Amir Ashkan Nasiripour; Pouran Raeissi; Mohammad Reza Maleki; Mohammad Javad Akbarian Bafghi
Volume 9, Issue 7 , December 2012, , Pages 1158-1168
Abstract
Introduction: The mixed marketing is an important issue in providing the healthcare that the healthcareprovider organizations need it to survive in the contemporary era and have more market shares, revenueand to increase customer service efficiency and effectiveness. The present study aimed to provide ...
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Introduction: The mixed marketing is an important issue in providing the healthcare that the healthcareprovider organizations need it to survive in the contemporary era and have more market shares, revenueand to increase customer service efficiency and effectiveness. The present study aimed to provide apractical model of the factors influencing the mixed marketing in Iranian public hospitals.Methods: This was an applied and analytical study. Considering the field of health care services, 7PService Marketing Mix Model of "Booms and Bitner" was used and the conceptual research model wasdetermined. The dimensions of conceptual model were in the seven dimensions that included theproduction (services), price, place, promotion, physical evidence, processes and peoples. Then, using thelibrary studies, the variables relevant to each dimension were collected. Data collection tool was aquestionnaire that regulated base on five-item Likert scale. The research community was formed frompublic and private hospital administrators in Tehran, and experts of Ministry of Health and MedicalEducation. Data analysis was done through Lisrel version 8.50 and SPSS version 18 and using exploratoryand confirmatory factor analysis.Results: The fit indexes of Lisrel confirmed and acknowledged the healthcare mixed marketing modelwith seven dimensions. The dimensions that had the greatest impact included the place with factor of 0.82and six components affecting it. The price with factor of 0.81 and eight components affecting it were alsoidentified. Meanwhile, other aspects of the research in terms of impact were identified: i.e. "services" withnine components, "promotion" with eight components, "physical evidences" with ten components,"peoples" with eight components and "process" with six components.Conclusion: Healthcare centers can use the mixed marketing service model with confirmed sevendimensions in marketing management through concentration on place and price.
Mohamad Reza Maleki; Bahram Delgoshaie; Amir Ashkan Nasiripour; Maryam Yaghoubi
Volume 9, Issue 2 , May and June 2012
Abstract
Introduction: Increasing numbers of chronic patients who need permanent support and staff members who are exposed to daily psychological stress highlight the need for hospitals which consider health promotion programs as a key service. Health Promotion Program was introduced by the World Health Organization ...
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Introduction: Increasing numbers of chronic patients who need permanent support and staff members who are exposed to daily psychological stress highlight the need for hospitals which consider health promotion programs as a key service. Health Promotion Program was introduced by the World Health Organization (WHO) in 1990 and has ever since been implemented by many countries throughout the world. This study aimed to compare health promotion programs in pilot hospital of the WHO. Methods: In this applied comparative study, data was collected through reviewing digital and printed publications as well as the reports provided by the WHO about the European pilot health promoting hospitals. The study sample included 20 European pilot hospitals in the WHO's Health Promoting Hospitals program between 1993-7. Finally, the collected data was tabulated, described, and compared. Results: Health promotion programs have been implemented in 4 main categories of promotion among patients, staff members, hospital, and community. An overall number of 149 subprojects have also been identified. All studied hospitals were members of the Health Promoting Hospitals Network. Moreover, all hospitals except the one in Prague and took part in the pilot projects of the WHO. Moreover, 31% of the hospitals collaborated with other institutions. While 78% of the hospitals had more than 10 subprojects, patient health promotion subproject was the most common. All hospitals informed other centers about their plans. Indicators for health promotion programs assessment were considered in 75% of the studied hospitals. All hospitals had defined a project structure for implementation of health promotion programs. Conclusion: The WHO has defined a series of necessary measures, such as implementing health promotion programs, participating in the Health Promoting Hospitals Network, and establishing evaluation indices for health promotion programs, for the hospitals which would eventually lead to improvement of health among patients, staff, hospitals, and community. Keywords: Hospitals; Health Promotion; World Health Organization.
Mohammad Esmaeil Motlagh; Seiyed Davoud Nasrollahpour Shirvani; Mohammad Reza Maleki; Shahram Tofighi; Mohammad Javad Kabir; Nahid Jafari
Volume 9, Issue 2 , May and June 2012
Abstract
Introduction: In the current world of business, benefiting from information technology is considered as one of the main factors to develop and improve the performance of organizations. This study was performed to identify access to infrastructures of information technology among the managers and executive ...
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Introduction: In the current world of business, benefiting from information technology is considered as one of the main factors to develop and improve the performance of organizations. This study was performed to identify access to infrastructures of information technology among the managers and executive experts of health departments in Iranian universities of medical sciences. It also tried to explore the related individual and organizational factors.Methods: This retrospective study was conducted in 2010. Using stratified systematic random sampling, 13 Iranian universities of medical sciences were selected. All available managers and executives in the vice-chancellery of health of the selected universities were interviewed and inquired using census method. A valid and reliable questionnaire was filled out to assess individual and organizational variables. The collected data was analyzed by chi-square, Mann-Whitney, Kruskal Wallis, and Fisher's exact tests and Spearman's correlation coefficient.Results: Among the 293 studied managers and executives, 288 people (98.3%) had computers in their office and 281 people (97%) had access to the Internet. While 30% of the participants were completely satisfied with the Internet speed, 46% were moderately satisfied. The automation system was available for 205 subjects (70%). Having access to the Internet was significantly related with the availability of the automation system (P ≤ 0.045). Satisfaction with the Internet speed had significant relationships with university rankings (P ≤ 0.013), having access to the automation system (P < 0.001), and age (P ≤ 0.015; r = -0.143). Moreover, 220 persons (75%) had active email accounts.Conclusion: We found a good quantity of having access to information technology. Therefore, designing and implementing interventional programs to promote the quality of the provided services seem to be necessary.Keywords: Information Technology; Computers; Internet; Universities.
Reza Dehnavie; Sayed Jamaledin Tabib; Mohammadreza Maleki; Arash Rashidian
Volume 7, Issue 2 , June 2010
Abstract
Introduction: Neglecting to define important criteria in developing a Basic Health Insurance Package and to notice their real roles will result in defining a package which is politically unacceptable, non-economical, technically inefficient or mixed of them. Therefore development of Basic Health Insurance ...
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Introduction: Neglecting to define important criteria in developing a Basic Health Insurance Package and to notice their real roles will result in defining a package which is politically unacceptable, non-economical, technically inefficient or mixed of them. Therefore development of Basic Health Insurance Package should be according to appropriate composition of influential criteria. This study was carried out to determining Information Criteria to define Basic Health Insurance Package and their importance.Methods: The study was qualitative, descriptive, and cross-sectional, conducted in 2008. At the first Stage 20 Health insurance experts and involved people were interviewed. At the second stage the notified criteria in these interviews in addition to other criteria, revealed from conceptual study were viewed by experts of Iranian basic health insurance companies (52 People). The first stage data were analyzed in Atlas-Ti and the second stage data were analyzed in SPSS.Results: The revealed criteria from the first stage were classified as 32 criteria in Six groups. Iranian health insurance experts believed that most important factors involved in defining Iranian basic health insurance package were applicability, the view of politic individuals and groups, interventions cost, and patients’ membership in vulnerable patient groups. The study participants indicated cost-effectiveness of services, effectiveness of services, quality of evidence, and equity as the main factors by which the basic health insurance package can be defined appropriately.Conclusion: According to results the current influence of some criteria such as the view of politic individuals and groups, and vulnerable patient groups were much more than their appropriate influence in defining Iranian basic health insurance package. Also some criteria like cost- effectiveness, quality of evidence, long-term sustainability, and safety of manipulations were focused less than what was appropriate for defining the package. According to the results of this study it is suggested that for defining basic health insurance package more appropriately, Cost-effectiveness studies should be facilitated and the results of such studies should replace such criteria like the influence of different groups in defining basic health insurance package.Keywords: Iran; Insurance Health; Insurance Coverage.
Mohammadreza Maleki; Masoomeh Khoshkam; Parisa Shojaee
Volume 5, Issue 1 , March 2008
Abstract
Abstract Introduction: One of the most important problems in health care centers, especially hospitals encounter disasters, is incorrect planning to hospital preparation which would cause imbalance between needs and accessible resources that face hazard in provision quality of medical services. Methods: ...
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Abstract Introduction: One of the most important problems in health care centers, especially hospitals encounter disasters, is incorrect planning to hospital preparation which would cause imbalance between needs and accessible resources that face hazard in provision quality of medical services. Methods: This was a descriptive study in which the educational hospitals of Iran University of Medical Sciences were assessed. A checklist was completed for each hospital by observation and interview with different persons according to case (hospital manager, matron, secretary of disaster board, and...). The data was analyzed descriptively SPSS software. Results: In planning perspective of supplies, Navab and Haftometir hospitals earned the highest score mean percent (66.6) and Hasheminezhad, Shafayahyaeian, Rasoul and Firozgar hospitals earned the lowest score mean percent (60.0). Conclusion: The organizations that do not prepare for crisis, do not characterize organizational structures during and after disaster, do not form responsiveness teams, and do not plan for securing and storing of materials and supplies, etc encounter irreparable financial and life loss. Also regard to deficiency supplies in surveyed hospitals, developing a stress plan is necessary in order to effectiveness use of available resources and prevention part of resources. Keywords: Hospitals; Hospital Planning; Disasters; Safety Management
Mohammadreza Maleki; Amirashkan Nasiripour; Sara Aghababa
Volume 4, Issue 2 , September 2007
Abstract
Abstract Introduction: Baldrige model is the most important performance measurement system in world class. The forth criterion of this model is measurement, analysis, and knowledge management in health care. Methods: This was a descriptive and cross sectional study implementing applied manner. Data ...
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Abstract Introduction: Baldrige model is the most important performance measurement system in world class. The forth criterion of this model is measurement, analysis, and knowledge management in health care. Methods: This was a descriptive and cross sectional study implementing applied manner. Data were collected and compare with response of the 2007 version of the model questionnaire. Results: The score for the emergency room of the studied hospital was 27.55 out of 90 points in measurement, analysis, and knowledge management criteria. Conclusion: The emergency room of the studied hospital had the second level of excellence. Since the baldrige model scoring system is used for continues improvement of performance and excellence in organizations, it is recommended that this evaluation and improvement process continue to increase the scores and improve the performance. Keywords: Information Management; Emergencies; Hospitals.
