Shiraz University of Medical Sciences
Health Management & Information Science
2783-302X
3
3
2016
07
01
Patients’ perception of quality service delivery of public hospitals in Nigeria using analytical hierarchy process
66
73
42668
EN
Emmanuel Olateju
Oyatoye
Bilqis Bolanle
Amole
Sulaimon Olanrewaju
Adebiyi
Journal Article
2016
06
29
Introduction: Patients are recently more aware and conscious. This is because of the belief that a high level of quality can translate into patient satisfaction. This is critical for healthcare providers as they deal with life. This recognition by both the service provider and service receivers made the government to establish units of service commission (SERVICOM) in each of the governmental agencies including hospitals in Nigeria to monitor the level of quality of service delivery. However, to what extent do patients’ perceptions about health services seem to have been largely recognized remain unclear by health care providers, despite the (SERVICOM) units in public institutions in Nigeria?Method: A cross-sectional analytical study using convenient sample method, based on the fact that not every patient of the selected hospitals can be chosen, was performed on 400 patients who received health services at four different public hospitals in Ogun state Nigeria. The selection of these hospitals was based on the zones in the state (Egba, Ijebu, Remo and Yewa area of Ogun-state). The instrument was a valid and reliable analytical hierarchy process based questionnaire containing five service quality dimensions. Data were analyzed using SPSS, Expert choice and Microsoft Excel software to determine the perception of patients towards service quality delivery in pairwise comparison of judgment consistent at less than 10%.Results:The results showed the composite priorities of the patients’ perception with respect to determinants of the patients’ perception towards quality of services delivered in the public hospitals in Nigeria. The most important factor to patients was the reliability dimension with composite priority 0.24 or 24% followed by the responsiveness dimension with 0.22 assurance dimension 0.21, tangibility dimension with 0.21, and the least determinant factor was the empathy dimension with 0.1101.Conclusion: Based on the results, the weights and rank order of the criteria (service quality dimensions) and the alternatives (sub-criteria) are essential research driven output for policy formulation and implementation in the healthcare sector for workers’ capacity building towards better service delivery.JEL Code: I1, I12, C80, C83.Keywords: Service quality, Patients, Perception, Analytical hierarchy process, Healthcare, Hospitals, Service delivery
Shiraz University of Medical Sciences
Health Management & Information Science
2783-302X
3
3
2016
07
01
Quality standards and its compatibility rating prioritizing: the viewpoint of providers and recipients of hospital services in Iran
74
81
42670
EN
Rafat
Mohebbifar
Fariba
Zahedifar
Elnaz
Ghanati
Mohammad Zakaria
Kiaei
Omid
Khosravizadeh
0000-0001-6893-3489
Journal Article
2016
06
29
Introduction: Quality of health services is the rate of achievement to the most desirable resultants of health, so that provided services are effective, efficient, and affordable. Thus, quality evaluation can be an important source of information for recognition of problems and favorable plans in provision of treatment services.Method: In this cross-sectional study, criteria of quality in hospital services and the compatibility rate from viewpoint of providers and recipients of services in Iran were studied using simple random sampling method in 4 provinces of country among 1485 people. Data were gathered using a designed questionnaire; criteria of quality in views of providers and recipients of services in six dimensions were studied. The data were analyzed using SPSSW-20 software. In order to analyze the information, descriptive tests and to determine the compatibility rate between the two groups, Chi-square test were used at a significance level of 0.05.Results:Based on the results of this research, most percentage of accordance between the two groups of providers and recipients of services was in “Human Resources” dimension and in 1st priority (“Knowledge and specialty and skills of physicians and nurses and other people involved in patient care” criterion) with a frequency of 76.3 and 73.1 percent. Among the six studied dimensions, compatibility rate between the two groups, in “Access to Service and Care”, “Respecting Values and Emotional Support”, and “Management and Coordination of Care System” dimensions was significant (P<0.001).Conclusion: Quality evaluation is an important source of information for recognition of problems and favorable plans in provision of effective health services. Therefore, recognition of different views of beneficiary groups and specially attempts to make perceptions of providers and recipients closer in the context of quality criteria are essential.Keywords: Quality, Standard, Hospital, Evaluation
Shiraz University of Medical Sciences
Health Management & Information Science
2783-302X
3
3
2016
07
01
Readiness of Shiraz teaching hospitals to implement Electronic Medical Record (EMR)
82
88
42671
EN
Ali
Garavand
Mahnaz
Samadbeik
Heshmat
Asadi
Shahabeddin
Abhari
Journal Article
2016
06
29
Introduction: Due to the importance of Electronic Medical Record (EMR) in the quality of health care services, checking the readiness of hospitals to implement it is a vital step to define success or failure of the Electronic Medical Record in the first place. The aim of this study was to evaluate the readiness of Shiraz teaching hospitals to implement Electronic Medical Record.Method: This study was a cross-sectional descriptive study done in 2015. The study population included Health Information Management (HIM) staff of Shiraz teaching hospitals. Five hospitals from a total of 14 hospitals were selected as Single-stage cluster sampling with a population of 79 health information management staff. Data collection was performed by using a validated questionnaire. The questionnaire consisted of three main dimensions including technical, organizational and legal requirements. For data analysis, SPSS software version 16 and one way Analysis of Variance (ANOVA) for comparisons between five hospitals were used.Results:The results showed that Shiraz teaching hospitals have high readiness (3.66 out of 5) to implement Electronic Medical Record. Shiraz teaching hospitals are better prepared in terms of legal requirements. Also, a significant difference was not observed among the hospitals in any of the technical, organizational and legal aspects (P > 0.05).Conclusion: Due to the importance of the technical, organizational and legal aspects in the implementation of Electronic Medical Record, it is recommended that the authorities consider these aspects in implementation of Electronic Medical Record. Also, according to the high readiness of Shiraz teaching hospitals to implement Electronic Medical Record, it is recommended that authorities should take necessary measures, including financial support in order to run it.Keywords: Implementation, Electronic Medical Records (EMR), Hospital, Health Information Management
Shiraz University of Medical Sciences
Health Management & Information Science
2783-302X
3
3
2016
07
01
Relationship between partnership working and employees’ productivity in a University of Medical Sciences in the South of Iran
89
93
42672
EN
Mohammad
Khammarnia
0000-0002-3759-5875
Aziz
Kassani
Mostafa
Peyvand
Journal Article
2016
06
29
Introduction: Partnership working plays an important role in the health system, results in delivery of coordinated packages of services to patients, and reduces the impact of organizational fragmentation.Method: The study aimed to determine the relationship between partnership working and productivity in the employees of a university of medical sciences in the south of Iran.Results: According to the result, partnership and productivity scores were 51.1 + 6.7 and 51.9 + 13.4, respectively. Partnership working had a positive relationship with productivity (r = 0.333, P = 0.001) and age of the employees (r = 0.142, P = 0.007). There was a negative relationship between the employees’ productivity with age and job position in ZAUMS (P= 0.009 and P= 0.001, respectively). The nurses had the highest score of productivity (mean=60.7±13.3). Moreover, employees with an Ph.D. degree (9 persons) had the highest scores of partnership and productivity in ZAUMS (53.6±3.1 and 56.8±6.3, respectively).Conclusion: Enhancement of partnership working could increase the employees’ productivity in the health system. It is recommended that younger persons should be used in universities of medical science. Moreover, supportive staff should increase their partnership working to enhance the individual and organizational productivity.Keywords: Partnership, Productivity, Medical Science University
Shiraz University of Medical Sciences
Health Management & Information Science
2783-302X
3
3
2016
07
01
Application of goal programming to improve human resource allocation for urban family physician plan in Iran
94
99
42673
EN
Mohammad Hossein
Mehrolhassani
Vahid
Kohpeima Jahromi
Journal Article
2016
06
29
Introduction: Family physician plan in Iran was conducted to establish service referral system. Its urban step began in 2012 and it was supposed that the effectiveness is enhanced and the costs are reduced. The implementation of this program has faced some challenges, especially in human resources management. The aim of this study was to optimally allocate human resources for urban family physician plan in Jahrom town, using goal programming model.Method: This cross-sectional, case study was carried out in 2014 in Jahrom, Iran. Jahrom was studied as a case. Data were collected using a group discussion sessions, five structured interviews, reviewing documents, and field study. The participants were selected using purposive sampling method. After the emergence of goal programming components, the model was designed and problems were solved using software DS.Results: The optimal number of urban family physicians was 37 with two working shifts and 15 with one working shift. Moreover, the optimal number of physicians was 25 in public health centers and 19 in private centers. In addition, the optimum number of family physician assistants was 52. On the basis of these results, the real number of urban family physicians was 33, 26, 25, 34 and, 57, respectively.Conclusion: The results of this model showed that allocation of human resources in family physician program was not optimal and satisfactory based on the decision-makers’ viewpoints. Thus, goal programming would provide a more favorable allocation when combined with mentality of the managers and logical optimal numbers.Keywords: Family physician, Goal programming, Human resource allocation, Iran
Shiraz University of Medical Sciences
Health Management & Information Science
2783-302X
3
3
2016
07
01
National registry of myocardial infarction
100
101
42669
EN
Amin
Daemi
Mehdi
Jafari
Journal Article
2016
06
29
The Registry of Myocardial Infarctions (MI Registry) is a national registry in Iran that collects and reports the data on myocardial infarctions. Its main advantage is that it covers the whole country and is mandatory for hospitals to register the MI cases in it. Then, the qualified individuals at the provincial and national levels can get intended reports and make appropriate decisions. Such reports, further to the policy makers and managers, can be very valuable for researchers.The registry is a unique and comprehensive source of data that can provide priceless reports which can be used in management, policy making, resource allocation, and for research purposes. The data of MI patients from all around the country are entered into the registry by the hospitals in which the MI patients are admitted. The data include the demographic information (name, gender, date of birth, literacy, nationality, health insurance, city, and province), admission data (date and time of the first signs of the attack, date and time of admission in the hospital emergency department, date and time of admission in cardiac care unit-CCU, name of the doctor, and the number of patient’s medical record), medical history (coronary heart disease, hypertension, diabetes, high cholesterol, number of cigarettes if smoking, history of CABG and/or PCI and its date), clinical condition (the patient’s condition in terms of rhythm and heart block according to the diagnosis of the doctor), interventions (thrombolytic therapy, CABG, PCI, and date and time of each intervention if applied), laboratory results (positive or negative Troponin T and Troponin I, amount of CPKMB, maximum Troponin T and Troponin I, and date and time of each laboratory test), and the discharge information (the patient’s status when discharged from CCU-stable or dead, prescribed drugs, final diagnosis, and date and time of discharge).