Assessment of private hospital portals: A conceptual model
Mehdi
Alipour-Hafezi
No. 1090, Palestin Intersection Enghelab Ave, Tehran, Iran
author
Mahshid
Karimi
author
text
article
2016
eng
Introduction: Hospital portals, as the first virtual entry, play an important role in connecting people with hospital and also presenting hospital virtual services. The main purpose of this article was to suggest a conceptual model to improve Tehran private hospital portals. The suggested model can be used by all the health portals that are in the same circumstances and all the health portals which are in progress.Method: This is a practical research, using evaluative survey research method. Research population includes all the private hospital portals in Tehran, 34 portals, and ten top international hospital portals. Data gathering tool used in this research was a researcher-made checklist including 14 criteria and 77 sub-criteria with their weight score. In fact, objective observation with the mentioned checklist was used to gather information. Descriptive statistics were used to analyze the data and tables and graphs were used to present the organized data. Also, data were analyzed using independent t-test. Conceptual modeling technique was used to design the model and demonstration method was used to evaluate the proposed model. In this regard, SPSS statistical software was used to perform the tests.Results:The comparative study between the two groups of portals, TPH and WTH, in the 14 main criteria showed that the value of t-test in contact information criteria was 0.862, portal page specification was -1.378, page design criteria -1.527, updating pages -0.322, general information and access roads -3.161, public services -7.302, patient services -4.154, patient data -8.703, research and education -9.155, public relationship -3.009, page technical specifications -4.726, telemedicine -7.488, pharmaceutical services -6.183, and financial services -2.782. Finally, the findings demonstrated that Tehran private hospital portals in criterion of contact information were favorable; page design criteria were relatively favorable; page technical specifications, portal page specification, public relationship, patient data, general information and access roads, and financial services were inappropriate. Also, patient services, updating pages, public services, pharmaceutical services, research and education, and telemedicine were in a poor condition.Conclusion: Results of this study suggests that an appropriate model should contain 2 levels with 4 layers.Keywords: Private hospitals, Portals, Gap analysis, Conceptual model, Tehran city
Health Management & Information Science
Shiraz University of Medical Sciences
2783-302X
3
v.
1
no.
2016
1
9
https://jhmi.sums.ac.ir/article_42657_1b74b535426a3689cfbedf2d0b25b925.pdf
The study of urban family physicians performance and its related factors in the south of Iran
Ozra
Nourafkan
author
Abbas
Yazdanpanah
author
Erfan
Kharazmi
author
text
article
2016
eng
Introduction: The Family Physician Program is one of the most important plans for increasing the equitable access and affordable health services. This study aimed to examine the performance of Urban Family Physicians and associated factors in the third year of its implementation.Method: A cross-sectional study was conducted on all Family Physicians (31 persons) working in the private and public polyclinics and clinics in the Firoozabad, from October to December 2014. The population of the study consisted of all the physicians (31 persons) who were involved in the Family Medicine Program. The main instrument for data gathering was a standard questionnaire developed by Ministry of Health and Medical Education (MOHME). Validity and reliability of the questionnaire have been confirmed by MOHME. The questionnaire had four parts including medical equipment, informing the patients, referral system rules, and protocols. The data were analyzed using SPSS statistical software, version 16, through appropriate statistical tests including Independent T-test, Pearson Correlation, One sample T-test, in a significance level of<0.05.Results: Findings of the study showed that there was not a significant association between performance of physicians and equipment (77.20 ± 22.80). Their performance based on informing patients (81.59±16.69), protocols (82.42±12.05), and total performance (82.41±13.42) was good. Their performance in terms of referral system (69.35 ±16.15) was weak. There were not any association between the performance and marital status, age, career, and sex. In contrast, there was a significant relationship between nativity and performance so that the performance of native physicians was better.Conclusion: The Urban Family Physician is an outstanding step for improving the public health but its successful implementing needs to develop an appropriate solution for employing the native physicians. It seems that applying various incentives and employing the native physicians in terms of their ability and training them about the importance of referral systems in public health will be helpful.Keywords: Family medicine, Performance, Urban family physician, Referral system
Health Management & Information Science
Shiraz University of Medical Sciences
2783-302X
3
v.
1
no.
2016
10
14
https://jhmi.sums.ac.ir/article_42658_f4eb882ec5aac649ac6fb4c81ea2be37.pdf
Health transformation plan: Goals achievement in Nemazee hospital
Ali Akbar
Ahmadi
author
Fatemeh
Bahari
author
Hakimeh
Parsaei
author
Maryam
Golami
author
text
article
2016
eng
Introduction: The main purpose of this study was to assess fulfillment of goals about “Health Transformation Plan (HTP) of Ministry of Health, Treatment and Medical Education” from the perspective of managers, which is as one of the most important management challenges in the Health System Reform Plan. These goals included six packages determined by the Ministry of Health, Treatment and Medical Education, the fulfillment of each of which one was evaluated separately as sub-goals in the current study. Finally, the rank of each package in comparison to other packages was determined and presented, using means rank test (Friedman test).Method: This study was conducted using a questionnaire in which comments of the senior and middle managers of Nemazee hospital were collected as the research data. Due to the fact that about one year has passed since the beginning of implementation of HTP and since there were no documented methods or questionnaires, the researcher designed a self-made questionnaire. The basis of designing the questionnaire was the set of guidelines developed for Health System Reform Plan. These guidelines include goals that a hospital should achieve during implementation of Health System Reform Plan. After sharing these goals with senior and middle managers of Nemazee hospital (as the place of research), they were converted to a questionnaire including 20 questions. The questionnaire included the goals that must be achieved in Nemazee hospital of Shiraz during the implementation of the plan. After designing the questionnaire, a preliminary test was taken to assess the reliability.Results: Cronbach’s alpha coefficient (0.88) showed a high rate of reliability in the above questionnaire. After the final data collection, the questionnaire was tested in a sample of 100 senior and middle managers; the results showed that about six packages were specified by the Ministry of Health, Treatment and Medical Education. The majority of respondents (about 57%) believed that the HTP has greatly achieved its goals, and about 43% of them believed that the success of this plan was average.Conclusion: In ranking among the six main packages which was considered as sub-goals of this plan, the results showed that the studied packages were ranked respectively as follows: Package number 1, Package number 2, Package number 6, Package number 3, Package number 5 and Package number 4.Keywords: Health System Reform Plan, Ministry of Health, Hospital, Managers
Health Management & Information Science
Shiraz University of Medical Sciences
2783-302X
3
v.
1
no.
2016
15
19
https://jhmi.sums.ac.ir/article_42659_5b326e83c94b8a69cc2cc92f5ff693ca.pdf
The Role of Human Capital Development and Innovation in Healthcare organizations of Markazi Province in Iran
Mohammad Reza
Goodarzi
author
Anahita
Goodarzi
author
Effat
Goodarzi
author
text
article
2016
eng
Introduction: Increase of environmental challenges inevitably changes our methods; challenges such as rapid change, diversity of workforce, globalization, evolution and transformation of business and family roles, lack of skills and emergence of service sector affect not only the organizational structure but also the nature and functional role of business. In response to these environmental challenges and in order to increase the efficiency and effectiveness and ultimately the productivity, the organizations have shifted toward two facilitators: human capital development and innovation. The aim of the current study is to survey the correlation between these two facilitators.Method: This research is a descriptive-analytical survey. The current research population includes all experts and managers of healthcare organizations of Markazi Province in Iran in January 2015. The statistical population consisted of 650 individuals; 180 individuals were chosen as the statistical sample using Cochran’s formula. In terms of data collection method, this is a descriptive-bivariate correlative type research. Library and internet resources developed based on the variables were used for collecting data related to theoretical concepts and extracting primary elements and indicators. Cronbach’s alpha test has been used for confirming the validity and reliability of the questionnaire (0.863) which indicates a high reliability. The number of collected questionnaire was 180 and they have been analyzed using Spearman correlation.Results:According to t-statistic in all hypotheses which is out of the range of -1.96-1.96, it could be said that human capital development, healthcare management, infrastructure of official institutions, infrastructure of unofficial institutions and knowledge (education) management development have a significance effect on innovation at significance level of 95%. As a result, all research hypotheses were confirmed.Conclusion: Innovation in inputs results in increased efficiency of employees especially in educational sections of the organization. According to the creative problem-solving process in ideal situation (truth finding-finding ideas and solutions), the organization can deal with the changes imposed on the system and reach the goal of more efficiency.Keywords: Human capital, Innovation, Healthcare organizations of Markazi Province in Iran
Health Management & Information Science
Shiraz University of Medical Sciences
2783-302X
3
v.
1
no.
2016
20
25
https://jhmi.sums.ac.ir/article_42660_aaaff51204355ba9dd2eb32db9236461.pdf
The relationship between employees’ continuing education and performance in Tehran’s teaching hospitals
Mohsen
Ghobadi Tara
author
Kamran
Haji Nabi
author
text
article
2016
eng
Introduction: Continuing education and training of employees significantly affect a hospital’s performance and efficiency, and learning organizations usually exhibit higher efficiency. Hence, the objective of this study was to evaluate the correlation between the hospital employees’ continuing education and performance indicators in the teaching hospitals affiliated to Tehran’s Azad University.Method: A cross-sectional study was conducted in the teaching hospitals affiliated to Tehran’s Azad University in 2014. The subjects consisted of 70 professional hospital employees, including physicians, nurses, midwives and other personnel who had attended continuing education courses. A data collection form was used to collect the data. The data were analyzed with SPSSW-20 software. Pearson correlation coefficient was used at a significance level of 0.05.Results:The number of continuing education courses held for physicians and nurses was equal )five courses), while fewer courses were held for the remaining personnel. There were significant associations between the employees’ continuing education and bed occupancy rate (p=0.009) and bed turnover interval (p=0.01). There was no significant association between the employees’ continuing education and hospital death rate (p=0.19).Conclusion: Training employees ultimately affects their performance in the hospital. Hence, a deeper insight into the significance of hospital training is needed for decision-making policy-makers and for hospitals’ executive managers to efficiently use the limited therapeutic resources and eventually achieve optimum effectiveness.Keywords: Continuing education of personnel, Performance, Teaching hospital
Health Management & Information Science
Shiraz University of Medical Sciences
2783-302X
3
v.
1
no.
2016
26
29
https://jhmi.sums.ac.ir/article_42661_1d061caa21bb782dbafd4335def56a3f.pdf
Study of an investigation on factors influencing human resources productivity in Shiraz University of Medical Sciences
Zahra
Ghasemi
author
Neda
Moadab
author
Vida
Keshtkaran
author
Ali
Keshtkaran
author
Parisa
Nabeiei
author
text
article
2016
eng
Introduction: Human resources development is one of the most important components of any organization and detecting important factors influencing human resources management plays an essential role in the success of the firms. In this study, we investigated different factors influencing human resources productivity of Shiraz University of Medical Sciences staff.Method: The present research was a cross-sectional study. Sample size was calculated 208 individuals. To access information about the human resource productivity, a valid and reliable questionnaire was used. The data were analyzed using SPSS software. Pearson correlation was used for statistical analysis of the data (p=0.05).Results:The results showed that there was a statistically significant relationship (p-value<0.001) between human resources productivity and factors affecting the productivity of human resources (motivational factors, leadership style, creativity and innovation, general and applied education, and competitive spirit). Motivational factors (r =0.89) and general education (r =0.65) had the most and the least effects on human resources productivity.Conclusion: Considering the fact that motivational factors were the most effective factors on human resource productivity, we recommend that managers should care more than before about this factor; also, in order to motivate the employees, they should consider the staff’s individual differences.Keywords: Resource, Human resource, Productivity
Health Management & Information Science
Shiraz University of Medical Sciences
2783-302X
3
v.
1
no.
2016
30
32
https://jhmi.sums.ac.ir/article_42656_6f2b9c114ebfec782be75c6e779dc1ab.pdf