ORIGINAL_ARTICLE
Patients’ perception of quality service delivery of public hospitals in Nigeria using analytical hierarchy process
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
https://jhmi.sums.ac.ir/article_42668_77cd35780e781b679908738e7e79ccfb.pdf
2016-07-01
66
73
Emmanuel Olateju
Oyatoye
eoyatoye@unilag.edu.ng
1
LEAD_AUTHOR
Bilqis Bolanle
Amole
bamole@unilag.edu.ng
2
AUTHOR
Sulaimon Olanrewaju
Adebiyi
3
AUTHOR
Roshnee Ramsaran-Fowdar R. The relative importance of service dimensions in a healthcare setting. International journal of health care quality assurance. 2008;21(1):104-24.
1
Gilbert FW, Dent RP. Adaptation anaâC astomer Expectations of Health Care. 1992.
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Sitzia J, Wood N. Patient satisfaction: a review of issues and concepts. Social science & medicine. 1997;45(12):1829-43.
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Cleary PD, McNeil BJ. Patient satisfaction as an indicator of quality care. Inquiry. 1988:25-36.
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Donabedian A. The quality of care. How can it be assessed? JAMA. 1988;260(12):1743-8.
5
Levine AS, Plume SK, Nelson EC. Transforming patient feedback into strategic action plans. Qual Manag Health Care. 1997;5(3):28-40.
6
Parasuraman A, Zeithaml VA, Berry LL. A conceptual model of service quality and its implications for future research. the Journal of Marketing. 1985:41-50.
7
Amole B, Oyatoye E, Kuye O. Determinants of patient satisfaction on service quality dimensions in the Nigeria teaching hospitals. Economics Management Innovation Scientific Technical Journal of Morovian. 2015;7(3):3-20.
8
Oyatoye, E. O., Adebiyi, S. O. & Amole, B. B. Evaluating Subscribersâ preference for service attributes of mobile telecommunication in Nigeria using analytic hierarchy process (AHP). International Journal of the Analytic Hierarchy Process. 2015; 7(2). 171 - 187
9
Saaty TL. Fundamentals of decision making and priority theory with the analytic hierarchy process. Pittsburgh, PA: Rws Publications; 1996.
10
Cronin Jr JJ, Taylor SA. Measuring service quality: a reexamination and extension. The journal of marketing. 1992:55-68.
11
Potter C, Morgan P, Thompson A. Continuous quality improvement in an acute hospital: a report of an action research project in three hospital departments. Int J Health Care Qual Assur. 1994;7(1):4-29.
12
Pakdil F, Harwood TN. Patient satisfaction in a preoperative assessment clinic: an analysis using SERVQUAL dimensions. Total Quality Management & Business Excellence. 2005;16(1):15-30.
13
Clemes MD, Ozanne LK, Laurensen WL. Patientsâ perceptions of service quality dimensions: an empirical examination of health care in New Zealand. Health Mark Q. 2001;19(1):3-22.
14
Lee P-M, Khong P, Ghista DN, Lee P-M, Khong P, Ghista DN. Impact of deficient healthcare service quality. The TQM Magazine. 2006;18(6):563-71.
15
Turris SA. Unpacking the concept of patient satisfaction: a feminist analysis. J Adv Nurs. 2005;50(3):293-8.
16
Adebiyi SO, Oyatoye EO, Kuye OL. An Analytic Hierarchy Process Analysis: Application to Subscriber Retention Decisions in the Nigerian Mobile Telecommunications. International Journal of Management and Economics. 2015;48(1):63-83.
17
Saaty TL. Fundamentals of decision making and priority theory with the analytic hierarchy process. Rws Publications; 2000.
18
Taylor III BW. Management Science. 7th ed. New Jersey: Pearson Prentice- Hall, Inc; 2001.
19
ORIGINAL_ARTICLE
Quality standards and its compatibility rating prioritizing: the viewpoint of providers and recipients of hospital services in Iran
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
https://jhmi.sums.ac.ir/article_42670_841082d096c09d667b265edb6cf6a536.pdf
2016-07-01
74
81
Rafat
Mohebbifar
manage.univ@gmail.com
1
LEAD_AUTHOR
Fariba
Zahedifar
2
AUTHOR
Elnaz
Ghanati
3
AUTHOR
Mohammad Zakaria
Kiaei
4
AUTHOR
Omid
Khosravizadeh
omid.khosravizadeh@gmail.com
5
AUTHOR
Newman K. Interrogating SERVQUAL: a critical assessment of service quality measurement in a high street retail bank. International journal of bank marketing. 2001;19(3):126-39.
1
Punnakitikashem P, Buavaraporn N, Maluesri P, Leelartapin K, editors. Healthcare Service Quality: Case Example of a Hospital with Lean Implementation. POMS 23rd Annual Conference, Chicago, Illinois, USA; 2012.
2
Marquis BL, Huston CJ. Leadership roles and management functions in nursing: Theory and application. Lippincott Williams & Wilkins; 2009.
3
Tafreshi MZ, Pazargadi M, Abed Saeedi Z. Nursesâ perspectives on quality of nursing care: a qualitative study in Iran. International Journal of health care quality assurance. 2007;20(4):320-8.
4
McKee M, Healy J. The role of the hospital in a changing environment. Bulletin of the World Health Organization. 2000;78(6):803-10.
5
Kurpas D, Steciwko A. [Patient satisfaction as the main indicator of primary care quality]. Przegl Lek. 2005;62(12):1546-51.
6
Lee MA, Yom YH. A comparative study of patientsâ and nursesâ perceptions of the quality of nursing services, satisfaction and intent to revisit the hospital: a questionnaire survey. Int J Nurs Stud. 2007;44(4):545-55.
7
Mossadegh Rad A. Textbook of Hospital Community Organization and management. Tehran: Art Institute debugger. 2004.
8
Salami S, Samui R. Satisfaction of hospitalized patients from provided services in university hospitals of city of Isfahan. Health Information Management. 2011;8(8):1097-103.
9
Beattie PF, Pinto MB, Nelson MK, Nelson R. Patient satisfaction with outpatient physical therapy: instrument validation. Phys Ther. 2002;82(6):557-65.
10
Arefi M, Talaei N. Patient satisfaction in Baharloo Hospital in 2008. Payavard Salamat. 2010;4(2):97-103.
11
Hayati IN, Azimatun N, Rozita H, Ezat WS, MR A. In-patientâs satisfaction in the medical and surgical wards-A comparison between accreditted and non accreditated hospital in the state of Selangor. Jurnal Kesihatan Masyarakat. 2010;16(1):60-8.
12
PiligrimienÄ Å½, BuÄiÅ«nienÄ I. Different perspectives on health care quality: Is the consensus possible? Engineering Economics. 2015;56(1).
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Association PIaAH. Eye on Patients Report [on-line]. 1996 [updated 1996; cited 8 Feb 2012]; Available from: http://pickerinstitute.org/about/picker-principles.
14
Stern AL, MacRae S, Gerteis M, Harrison T, Fowler E, Edgman-Levitan S, et al. Understanding the consumer perspective to improve design quality. Journal of Architectural and Planning Research. 2003:16-28.
15
Tomes AE, Chee Peng Ng S. Service quality in hospital care: the development of an in-patient questionnaire. Int J Health Care Qual Assur. 1995;8(3):25-33.
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Camilleri D, OâCallaghan M. Comparing public and private hospital care service quality. Int J Health Care Qual Assur Inc Leadersh Health Serv. 1998;11(4-5):127-33.
17
Javadi M, Yaghoobi M, Raiesi A, Mandegar HA, Ayoobian A. A Study of Non-Medical Aspects of Health Services Provided to Patients in Selected Hospitals of Isfahan: Responsiveness. Director General. 2011;8(5).19.
18
Azarbayejani K, Atafar A. Comparative study on expectations of patients and nurses from nursing services and medical cares in Isfahan Al-Zahra educational hospital. Iranian journal of education in medical sciences. 2011;9(11):1271-81.
19
Rafei S, Ahmadi B. [Rate of patient satisfaction in type 1 hospitals of Tehran university of medical sciences.]. Payavard Salamat. 2010;4(4):44-53.
20
Powers TL, Bendall-Lyon D. The satisfaction score. Mark Health Serv. 2003;23(3):28-32.
21
Falahinia G, Zareian A, Oshvandi K, Farhanchi A, Moghimbigi A. Comparison of intensive care units Structural Standards. Journal of Critical Care Nursing. 2013;5(4):222-7.
22
Mohammadi A, Mohammadi J. Evaluating quality of health services in health centres of Zanjan district of Iran. Indianjournal of public health. 2012;56(4):308.
23
Ugurluoglu O, Celik Y. How responsive Turkish health care system is to its citizens: the views of hospital managers. J Med Syst. 2006;30(6):421-8.
24
Pasargadi M, ZaghariTafreshi M. Nursing care quality from nursesâ view, Research in medicine. Department of Medicineâs Research Journal. 2007;31(2):147-53.
25
Boudreaux ED, DâAutremont S, Wood K, Jones GN. Predictors of emergency department patient satisfaction: stability over 17 months. Acad Emerg Med. 2004;11(1):51-8.
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Williams AM. The delivery of quality nursing care: a grounded theory study of the nurseâs perspective. J Adv Nurs. 1998;27(4):808-16.
27
van Duong D, Binns CW, Lee AH, Hipgrave DB. Measuring client-perceived quality of maternity services in rural Vietnam. Int J Qual Health Care. 2004;16(6):447-52.
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Teas RK. Expectations, performance evaluation, and consumersâ perceptions of quality. The journal of marketing. 1993:18-34.
29
Huycke L, All AC. Quality in health care and ethical principles. J Adv Nurs. 2000;32(3):562-71.
30
ORIGINAL_ARTICLE
Readiness of Shiraz teaching hospitals to implement Electronic Medical Record (EMR)
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
https://jhmi.sums.ac.ir/article_42671_62a9c38b9acda9587957dc36096750fa.pdf
2016-07-01
82
88
Ali
Garavand
shahabeddin.abhari@gmail.com
1
LEAD_AUTHOR
Mahnaz
Samadbeik
mahbeik@yahoo.com
2
AUTHOR
Heshmat
Asadi
3
AUTHOR
Shahabeddin
Abhari
shahabbeststar@gmail.com
4
AUTHOR
Chaulagai CN, Moyo CM, Koot J, Moyo HB, Sambakunsi TC, Khunga FM, et al. Design and implementation of a health management information system in Malawi: issues, innovations and results. Health Policy Plan. 2005;20(6):375-84.
1
Toyoda K. Standardization and security for the EMR. Int J Med Inform. 1998;48(1-3):57-60.
2
Ludwick DA, Doucette J. Adopting electronic medical records in primary care: lessons learned from health information systems implementation experience in seven countries. International journal of medical informatics. 2009;78(1):22-31.
3
Wager KA, Lee FW, Glaser JP, Burns Glaser J, Managing J. Health information systems: a practical approach for health care executives. Jossey-Bass; 2005.
4
Carter Jerome H. Electronic medical records: a Guide for clinicians & administrators. Translated by Langarizadeh M, Mahmoodzadeh B & Khezri R Tehran: Institute of Dibagaran. 2005:185-201.
5
Hillestad R, Bigelow J, Bower A, Girosi F, Meili R, Scoville R, et al. Can electronic medical record systems transform health care? Potential health benefits, savings, and costs. Health Aff (Millwood). 2005;24(5):1103-17.
6
Mills TR, Vavroch J, Bahensky JA, Ward MM. Electronic medical record systems in critical access hospitals: leadership perspectives on anticipated and realized benefits. Perspect Health Inf Manag. 2010;7:1c.
7
Wills MJ, El-Gayar O, Bennett D. Examining healthcare professionalsâ acceptance of electronic medical records using UTAUT. Issues in Information Systems. 2008;9(2):396-401.
8
Ahmadi Dehghotbodini M. [Structure combination between Davies information acceptances Model. New plans in educational sciences]. 2010;5(2):56-8.
9
Follen M, Castaneda R, Mikelson M, Johnson D, Wilson A, Higuchi K. Implementing health information technology to improve the process of health care delivery: a case study. Dis Manag. 2007;10(4):208-15.
10
Valdes I, Kibbe DC, Tolleson G, Kunik ME, Petersen LA. Barriers to proliferation of electronic medical records. Inform Prim Care. 2004;12(1):3-9.12.
11
Gans D, Kralewski J, Hammons T, Dowd B. Medical groupsâ adoption of electronic health records and information systems. Health Aff (Millwood). 2005;24(5):1323-33.
12
Garavand A, editor. Nematollahi M. Monem H. The role of electronic medical records (EMR) in reducing Hospital costs. International Conference on Sustainable Reform in Health Systems; 2015.
13
Gozali E, Langarizadeh M, Sadoughi F. A SURVEY OF THE POSSIBILITY OF ELECTRONIC MEDICAL RECORDS IMPLEMENTATION IN TEACHING HOSPITALS AFFLIATED TO URMIA UNIVERSITY OF MEDICAL SCIENCES. Journal of Urmia Nursing And Midwifery Faculty. 2013;11(5):0-.15.
14
Holroyd-Leduc JM, Lorenzetti D, Straus SE, Sykes L, Quan H. The impact of the electronic medical record on structure, process, and outcomes within primary care: a systematic review of the evidence. Journal of the American Medical Informatics Association. 2011;18(6):732-7.
15
Price A. A study of factors influencing physician adoption of electronic medical records technology. Grenoble Ecole de Management. 2010.
16
Langarizade M, Gozali M, Sadoghi F. [Comparative evaluation Hospitals preparation for deployment Electronic Medical Records in Urmia]. Journal of Faculty of Tehran University of Medical Sciences (Pyavrd salamat). 2013;7:312-24.
17
Najafi N. [Effective factors for adoption of Electronic patient record between physicion usingn the unified theory of acceptance and use of technology (UTAUT)]: Shiraz: Shiraz Payame Noor University; 2010.
18
Jebraeily M, Ahmadi M, Hajavi A, Gohari M, Sedghi Jahromi M, Zareh Z. Electronic Health Records: Personnel Readiness Assessment. Journal of Health Administration. 2010;13(39):17-24.
19
Torabi M, Safdari R. [Electronic Health Record]. tehran: jafari publication; 2009.
20
Hostgaard AM, Nohr C. Dealing with organizational change when implementing EHR systems. Stud Health Technol Inform. 2004;107(Pt 1):631-4.
21
Amatayakul M. EHR? Assess readiness first: thereâs no denying interest in electronic health records is increasing. Healthcare Financial Management. 2005;59(5):112-4.
22
Miller RH, Sim I. Physiciansâ use of electronic medical records: barriers and solutions. Health Aff (Millwood). 2004;23(2):116-26.
23
ORIGINAL_ARTICLE
Relationship between partnership working and employees’ productivity in a University of Medical Sciences in the South of Iran
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
https://jhmi.sums.ac.ir/article_42672_7b10bec298c6b2abbf727f917dd2fc37.pdf
2016-07-01
89
93
Mohammad
Khammarnia
m_khammar1985@yahoo.com
1
LEAD_AUTHOR
Aziz
Kassani
khammarnia@sums.ac.ir
2
AUTHOR
Mostafa
Peyvand
3
AUTHOR
Duffy K, Blair V, Colthart I, Whyte L. Role development: barriers, enablers and the function of a national organisation. Nurs Manag (Harrow). 2014 Jun;21(3):31-7.
1
Hunter D, Perkins N. Partnership working in public health: the implications for governance of a systems approach. J Health Serv Res Policy. 2012 Apr;17 Suppl 2:45-52.
2
Jones J, Barry MM. Exploring the relationship between synergy and partnership functioning factors in health promotion partnerships. Health Promot Int. 2011 Dec;26(4):408-20.
3
Henwood M. Effective partnership working: a case study of hospital discharge. Health Soc Care Community. 2006 Sep;14(5):400-7.
4
Gardiner C, Gott M, Ingleton C. Factors supporting good partnership working between generalist and specialist palliative care services: a systematic review. Br J Gen Pract. 2012 May;62(598):e353-62.
5
Glasby J, Dickinson H, Miller R. Partnership working in England-where we are now and where weâve come from. Int J Integr Care. 2011 Jan;11 Spec Ed:e002.
6
Smith KE, Bambra C, Joyce KE, Perkins N, Hunter DJ, Blenkinsopp EA. Partners in health? A systematic review of the impact of organizational partnerships on public health outcomes in England between 1997 and 2008. J Public Health (Oxf). 2009 Jun;31(2):210-21.
7
Wildridge V, Childs S, Cawthra L, Madge B. How to create successful partnerships-a review of the literature. Health Info Libr J. 2004 Jun;21 Suppl 1:3-19.
8
Petticrew M, Platt S, McCollam A, Wilson S, Thomas S. âWeâre not short of people telling us what the problems are. Weâre short of people telling us what to doâ: an appraisal of public policy and mental health. BMC Public Health. 2008;8:314.
9
Mohammadi M, Esfandnia A, Fathinia R, Mohammadi E, Rezaei S, Taft V. Model of Factors affecting Labor Productivity in the Areas of Staff Kermanshah University of Medical Sciences. Spectrum. 2014;3(8).
10
Khajehfard S, Ansari ME, Valikhani M. Recognition and Categorization of the Factors of Service Virtue and Examination of Its Impact on Organizationâs Productivity. Arth prabandh: A Journal of Economics and Management. 2014;3(6):28-43.
11
Dowling B, Powell M, Glendinning C. Conceptualising successful partnerships. Health & social care in the community. 2004;12(4):309-1713.
12
Smith K, Bambra C, Joyce K, Perkins N, Hunter D, Blenkinsopp E. Partners in health? A systematic review of the impact of organizational partnerships on public health outcomes in England between 1997 and 2008. Journal of Public Health. 2009;31(2):210-21.
13
Khademi AR, Ghaderi M, Ali M, Pouya M. Investigation of Cardio-Respiratory Fitness, Stress and Body Mass Index of Public Employees Regarding Working Partnership. Advances in Environmental Biology. 2012;6(3):1051-5.
14
Moammai H, Amini M, Dargahi H, Mashayekh M, Janbozorgi M. Strategic Thinking Measurement among Staff Managers of Tehran University of Medical Science. Journal of Health Administration. 2013;16(53):73-84.
15
Raza H, Anjum M, Zia SM. The Impacts of Employeeâs Job Performance Behavior and Organizational Culture on Organizational Productivity in Pharmaceutical Industries in Karachi. Interdisciplinary Journal of Contemporary Research In Business. 2014;5(12):385.
16
Nawab S, Bhatti KK. Influence of employee compensation on organizational commitment and job satisfaction: A case study of educational sector of Pakistan. International Journal of Business and Social Science. 2011;2(8):25-32.
17
Dixit V, Bhati M. A study about employee commitment and its impact on sustained productivity in Indian auto-component industry. European journal of business and social sciences. 2012;1(6):34-51.
18
Khammarnia M, Kassani A, Peyvand M, Setoodezadeh F. Systemic Thinking and Partnership Working: A Cross Sectional Study in a Medical Sciences University in Iran. Journal of health sciences and surveillance system. 2016;4(1):27-31.
19
Duffy JR, Culp S, Sand-Jecklin K, Stroupe L, Lucke-Wold N. Nursesâ Research Capacity, Use of Evidence, and Research Productivity in Acute Care: Year 1 Findings From a Partnership Study. Journal of Nursing Administration. 2016;46(1):12-7.21.
20
Gupta SN, Letvak SA. Differences in health, productivity and quality of care in younger and older nurses. 2013.
21
Balsdon H, Wilkinson S. A trust-wide review of clinical nurse specialistsâ productivity. Nursing management (Harrow, London, England: 1994). 2014;21(1):33-7.
22
Bahrami S, Hasanpour M, Rajaeepour S, Aghahosseni T, Hodhodineghad N. The relationship between organizational trust and nurse administratorsâ productivity in hospitals. Iranian journal of nursing and midwifery research. 2012;17(6):451.
23
Eastaugh SR. Hospital nurse productivity enhancement. Journal of health care finance. 2006;33(3):39-47.
24
Taro T, Yao C, Ly S, Wipfli H, Magee K, Vanderburg R, et al. The Global Surgery Partnership: An Innovative Partnership for Education, Research, and Service. Academic medicine: journal of the Association of American Medical Colleges. 2015.
25
Lakhoo K, Msuya D. Global health: A lasting partnership in paediatric surgery. African Journal of Paediatric Surgery. 2015;12(2):114.
26
Downie J, Orb A, Wynaden D, McGowan S, Zeeman Z, Ogilvie S. A practice-research model for collaborative partnership. Collegian. 2001;8(4):27-32.
27
M A, A Hd, A N. Relashioship between job and education level by employee productivity in oil company in Ahvaz Iranian journal of Public Administartion Mission 2013;3(5):43-53.
28
Taylor-Robinson DC, Lloyd-Williams F, Orton L, Moonan M, OâFlaherty M, Capewell S. Barriers to partnership working in public health: a qualitative study. PloS one. 2012;7(1):e29536.
29
Hunter D, Perkins N. Partnership working in public health: the implications for governance of a systems approach. Journal of health services research & policy. 2012;17(suppl 2):45-52.
30
Gardiner C, Gott M, Ingleton C. Factors supporting good partnership working between generalist and specialist palliative care services: a systematic review. British Journal of General Practice. 2012;62(598):e353-e62.
31
ORIGINAL_ARTICLE
Application of goal programming to improve human resource allocation for urban family physician plan in Iran
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
https://jhmi.sums.ac.ir/article_42673_574df442b26c92cfa1ace2e80fb271e6.pdf
2016-07-01
94
99
Mohammad Hossein
Mehrolhassani
mhmhealth@gmail.com
1
LEAD_AUTHOR
Vahid
Kohpeima Jahromi
vahidkouh@yahoo.com
2
AUTHOR
Nasrollahpour Shirvani D, Ashrafian Amiri H, Motlagh M, Kabir M, Maleki MR, Shabestani Monfared A, et al. Evaluation of the function of referral system in family physician program in Northern provinces of Iran: 2008. Journal of Babol University of Medical Sciences. 2010;11(6):46-52.
1
Family physician Iranian sociey of general practitioners; 2013; Available from: http://isgp.ir/doctor_family.
2
Khayyati F, Motlagh ME, Kabir M, Kazemeini H, Gharibi F, Jafari N. The role of family physician in case finding, referral, and insurance coverage in the rural areas. Iran J Public Health. 2011;40(3):136-9.
3
Health policies in Iran. Expediency Council; 2013; Available from: http://www.maslahat.ir/.
4
Twenty-year vision of Islamic Republic of Iran. Parliament Iran; 2013; Available from: http://www.parliran.ir/.
5
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ORIGINAL_ARTICLE
National registry of myocardial infarction
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).
https://jhmi.sums.ac.ir/article_42669_c58215f855bd1f406a53894d8cf5d03f.pdf
2016-07-01
100
101
Amin
Daemi
daemi.a@tak.iums.ac.ir
1
LEAD_AUTHOR
Mehdi
Jafari
2
AUTHOR
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11