative outcomes in any decision-making organization. Therefore, it is necessary that the relevant officials and policy makers provide a suitable platform by formulating specialized policies and providing the necessary infrastructure to reduce the gap between the current situation and the evidence-based management model. Received: 09/Sep/2020 Modified: 09/Dec/2020 Accepted: 20/Dec/2020 Available online: 19/Jan/2021
通讯作者:Ebrahim Hasanzadeh电子邮件地址:Management.iums63@gmail.com引言:影响大学决策和管理的方法之一是循证管理。循证管理要求管理和组织决策以及采取知情行动,使用现有的最佳证据,其中最佳证据被用作规范和标准。因此,鉴于这一问题的重要性,本研究旨在确定伊朗医学科学大学员工管理人员决策中使用的证据来源。方法:本描述性分析研究于2019年在伊朗医学科学大学的71名管理人员中进行。研究工具是一份标准的循证管理问卷。在本研究中,没有进行抽样,所有管理人员都参与了抽样。还使用Spearman检验和SPSS-24软件对数据进行了分析。结果:对管理者在组织决策和项目中使用的证据来源的研究结果表明,最高的证据来源是社会政治发展项目,最低的是科学研究证据来源的使用。结论:任何没有循证管理的决策都不能被视为循证决策,在任何决策组织中都可能产生负面结果。因此,相关官员和政策制定者有必要通过制定专门政策和提供必要的基础设施来提供一个合适的平台,以缩小当前情况与循证管理模式之间的差距。接收日期:2020年9月9日修改日期:2020年底12月9日接受日期:2020年初12月20日在线发布日期:2021年1月19日
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引用次数: 0
Analysis of the importance-performance of drivers of employee creativity in medical universities 医学院校员工创造力驱动因素的重要绩效分析
Q3 Medicine Pub Date : 2021-01-10 DOI: 10.29252/JHA.23.4.30
Pezhman Pirmoon, N. Hamidi, Nabiullah Mohammadi, H. Doroudi
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引用次数: 0
Factors related to the willingness of working physicians to stay in rural areas and their evaluation according to the recommendations of the World Health Organization: A case study 与在职医生留在农村地区意愿有关的因素及其根据世界卫生组织建议的评价:个案研究
Q3 Medicine Pub Date : 2021-01-10 DOI: 10.29252/JHA.23.4.40
bahareh mollaei, J. Moghri, Vahid Ghavami, S. Tabatabaee
M.Sc. student, School of Health, Mashhad University of Medical Sciences, Mashhad, Iran. Assistant Professor, Social Determinants of Health Research Center, Mashhad University of Medical Sciences, Mashhad, Iran. Assistant Professor, Social Determinants of Health Research Center, Mashhad University of Medical Sciences, Mashhad, Iran. Assistant Professor, Social Determinants of Health Research Center, Mashhad University of Medical Sciences, Mashhad, Iran.
伊朗马什哈德马什哈德医学大学卫生学院硕士研究生。伊朗马什哈德马什哈德医学大学健康研究中心社会决定因素助理教授。伊朗马什哈德马什哈德医学大学健康研究中心社会决定因素助理教授。伊朗马什哈德马什哈德医学大学健康研究中心社会决定因素助理教授。
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引用次数: 1
Determining the amount and causes of insurance deficits in selected Teaching and non-Teaching hospitals affiliated to Iran University of Medical Sciences 确定伊朗医学科学大学附属教学和非教学医院保险赤字的金额和原因
Q3 Medicine Pub Date : 2021-01-10 DOI: 10.29252/JHA.23.4.80
M. Maleki, samira bolghadr, asgar aghaeihashjin
Corresponding Author: Samira Bolghadr e-mail addresses: bolghadrsamira@yahoo.com Introduction: Some of the significant and irreparable financial losses in hospitals are Insurance deficits which for various reasons are not fully reimbursed by the insurance companies. Therefore, the present study was an attempt to determine the amount and causes of insurance deficits in selected Teaching and non-Teaching hospitals affiliated to Iran University of Medical Sciences. Methods: This cross-sectional descriptive study was performed in six selected hospitals of Iran University of Medical Sciences. The research population included patients’records during the first six months of 2020 for inpatient and outpatient wards. Reports of deficits for Health Care and Social Security Insurance were collected by referring to the revenue units of the hospitals. The data collection tool was a researcher-made form. The deficit amount of each hospital was collected separately for the type of file and teaching and non-teaching hospitals. Data were analyzed by descriptive statistics using Excel software. Results: The findings showed that the most deductions applied in inpatient records are related to surgery and hospitalization fees, respectively, and in outpatient documents are related to visits, laboratory services, diagnostic and counseling services. Conclusion: According to the type and causes of deficits identified based on research findings, policy makers and planners in the field of healthcare system are advised to hold workshops for staff in the process of treating patients with insurance rules, using hospital information systems, using relevant graduates, and analyzing files before sending them to insurance companies in order to prevent insurance deficits. Received: 31/Aug/2020 Modified: 08/Dec/2020 Accepted: 19/Dec/2020 Available online: 08/Feb/2021
通讯作者:Samira Bolghadr电子邮件地址:bolghadrsamira@yahoo.com导言:医院的一些重大和不可弥补的经济损失是保险赤字,由于各种原因,保险公司没有全额偿还。因此,本研究试图确定伊朗医科大学附属教学医院和非教学医院保险赤字的数额和原因。方法:选取伊朗医科大学所属6家医院进行横断面描述性研究。研究人群包括2020年前6个月住院和门诊病房的患者记录。关于医疗保健和社会保障保险赤字的报告是参照医院的收入单位收集的。数据收集工具是研究人员制作的表格。按档案类型、教学医院和非教学医院分别统计各医院的亏损额。数据采用Excel软件进行描述性统计分析。结果:住院记录扣减最多的分别是手术费和住院费,门诊记录扣减最多的分别是诊断费、化验费、诊断费和咨询费。结论:根据研究结果确定的赤字类型和原因,建议卫生保健系统领域的决策者和规划者在对患者进行保险规则治疗过程中,利用医院信息系统,利用相关毕业生,并在将文件发送给保险公司之前进行分析,以防止保险赤字。收稿日期:2020年8月31日修改日期:2020年12月08日接收日期:2020年12月19日在线发布日期:2021年2月08日
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引用次数: 1
Benchmarking rate of members of the crisis and disaster management committee in Iranian public hospitals 伊朗公立医院危机和灾害管理委员会成员的基准率
Q3 Medicine Pub Date : 2021-01-01 DOI: 10.29252/JHA.23.4.9
P. Kolivand, M. Motlagh, H. Amiri, S. Jalali, Homa Yousefi Khoshsabegheh, S. D. N. Shirvani, N. Mirkatooli, M. Javanian
Department of Emergency Organization, Ministry of Health and Medical Education, Tehran, Iran. Professor, School of Medicine, Ahvaz Jundishapur University of Medical Science, Ahvaz, Iran. Internist , Social Determinants of Health Research Center, Health Research Institute, Babol University of Medical Science, Babol, Iran. Professor, School of Medicine, Babol University of Medical Science, Babol, Iran. PhD Student, School of health, Tehran University of Medical Science, Tehran, Iran. Assistant Professor, Social Determinants of Health Research Center, Health Research Institute, Babol University of Medical Science, Babol, Iran. Secretary, Passive Defense Secretariat, Ministry of Health and Medical Education, Tehran, Iran. Associate Professor, Social Determinants of Health Research Center, Health Research Institute, Babol University of Medical Science, Babol, Iran.
伊朗德黑兰卫生和医学教育部应急组织司。伊朗阿瓦士Jundishapur医科大学医学院教授。伊朗巴博尔巴博尔医科大学卫生研究所健康研究中心社会决定因素内科医生。伊朗巴博勒巴博勒医学院教授。博士研究生,卫生学院,德黑兰医科大学,伊朗德黑兰。伊朗巴博勒医学大学卫生研究所健康研究中心社会决定因素助理教授。伊朗德黑兰卫生和医学教育部被动防御秘书处秘书。伊朗巴博勒医学大学卫生研究所健康研究中心社会决定因素副教授。
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引用次数: 1
The extent of deficiencies in the main forms of patients' medical records by the role of documentarians 缺陷的程度主要体现在病人病历的形式中,由记录片员发挥作用
Q3 Medicine Pub Date : 2020-10-10 DOI: 10.29252/JHA.23.3.30
Farzad Salmanizadeh, A. Ameri, Reza Khajouei, Mahboubeh Mirmohammadi
1 PhD Student, Faculty of Management and Medical Information Science, Kerman University of Medical Sciences, Kerman, Iran. 2 Ms.c. of Health Information Technology, Faculty of Management and Medical Information Science, Kerman University of Medical Sciences, Kerman, Iran. 3 Associate Professor, Faculty of Management and Medical Information Science, Kerman University of Medical Sciences, Kerman, Iran. 4 Director of Statistics and Information Technology, Shafa Hospital, Kerman University of Medical Sciences, Kerman, Iran.
1名博士生,伊朗克尔曼医学科学大学管理与医学信息科学学院。2伊朗克尔曼医学科学大学管理与医学信息科学学院健康信息技术硕士。3伊朗克尔曼医学科学大学管理与医学信息科学学院副教授。4伊朗克尔曼医学科学大学沙法医院统计和信息技术主任。
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引用次数: 1
The Relationship between Job Satisfaction and Desire to Emigrate among the Nurses of Public Hospitals in Tehran 德黑兰公立医院护士工作满意度与移民意愿的关系
Q3 Medicine Pub Date : 2020-10-10 DOI: 10.29252/JHA.23.3.11
Mohsen Kamali, Kianoush Niromand Zandi, Mahnaz Ilkhani, N. Shakeri, C. Rohani
1 M.Sc.,Nursing, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran. 2 M.Sc.,Nursing,School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran. 3 Assistant Professor, School of Nursing & Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran. 4 PhD.,Biostatistics, Faculty of Paramedical Sciences, Shahid Beheshti University of Medical Sciences, Tehran, Iran. Assistant Professor, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
1 Shahid Beheshti医学科学大学护理与助产学院护理硕士,伊朗德黑兰。2 Shahid Beheshti医学科学大学护理与助产学院护理硕士,伊朗德黑兰。3 Shahid Beheshti医学科学大学护理与助产学院助理教授,伊朗德黑兰。4博士。伊朗德黑兰,沙希德·贝赫什蒂医科大学医学辅助学院,生物统计学。伊朗德黑兰Shahid Beheshti医科大学护理与助产学院助理教授。
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引用次数: 1
Gap of services quality expectation and perception based on SERVQUAL model in the selected hospital outpatient clinics affiliated with Iran University of Medical Sciences 基于SERVQUAL模型的伊朗医科大学附属医院门诊服务质量期望和感知差距
Q3 Medicine Pub Date : 2020-10-10 DOI: 10.29252/JHA.23.3.55
A. A. Hashjin, Pouria Farrokhi, A. Aryankhesal
Corresponding Author: Pouria Farrokhi e-mail addresses: farokhi.p@iums.ac.ir Introduction: Nowadays, measuring the quality of services in order to effectively allocate resources and ensure a higher level of patient satisfaction is on the agenda of healthcare managers. The aim of this study was to investigate the possible gap between the perception and expectation of service quality from patients and managers’ perspective in the selected outpatient clinics affiliated with hospitals of Iran University of Medical Sciences. Methods: This descriptive-analytical cross-sectional study was conducted in 2019. The required data were collected based on a valid and reliable questionnaire (SERVQUAL). Chi-square and Mann-Whitney U tests were used to analyze the data. The data were analyzed using SPSS version 25. Results: The patients' expectation (4.76) was higher than managers’ expectation (4.58), while the patients' perception level of service quality (3.20) was lower than the managers' perception level (3.73). The gap between expectation and perception of patients in all dimensions was statistically significant; moreover, the highest gap was found in the responsiveness dimension. From the managers' viewpoint, a significant relationship was reported between the expectation and perception gap in all dimensions except the responsiveness one. Moreover, the highest mean score gap was related to the tangibility dimension (P-Value = -1.73). Conclusion: There was a negative gap between the expectations and perceptions from managers and patients’ perspectives in all the service quality dimensions. Hospital managers should attempt to reduce the gap between the expectation and perception by providing timely services and improving staff communication skills. Received: 03/Sep/2020 Modified: 16/Sep/2020 Accepted: 21/Sep/2020 Available online: 18/Nov/2020
通讯作者:Pouria Farrokhi电子邮件地址:farokhi.p@iums.ac.ir引言:如今,衡量服务质量以有效分配资源并确保更高水平的患者满意度已成为医疗管理人员的议程。本研究的目的是调查在伊朗医学科学大学附属医院的选定门诊诊所中,从患者和管理者的角度对服务质量的感知和期望之间可能存在的差距。方法:这项描述性分析横断面研究于2019年进行。所需数据是根据有效可靠的问卷(SERVQUAL)收集的。采用卡方检验和Mann-Whitney U检验对数据进行分析。使用SPSS 25版对数据进行分析。结果:患者期望值(4.76)高于管理者期望值(4.58),患者服务质量感知水平(3.20)低于管理者感知水平(3.73);此外,反应性维度的差距最大。从管理者的角度来看,除了反应性方面,预期和感知差距在所有方面都存在显著关系。此外,最高平均分差距与有形性维度有关(P值=-1.73)。结论:在所有服务质量维度上,管理者和患者的期望和看法之间存在负差距。医院管理人员应通过提供及时的服务和提高员工的沟通技能,努力缩小期望和感知之间的差距。接收日期:2020年9月3日修改日期:2020月16日接受日期:2020年初9月21日在线发布日期:2020年末11月18日
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引用次数: 1
The relationship between electronic human resource management, human resource flexibility, and creating a competitive advantage in hospital services 电子人力资源管理、人力资源灵活性与创造医院服务竞争优势之间的关系
Q3 Medicine Pub Date : 2020-10-10 DOI: 10.29252/JHA.23.3.75
Elaheh Ebrahimi, Amir Ghafourian Shagerdi, Saied Aibaghi Isfahani, Mohammad Sajjad Ghafourian Shagerdi
Phd Student, Faculty of Economics, Management and Administrative Sciences, Semnan University, Semnan, Iran. 2 Assistant Professor, Faculty of Management and Accounting, Imam Reza international University, Mashhad, Iran. 3 Assistant Professor, Faculty of Industrial Engineering and Management, Shahroud University of Technology, Shahroud, Iran 4 M.A. Business ManagementStrategic Management, Faculty of Management and Accounting, Department of Management, Imam Reza International University, Mashhad, Iran.
2伊朗马什哈德伊玛目礼萨国际大学管理与会计学院助理教授。3伊朗沙赫鲁德沙玛目礼萨国际大学工业工程与管理学院助理教授。4马什哈德伊玛目礼萨国际大学管理学系管理与会计学院工商管理与战略管理硕士。伊朗。
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引用次数: 4
Interpretive structural model of the effective factors of bureaucracy phobia: A case study 官僚恐惧症影响因素的解释结构模型:一个个案研究
Q3 Medicine Pub Date : 2020-10-10 DOI: 10.29252/JHA.23.3.85
mahnaz khatam, A. Yaghoubipoor, M. Montazeri, Abbas Shoul, Y. Ahmadi
1 PhD Student, Department of Management, Sirjan Branch, Islamic Azad University, Sirjan, Iran. 2 Assistant Professor, Department of Management, Sirjan Branch, Islamic Azad University, Sirjan, Iran. 3 Assistant Professor, Department of Management, Payame Noor University, Tehran, Iran. 4 Assistant Professor, Department of Management, Vali Asr University, Rafsanjan, Iran. Assistant Professor, Department of Management, Sirjan Branch, Islamic Azad University, Sirjan, Iran.
1伊朗伊斯兰阿扎德大学锡尔詹分校管理学系博士生2伊朗伊斯兰阿扎德大学锡尔詹分校管理学系助理教授3伊朗德黑兰帕亚姆努尔大学管理学系助理教授4伊朗拉夫桑詹瓦利阿斯尔大学管理学系助理教授伊朗伊斯兰阿扎德大学锡尔詹分校管理系助理教授。
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引用次数: 0
期刊
Journal of Health Administration
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