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Improving Hospital Financial Performance: Application of Social Responsibility Future Research 提高医院财务绩效:社会责任的应用前景研究
Q3 Medicine Pub Date : 2020-03-10 DOI: 10.29252/JHA.23.1.27
Ali Azhdari, M. Moeinaddin, Forough Heirani, S. Nayebzadeh
Introduction: Today, managers in the field of health and care, especially in hospitals, need to address not only the internal issues but also the social and environmental issues of their decisions and actions to improve financial performance and increase productivity. The purpose of this study was to improve the financial performance of hospitals through social responsibility future study. Methods: The method of this research was applied in terms of purpose, and according to the research methodology, it was a mix of quantitative and qualitative methodology consisting of phenomenology, content analysis, and future study. In the first step, phenomenological methods and interviews with experts were used to extract hospital financial performance indicators. In the second step, the content analysis method and systematic review on selected articles, dimensions, and indicators of social responsibility were extracted. Finally, as for the future study, the variables related to social responsibility were extracted through fuzzy delphi technique and analyzed using structural-interpretive model. Findings:In the first step, 16 financial performance indicators were extracted. In the second step, the results of this phase showed the extraction of 35 proponents and four dimensions of economic, social, employee, and environmental social responsibility. In the last step, 20 variables related to social responsibility were extracted using the structural-interpretive model. The power of penetration and the degree of the dependence of the variables were determined. Conclusion: The research results showed that all the variables associated with social responsibility had a great deal of influence and instability powers. That is, any change that occurs on them affects both them as well as other variables. Since the main purpose of public hospitals is to provide quality services to all segments of society and satisfy them, Therefore, considering all dimensions and components of social responsibility increases productivity and consequently improves the financial performance of hospitals.
引言:如今,医疗保健领域的管理者,尤其是医院的管理者不仅需要解决内部问题,还需要解决他们的决策和行动中的社会和环境问题,以改善财务业绩并提高生产力。本研究的目的是通过社会责任未来研究来提高医院的财务绩效。方法:本研究采用目的论方法,根据研究方法论,是一种由现象学、内容分析和未来研究组成的定量与定性相结合的方法论。第一步,采用现象学方法和专家访谈法提取医院财务绩效指标。在第二步中,提取了内容分析方法和对所选文章、维度和社会责任指标的系统回顾。最后,对于未来的研究,通过模糊德尔菲技术提取与社会责任相关的变量,并使用结构解释模型进行分析。调查结果:在第一步中,提取了16个财务业绩指标。在第二步中,该阶段的结果显示了35名支持者的提取以及经济、社会、员工和环境社会责任的四个维度。在最后一步中,使用结构解释模型提取了20个与社会责任相关的变量。确定了穿透力和变量的依赖程度。结论:研究结果表明,所有与社会责任相关的变量都具有很大的影响力和不稳定性。也就是说,发生在它们身上的任何变化都会影响它们以及其他变量。由于公立医院的主要目的是为社会各阶层提供优质服务并满足他们的需求,因此,考虑社会责任的各个方面和组成部分可以提高生产力,从而提高医院的财务绩效。
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引用次数: 0
Explanation of the Coronavirus (COVID-19) Crisis Based on Disinformation Theory: A commentary 基于虚假信息理论的新冠肺炎危机解读
Q3 Medicine Pub Date : 2020-03-10 DOI: 10.29252/JHA.23.1.9
H. Ashrafi-rizi, Zahra Kazempour
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引用次数: 0
The Status of Social Responsibility and its Dimensions in Public Hospitals of Mashhad: A Cross-Sectional Study 马什哈德公立医院社会责任现状及其维度的横断面研究
Q3 Medicine Pub Date : 2020-03-10 DOI: 10.29252/JHA.23.1.102
H. Ebrahimipour, F. Fathi, Elaheh Houshmand, A. Taghipour, Javad Hoseini
Introduction: Social responsibility is a concept in which organizations pay particular attention to environmental and social issues in its business processes. The purpose of this study was to investigate social responsibility dimensions in public hospitals affiliated to Mashhad University of Medical Sciences in 2019. Methods: In this cross-sectional and analytical study, social responsibility and its dimensions in 13 public university hospitals of Mashhad were examined using a questionnaire based on 273 samples of staff and customers. Data were analyzed using descriptive statistics (frequency, mean, and standard deviation) using SPSS software version 11. Results: The highest mean score (2.40) was related to leadership and internal processes, and the lowest mean score (1.83) was related to workplace dimension. The other average scores from highest to lowest were: environmental dimension (2.08), market dimension (2.01), and community and country dimension (1.92). Overall, the social responsibility of the hospitals under study was significantly different from the mean level of 2 (2/05), and considering the positive t-statistic for comparing a sample, it can be concluded that social responsibility was significantly higher than the average level (p-value ≤ 0.05) Conclusion: Improving the employment status of employees as the most important social capital is very important, which had the lowest score in this study. According to the results of the research, the existence of discrimination and work shifts reduced the satisfaction in this dimension. Lack of employee awareness has been the most important reason for the decrease, which can be promoted by increasing the awareness of employees in this dimension.
引言:社会责任是一个组织在其业务流程中特别关注环境和社会问题的概念。本研究的目的是调查2019年马什哈德医学科学大学附属公立医院的社会责任维度。方法:在这项横断面分析研究中,采用问卷调查法,对马什哈德13所公立大学医院的273名员工和顾客进行了社会责任及其维度的调查。使用SPSS软件版本11,使用描述性统计(频率、平均值和标准差)对数据进行分析。结果:平均分最高(2.40)与领导能力和内部流程有关,平均分最低(1.83)与工作场所维度有关。其他平均得分从高到低依次为:环境维度(2.08)、市场维度(2.01)和社区和国家维度(1.92)。总体而言,所研究医院的社会责任与平均水平2(2/05)有显著差异,考虑到比较样本的正t统计量,可以得出结论,社会责任显著高于平均水平(p值≤0.05)。结论:改善员工的就业状况作为最重要的社会资本是非常重要的,在本研究中得分最低。根据研究结果,歧视和工作轮班的存在降低了这一维度的满意度。员工意识的缺乏是导致这一下降的最重要原因,可以通过提高员工在这一维度上的意识来促进这一下降。
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引用次数: 0
Relationship between Patient Safety Culture and Adverse Events in Hospital: A case study 患者安全文化与医院不良事件的关系:个案研究
Q3 Medicine Pub Date : 2020-03-10 DOI: 10.29252/JHA.23.1.13
H. Gharaee, Razieh Jahanian, M. Karim, E. Kakemam, Khadijeh Bande Elahi, Leili Tapak, Yadolah Hamidi
Khadijeh Bande Elahi , Leili Tapak , Yadolah Hamidi* Introduction: Patient safety culture is an important factor in reducing hospital's adverse event and improving patient safety. The aim of this study was to evaluate the relationship between patient safety culture and adverse events in hospitals of Hamadan city. Methods: The present study was a descriptive-analytical study which was performed in hospitals of Hamadan in 2018. The study population consisted of nurses working in hospitals. The patient safety culture questionnaire and adverse event checklist were used for data collection. Questionnaires were completed by 650 nurses. Multiple logistic regression was used to examine the relationship between the variables. Results: The highest mean score of patient safety culture was related to the dimension of organizational learning, and the lowest score was for exchange and transfer of information. 35.4 percent of nurses said they had seen at least one patient fall in the past year (the least adverse event). Moreover, 51.9 percent of nurses stated that at least one pressure ulcer, or a complaint by a patient or his/her family had happened at their workplace in the past year (the most adverse event). Finally, the mean score of the patient safety culture had a significant relationship with the incidence of adverse events. Conclusion: This study confirms the patient safety culture as a predictor of adverse events. Hence, health officials and hospital administrators should provide prerequisites for promoting patient safety culture and reducing adverse events through different strategies, such as encouraging adverse events reporting as well as holding nurse training courses.
Khadijeh Bande Elahi,Leili Tapak,Yadolah Hamidi*简介:患者安全文化是减少医院不良事件和提高患者安全的重要因素。本研究的目的是评估哈马丹市医院的患者安全文化与不良事件之间的关系。方法:本研究是一项描述性分析研究,于2018年在哈马丹的医院进行。研究人群包括在医院工作的护士。采用患者安全文化问卷和不良事件检查表进行数据收集。650名护士完成了问卷调查。多元逻辑回归用于检验变量之间的关系。结果:患者安全文化的平均得分最高与组织学习维度有关,最低与信息交流和传递维度有关。35.4%的护士表示,他们在过去一年中至少见过一名患者摔倒(不良事件最少)。此外,51.9%的护士表示,在过去一年中,他们的工作场所至少发生过一次压疮,或患者或其家人的投诉(最严重的不良事件)。最后,患者安全文化的平均得分与不良事件的发生率有显著关系。结论:本研究证实了患者安全文化是不良事件的预测因素。因此,卫生官员和医院管理人员应通过不同的策略,如鼓励不良事件报告以及举办护士培训课程,为促进患者安全文化和减少不良事件提供先决条件。
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引用次数: 2
Determining the Factors Affecting Medical Tourism with Emphasis on Technological Entrepreneurship in Iran 确定影响伊朗医疗旅游的因素——以技术创业为重点
Q3 Medicine Pub Date : 2020-03-10 DOI: 10.29252/JHA.23.1.87
Hamidreza Najjari, Hossein Didehkhani, Mahmoudreza Mostaghimi, Seyyed Mohammad Mehdi Hosseini
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引用次数: 1
Investigating Related Factors on Creating a Competitive Advantage in Health Tourism Business: A Case Study 健康旅游企业创造竞争优势的相关因素研究——以健康旅游企业为例
Q3 Medicine Pub Date : 2020-03-10 DOI: 10.29252/JHA.23.1.45
hakime kiakojuri, Mohammad Ali Nasimi, Mohammad Javad Taghi Pourian, Qeidar Ghanbarzadeh
Introduction: Today, health tourism is one of the growing sectors of the tourism industry in the world. Health tourism as a source of income and job creation can be an approach to national economic development. Therefore, the aim of this study was to identify the factors related to creating a competitive advantage in the tourism business in the field of health. Methods: This descriptive analytical study was conducted cross-sectionally in 2019. The Target population of this study includes activists and business owners of Mazandaran tourism industry. A questionnaire was used to collect data. Experts were used to measure the validity of the questionnaire. Two hundred copies were distributed, out of which 165 questionnaires were completed and returned. The reliability of the data collection tool was confirmed by Cronbach's alpha and composite reliability. Data analysis used structural equation method and Smart PLS software . Results: The results showed that the socio-cultural situation with a path coefficient of 0.96 had a significant effect on creating a competitive advantage in health tourism in Mazandaran province. Having welfare ، access to accommodation, recreational facilities, and skilled manpower with a route coefficient of 0.95 and 0.85 were in the next ranks, respectively. Conclusion: While identifying the exact list of socio-cultural and historical capabilities of the province and introducing the welfare complexes and service-treatment centers, the trustees of the organizations should provide the necessary preparations for attracting health tourists. Furthermore, ways to identify facilities for tourists should be facilitated. Also, by training and employing skilled labor, the health tourism business will be strengthened.
导读:如今,健康旅游是世界旅游业中不断增长的部门之一。保健旅游作为一种收入来源和创造就业机会,可以成为国家经济发展的一种途径。因此,本研究的目的是确定在健康领域的旅游业务中创造竞争优势的相关因素。方法:本描述性分析研究于2019年横断面进行。本研究的目标人群包括马赞达兰旅游业的积极分子和企业主。问卷调查是用来收集数据的。专家被用来测量问卷的有效性。发放了200份问卷,其中165份问卷完成并归还。数据收集工具的可靠性通过Cronbach’s alpha和复合信度进行验证。数据分析采用结构方程法和Smart PLS软件。结果:马赞达兰省社会文化状况对健康旅游竞争优势的影响显著,路径系数为0.96。路线系数分别为0.95和0.85的福利、住宿便利、娱乐设施、熟练人力位居其后。结论:在确定该省社会文化和历史能力的确切清单并介绍福利综合体和服务治疗中心的同时,组织的受托人应为吸引健康游客提供必要的准备。此外,应该为确定游客设施的方式提供便利。此外,通过培训和雇用熟练劳动力,将加强保健旅游业务。
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引用次数: 0
Designing a Tool Related to Strategic Control in Hospital Centers 医院中心战略控制相关工具的设计
Q3 Medicine Pub Date : 2020-03-10 DOI: 10.29252/JHA.23.1.74
J. Sadeghifar, M. Raadabadi, R. Jorvand, M. Jafari
Introduction: One of the important requirements of health care systems in providing quality and safe services is developing appropriate strategies, effective implementation of these strategies, and controlling the results of the implementation. The design and implementation of a strategic control system ensures that the organization's performance in relation to the strategic management steps is correct. The purpose of this study was to identify and explore factors related to strategic control in the hospital systems. Methods: This analytical study was conducted in 2016 on 425 experts from the Strategic Planning Committee of educational hospitals affiliated to Tehran and Iran University of Medical Sciences and experts in the field of strategic planning. Data were collected using a researcher-made questionnaire. Data analysis was performed based on exploratory factor analysis with SPSS 21 software. Data were collected using a researcher-made questionnaire. Data analysis was conducted based on exploratory factor analysis using the SPSS software version 21. Results: Results of the exploratory factor analysis showed that factors related to strategic control in the hospital system were five independent factors including infrastructure and external support (variance percentage 13.3), vision clarification and strategy and conversion to action (variance percentage 12.2), sharing and establishing data and knowledge flow (variance percentage 10.3), planning and setting goals (variance percentage 9.2), and strategic learning and feedback (variance percentage 7.5). Conclusion: The results of the study showed that the strategic control questionnaire used in this study could be useful as a tool for assessing the accuracy of designing, implementation, monitoring, and evaluation of strategies in the hospital systems.
卫生保健系统在提供优质和安全服务方面的重要要求之一是制定适当的策略,有效地实施这些策略,并控制实施的结果。战略控制系统的设计和实施确保了与战略管理步骤相关的组织绩效是正确的。本研究的目的在于找出并探讨与医院系统策略控制相关的因素。方法:2016年对德黑兰附属教育医院和伊朗医科大学战略规划委员会的425名专家及战略规划领域的专家进行分析研究。数据是通过研究人员制作的问卷收集的。采用SPSS 21软件进行探索性因子分析。数据是通过研究人员制作的问卷收集的。数据分析采用探索性因子分析,采用SPSS软件21版。结果:探索性因子分析结果显示,与医院系统战略控制相关的因子为基础设施与外部支持(方差百分比13.3)、愿景明确与策略转化为行动(方差百分比12.2)、数据与知识流共享与建立(方差百分比10.3)、计划与设定目标(方差百分比9.2)、战略学习与反馈(方差百分比7.5)5个独立因子。结论:研究结果表明,本研究中使用的战略控制问卷可以作为评估医院系统战略设计、实施、监测和评估准确性的工具。
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引用次数: 0
Presenting a Green Human Resources Management Model in the Health Sector: A Grounded Theory 提出卫生部门绿色人力资源管理模式:一个有根据的理论
Q3 Medicine Pub Date : 2020-03-10 DOI: 10.29252/jha.23.1.112
Leila Pezhman, Mehraban Hadi Peykani, Mansoureh Pourmiri
Introduction: Nowadays, green human resources management is one of the new approaches which is considered in all organizational and managerial fields. The health sector needs green human resources management to improve service quality more than other fields. Thus, the purpose of this research was to present a green human resources management model in the health sector. Method: The research method was a qualitative grounded theory, and the participants were 28 health-related people in Isfahan in 1398. They were selected through the purposive sampling method, and in-depth semi-structured interviews were used for them. In order to analyze the data, open, axial, and selective codings were utilized. Findings: Data analysis led to identifying the following items: 51 preliminary concepts, 16 central themes of structural context (software and hardware), attitude to health, health-oriented policy, social responsibility, cooperative culture, for-profit actors, managerial view of health, materialistic and meta-materialistic requirements, lifelong learning, competition opening, investment, health-oriented associations, employee empowerment, crises management, and the formation of health-oriented governance which formed the central theme of the research, i.e. "Green Human Resources Development as Sustainable Health Development". Moreover, in order to validate the findings, the analysis process was rereviewed and the opinions of five experts outside the research were used. Finally, all the main themes were incorporated into the paradigm model of Strauss and Corbin. Conclusion: Given the views of the experts, it can be concluded that using green human resources management is implementable in the health sector. In addition, serious attention must be paid to its different aspects such as employee empowerment, hardware and software platforms, various investments, and specialized personnel.
引言:绿色人力资源管理是当今各个组织和管理领域都在考虑的新方法之一。卫生部门比其他领域更需要绿色人力资源管理,以提高服务质量。因此,本研究的目的是提出卫生部门绿色人力资源管理模式。方法:研究方法采用定性扎根理论,研究对象为1398年伊斯法罕市28名健康相关人群。通过有目的的抽样方法对他们进行选择,并对他们进行深入的半结构化访谈。为了分析数据,使用了开放编码、轴向编码和选择性编码。数据分析导致确定以下项目:51个初步概念,16个中心主题,结构背景(软件和硬件),健康态度,健康导向政策,社会责任,合作文化,营利性行为者,健康管理观,物质和元物质要求,终身学习,竞争开放,投资,健康导向协会,员工赋权,危机管理和健康导向治理的形成,构成了研究的中心主题,即。“绿色人力资源开发是可持续的健康发展”。此外,为了验证研究结果,分析过程进行了审查,并使用了研究之外的五位专家的意见。最后,所有的主题都被纳入了施特劳斯和科尔宾的范式模型。结论:根据专家的意见,可以得出结论,在卫生部门实施绿色人力资源管理是可行的。此外,必须重视员工授权、硬件和软件平台、各种投资和专业人员等不同方面。
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引用次数: 1
The effect of sanctions on health of Iran using spatial panel method 利用空间小组法研究制裁对伊朗健康的影响
Q3 Medicine Pub Date : 2020-03-01 DOI: 10.29252/JHA.23.1.58
بهروز ابهری, رویا آل عمران, حبیب آقاجانی
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引用次数: 1
Quality and readability of online health information produced by the Ministry of Health and Medical Education of Iran 伊朗卫生和医学教育部制作的在线健康信息的质量和可读性
Q3 Medicine Pub Date : 2019-01-01 DOI: 10.29252/JHA.21.74.65
وحیده زینالی, عباس حق پرست, لو منصورهدمرچی, ناصر وظیفه شناس
مقدمه: وزارت بهداشت، درمان و آموزش پزشکی ایران یکی از مهم‌ترین تولیدکنندگان اطلاعات سلامت برای بیماران، مراقبان بیماران و عموم افراد جامعه است. هدف از پژوهش حاضر بررسی کیفیت و خوانایی اطلاعات سلامت برخط تولید شده توسط وزارت بهداشت، درمان و آموزش پزشکی و سازمان‌های وابسته به آن می‌باشد.روش‌ها: پژوهش حاضر از نوع پیمایشی- توصیفی است. وب‌سایت وزارت بهداشت، درمان و آموزش پزشکی به همراه وب‌سایت ۴۸ دانشگاه علوم پزشکی وابسته به این نهاد در بازه زمانی فروردین تا تیرماه ۱۳۹۷ مورد بررسی قرار گرفتند. از میان ۱۰۷۸۰ رکورد شناسایی و دانلود شده، ۷۱۶۴ رکورد که با هدف آموزش به بیمار تهیه شده بودند، وارد پژوهش شدند. نمونه‌ای تصادفی شامل ۲۱۵ رکورد انتخاب و توسط دو پژوهشگر مورد بررسی قرار گرفت. به منظور بررسی کیفیت اطلاعات از پرسش‌نامه DISCERN و به منظور تعیین سطح خوانایی اطلاعات از شاخص فلش دیانی استفاده شده است.یافته‌ها: میانگین کیفیت اطلاعات سلامت، مقدار ۱/۴۱ و میانگین سطح خوانایی اطلاعات، مقدار ۳/۳۵  به دست آمد که نشانگر کیفیت متوسط و خوانایی پایین اطلاعات مورد بررسی است. بالاترین سطح کیفیت در اطلاعات تولید شده مربوط به دانشگاه علوم پزشکی تبریز با میانگین امتیاز ۵۰/۴۹ و بالاترین سطح خوانایی اطلاعات مربوط به دانشگاه علوم پزشکی شهید بهشتی با میانگین امتیاز ۲۸/۵۴ بوده است.نتیجه‌گیری: اطلاعات مورد بررسی از نظر کیفیت در سطح بین ضعیف تا متوسط قرار داشته و از نظر خوانایی نیز اغلب دشوار بودند. به منظور برطرف ساختن این مشکل توصیه می شود پیش از تولید بسته‌های اطلاعاتی آموزش به بیمار، استانداردهای تولید محتوا برای بیماران مورد توجه قرار گیرد.
卫生、卫生和医学教育部是伊朗最重要的患者、患者和公共卫生保健部门之一。这项研究的目的是探索卫生、治疗和医疗培训部以及相关组织编制的健康数据的质量和可读性。方法:研究正在进行中。卫生、治疗和医学培训部的网站以及48所医科大学一直在机场接受调查,直到1937年的壁炉。在20世纪70年代,记录被识别和下载,71644份记录被调查用于教授患者。两名研究人员对25份选定记录的意外样本进行了测试。为了检查来自DISCERN查询的信息质量,健康信息的平均质量为1/44,手上读取信息的平均水平为3/35。检查以下平均质量和读数。物理科学大学生成的数据质量最高,在50/49之间,与物理科学大学相关的数据读数最高,为28/54。低级别的质量分析数据也往往难以阅读。建议在制作患者的教育包(患者的产品标准)之前解决问题。
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引用次数: 1
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Journal of Health Administration
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