Ahmadreza Raeisi; Nasrin Shaarbafchizadeh; Reyhaneh Shahmirzaei
Abstract
Introduction: Due to the importance of organizational performance in today's changing world and the impact of organizational silence, this study endeavored to investigate organizational silence in the vice chancellors of the Isfahan University of Medical Sciences.Methods: This survey study is descriptive. ...
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Introduction: Due to the importance of organizational performance in today's changing world and the impact of organizational silence, this study endeavored to investigate organizational silence in the vice chancellors of the Isfahan University of Medical Sciences.Methods: This survey study is descriptive. The population included all employees working in the vice chancellors of the Isfahan University of Medical Sciences in the year 2020 (1457 individuals in 8 vice chancellors) through available sampling method, the sample size was 306 individuals. To collect data, a 15-item questionnaire was used by Vacula and Borados (2005) and its content validity was authenticated by five experts, who were professors and experts in the field of resource management. Data analysis was performed using descriptive statistics and inferential statistics.Results: The findings showed the organizational silence in the Isfahan University of Medical Sciences vice-chancellors from the perspective of senior managers and supervisors, and the organization's communication opportunities also enhanced the organizational silence. Besides, there was no significant relationship between organizational silence and the demographic characteristics of the participants.Conclusion: Seeing as that the phenomenon of organizational silence can be an obstacle for the expression of individuals' opinions in the organization, identifying the factors affecting it and trying to solve them by using participatory management, suggestion system and critical thinking training, can be the conditions for expressing opinions. Expressing opinions can facilitate the presentation of employees' opinions, promote their creativity, and of course, benefiting from the active and conscious participation of employees, organizations can travel the path of growth, excellence and success at a faster pace.
Ahmad Reza Raeisi; Nasrin Sharbafchizadeh; khatereh Dabirzadeh
Abstract
Introduction: Palliative care should be a top priority in public health and disease management programs. This study endeavored to compare the palliative care services in some selected countries and this way provide a framework for Iran.Methods: This study was conducted with a descriptive and comparative ...
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Introduction: Palliative care should be a top priority in public health and disease management programs. This study endeavored to compare the palliative care services in some selected countries and this way provide a framework for Iran.Methods: This study was conducted with a descriptive and comparative approach in the year 2019. Data were collected through literature review of the databases of the relevant organizations in the selected countries.Results: Findings revealed that the United Kingdom and the United States are leading countries in palliative care and provide comprehensive services to the patients. Turkey has also made significant progress in palliative care and has covered a large population in recent years. In Iran, many services required for end stage patients have not yet been implemented or the centers for providing these services are limited. Experts in palliative care believe that in Iran, less attention has been paid to the organization of such centers than the United Kingdom, the United States and Turkey.Conclusion: Based on the results of this study, it is suggested to benchmark the experiences of leading countries and initiatives and proceedings of the developing countries, considering organizational structure, financing and support services, supervision of services, interdisciplinary teams, patient care need assessment, training and recruitment as a framework for Iran.
Ahmadreza Raiesi; Nasrin Sharbafchizade; Fatemeh Mohammadi
Abstract
Introduction: Accreditation is one of the evaluation tools of health care systems, especially hospitals, which is one of the priorities of the Ministry of Health in Iran as well. The third generation of accreditation of Iranian hospitals was developed in the academic year 2016. This study endeavored ...
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Introduction: Accreditation is one of the evaluation tools of health care systems, especially hospitals, which is one of the priorities of the Ministry of Health in Iran as well. The third generation of accreditation of Iranian hospitals was developed in the academic year 2016. This study endeavored to determine the challenges of the third generation of hospital accreditation from the perspective of accreditation officials in Isfahan City, Iran.Methods: The qualitative study was conducted through semi-structured interviews with accreditation officials in academic year of 2018 in Isfahan. Ten individuals (due to data saturation) were interviewed in a targeted manner. Data analysis was performed through guided content analysis.Results: Third-generation accreditation challenges were categorized into three areas: structural, process, and outcome challenges. The structural challenges were related to requirements, culture building, localization, training, metrics, and evaluators. Process challenges were related to how to evaluate, commit, and do teamwork and staff work processes during accreditation, and the resulting challenges were related to service quality and patient satisfaction after accreditation.Conclusion: In the third generation of accreditation, structural challenges were especially emphasized by the interviewees, especially in terms of program requirements. Removing these obstacles and challenges can make this plan more successful.
Mandana Sahebzadeh; Forouzandeh Mansouri-Boroujeni; Nasrin Shaarbafchizadeh
Abstract
Introduction: Health literacy is defined as the capacity of individuals to obtain, process, and understand health information and services as the basis for appropriate health decisions, and low-health literacy has a variety of adverse outcomes. On the other hand, the importance of measuring the satisfaction ...
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Introduction: Health literacy is defined as the capacity of individuals to obtain, process, and understand health information and services as the basis for appropriate health decisions, and low-health literacy has a variety of adverse outcomes. On the other hand, the importance of measuring the satisfaction of patients' companions is considered as one of the important and basic criteria determining the quality of care services. In view of this, the study was conducted to determine the relationship between health literacy of patients in psychiatric wards and their satisfaction with service providers in the hospitals affiliated to Isfahan University of Medical Sciences, Isfahan, Iran.Methods: To conduct this descriptive-applied study, 330 patients from psychiatric wards of hospitals affiliated to Isfahan University of Medical Sciences in the second semester of academic year of 2019 were selected using available sampling method. To collect the data, two standard questionnaires, Health Literacy for Iranian Adults (HELIA) and a researcher-made satisfaction questionnaire (95% Cronbach's alpha), were used. Kolmogorov-Smirnov test, Pearson correlation test, and Shapiro Wilk test were used to analyze the data.Results: 33.95% of the participants were at level of not-enough health literacy, 22.72% had inadequate health literacy, 18.28% sufficient health literacy, and 15.15% had excellent health literacy. The highest score of satisfaction with hospital services was 3.89 for the guard unit and the lowest score was 3.55 for the writing unit. There was a direct and significant relationship between health literacy of peers and their satisfaction.Conclusion: The results revealed that the patients with higher health literacy were more satisfied with the services provided by the hospitals. Accordingly, planning to increase the level of health literacy of companions to increase their satisfaction seems necessary. Taking measures such as providing brochures and information pamphlets (during admission and discharge) can help to increase their level of health literacy of patients.
Sogand Tourani; Sayed Jamaledin Tabibi; Shahram Tofighi; Nasrin Shaarbafchi zadeh
Volume 8, Issue 4 , September and October 2011
Abstract
Introduction: Equitable access to a basic set of health services at minimum quality and affordable price is the right of every citizen and in all countries the governments have the duty to deliver these services to the population. International trade in health services influences the balance ...
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Introduction: Equitable access to a basic set of health services at minimum quality and affordable price is the right of every citizen and in all countries the governments have the duty to deliver these services to the population. International trade in health services influences the balance between equitable distribution of these services, creating incentives to improve the efficiency of health systems, and managing the limited financial resourcesof the governments. It also creates opportunities and challenges for health systems and communities. This paper reviewed different modes of trade in health services and investigated the opportunities and challenges resulted from this kind of trade in the selected countries of ASEAN region to make Iranian health policy makers and operators aware of trade in health sector.Methods: This paper was resulted from a section of an applied descriptive-comparative study about international trade in health services conducted during 2008-2010. Data was collected using digital and printed resources. The research population included 3 countries of ASEAN region, namely Malaysia, Singapore, and Thailand. The extracted information was used to generally picture the status of international trade in health services in the region and to compare the related opportunities and challenges.Results: International trade in health services in the studied countries involved 4 modes including supply as cross-border supply of the services, consumption abroad (health tourism), commercial presence (foreign direct investment), and temporary immigration of persons (health professionals). The trade provides opportunities for earning revenues and promoting the quality of available health services, but it also raises challenges in competing with other countries (of ASEAN) and in accessibility and affordability of health services for the country population.Conclusion: The most important challenges the ASEAN countries face in developing trade in health services include accelerating credit provision for service providers, portability of health insurance, developing and protecting the private sector, cooperation between the public and private sectors, and expanding the trade based on relative strengths of each country in order to improve the health sector.Keywords: International Trade; Health Services; Medical Tourism.
