Maryam Yaghoubi; Zahra Agha Rahimi; Marzieh Javadi
Volume 10, Issue 7 , December 2014, , Pages 988-996
Abstract
Introduction: Todays, development of marketing and hospital competition has been made to reduce hospital costs and create competitive advantages. However it is necessary to be investigated hospitals strategic situation if they will act in a competitive market. Marketing situation analysis often is involved ...
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Introduction: Todays, development of marketing and hospital competition has been made to reduce hospital costs and create competitive advantages. However it is necessary to be investigated hospitals strategic situation if they will act in a competitive market. Marketing situation analysis often is involved to review external environment forces and internal resources of marketing. The objective of this study is determine the type of hospital strategy through strategic analysis. Methods: This study was a mix studies (quantitative-qualitative) that was done in 2010 in a private hospital in Isfahan. The study population was administration, matron and health sector managers that were selected base on purposive sampling the sample was 15 person. Data collection tool was questionnaire which has been made by researchers. The validity of questionnaire was computed by experts judgment and the reliability of questionnaire was computed by using Cronbach alpha. There was used strengths, weaknesses, opportunities and threats (SWOT) analysis to analyze data . Results: In selected hospital, final score of main affecting factors of internal environment in marketing is higher (2.76) from its average (2.5), so the hospital have more strengths. Final score of main affecting factors of external environment in marketing is lower (2.45) from its average (2.5), hence the hospital is facing to threat for marketing planning. Considering the final score of internal and external factors, the position of the hospital in SWOT chart has been in competitive strategy. Conclusion: The Hospital environment does not have the necessary stability for marketing planning. So hospital officials should use the existing strengths to avoid from threats entered in hospital for marketing planning. This means that the organization should implement competitive strategies. Keywords: Hospitals; Marketing; Strategic Analysis
Maryam Yaghoubi; Marzieh Javadi; Mohammad Karim Bahadori
Volume 10, Issue 7 , December 2014, , Pages 1014-1022
Abstract
Introduction: Health promoting Hospitals (HPH) was expressed by the World Health Organization in the 1990s and so a large number of hospitals in the world have implemented health promotion programs. But not any hospitals in Iran implement health promotion programs. The purpose of this paper is designing ...
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Introduction: Health promoting Hospitals (HPH) was expressed by the World Health Organization in the 1990s and so a large number of hospitals in the world have implemented health promotion programs. But not any hospitals in Iran implement health promotion programs. The purpose of this paper is designing a Health Promoting Hospital in Isfahan University of Medical Sciences Methods: This study was a descriptive- analytical survey in selected hospitals of Isfahan. Data collection tool was a researcher made questionnaire. The validity of questionnaire was computed by experts and the reliability of questionnaire was computed by Cronbach’s alpha (r=0.89). The adequacy of sample were made by Kaiser Meyer Olkin method. Data analysis was performed by Amos software. Results: Finally between dimensions of HPH model patient empowerment (0/94) and organization health promotion (0/84) have the highest regression weight or effect and health promotion need assessment has lowest regression weight. Between the constituent components of each dimension, staff empowerment (0/84), defining the safety requirements in the workplace (0/84) and community empowerment for disease control (0/88) have the highest effect. Conclusions: To create a HPH, various dimensions and factors is efficient. The hospital must have regard to patient, organization and staff Health promotion. Keywords: Health Promotion; Hospitals; Health Promoting Hospital Model
Saied Karimi; Faezeh Sairani; Meshkat Abasi
Volume 10, Issue 7 , December 2014, , Pages 1066-1074
Abstract
Introduction: Excessive use of drugs, constantly changing of patterns of medication and substance abuse significant amounts of drugs in different forms, is doubled the importance of factors influencing drug loss. Purpose of this study was to determine the factors affecting loss drug in Isfahan hospitals ...
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Introduction: Excessive use of drugs, constantly changing of patterns of medication and substance abuse significant amounts of drugs in different forms, is doubled the importance of factors influencing drug loss. Purpose of this study was to determine the factors affecting loss drug in Isfahan hospitals in 2011. Methods: This study was a descriptive in selected hospitals (private educational charity) of Isfahan. Research population was manager, matron, supervisor, department head and chief pharmacist in private, educational and charity hospitals. The census method was used for sampling and the number of 40 samples selected. The validity of questionnaire was computed by experts judgment and the reliability of questionnaire was computed by using Cronbach’s alpha (r=./85).data was analyzed by SPSS software. Results: In charity hospital drug registration has highest score (92/04) and education is allocated to lowest score (61/36). In educational hospital medication committee had highest score (86/81) and surplus drugs had lowest score (71/2). In non- education hospital medication preparation had the highest score (91/85) and lowest score is allocated to education (61/36). In private hospitals, pharmaceutical preparations had highest score (85/22) and the medicine committee had the lowest (55/9). Conclusion: To reduce the loss medicines in hospitals, according to the documentation of the process of circulation of the drug in a drug store, stoke pharmacy department and using the HIS system is fruitful. Keyword: Drugs; Hospitals; Drug Pert
maryam yaghoubi; Zahra Agha Rahimi; Marzieh Javadi
Abstract
Introduction: Importance of productivity and optimal use of limited resource in hospitals is considered as the most important mission of health care centers. This study was done to determine effective factors about productivity index in Noor and Ali Asghar hospital in Esfahan base on hierarchical analysis ...
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Introduction: Importance of productivity and optimal use of limited resource in hospitals is considered as the most important mission of health care centers. This study was done to determine effective factors about productivity index in Noor and Ali Asghar hospital in Esfahan base on hierarchical analysis technique. Methods: This is a descriptive -cross sectional study in 2010, in the hierarchical analysis process technique. The study population was Manager, Administrator, Supervisor, nursing managers, management of productivity in Noor and Ali Asghar hospital. Data collection tool was the paired comparisons questionnaire which formulated with the experts and scholars in this field (validity). Data analysis was done by Expert Choice software. Results: In relation to length of stay, patient discharge in weekend (0.566) had the most weight. In bed occupancy ratio index, timely professionals visit had the highest effect (0.169). Related to bed performance index, timely professionals visit (0.210) with the most Geometric mean had the highest effect. And finally in bed- days cost index, consumer and investment cost had the highest weight (0.159). Conclusion: According to effective factor on productivity indicator in hospital, Develop continuing education programs for health professionals, the appropriate triage in the emergency department, hospital equipment maintenance management and hospital cost effective implementation strategies is proposed. Keywords: Productivity; Hospitals; Hierarchical Analysis Process Techniques (AHP)
Marzieh Javadi; Hamid Ganji; Ahmadreza Reiesi; Maryam Yaghoobi; Parvin , Hematian
Volume 9, Issue 4 , September and October 2012, , Pages 539-547
Abstract
Introduction: In today’s world, organizations are attempting to achieve advantages andcompetitive results. Understanding mutual interactions between organizations and using modernmanagement techniques as well as modern management tools might have an influential effect onobtaining optimal organizational ...
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Introduction: In today’s world, organizations are attempting to achieve advantages andcompetitive results. Understanding mutual interactions between organizations and using modernmanagement techniques as well as modern management tools might have an influential effect onobtaining optimal organizational results. Nowadays, one of the competitive advantages is applyingthe excellence models. The present study aimed to evaluate the improvable areas in Al-ZahraHospital, (Isfahan, Iran) using EFQM (European foundation for quality management) model.Methods: This was an applied, cross-sectional descriptive study. Data collection was performedusing EFQM questionnaire through census method. Thirty-nine managers were involved in all thelevels (junior, senior and operational management) of this study.Results: The results showed the Al-Zahra Hospital obtained total score of 502.78 (out of 1000scores). The obtained score was 259.60 in enablers area and 243.08 in results area. Each of the nineEFQM-criteria score and percentages were as the following: Leadership 52 scores (52%) policy andstrategy 43 (54%), human resources 42 (47%), resources and companies 50 (56%) and processes 70(50.6%) for the enablers area. In the results area customer satisfaction score was 97 (48.8%), staffsatisfaction 31.5 (35%), society results 30.7 (51%) and key performance results was 83.6 (55.7%).Conclusion: Implementation of the self-evaluation model in this hospital led to identification ofstrengths and areas in need of improvement. Out of enabler and results criteria, staff andcostumer satisfaction were with lowest scores, respectively; which are considered as the areaswith improvement prioritization. Therefore, further attention is required for improving thesemodification criteria in hospitals.
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.
Saeed Karimi; Yousef Masoodian; Maryam Yaghoubi; Mohsen Hosseini; Jamil Sadeghifar
Volume 9, Issue 6 , March 2012, , Pages 780-785
Abstract
Introduction: One of the most important indices of effectiveness and delivery quality of sanitary andmedical services is patient satisfaction with hospital services. It is necessary that hospitals pay attention topatient's needs and ensure their satisfaction. Therefore the current study was conducted ...
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Introduction: One of the most important indices of effectiveness and delivery quality of sanitary andmedical services is patient satisfaction with hospital services. It is necessary that hospitals pay attention topatient's needs and ensure their satisfaction. Therefore the current study was conducted with the aim ofidentifying the level of patient satisfaction with hospital services delivered from the time of theiradmission to their release in educational hospitals of Isfahan, Iran.Methods: The present investigation is a descriptive and cross-sectional study conducted in the fall andwinter of 2009. The statistical population consisted of 196 patients referring to educational hospitals ofIsfahan. Simple random sampling method was used. The data collection tool was a researcher-madequestionnaire consisting of 66 questions on 5 areas. Content validity of the study tool was approved byprofessionals, and its reliability was approved by calculating Cronbach’s alpha (α = 0.87). Data wasanalyzed by SPSS software using chi-square test, Kruskal-Wallis test, and ANOVA.Results: The average score of patient satisfaction with outpatient admission was 15.5%, clinic physician27.9%, hospitalization admission 15.9%, nursing services 33%, hospitalization physician 38.6%, public andwelfare services 55.2%, hospitalization section 42.1%, and financial-administration section was 14.3%. Nosignificant correlation was observed between demographic characteristics and satisfaction score.Conclusion: The results showed that overall level of patient satisfaction with hospital services was low.Therefore, it is necessary to pay attention to activities and performance of different units of hospitals,identify factors causing dissatisfaction, and direct efforts towards eliminating the shortages andempowering the strengths. It is also necessary to plan for delivering higher quality services, securingfinancial benefits of the health section, and recognizing and amending some hospital procedures,especially admission and release procedures.
Maryam Ansasri; Hassan Ali Bakhtiar Nasrabadi; Nosrat Abbasi; Maryam Yaghoobbi
Volume 8, Issue 8 , January 2012, , Pages 1129-1135
Abstract
Introduction: Philosophical thinking is an activity that focuses on the mind, sensitivity, understanding and links between them. Managers with philosophical thinking are able to make decisions for the entire organization. They make fewer errors and provide a balance between manpower and ...
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Introduction: Philosophical thinking is an activity that focuses on the mind, sensitivity, understanding and links between them. Managers with philosophical thinking are able to make decisions for the entire organization. They make fewer errors and provide a balance between manpower and organization maintenance. Such abilities can be influenced by demographic characteristics of the managers. The present paper aimed to examine the philosophical thinking of hospital managers as related with their demographic characteristics (type, management, gender). Methods: This comparative study was conducted in 2010 on all senior, nursing and office managers in Isfahan University of Medical Sciences, Isfahan, Iran. Simple random sampling was used to select 5 hospitals from 11 educational hospitals affiliated to Isfahan University of Medical Sciences. All managers of the selected hospitals were evaluated using census sampling (n = 80). Data was collected by a researcher-made questionnaire of philosophical thinking which was designed according to the Smith's model. Independent t-test and analysis of variance (ANOVA) were used for statistical analyses. Results: Our results showed the score of thinking in men and women to be respectively 74 and 71 out of 100. All three categories of managers scored almost the same in philosophical thinking. Moreover, ANOVA did not show a significant relation between philosophical thinking and academic degree (P > 0.05). Conclusion: Results of the present study suggested that scores of philosophical thinking of managers did not significantly relate with demographic characteristics. In fact, philosophical thinking is a skill which all people can possess.
Leila Mohammadinia; Maryam Yaghoobi; Akbar Kolahdouzan
Volume 8, Issue 8 , January 2012, , Pages 1213-1225
Abstract
Background: Everyone has experienced problems whose solution is beyond human power. Such a situation would definitely result in anxiety. This paper identified and classified solutions for anxiety suggested by Quran and hadith. Methods: This review study, valid websites, articles, theses, ...
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Background: Everyone has experienced problems whose solution is beyond human power. Such a situation would definitely result in anxiety. This paper identified and classified solutions for anxiety suggested by Quran and hadith. Methods: This review study, valid websites, articles, theses, religious books including Quran and Nahj al-Balagha, and Quran software programs containing issues related to anxiety and relaxation were evaluated. Results: Although modern scientific developments claim to control stresses in life, none of them has actually been effective. In fact, recent medical efforts failed to reduce psychiatric diseases. Quran is the best refuge for those with faith. Faith without doubt is the most effective treatment for anxiety. As Quran says: "Those who believe and have not confounded their belief with harm security belongs to them; and they are guided". Conclusion: The present study identified causes of and methods to prevent anxiety according to Quran. The results were described in detail in two groups of anxiety prevention and anxiety management.
Marzieh Javadi; Maryam Yaghoobi; Ahmadreza Raiesi; Hassan Ali Mandegar; Ali Ayoobian
Volume 8, Issue 5 , November and December 2011
Abstract
Introduction: Good relationships between patients and doctors and other health professionals have long been seen as the bedrock of patient satisfaction. In addition to important health care outcomes, health systems must also meet the non-medical expectations of the community. This study aimed to survey ...
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Introduction: Good relationships between patients and doctors and other health professionals have long been seen as the bedrock of patient satisfaction. In addition to important health care outcomes, health systems must also meet the non-medical expectations of the community. This study aimed to survey the accountability and non-medical service provision in selected hospitals in Isfahan Methods: This was a descriptive, retrospective study conducted in eight selected public and private hospitals in Isfahan during 2010. The statistical population included 320 inpatients and nurses selected through stratified random sampling. Data was collected was by the World Health Organization (WHO) questionnaire whose validity was confirmed by professors and administrators. The reliability of the questionnaire was also calculated to be 0.89 by Cronbach's alpha. Data was analyzed by SPSS. Results: The mean score of accountability from the viewpoints of nurses and patients was 2.3 ± 0.54 and 2.48 ± 0.58 (out of a maximum of 4), respectively. Nurses and patients respectively considered confidentiality (2.41 ± 0.8) and access to social support during the hospitalization period (2.62 ± 0.9) as the best aspects of non-medical services. However, choice of therapist and physical facilities of the treatment centers were determined as weak points by the patients and nurses, respectively. Conclusion: Since patients and nurses had almost identical perceptions toward the non-medical services. Therefore, in order to enhance service quality, which is of great importance to the WHO, more attention needs to be paid to accountability mechanisms and better quality services. Key Words: Quality of Healthcare; Patient; Patient Care; Hospitals.
Saeed karimi; Maryam Yaghoubi; Zahra Agharahimi; Hadi Hayati Abbarik; Roghaye Mohammadi Bakhsh
Volume 8, Issue 5 , November and December 2011
Abstract
Introduction: Outsourcing in health care sector is a cost-effective strategy that can lead to increased quality of services provided to patients. The aim of this study was to determine the types of outsourced services in educational hospitals in Isfahan and to investigate the viewpoints of managers about ...
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Introduction: Outsourcing in health care sector is a cost-effective strategy that can lead to increased quality of services provided to patients. The aim of this study was to determine the types of outsourced services in educational hospitals in Isfahan and to investigate the viewpoints of managers about the impact of outsourcing. Methods: This descriptive survey was carried out in 2010. Research population was all senior managers of educational hospitals and the Treatment Deputy of Isfahan University of Medical Sciences (n = 60). Data collection tool was a checklist and a questionnaire about factors related to outsourcing. The reliability and validity of the checklist and questionnaire have been confirmed (a = 0.80). Data is analyzed with SPSS18 software. Results: Among the treatment-paraclinical items, inpatient wards, physiotherapy, radiology and ultrasound had the highest rates of outsourcing (33%). Among non-medical services, housekeeping and facility engineering maintenance had the largest rates of outsourced units (100%). Of 60 managers, 53 agreed to answer the questionnaire (response rate = 88%). In managers' view, paying more attention to internal and external customers in private sector (57.2%) was the most important advantage of outsourcing. However, increased costs increase for patients (45.6%) was the most important disadvantage. Moreover, they considered forgetting the goal of outsourcing (efficiency) (60.6%) as the main barrier. Conclusion: Overall, managers thought outsourcing in health services organizations as rather acceptable. However, they also believed the barriers in implementation of outsourcing needed to be removed first. Fundamental infrastructure developments such as making competing market, promoting outsourcing-related culture, education, modifying the attitudes of managers and establishing incentive policies are required for successful implementation of outsourcing. Keywords: Managers; Outsourcing; Health Services.
Masoud Ferdosi; Maryam Yaghoubi; Seyyed Salman Alavi
Volume 8, Issue 5 , November and December 2011
Abstract
Many researchers in the universities are engaged in research and science production. Although the results of their researches are often released as articles in professional journals, long and technical reports are doubted to be comprehensible for those who need to use them. "Executive summary", as a ...
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Many researchers in the universities are engaged in research and science production. Although the results of their researches are often released as articles in professional journals, long and technical reports are doubted to be comprehensible for those who need to use them. "Executive summary", as a short report derived from the final research report, is a format especially developed for knowledge users who affect or are affected by researches (research stakeholders). This short article reviewed the content and usage of executive summary in available online resources. It finally suggests executive summaries to be included in all research in addition to final reports. Key Words: Research; Publication; Research Strategy.
Saied Karimi; Marzieh Javadi; Maryam Yaghoobi; Sogol Fathalizade; Maasoumeh Molayi
Volume 8, Issue 1 , March and April 2011
Abstract
Introduction: By considering daily progress of advanced technology and unimaginable advances in the management technology region, demand to educate and improve working personnel of administrative health and hygiene fields seems to be vital by considering the present situation. The main purpose of this ...
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Introduction: By considering daily progress of advanced technology and unimaginable advances in the management technology region, demand to educate and improve working personnel of administrative health and hygiene fields seems to be vital by considering the present situation. The main purpose of this study is to specify the educational demand of health care management graduates who are working as managers, VP or experts of hospitals and other related health centers in Isfahan, Iran. Methods: In this descriptive survey study, 67 health care management graduates working in Isfahan University of Medical Sciences were enrolled, in 2008. The study tool was a researcher made questionnaire in three dimensions. Reliability and validity of the questionnaire was confirmed by experts and calculating the Cronbach's alpha coefficient (α = 0.75), respectively. Study population was selected by stratified randomized method. All of these data were analyzed by SPSS statistical software. Results: The first priority need of study population from the three studied domains was operational and technical skills with mean score of 3.49 +/- 0.12. Among the operational and technical skills familiarity with computer and software use had the highest score. Among the theoretical and conceptual skills globalization and multi-cultural organizations had the highest score in health care management graduates. Conclusion: In fact operational needs, the needs that management graduates are dealing with it daily, and the needs related to computer use and information technology considered as the most important needs of operational skills. It is necessary that educational planners consider mentioned needs in the setting of annual program. Keywords: Education, Continuing; Health Services Administration; Education, Professional; Needs Assessment.
Saied Karimi; Maryam Yaghoubi; Alireza Rahimi; Mohamad javad Ale-mokhtar
Volume 5, Issue 1 , March 2008
Abstract
Abstract Introduction: Increasing costs in almost all of the governments and organizations persuade them to analysis their services in financial and economic dimensions. Because of increasing unnecessary costs, community is limited to achieve social effective goals for health services. We surveyed cost ...
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Abstract Introduction: Increasing costs in almost all of the governments and organizations persuade them to analysis their services in financial and economic dimensions. Because of increasing unnecessary costs, community is limited to achieve social effective goals for health services. We surveyed cost accounting of Isfahan University of Medical Sciences database to to assess its cost benefit. Methods: Current research was descriptive and retrospective. Data collection was carried out through a checklist considering human resource expenditure, consuming material expenditure, capital material depreciation expenditure and Purchase fee. Then the average of expenditure was compared with the amount of article use in each database (Proquest, Blackwell, Springer, Ovid, and Elsevier). Results: Among databases, Elsevier had the most and Springer had the least cost benefit. Conclusion: Manager of informatics system must use management techniques, such as cost analysis method, to make the best decision to decrease the costs. Keywords: Cost Benefit Analysis; Cost and Cost Analysis; Databases; Universities
