Mahboobeh Hojati; Vajiheh Hojati; Asadolah Shams
Abstract
Introduction: Today, the implementation of electronic health records has caused great changes in the implementation of health industry services. Experts believe that use of electronic health records is the appropriate way to improve the quality of health services and reduce medical faults. Accordingly, ...
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Introduction: Today, the implementation of electronic health records has caused great changes in the implementation of health industry services. Experts believe that use of electronic health records is the appropriate way to improve the quality of health services and reduce medical faults. Accordingly, this study endeavored to determine the role of electronic health records in quality of services of health centers in Najafabad City, Iran.Methods: This observational study was cross-sectional in terms of time. The population included the recipients of Najafabad health network services. 400 individuals were selected via Morgan table, and the quality (accuracy) of services, speed of service delivery, waiting time, and service continuity (percentage of services provided) were recorded for them in paper and electronically. Data were analyzed using t and ANOVA tests.Results: The comparison of paper and electronic services revealed that with the implementation of electronic health records, there had been no change in the speed of service delivery and continuity; however, it reduced the quality (accuracy) of the services provided and increased the waiting time for receiving services.Conclusion: The two factors of speed of service delivery and waiting time have fundamental role in the satisfaction of service recipients; the implementation of electronic health records has not changed speed of service delivery, but has increased waiting time. Plans should be made to reduce waiting time and increase recipient satisfaction.
Asadollah Shams; Saeed Afrough; Marzie Fatahi; Marzieh Javadi
Volume 10, Issue 7 , December 2014, , Pages 1034-1043
Abstract
Introduction: Mental health as physical health is a science for better living and more social welfare from first moment of living until end of that. In today complex society especially our society some mental disorders like desperation, anxiety, insecurity, suicide, Masochism, murder, booty, addiction, ...
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Introduction: Mental health as physical health is a science for better living and more social welfare from first moment of living until end of that. In today complex society especially our society some mental disorders like desperation, anxiety, insecurity, suicide, Masochism, murder, booty, addiction, divorce, sexual disorder, manic and etc has been seen as important problems more and more. Therefore, Iranian health and treatment system considered some mental health principle for mental health prevention and treatment. Total goal of this research has been view point of Isfahan health and treatment system about results of assorted mental health in health system. Methods: Research type was analytical and cross-sectional. Study population was health and treatment workers in different health organizations such as healthcare rural houses, health urban center and health and treatment network in Isfahan province which influence in mental disease at 2010. Population study was 300 individuals by census. Questionnaire was researcher made and blind response. Four variables such as rate of mental health success, there's satisfy, knowledge and attitude of that, were evaluated with five or two responses (Likert scale). Validity with expert consultation and reliability with Cronbach’s alpha scale, were confirmed after pilot study because it was upper than 80%. Descriptive data with statistical indices (frequency, percent, mean and standard deviation) and analytical data with suitable hypothesis such as correlation, chi square (c2) and kruskal-wallis were analyzed with SPSS16 software. Results: Mean score of four main variable respectively were as: attitude of mental health program (66.73 ± 10.80), success of mental health program (59.14 ± 17.12), satisfaction of mental health program (45.46 ± 20.59) and awareness of mental health program (20.56 ± 11.61). Analysis between four variables did not show any significant differences. Analysis between all research groups also did not any significant differences. But significant differences only were shown between all research groups about satisfaction of mental health join in health system (Pvalue<0.5). Conclusion: Revealed results for this big plan did not enough. Hour rate of health worker educated about mental health in primary health system (PHC) was 29 percent. Knowledge mean of mental health program also was 20/56 percent and it was half of other variable mean. It shown that majority of health worker in health system did not have enough knowledge about mental health program. Therefore, they need more education about mental health. Key Words: Mental Health; Primary Health Care (PHC); Experts
Asadollah Shams; Keivane Kaveh; Bahare Afrog; Sahar Ahmadi
Volume 10, Issue 7 , December 2014, , Pages 1059-1065
Abstract
Introduction: Lack of mental health and living skills are one of reason of human resource management hazards in any organization. These two variables are necessary as communication ability for problem solving in living problems. Each student needs these two factors for collaborating in work or study ...
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Introduction: Lack of mental health and living skills are one of reason of human resource management hazards in any organization. These two variables are necessary as communication ability for problem solving in living problems. Each student needs these two factors for collaborating in work or study environments. The purpose of this research is to survey of mental health and living skills and relation between them in students of Isfahan University of Medical Sciences. Methods: Research type was analytical and cross-sectional study. Survey population was all students of seven faculty of Isfahan University of Medical Sciences. As Morgan sampling table 384 students were selected as sample at 2010. Data was collected by two questionnaires. The first one was made by researcher for living skills and in other one Gold Berge's questionnaire was used for mental health. Collected data were analyzed by SPSS16. Data validity by experts and data reliability by SPSS16 and Cronbach’s alpha (R>80%) was confirmed. Results: The highest health mental mean score belonged to medical college students with (84.71 ±10.54) and the lowest health mental mean score belonged to students of rehabilitation college with (72.92 ±13.03). The highest living skills mean score belonged to management and medical informatics college students with (71.64±5.16) and the lowest living skills mean score belonged to students of Pharmacology College with (69.38±7.04). Differences between two variables (Living Skills and Health Mental) were significant. Living skills variable according to student subjects and mental health according to faculties and sex had significant differences. These tow variables had no significant according to other demographic variable as study qualification, father's job and the number of family members. Conclusion: These tow variable score were almost upper than 70 and it was good for this time. But results of this research and similar researches show that these student's living skills and mental health need more promotion. So the living skills or mental health lesson is suggested in some suitable subject of Isfahan University of Medical Sciences. Key Words: Mental Health; Anxiety; College Students; Desperation
Asadollah Shams; Mojgan Mosaddegh; Saeed Afrough; Elham Asadi
Volume 9, Issue 7 , December 2012, , Pages 1081-1086
Abstract
Introduction: Nowadays, more than ever we have forgotten that solving health problems depends uponwhat people should do for themselves. Helping people is a vital issue along with intelligent healthservices, against treatment services which make people depended, and are high-cost and less effective.The ...
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Introduction: Nowadays, more than ever we have forgotten that solving health problems depends uponwhat people should do for themselves. Helping people is a vital issue along with intelligent healthservices, against treatment services which make people depended, and are high-cost and less effective.The aim of the present study was to assess the philosophical principles of the prevention in primary healthcare (PHC) and the knowledge and belief of the directors of the health care in this regard.Methods: This was a descriptive-analytical survey. Research tools was a researcher-made questionnaire withthree types of basic, knowledge and attitude questions about 9 philosophical principles of PHC. Validity andreliability were approved by experts and Cronbach’s alpha (84%), repectively. Study population included384 individuals of top, middle and executive managers of Isfahan, Iran Health Institutions in 2002. Student’st-test, analysis of variance (ANOVA) and Pearson’s correlation tests were used.Results: The highest mean knowledge score of the nine philosophical principles of PHC belonged to "loveand motivation" (98.3 ± 41.1) and the lowest philosophical dimension score belonged to "equality andjustice" (65.7 ± 29.2). The highest average score of philosophical attitude was in "coordinate betweensection” (81.5 ± 23.0) and the lowest philosophical dimension belonged to "equality" (49.1 ± 12.8).Conclusion: The average score for all the categories of knowledge management was a little higher than80. The mean attitude score was 65. This result was not good for the system; because the attitude ofmanagers plays a key role in the run up to the principles of PHC.
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.
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.
Asadollah Shams; Rahelehe Samooei; Habibehe Porriahi
Volume 7, Issue 0 , December 2011
Abstract
Introduction: Management is one of the most important factors for life, development, growth or death of any organizations including hospitals. The power is of one of the main concepts that by focusing on the fundamental and theoretical efforts considered as an important factor at all levels of management ...
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Introduction: Management is one of the most important factors for life, development, growth or death of any organizations including hospitals. The power is of one of the main concepts that by focusing on the fundamental and theoretical efforts considered as an important factor at all levels of management and human resources. Managers who know the sources of power and are using them, have more effective management and better performance. By using manager's power sources, participation of employees can increase. The main objective of this study was to survey the relation between cooperation of employees and managers power sources (reward, obligation, legal, specialty and being reference power) in selected general hospitals of Isfahan city in 2009.Methods: In this descriptive- analytical and practical study 140 employees from four hospitals (Al Zahra, Amin, Kashani, Esabne Maryam, Noor) were studied in 2009. Sample and hospitals were selected randomly. Two questionnaires of power resource and employee's cooperation were used in this study. For analyzing the relation between cooperation score of employees and manageress' power resources score, T-test and Pearson correlation were also used.Result: “Power of specialty” by mean score of 60.89 was the most effective factor on employee's cooperation. Next ranks were respectively legal, being reference, obligation and reward power. Employee's cooperation with a mean score of 62.99 was higher than the average. But in test of hypothesis, these differences did not show any significant.Conclusion: In this study the effect of power sources on employee’s cooperation was related to expertise resources, law, authority, obligation and reward, respectively. Despite dramatic differences in the results of descriptive research, there were no significant differences between employee's cooperation and manager's power sources.Key words: Health; Hospitals, Public; Legal Power; Hospital Administration.
Asadolah Shams; Maryam Mofid; Farzane Rejlian
Volume 7, Issue 0 , December 2011
Abstract
Introduction: The profits of executable referral system process are including: decrease the staff and equipment and saving in expenses and tools, appropriate division of sources for the best use of them and prevention of put patients to unreasonable expenses. In this course, the purpose of present study ...
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Introduction: The profits of executable referral system process are including: decrease the staff and equipment and saving in expenses and tools, appropriate division of sources for the best use of them and prevention of put patients to unreasonable expenses. In this course, the purpose of present study was to determine the effective factors on executable amount of referral system process in public hospitals of Isfahan city from the point of view of people, until can surmount it by obtain to this purpose, and health system can use from these profits.Methods: In this descriptive– analytic and measurable study, people who refer to public hospitals of Isfahan province were studied in 2008.Five hospitals affiliated to Falavarjan, Shahin Shahr, Shahreza and Nayyyn health centers and five public hospitals in Isfahan city selected by clustering method and 400 patients referred to selected hospitals selected by simple sampling method. Data collected by a self-administrated questionnaire which validity was confirmed by experts and its reliability was 85 percent.Results: Awareness and satisfaction was higher in urban population and motivation in non-urban communities.51.9% of people covered by Tammin Ejtemai insurance and 89.09% of those who covered by Khadamat darman insurance have refered for first level of services.Mean of knowledge of client from referral system in studied hospitals was not different significantly.Mean of client satisfaction and motivation of the referral system in studied hospitals was different significantly (P<0.05).Conclusion: The most important factors in referral system in realization of its process from the perspective of urban population were awareness and satisfaction and from the perspective of rural population was motivation. So investing in promotion of these factors can be sure that the system will work more useful. So by investment for improvement of these factors, we can be sure that this system will perform more useful than the other time.Keywords: Awareness; Motivation; Hospitals; Teaching.
