Mohammad Hossein Yarmohammadian; Mehdi Nasr-Isfahani; Elham Anbari
Volume 12, Issue 6 , December 2016, , Pages 777-784
Abstract
Introduction: Hospitals are often considered to be the forefront of countering incidents, some of which result from a wide range of incidents including industrial accidents, natural outbreaks of disease, and regional accidents called chemical, biological, radiological, and nuclear (CBRN) accidents. This ...
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Introduction: Hospitals are often considered to be the forefront of countering incidents, some of which result from a wide range of incidents including industrial accidents, natural outbreaks of disease, and regional accidents called chemical, biological, radiological, and nuclear (CBRN) accidents. This study was conducted to assess the level of preparedness, capacity, and capability of responding to CBRN incidents in teaching hospitals of Isfahan, Iran. Methods: This descriptive study was conducted in 2013-2014. The statistical population consisted of 43 managers, matrons, educational supervisors, emergency supervisors, and head-nurses in teaching hospitals (12 hospitals) of Isfahan. The participants were selected through census sampling. The data collection tool was a checklist translated by the researcher and its content validity was verified by facts and concepts provided in valid sources and by university professors and experts. Results: Except hospital A, which had a specialized emergency room for CBRN accidents, no other hospital was prepared to deal with CBRN incidents. Using the checklist, hospital A obtained the a good score in terms of preparedness and planning, employing decontamination team, warm decontamination zone, warm decontamination system, decontamination triage, and patient decontamination. It obtained a relatively good score in terms of security and access control, and medical monitoring of staff. It also acquired an average score in in hazard declaration and recovery. However, it did not obtain a good score in training and exercise, and personal protective equipment. Conclusion: None of the studied hospitals had the necessary capacity and capability to counter CBRN incidents. The emergency ward of hospital A, however, was assessed to perform well in terms of preparedness and response (score: 67%).
Nooshin Mohebbi; Susan Bahrami; Mohammad Hossein Yarmohammadian; Narjes Mirabootalebi; Sedigheh Karami
Volume 12, Issue 1 , May 2015, , Pages 38-47
Abstract
Introduction: Medical Records services as one of the indicators of Allied Health Sciences in order to demonstrate the work efficiency and quality of healthcare work is a valuable benchmark. Medical records department play an important role in assessment and planning of prioritization quantity and quality ...
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Introduction: Medical Records services as one of the indicators of Allied Health Sciences in order to demonstrate the work efficiency and quality of healthcare work is a valuable benchmark. Medical records department play an important role in assessment and planning of prioritization quantity and quality of healthcare and its staff from legal and ethical perspective should be held accountable for the quality of information registry and this fact have direct connection with services quality so their perspective in determining the quality of services in health institutions has a special position. This study evaluates the quality of medical records department services from the perspectives of medical records personnel in teaching hospitals of Isfahan.Methods: This was an applied and descriptive- survey research with statistical population of medical records personnel employed in teaching hospitals of Isfahan in 2013 (96 people, all the research population). In order to collect data Servqual standard questionnaire based on the five dimensions of assurance, responsiveness, empathy, reliability and tangibles were used based on likert scale rating. Since in preparing the questionnaire, qualitative perspective of Parasurman - Zeithamel was observed, and with attention to consulting with experts, questionnaire’ validity was confirmed. The reliability of the questionnaire calculated by Cronbach's alpha coefficients and was obtained 0.83 for the expectation and 0.88 for perceptions. SPSS software for data analysis and descriptive and inferential statistics were used.Results: Two-way analysis showing the relationship among the gap between expectations and perceptions of the medical records department personnel in services' quality. The results show a significant difference between expectations and perceptions of medical records departments’ personnel in teaching hospital of service quality. The gap between expectations and perceptions were equal to: assurance (0.98), responsiveness (1.82), empathy (1.94), reliability (0.60) and tangibles (1.53). The biggest gap was related to empathy (1.94) and the smallest gap was related to reliability (0.60).Conclusions: In general, the largest quality gap in this research is the empathy dimension of staff. Efforts and planning of hospital management and heads of medical records departments to create the circumstances in which number of personnel to be determined by using the standard method, based on the sheer size and number of patients; can lead to raising the quality of the services.
Majid Davari; Alireza Moafi; Mohammad Hossein Yarmohammadian; Elham Khayyam Haghighi
Volume 11, Issue 7 , December 2014, , Pages 1047-1057
Abstract
Introduction: Costing and cost analysis in health care section is very important in health care management from microeconomic point of view. Various studies have shown that the most common cancer among children is leukemia. Likewise the most prevalent form of leukemia in children under 15 years old is ...
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Introduction: Costing and cost analysis in health care section is very important in health care management from microeconomic point of view. Various studies have shown that the most common cancer among children is leukemia. Likewise the most prevalent form of leukemia in children under 15 years old is acute lymphocytic leukemia (ALL). The aim of this study was to determine the direct medical costs of ALL among children between 1-15 years old in Isfahan - Iran. Methods: This study is a cross-sectional and descriptive study. The samples were all registered patients in Seyed Alshohada Hospital from 20th March 2007 to 21st march 2012 who were suffering from ALL. Their medical records were reviewed and all required data including the type and cost of services were extracted. Health care services were categorized into diagnostic, inpatient and outpatient services. The cost of each category was calculated and standardized based on inflation rate in order to avoid cost miscalculation. Version 18th of the SPSS software was used for statistical analysis. Results: The profile of 252 subjects were reviewed; but considering the inclusion and exclusion criteria, only 106 subjects were included in our study; in which 106 patients received the main course of the treatment and 35 of them obtained the complementary course of the treatment at the hospital. 55.7 % of the patients were boys. The median of the direct medical cost per patient was 136,040,789 I R Rials for the main course treatment in the year 2012 and 78,835,624 Rials IRR for the complementary therapies based on public medical tariffs. However when considering the private medical tariffs the total direct medical cost of treatment was estimated at 610000000 IR Rials. The medication cost was the major cost component of the treatment. Conclusion: Total direct medical costs of ALL based on public medal tariffs was equal to 214876413 IR Rials. However, considering the hidden subsidy in public sector, it seems that the figure of 610 Million IR Rials is more realistic costs of managing ALL patients in Iran.
Ahmad Reza Raeisi; Mohammad Hossein Yarmohammadian; Roghayeh MohammadiBakhsh; Hamid Gangi
Volume 10, Issue 4 , November 2013, , Pages 601-610
Abstract
Introduction: The application of balanced scorecard is growing in public health and nonprofit organization. This model is a conceptual framework for formulating a set of performance indicators in line with strategic objectives. One of the key principles of the balanced scorecard process is to identify ...
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Introduction: The application of balanced scorecard is growing in public health and nonprofit organization. This model is a conceptual framework for formulating a set of performance indicators in line with strategic objectives. One of the key principles of the balanced scorecard process is to identify those indicators that accurately measure the strategies to achieve. The purpose of this study was to determining the performance indicators of Al-Zahra Hospital of Isfahan University of Medical Sciences based on Iranian BSC model. Methods: This is a qualitative research study that was conducted in Al-Zahra academic medical center at Isfahan University of medical sciences in 2011. The research populations are hospital managers at different levels. Sampling method is purposive sampling in which the key informed personnel participated in determining the performance indicators of hospital selected as the BSC team members at focused discussion groups. By the focused group discussion meetings, hospital performance indicators were developed and finalized and then these indicators were classified and placed in balanced scorecard perspectives. Research tool for information gathering was a checklist that designed based on research indicators and proposed indicators by Al-Zahra hospital which The construct and content validity of the checklist were confirmed several times by reviews and by the help of research supervisors, consultant and senior hospital administrators. Data analyzing was conducted using quality content analysis method. Results: Balanced scorecard of this center was determined in four perspectives: patients and community (customer), internal processes, learning and growth and financial perspectives, and then indicators were defined for each perspective. Total number of balanced scorecards indicators was 30 cases that most indicators respectively finalized in internal processes and learning and growth perspectives. Conclusion: Balanced scorecard offers a tool to translate organizations mission into tangible and measureable goals, activities and performance indicators. Success of balanced scorecard is due to careful selection of indicators that contain main essence of the organizations strategy. Categorizing indicators in four perspectives are very useful in improving hospital performance level. Therefore continuous monitoring and evaluation of these indicators are required in line with achieving hospital goals and strategies. Keywords: Balanced Scorecard; Performance Evaluation; Hospitals
Mohammad Hossein Yarmohammadian; Hossein Ebrahimipour; Farzaneh Dousty
Volume 9, Issue 7 , December 2012, , Pages 1123-1131
Abstract
Ever environmental changing and the rapid advancement of technology has forced the health careorganizations to accommodate in line with appropriate changes. In sectors like healthcare, there are manylegal restriction and clinical guidelines that practitioner have to comply with. Therefore, these featureslead ...
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Ever environmental changing and the rapid advancement of technology has forced the health careorganizations to accommodate in line with appropriate changes. In sectors like healthcare, there are manylegal restriction and clinical guidelines that practitioner have to comply with. Therefore, these featureslead to less freedom and authority to free core business process from non-value adding activities andreengineering of process for practitioners. Nowadays, flexible principle of business process management(BPM) is a strategy that successfully applies in many developed countries. BPM includes identifying thecurrent status of processes, modeling and determine effects of process’s reforms implementation. In manycontexts, this approach has been introduced as the third wave of reforms that is the effective method, andits aims are to eliminate previous methods defects and considering budget constraints and the legalrequirements. Through focusing on essential steps of process, integration and eliminating the non-valueadded steps, BPM provides the possibility of increasing the flexibility, quality and speed of processes. Inhealthcare organizations, employing BPM, via integration of electronic health record (HER) and hospitalinformation system (HIS), and guidelines, meet the above mentioned aims. In this paper, after briefdescription of process-oriented trend history, we introduced the BPM approach, and its aims andintervention scopes in healthcare organizations were described
Susan Bahrami; Mohammad Hossein Yarmohammadian; Saeed Rajaeepour; Hassan Ali Bakhtiyar Nasrabadi
Volume 9, Issue 6 , March 2012, , Pages 870-877
Abstract
AbstractIntroduction: Today, human resources are the most important competitive advantage of organizations.Therefore, university administrators should be aware of how to effectively use this strategic factor andadvantage. However, innovation is also a valuable tool in confronting uncertainty, and responding ...
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AbstractIntroduction: Today, human resources are the most important competitive advantage of organizations.Therefore, university administrators should be aware of how to effectively use this strategic factor andadvantage. However, innovation is also a valuable tool in confronting uncertainty, and responding to andimpacting the external environment. The aim of the present study was to determine the simple andmultiple correlations between functions of strategic human resource management and administrativeinnovation in medical and nonmedical universities in the Isfahan province, Iran.Methods: This was a descriptive and correlational study. The study population consisted of all facultymembers of public universities of Isfahan (1830 people) from which 480 people were chosen by stratifiedrandom sampling. The research tools included strategic human resource management practicesquestionnaire and the administrative innovation questionnaire. The face and content validity of thequestionnaires were confirmed, and their reliability was calculated by Cronbach’s alpha. Data analysiswas performed by descriptive and inferential statistics.Results: Findings showed that the mean scores of strategic human resource management practices andadministrative innovation scores in public universities of this province were less than average. On the otherhand, a significant multiple correlation existed between strategic human resource management practices(training, service reward, assessment of performance, providing human resources, and employeecontributions) and administrative innovation. Beta coefficients were statistically significant between all thepractices of strategic management of human resources and administrative innovation. The variance inflationfactor for these variables was 1.33 to 2.75; which shows no line between them and that the regression modelhas been significant. The member's comments regarding the relationship between strategic human resourcemanagement practices and administrative innovation in terms of demographic characteristics were similar.Conclusion: Educational organizations can pave the way for organizational innovation by adoptingappropriate human resource functions.
Susan Bahrami; Saeed Rajaeepour; Mohammad Hossein Yarmohammadian
Volume 8, Issue 7 , January and February 2012, , Pages 976-983
Abstract
Introduction: During the past two decades, higher education has played an important role as one of the most important elements of advanced societies in development of science, information technology and internet communications. In the knowledge-based world of 21st century, the need for ...
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Introduction: During the past two decades, higher education has played an important role as one of the most important elements of advanced societies in development of science, information technology and internet communications. In the knowledge-based world of 21st century, the need for professionals and managers is growing which in turn increases the importance of higher education in the society and the international community. This article sought to review intellectual capital components in public higher education medical and non-medical systems in Isfahan, Iran. Methods: In an analytical study, stratified random sampling was used to select 480 subjects from all faculty members (n = 1830) of Isfahan University, Isfahan University of Technology, Kashan University, and Isfahan and Kashan Universities of Medical Sciences. A questionnaire was designed according to Torres (2006). The validity and reliability of the questionnaire were confirmed by face and content validity and Cronbach's alpha (r = 0.97), respectively. Using SPSS18, data was analyzed at two levels of descriptive and inferential statistics. Results: Intellectual capital and its components, including human capital, structural capital and relational capital, in public universities of the province were lower than the average level. A significant positive relation was observed between human capital, structural capital and relational capital. Moreover, a significant difference was found between mean values of intellectual capital components of universities in terms of location and duration of experience. In fact, structural capital in universities of Isfahan was higher than other public universities in the province. Likewise, faculty members with a work experience of 1-10 years had higher structural capital than those with 11-20 years of experience. On the other hand, human capital and relational capital were higher in faculty members with more than 21 years of experience. However, differences based on other demographic characteristics were not significant. Conclusion: Using intellectual capital framework as a heuristic tool would enable universities to solve the new management problems, to disseminate intangible resources, and to cooperate with multiple stakeholders.
Farzaneh Hatampour; Mohammad Hossein Yarmohammadian; Nahid Tavakoli; Asadolah Shams
Volume 8, Issue 6 , January and February 2012, , Pages 762-765
Abstract
Introduction: Today, many organizations attempt to fully develop in gradual evolution of their processes. PCMM is one of the models which focus on improving organizational human capabilities. This model is applied to continually increase people's ability to attract, develop, motivate, ...
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Introduction: Today, many organizations attempt to fully develop in gradual evolution of their processes. PCMM is one of the models which focus on improving organizational human capabilities. This model is applied to continually increase people's ability to attract, develop, motivate, organize and retain the skills. In this study, PCMM was used to investigate organizational maturity needs in medical record departments of Isfahan public hospitals and to determine strengths, weaknesses, skills and capabilities of their staff members. Methods: This was an applied, cross-sectional study in which data was collected by questionnaires. The questionnaires were given to the staff of Isfahan public hospitals to investigate PCMM model needs at levels 1 and 2. The questionnaire has been extracted from the PCMM model and its validity and reliability have been approved by Cronbach's alpha (α = 0.96). The collected data was analyzed by SPSS using descriptive statistics. Results: Our findings showed that the mean score of skills and capabilities of medical record staff in governmental hospitals was 35 (out of 56). Medical record staff of hospital number 10 had the maximum maturity in level 2 of PCMM model (mean score = 55). Hospitals number 1 and 4 had minimum maturity in level 2 of PCMM model (mean score = 24). There was no significant relation between organizational maturity and the characteristics of medical record staff. Conclusion: PCMM model application would lead the staff and managers to pay increased attention to identifying the weaknesses of current activities and practices to improve and develop the onging processes.
Mohammad Hossein Pasandide; Mohammad Hossein Yarmohamadian; Masoud Ferdosi
Volume 8, Issue 8 , January 2012, , Pages 997-1006
Abstract
Introduction: Management is the most important factor in success and survival of organizations.Managers thus have decisive vital role in development of any organization. The purpose of this research was to assess the opinions and perceptions of executives and academic experts about Islamic management ...
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Introduction: Management is the most important factor in success and survival of organizations.Managers thus have decisive vital role in development of any organization. The purpose of this research was to assess the opinions and perceptions of executives and academic experts about Islamic management components.Methods: This study used qualitative content analysis to evaluate 14 academics who had experience or publications related to the topics of the research. To collect data, interviews were conducted to reach saturation. The main concepts of the interviews were then extracted.Results: The religious, Islamic government aims to restore peace, security, and social rights, not to intimidate people. The leader of an Islamic system should thus be committed to human dignity, values, regulations and divine laws. Islamic management appreciates evaluation, unity and harmony, tolerance, and consultation and communication with people. Mercy, compassion and kindness to the citizens are the prerequisites of an Islamic government.Conclusion: Islamic management is derived from the guidelines of Islam. The most important feature of this management method is to consider a holy goal for which no unacceptable measures should be performed.
mohammad salarianzadeh; Mahdi Jafari Sirizi; Mohammad Hossein Yarmohammadian; Ali Maher
Volume 8, Issue 8 , January 2012, , Pages 1025-1038
Abstract
Introduction: In every organization, productivity is considerably related with organizational knowledge, experience, creativity, and skills. Therefore, an organization must develop training programs to extract and supply individual, occupational, and organizational needs. This case study described the ...
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Introduction: In every organization, productivity is considerably related with organizational knowledge, experience, creativity, and skills. Therefore, an organization must develop training programs to extract and supply individual, occupational, and organizational needs. This case study described the management performance promotion plan in the Iranian Ministry of Health and Medical Education (MOHME). The plan aimed to strengthen the knowledge, insight, and skills of managers for organizational missions.Methods: Competency-based training (CBT) was used to empower managers in the Iranian MOHME during 2002-2008. The program included 7 stages for which a professional training committee was formed and 7 education-research-consultation centers were established. All man-agers of MOHME were covered by the program. In every stage, both the findings of previous studies and implementation of new research were used. The training committee confirmed the validity of the primary and secondary information, the training method, and results in every stage by using scientific methods and tools.Results: The extracted needs, developed packages and implemented courses were in line with the objectives, strategies, problems, legal duties and organizational and occupational needs of the MOHME. Managers' performance assessment at 6-month and one-year intervals showed their per-formance was improved by 25%. Their performance was also 37% higher than untrained managers. Most managers did not initially possess adequate management knowledge, skills, and experience.Conclusion: In order to promote performance of managers, attention must be paid to organiza-tional missions and the required skills and knowledge. CBT is an appropriate model for improv- ing individual, professional, and organizational performance of managers and can be used in the Iranian MOHME.
Assadollah Shams; Mohammad Hossein Yarmohammadian; Akbar Hassanzadeh; Hadi Hayati Abbarik
Volume 8, Issue 8 , January 2012, , Pages 1086-1096
Abstract
Introduction: Due to the intense competition that has dominated the world economy, providing additional services to customers and quality improvement are not considered as added value but as necessary and inevitable. Therefore, higher education, and focusing on customers, particularly students, is the ...
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Introduction: Due to the intense competition that has dominated the world economy, providing additional services to customers and quality improvement are not considered as added value but as necessary and inevitable. Therefore, higher education, and focusing on customers, particularly students, is the main pillar of progress and comprehensive development of each country. Hence, the purpose of this study was to determine the scores of customer-oriented criteria according to the viewpoints of students of Isfahan University of Medical Sciences, Isfahan, Iran.Methods: This analytical, cross-sectional study was conducted in 2011. Research community included all students in 7 schools of Isfahan University of Medical Sciences. Sample size was calculated as 384 persons. Data collection tool was a self-made questionnaire evaluated the four criteria of customer-oriented (student-oriented) approach. It covered customer orientation of the university management, faculty, educational departments, and the educational process. All assessments were made based on a Likert scale. Validity and reliability of the questionnaire were also evaluated. Finally, using SPSS, independent t-test and analysis of variance (ANOVA) were performed to analyze data.Results: Score of educational departments (53.45) was higher than the other criteria. Faculty (50.27) and educational processes (46.12) had the highest level of customer-orientation.However, management had minimal impact (40.56) on promoting customer-orientation. Gender and level of education were significantly associated with most customer-orientation criteria, i.e. women and master's course had the highest levels of customer-orientation criteria.Conclusion: Since gender is considered as a determining factor in medical and health-related services provision, customer-orientation can differ in various aspects between universities of medical sciences. In order to improve customer-orientation, attention needs to be paid to student-centered activities.
Mohammad Hossein Yarmohammadian; Mohammad Hossein Yarmohammadian; Farideh Movahedi
Volume 8, Issue 8 , January 2012, , Pages 1226-1234
Abstract
Studies can be found in two groups of primary and secondary studies. Review articles are the most important secondary studies in which the researcher comprehensively surveys published articles in a specific field. However, the deep gap between scientific evidence is an undeniable fact ...
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Studies can be found in two groups of primary and secondary studies. Review articles are the most important secondary studies in which the researcher comprehensively surveys published articles in a specific field. However, the deep gap between scientific evidence is an undeniable fact that is probably caused by the large volume of publications. Reviewing such a wide variety of publications would definitely be time-consuming. Therefore, a high-quality review article related to a specific question would help improve quality of your research while reducing the amount of time spent. Review articles compress a large volume of information to a comprehensible format and thus facilitate the advancement of science. Using review article is necessary because of bombardment of information, weak studies, inconsistencies in the results of studies, loss of time and money, losing time and money, and research needs assessment. This review article tried to represent guidelines for types, content, and structure of writing standard review articles. According to the available literature, review articles do not have an organized structure and are non-uniform. Researchers are recommended to use an appropriate structure based on the field of their study.
Maryam Yaghoubi; Mohammad Hossein Yarmohammadian; Ahmad Reza Raeisi; Marzieh Javadi; Sakineh Saghaiannejad Isfahani
Volume 7, Issue 0 , December 2011
Abstract
Introduction: Organizational justice is a variable that predicts many organizational variables. One of these variables that have an important role in many organizations today is organizational citizenship behavior. So this study aimed to study the relationship between organizational justice and organizational ...
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Introduction: Organizational justice is a variable that predicts many organizational variables. One of these variables that have an important role in many organizations today is organizational citizenship behavior. So this study aimed to study the relationship between organizational justice and organizational citizenship behavior among medical record staff in selected hospitals of Isfahan in 2008.Methods: In this descriptive correlation study, medical record stuffs were included. Data collected using two questionnaires: organizational justice, and organizational citizenship behavior questionnaire. The questionnaires reliability was supported based on Cronbach Alfa .and questionnaire validity confirmed by specialist view of point. Data analyzed by SPSS software.Results: Mean score of organizational justice among hospital stuff in Isfahan was 40.9+/-18.1.between hospitals in Isfahan. The highest and lowest score was related to distributive and interactive justice, respectively. There was no significant relationship between organizational justice and conscientiousness, altruism, sportsmanship. There was a significant relationship between organizational justice and civic virtue, courtesy and organizational citizenship behavior (P<0.001).Conclusion: Since the score of organizational citizenship behavior and organizational justice among stuff of selected hospitals were moderate and the score of interaction justices was weak. Therefore, hospital managers should provide the backgrounds of creating and improvement of perceived justice among staff.Keywords: Organizations; Behavior; Medical Records; Variables.
Jahangir karimian; Parivash Shekarchizadeh Isfahani; Mohammad Hosein Yarmohammadian; Bahareh Gholami; Mona Dastgheyb; Maryam Farivar Afshar
Volume 7, Issue 0 , December 2011
Abstract
Introduction: Since human resources in organizations are the most important factors of effectiveness and efficiency, identification of the factors affecting the performance and response of personnel, including intraorganizational changes in management levels is very important. Therefore the goal of this ...
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Introduction: Since human resources in organizations are the most important factors of effectiveness and efficiency, identification of the factors affecting the performance and response of personnel, including intraorganizational changes in management levels is very important. Therefore the goal of this research was to determine the effects of organizational changes on employee's reaction of head quarter of Isfahan University of Medical sciences.Methods: In this survey study, 100 out of 700 studied people were selected by random stratified sampling method based on Morgan Table. Data collected using questionnaire of employees reactions against changes and questionnaire of acceptation to change job which validity(face and content) and reliability was approved by experts and measuring of Cronbach’s coefficient alpha(0.76 for reactions against changes and 0.84 for job change).Obtained data analyzed using SPSS software and descriptive and inferential tests (test Kendal).Results: 70% of studied population were in 30-39 years age group and had equal men and women distribution. Mean of work experiences was 12.6 years and 54% of them were formal employee. The scores obtained from job change questionnaire were between 5-25 and mean score of job change acceptation was 14.42.The scores obtained from reactions against changes questionnaire was between 24-6 and mean of denying, resistance, exploration and commitment reactions were 14.12,16.32, 13.9 and 12.15.There was no significant relationship between age, sex, organizational position, work experiences and employment type with job change and reactions of deny, acceptance, resistance, exploration and commitment. There was positive correlation between age, commitment, type of employment and acceptance of job change.Conclusion: Results of research indicate there is a kind of indifference among employees towards the organizational change which may be due to organizational culture, lack of adequate information, lack of involvement in the process of change and lack of proper training. Also, people who have job security (formal engagement) showed more commitment reaction than the other staff.Key words: Organizational Change; Managers; Personnel; Universities.
Mohammad Hossein Yarmohammadian; Zahra Agharahimi; Hadi Haiati Abbarik; Roqaye Mohammadi Bakhsh
Volume 7, Issue 0 , December 2011
Abstract
The goal of this article is review on case study methodology as a comprehensive method for theorizing in field of health and evaluating its applications. The method of this article is review and description of case study as a comprehensive study and in macro level as an integrated and combined strategy ...
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The goal of this article is review on case study methodology as a comprehensive method for theorizing in field of health and evaluating its applications. The method of this article is review and description of case study as a comprehensive study and in macro level as an integrated and combined strategy intend to explain goals of the method, definition of CASE, how to select it, conceptual framework and phases in case study methodology. According to review and analysis of literature about case study methodology, it is concluded that case study methodology is neglected in health management and planning research. Considering advantages of this method, it is recommended to do further study and application of it to theorizing and evaluating as well as solving the problems in health system.Keywords: Case Study; Research Methods; Organization and Administration; Research.
Faezeh Akhlaghi; Mohammad Hossein Yarmohammadian; Masumeh Khoshgam; Nooshin Mohebbi
Volume 8, Issue 5 , November and December 2011
Abstract
Introduction: Quality in higher education requires assessment and judgment of goals and strategies, executive policies, operational processes, products and outcomes. The context, input, process, and product (CIPP) model is a comprehensive perspective to determine, obtain and prepare. It always tries ...
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Introduction: Quality in higher education requires assessment and judgment of goals and strategies, executive policies, operational processes, products and outcomes. The context, input, process, and product (CIPP) model is a comprehensive perspective to determine, obtain and prepare. It always tries to provide information in order to make the best decisions related to context, input, process and product. This study aimed to evaluate the Master's course of Medical Records Education using CIPP pattern. Methods: This applied, descriptive, evaluative research was conducted at four Iranian universities of medical sciences in 2010. Statistical population included five sub-populations of group managers, faculty members, students, graduates and librarians (n = 140). Five researcher-developed questionnaires based on Likert rating scale were used for data collection among the five subgroups. The Cronbach's alpha coefficient formula was used to determine the reliability of the questionnaires (α = 0.74, α = 0.93, α = 0.89, α = 0.95 and α = 0.95, for the abovementioned subgroups, respectively). Content and face validity of the questionnaires were also assessed by reliable scientific textbooks and viewpoints of experts and professors. Finally, data analysis was done through descriptive statistics and SPSS. Results: Maximum level of desirability belonged to faculty members (4.84) in the field of input (human resources). Minimum level of desirability was seen for budget (2.50) in the field of input (financial). Conclusion: The results of the study indicate that the continuous evaluation of medical records groups and medical records education courses would determine the strengths and weaknesses of the programs and improve their quality. Keywords: Evaluation; CIPP Model; Training Programs; Quality.
Hassan Ghahnaviyeh; Farideh Movahedi; Mohammad Hossein Yarmohamadian; Sima Ajami
Volume 8, Issue 1 , March and April 2011
Abstract
Introduction: With reviewing of scientific production in any field, strategic planning could be conducted for policy research assessment, improve the quality of research activities and evaluate obtained promotions. This study aimed to analyze the content and citation of published articles in the journal ...
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Introduction: With reviewing of scientific production in any field, strategic planning could be conducted for policy research assessment, improve the quality of research activities and evaluate obtained promotions. This study aimed to analyze the content and citation of published articles in the journal of "Health Information Management". Methods: In this descriptive study, the content and Citation of 175 articles published in the Journal of “Health Information Management” was analyzed from 2004 till 2010. The analyze was conducted using a checklist and obtained data was entered in Excell software. The validity of checklist was confirmed by experts. Data was analyzed by descriptive statistics such as data classification based on frequency distribution and mean and charts drawing. Results: Most authors (58%) from 531 authors of 175 articles were male. Most of the authors (263 author) were at PhD level; the academic level of most of them was assistant professor (116 author) and most of them were affiliated to Isfahan University of Medical Sciences. Most of the studied articles were descriptive (127 titles), the most used tool was questionnaire (76 titles) and the most used subject descriptors were hospitals (30 titles).Most type of published articles were research ones(150 titles) and most of them were extracted from approved projects(60 titles). Greatest numbers of articles (51 titles) were published in 2010 with most subject trends of “Management" (Title 50). Most citations were referred to the articles (43%) with latin sources of language (58%).Self citation to authors and journals was reported in 4.45% and 1.05% of articles. Conclusion: The behavioral pattern of authors should be pushed to writing analytical papers and using various and novel methods in the field of information management in the healthcare field. The journals editors should consider a certain level in their self citation. Keywords: Content Analysis; Citation; Journal Article; Periodicals.
Mohammadhossein Yarmohammadian; Shahram Tofighi; Sekineh Saghaiannejad Esfahani; Tahereh Naseribooriabadi
Volume 4, Issue 1 , March 2007
Abstract
Introduction: Risk management nowadays is one of the main concerns of all professions in order to protect themselves as well as keeping a competitive edge in the market. Analyzing risks and their consequences (FMEA) is one of the techniques of risk assessment which has been used in this research to define ...
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Introduction: Risk management nowadays is one of the main concerns of all professions in order to protect themselves as well as keeping a competitive edge in the market. Analyzing risks and their consequences (FMEA) is one of the techniques of risk assessment which has been used in this research to define and assess risks and prevention measures for the risk. Methods: In this descriptive, cross sectional study, medical record department of Al-Zahra hospital was studied. The researcher did observe work processes and interviewed with hospital staff during 1385-86 and then prepared a diagrammatic presentation of those processes. All processes were reviewed in detail and possible risks and consequences, severity, accordance, discovery and risk priority was defined through focus groups. FEMA was used in this research. FEMA was considered reliable due to its use by researchers in other countries and its validity is defined through expert opinion. Experts in medical record were consulted and suggested actions were discussed in a focus group and prioritized by department manager according to significance and implacability. Ranking was assessed according to the criteria of decision table in this research. Results: 24 out of 56 possible failures were related to admission office with the highest score related to “inability of admission personnel in re-reading admission order”. Conclusion: Techniques such as FEMA with emphasis on group work and prevention, enhance staff precision, and attention to their possible professional weaknesses as well as taking actions to prevent them. Key words: Risk Factors; Risk Management; Meta Analysis; Task Performance and Analysis; Hospitals; Medical Records
Ehsanollah Habibi; Bahram Soleymanei; Roya Nateghei; Maryam Lotfirosbehani; Mohammadhosein Yarmohammadian
Volume 4, Issue 1 , March 2007
Abstract
Introduction: Occupational risks and incidents at work have led to many unpleasant consequences during the last decades so that each year the 28th April is dedicated to ";Workers Memorial Day"; to commemorate workers who lost their lives in occupational incidents. Safety of personnel and their work environment ...
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Introduction: Occupational risks and incidents at work have led to many unpleasant consequences during the last decades so that each year the 28th April is dedicated to ";Workers Memorial Day"; to commemorate workers who lost their lives in occupational incidents. Safety of personnel and their work environment have a great importance all over the world. Consideration required in medical and health units and also in hospitals, is an important administrative task. Most of the managers in developed countries, assume safety as an investment with a great return profit. Safety in hospital radiology units is very crucial. In these units, there is a risk of potential radiation to the patients, companions, personnel, etc. The current study aimed to assess risks and identification of hazardous areas in order to increase the awareness of hospital managers and providing them with correct measures to improve safety in such Methods: This was a descriptive-cross sectional, applied study. In this study, all private and hospitals radiology units were included. Using standard safety checklist, needed information was collected via interviews and observations and then, following data collection; we evaluated the risks through Melbourne University’s 3D Model. SPSS was applied for data analysis. Results: The results showed observing safety principles in connection with using personal protection equipment was 2.53 out of 5(51%), safety laws and guidelines is 3.03 from 5 scores and 60%, physical safety and environment equipments is 3.6 from 5 score,72%, fire safety equipment and electricity safety is 2.9 from 5 score, 58%, public safety public is 3.05 from 5 score and 61%. Also it is determined that Conclusion: Generally from the 5 areas studied, the greatest score and percentage (3.6 from 5 score and 72%) related to physical safety and environment equipments. The lowest score and percentage however (2.53 from 5 score and 51%) pertained to personal protection equipments Keywords: Hospitals; Radiology; Immunity; Risk factors; Safety Management
Ahmadreza Raeisi; Saeed Asefzadeh; Mohammadhossein Yarmohammadian
Volume 3, Issue 2 , September 2006, , Pages 1-9
Abstract
Introduction: The scientific, technological and economic development of a society is closely related to its public health. Therefore; improvement of health service quality along with increasing the number of health facilities is one of the main concerns of health care authorities in developed countries. ...
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Introduction: The scientific, technological and economic development of a society is closely related to its public health. Therefore; improvement of health service quality along with increasing the number of health facilities is one of the main concerns of health care authorities in developed countries. This study was designed to compare accreditation models of health care organizations in Europe and the United States.
Methods: This was a comparative-review study in which a wide range of paper and electronic data sources related to different accreditation models in all European countries and the US were collected. The origins, underlying principles and the application of various accreditation models in health care were compared.
Results: Our findings showed that four models of health care accreditation were applied in European countries. The ISO and EFQM models had industrial origins, and were more frequently used in technical fields such as laboratories and administrative departments of hospitals. Other accreditation models, however, had health care origins and were used for the accreditation of all sections of hospitals as well as for specialized clinical groups.
Conclusion: One of the main challenges facing countries whishing to establish an accreditation system is to reach an agreement on the concept and characteristics of the accreditation model.
Keywords: Quality of health care; Evaluation; Accreditation
