Journal of healthcare management: 26 (4)

Open Access Article

1 - Assessing Business - IT Alignment Maturity in a Healthcare System by Using the Scoring pattern (Case study: Iran University of Medical Sciences)
Mahdi Rahbar Jalal Haghighat Manfard Mohammad Reza Kabaranzad

Introduction: Alignment is a key factor in creating competitive advantage, value and realizing the goals of organization, and the permanent concern of managers. In "Healthcare system", in addition to environmental dynamism, the plurality of Business is the challenge to More

Introduction: Alignment is a key factor in creating competitive advantage, value and realizing the goals of organization, and the permanent concern of managers. In "Healthcare system", in addition to environmental dynamism, the plurality of Business is the challenge to achieving alignment. Alignment requires a strategic attitude and the participation of all managers and the starting point of this process is to understand the position of the organization. The purpose of this study was assessing the Business-IT Alignment Maturity of "Iran University of Medical Sciences" and provides a strategy for promoting it. Methods: This descriptive-survey research was conducted in the summer of 2017. The research population was "Iran University" managers, who were divided into three areas: executive, educational and IT. The stratified random sampling method was used and the sample size was 122. For data collection, the Liftman questionnaire (2015) was used. Data analysis was performed with SPSS and Friedman tests. Results: The mean of alignment was 2.55. "Infrastructure", "partnership", "skills", "communication", "competency" and "governance" were ranked first to sixth (2.78, 2.67, 2.64, 2.63, 2.49, and 2.17). Also, the scoring patterns of alignment dimensions were different in businesses of the organization. Conclusion: The organization was in the second level of alignment maturity and the goal should be the third level. The situation of "infrastructure" and "partnership" was appropriate, but "governance" and "competency" were not favorable. The organization needs a change in the "governance" of IT. It is also necessary to integrate the attitudes of managers in different areas of the organization. Manuscript profile

Open Access Article

2 - Evaluation the Effect of Exchange Rate Fluctuations on Medical Care Price Indexes in Iran
Hamid Kordbache Zahra Ahmadi

Introduction: Given the importance of medical care on the public health and its high inflation rate relative to the changes in the cost of living in Iran, this research is to study the effects of exchange rates on the inflation of medical care. Methods: In this study, a More

Introduction: Given the importance of medical care on the public health and its high inflation rate relative to the changes in the cost of living in Iran, this research is to study the effects of exchange rates on the inflation of medical care. Methods: In this study, an ARCH model has been used to examine the effects of exchange rate fluctuations on the consumer and producer price indexes of medical care for a quarterly dataset over the period 2004 -2014. Moreover, ECM integration method has been applied to investigate the long-term relationship between the variables. Results: Based on the results of ARCH and ECM models, exchange rate, liquidity and GDP have the significant and positive impact son medical care price index in the short and long-term.  The finding show that the effects of exchange rate changes on medical care price index for consumer price index and producer price index are0/23 and 0/14 in the short-term and 0/327 and 0/256  in long-term respectively. Conclusion: However the finding of this study asserts a stronger relationship between exchange rate and medical care over the consumer price index compare to the producer price index. Manuscript profile

Open Access Article

3 - Determining the Readiness of Hospitals in Golestan Province in Terms of Management in Establishing Standards for Health Promotion Hospitals
shiva onegh shaghayegh vahdat Soad Mahfozpour

The main element for the establishment of standards for health promotion hospitals is management support for developing health policies and strategic plans in the field of health promotion. The purpose of this study is to determine the readiness of hospitals in Golestan More

The main element for the establishment of standards for health promotion hospitals is management support for developing health policies and strategic plans in the field of health promotion. The purpose of this study is to determine the readiness of hospitals in Golestan province in terms of management in establishing standards for health promotion hospitals. Method: This is a descriptive and cross-sectional study. The research environment of Golestan province hospitals and the research community of directors and officials were chosen who were directly related to the establishment of standards for health promotion hospitals in Golestan province hospitals. Total statistical population of the study was n=80. Data collection tool is a researcher-made questionnaire whose validity and reliability are confirmed. Data were analyzed with SPSS version 18 software and single-sample student t-test with a significant level of 0.01. Results: Golestan province hospitals with Sig = 0/006 and the stats value of t=2/814 in terms of management are averagely prepared to establish standards of health promotion hospitals and have taken the first steps. The highest mean score for the M3=36/27 component was the expression of the concept of promotion of health in the goals and the statement of the mission of the hospital and the lowest mean score for M10 = 7/60 component was health promotion unit establishment. Conclusion: In terms of management, Hospitals in standards establishment are averagely prepared and for more readiness, a wide range of organizational capacities, including management, organizational, and organizational prerequisites, intergovernmental coordination to attract sponsors, health organizations, university heads to allocate funds, necessary human resources, equipment, are needed to convert hospitals to health promotion hospitals. Manuscript profile

Open Access Article

4 - Quality of GP' Services Contracted with Health Insurance Organization in Tehran
Ebrahim Jaafaripooyan azamsadat Rivandi

Introduction: Quality improvement is expected to enhance patients’ health and satisfaction, avoid recurrent visits and reduce costs. Thus, it is of importance for third party organizations such as health insurances. This study aims to look into GPs’ service More

Introduction: Quality improvement is expected to enhance patients’ health and satisfaction, avoid recurrent visits and reduce costs. Thus, it is of importance for third party organizations such as health insurances. This study aims to look into GPs’ service quality from the perspective of patients. Method: In present cross-sectional study, perspectives of 394 patients visited health insurance contracted GPs gathered by a researcher-developed questionnaire. Its validity and reliability checked and confirmed respectively by expert panel and Cronbach’s alpha (=α0.88). Descriptive and analytical statistical tests (SPSS) used to analyze and report findings. Results: overall score of patients’ perceptions towards GPs’ service quality was %78 and that of their expectations was %81.8, indicating a significant narrow gap (p=0.001). Conclusion: A need for improvement is felt following any gap between perceptions and expectations of service quality which should be addressed by managers. However, the limited gap can also be of concern for decision-makers. Manuscript profile

Open Access Article

5 - The Comparative Study Desire to Quit Serving of Nurses, Exhaustion and Job Satisfaction in Nurses Working in Hospitals of Tehran University of Medical Sciences Before and After Implementation of the Health Care Reform Plan
Razeyeh Komili farhad adhami mogadam mouhamad sahebzamani

Introduction: The implementation of the health care reform plan and the increase in workload on the same number of nurses can undoubtedly lead to dissatisfaction and Followed by job burnout and Leaving nurses Job. Therefore, this study was conducted with the aim of comp More

Introduction: The implementation of the health care reform plan and the increase in workload on the same number of nurses can undoubtedly lead to dissatisfaction and Followed by job burnout and Leaving nurses Job. Therefore, this study was conducted with the aim of comparing the desire to quit serving, burnout and job satisfaction of nurses working in hospitals affiliated to Tehran University of Medical Sciences before and after the implementation of health system development plan. Methods: This Descriptive-comparative study was performed on 362 nurses working in hospitals affiliated to Tehran University of Medical Sciences in 1395. The data gathering tool was a questionnaire that included demographic characteristics, Spector's Job Satisfaction Questionnaire, Maslach Job Burnout, and need desire to quit serving. Results: The job satisfaction of nurses before and after the implementation of the plan (3.12+0.3917) and (2.98+0.3279), burnout (4.62+0.765) and (4.61+0.8374) And the desire to quit serving of nurses (3.26+1.141) & (2.778+1.252). The results of paired t-test showed a significant difference in job satisfaction and desire to quit serving of nurses before and after the implementation of the plan (p=0.0001). The Paired t-test did not show a significant difference in burnout before and after the implementation of the plan (p = 0.848). Conclusion: The results indicate that after implementing the health system reform plan, job satisfaction of nurses decreased, the desire to quit serving nurses has increased and nursing job burnout has been fixed. Manuscript profile

Open Access Article

6 - Human Error Protection Layers Analysis for Nursing in CCU Department with Proactive Approach
Mohsen Shanoofi Seyed Abolfazl Zakerian Hanieh Nikoomaram

Introduction: Numerous studies have shown that human error is the main factor in the occurrence of occupational accidents. Diversity of a job’s different aspects, nature of the job and its complexity, can negatively affect a worker’s performance and behavior More

Introduction: Numerous studies have shown that human error is the main factor in the occurrence of occupational accidents. Diversity of a job’s different aspects, nature of the job and its complexity, can negatively affect a worker’s performance and behavior, thus leading to unsafe acts in a working environment. This also causes workers to intentionally or unintentionally make errors, which itself can be a reason of occupational accidents. Methods: This study is an analytical- descriptive research, where Barrier Analysis (BA) technique has been applied to identify and analyze the nurses’ human errors in the CCU ward of NIOC Tehran hospital. Results: The results of the BA checklists presented 57 barriers classified in 8 groups: administrative barriers (14%), procedural actions (18%), human actins (10%), supervisory and co-working barriers (20%), training (10%), natural barriers (0%), physical barriers (10%) and environmental design (18%). Also, 38 barrier breakers and 32 corrective actions were identified. Conclusion: It can be concluded that BA technique is an appropriate technique to be used in the healthcare and therapy industry as it is helpful in the identification of human error protection layers. Manuscript profile

Open Access Article

7 - Financing Approaches in Pre-Hospital and Hospital Emergencies in Iran - 1395
Ali Jamalmohammadi Seyed Jamaledin Tabibi Leila Riahi Mahmoud Mahmoudi Majdabadi Farahani

Introduction: The community is committed to providing at least the first-come, first-served care services for all individuals, that the realization of this public right depends on the mechanisms that provide the service to everyone, without, however, the ability of the More

Introduction: The community is committed to providing at least the first-come, first-served care services for all individuals, that the realization of this public right depends on the mechanisms that provide the service to everyone, without, however, the ability of the individual to pay or not Pay attention to their premiums. The purpose of this study was to determine the factors related to financing in pre-hospital and hospital emergency rooms in Iran in order to improve the provision of services to community members. Methods: The present research is descriptive and comparative. Developed countries in different parts of the world based on the similarities of health systems based on geographical area, the level of development of health and medical indicators, payment system and financing method were selected. The data on the financing process in pre-hospital and hospital emergency rooms of the countries under study were collected and then, based on the adaptive tables, effective factors on the financing of pre-hospital and hospital emergencies in the countries studied in the areas of financial resources management, budget, payment system Service providers and insurance coverage were extracted. Results: Findings indicate that in many countries, lack of funding in pre-hospital and hospital emergency rooms is an important barrier to providing services in this area, and this may be due to several factors: lack of adequate funding, inadequate funding, The pay system is not transparent to service providers and the inability to manage financial resources. Emergency financing is well defined, there is a lot of distance. Key and backup processes are not properly designed to fund, and there is no specific framework for identifying and deploying financing processes to implement policy and strategy in pre-hospital and hospital emergency situations. Conclusion: The need to reform the emergency services by reorganizing the emergency and improving the emergency by applying effective approaches to improving the financing of emergency funds in the form of an integrated model and in the form of a change in the type of look at planning and financial management in the emergency department with a view to the viability of services that With a clear indication of the partnership-driven, community-based, citizen-oriented, converging and synergistic approach to different types of emergency management, social capital and appropriate insurance coverage for emergency services. Manuscript profile

Open Access Article

8 - Investigating Job Security and Perceiving Organizational Support in Predicting the Productivity of Contract Staff of Khoramabad University of Medical Sciences
baharak shirzad kebria leila nosrati

Introduction: The importance of employee productivity in organizations is an undeniable part in the management of the organization. High productivity increases living standards and social welfare through real incomes, national competitiveness and quality of life. Theref More

Introduction: The importance of employee productivity in organizations is an undeniable part in the management of the organization. High productivity increases living standards and social welfare through real incomes, national competitiveness and quality of life. Therefore, it is necessary to examine the factors that can predict this productivity in the organization. Methodology: This research is applied in terms of applied and descriptive survey method and correlation branch. The statistical population of this study consisted of all contracted personnel of Khoramabad University of Medical Sciences. Using Morgan's table, 196 people were selected as sample size and these numbers were selected by stratified random sampling from the statistical population. The data collection tool is a questionnaire. Pearson correlation coefficient and multivariate regression were used to analyze the data. Results: The correlation coefficient of occupational safety and productivity of contract staff was r = 0.25, which is significant at the level of 0.001. The correlation coefficient of perceived organizational support and the productivity of contract staff is r = 0.38, which is significant at the level of 0.001. Job security and organizational support perceived the power of predicting the productivity of contract staff (F = 19.95, P <0.001), and job security pre-beta variable (β = 0.16) and organizational support perception of beta (β = 0.33) have the power to predict the productivity of contract staff. Conclusion: Occupational safety is one of the health factors and its maintenance by the organization continues to serve, therefore its satisfaction in job relations leads to job satisfaction and as a result of effective performance along with proper efficiency and efficiency. Perceived organizational support provides a desirable field of business, and with the understanding of the organization's support, there is a strong and consistent relationship between organization and individuals. It was also found that any organization needed to increase its productivity by feeling the security of the job and understanding of organizational support so that it could enjoy high productivity. Manuscript profile

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