نشریه مدیریت سلامت
پیاپی 30 (زمستان 1386)

Abstract

The evaluation of the internal environment is included the evaluation of an organization position, evaluation of performances, identified its problems and its potential abilities. If the internal evaluation has been done correctly, it makes a comprehensive view of existing situation in the organization, bring about a correct overview to it in which irrelative and inefficient programs would be replaced by competitive and efficient ones. The aim of present research was evaluation of internal environment in the teaching-curative hospitals in Shiraz city; based on six dimensions Wise board model.

Present research is a descriptive cross-sectional applied study. In this study 362 people of personnel of teaching-curative hospital of Shiraz have been involved. Data have been collected by standard questionnaire, and analyzed by SPSS software, using t-tests. The maximum score was 7. All scores under 4 showed the strength; and scores more than 4 showed the weakness points.

The average of the variable studied data in this research which included setting goals, organizational structure (organized activates), leadership, coordination, awarding system, staff's communication and their point's of view according any changes, Ranks of the hospitals are as follows: for Namazi Hospital: 3.80, 4.01, 4.26, 4.39, 4.43, 3.74; for Zaynabiyeh Hospital: 4.04, 4.20, 4.84, 4.72, 5.96, 4.16, 3.68; for Chamran Hospital: 3.84, 3.48, 2.68, 3.76, 4.96, 3.36, 3.6; for Hafez Hospital: 3.24, 4.21, 3.44, 4.12, 4.84, 2.72, 3.52; and for Shahid Faghihi Hospital: 2.75, 4.84, 3.80, 4.36, 5.32, 3.48, 3.80.

According to the finding data in this research: in setting a goal: Zaynabiyeh hospital, in organization structure Namazi, Zaynabiyeh, Hafez, and Shahid Faghihi; in awarding system all studied hospitals and in communication Namazi and Zaynabiyeh hospitals had weakness points; in which it is needed more attention. In all the hospitals, the staff's point of view toward changes had strength points.,

Abstract The word agility identified the speed and the power of responses during facing with organization internal and external matters. The health care organizations must be agile like any other organization in today fast speeding world, because being agile is an additional advantage in the competitive world. In this paper the organization's agility, data mining, text mining, and the role of all these tools that may have provide the knowledge and the move of the healthcare organizations toward the agility, will be preceded. Literature review: Specialist in the Spinal Disorders Hospital in south California in Los Angeles use data mining process to discover different factors affecting on success or failure of the spinal surgeries operations causing improvement in health care. And also the financial organization for healthcare; and Medicare and Medicaid using Text- mining and Data-mining to discover any fraud or misuses in insurances and different type of the health care operations. Information is the most important tool in the management. Converting information to the knowledge has a key role in moving organizations toward agility. By using the analytical tools in organizations, the new knowledge in medical field on top of the information about the processes, patterns, and treatment results to upgrades the quality of the health care, could be achieved, and by passing information about weakness and strength points, the threat, the opportunities and technology changes; to managers, they could be able to plan toward the agility.

Abstract Organization, given that is a dynamic, flexible social phenomenon, which constantly changes. Therefore, categorizing plan of jobs would not be a stable phenomenon. Therefore, because the content of job alters with technical advances, it had better to examine specially at the time of an annual assessment, the job description. In addition, the chief of medical records unit should, as possible as, predicate future changes. The present paper is a practical descriptive-analogical research, so that the researcher comprised available job descriptions structures of "Health Information Management Associations" by checklist fully. Then, the draft was designed based on that analogy, put on the table to be criticized by medical records experts. finally, the last proposal designee would be offered. Job descriptions written by American Health Information Management enjoy the structure consists of job title, direct supervisor, main goal, responsibilities and competency. While Australian Health Information Association presents job descriptions comprising job code and class, unit name and supervisors as well as competency, and necessity conditions, and even times of work and rest. This association maintains to record performance indexes at the form of job description. Job description form, in Canadian Health Information Management Association is presented as assessment form of staffs, stating responsibility schedules and separated from job specification form. During double-stage screening of final draft, the researcher came to result that the job description form must include five dimensions as job title, its goal, its responsibilities, performance indexes, and job specification. The authorities believe that these features has the importance of 88%,82%,88%,87%, 91%, respectively.

Abstract Web logs are the evident tools for the librarians. There are three main ways for applying web logs in librarianship fields, as follows: personal use by librarian to upgrade their personal information, as a source of information in case of libraries, and for their services. The aim of this research is to comparison between Iranian libraries and librarians, and superior librarianship web logs. Present research has been achieved by descriptive method and comparatively studied a comparison between Iranian libraries and librarians, and superior librarianship web logs in 2006. Seventy- nine web logs from libraries and Iranian librarian and ten best librarianship web logs in the world in 2006 have been chosen as research community. We used direct observations and a check list -that its main factors came from Herring- and associated and based on observations and writer experiences, coache's and weblog writers consultations for collecting data; and comparing with the best weblogs, other subjects have been added in this check list including overall identifications factors, writers identifications, date, and the level of the weblog activities, technical aspect, overall concept, linkage conditions, and opinion have been showed. Collected data have been presented and analyzed using descriptive statistics method. In terms of type, it showed that 67% of Iranian web log are filtrated and 14% are scientific, Communicating services in terms of the librarianship and its news %18,coordination and similarity and communication between librarian and services performance %9; and publishing scientific information, papers and translations 9%; are the main goal of the Iranian web logs. Evaluating different structural factors in Iranian librarian weblogs showed that in 40.5% of Iranian web log between 50% up to 75% of the writers identifications, 97.4% of them between 50% up to 75% of technical factors, 78.48% of Iranian weblog under 50% of overall technical factors, 64.55% of them under 50% overall containing, and 43.42% of them under 50% different type of the connections have been observed. In total 65.54% of the structural factors were in superior weblogs and 49.90% in Iranian web logs. Evaluation of the structural factors made the leveling Iranian librarian and libraries and superior libraries web logs based on gained scores. Iranian librarian group web logs achieved the first place by 80.95% points and non librarian web logs went down to 79 place by 17.26%;based on structural factors among Iranian web logs. Between the superior web logs The Academic Librarian was in first place by 82.14% and the Conservator in 10th place by 29.76%points. Some 58.23% of Iranian and 20% of world's superior web logs managed the structural factors in this grading.

Abstract Researches showed the effective role of applying the hospital information systems (HIS) in upgrading quality of the curative care services, increasing satisfactions, and improving treatment economy. Due to the necessities of the HIS development and the important role of managers knowledge and attitudes, present study carried out to achieve the level of Golestan curative centers (province) managers knowledge and attitudes in 2006. Present study is a cross-sectional descriptive study, has been done on 73 people of the Golestan curative centers managers who agreed to participate in this study in the year 2006.Avalid and reliable questionnaire have been sent for each manager. After completing the questionnaire, collected data analyzed by SPSS software. Our research findings showed that 59.3% of managers had average knowledge, and 95.1% had a positive attitude about the HIS. Maximum knowledge scores belonged to the medical records staffs, and minimum knowledge scores to operation theaters and hospital officers. Maximum level of the positive attitude found for laboratories staffs and minimum to finance and operation theaters department. Due to the average levels of Golestan curative centers managers knowledge and attitudes about HIS, to improve HIS usage at all different departments, to hold the training courses to improving the level of knowledge is necessary.

Abstract After more than two years of the implementation of outsourcing support services strategy in hospitals affiliated to the Ministry of Health & Medical Education, an assessment for the attainment of objectives and the evaluating this strategy was very necessary. This study is aimed to evaluating of above mention strategy, and its results. This is a descriptive, cross-sectional, and applied study for evaluating outsourcing support services strategy in three supportive services (catering, cleaning & laundry) in pilot hospitals (one hospital from each Medical Universities) during 2005-2007. During the years 2005-2007 on the average 86.29% of caterings, cleaning & laundry services of the hospitals have been outsourced, 89.62% of these hospitals have put out these services to tender. The activities that were outsourced during this time and the average were 94.05% through holding volume contracts and participation of contractors in supplying the consumable goods, equipment and maintenance repairing these equipments was 46.51%. The mean satisfaction rate of outsourced services was 76.89% and the payment average to the contractors based on the assessment controlling check-lists was a mean 78.71%. The mean price for each meal in these years was 5341.15 Rials. The cleaning price for each square meter was 12078.66, and for washing each kilogram of clothes or bed sheets was 2929 Rials. The increase of price for the basic services during some years differed from the priced rise of the estimated price. There is no significant correlation between the situation of tenders and satisfaction rate; which was in the case of paying based on the assessment controlling checklists and the rate of satisfaction. But there was a correlation between the amount of monthly contract and human resources working in the contract. Also there was a correlation between the human resources and monthly volume of the work. There was no correlation between the basic price of services and the rate of satisfaction. Also there was no significant correlation between condition of supplying the usage materials, equipments and maintenance these equipments, and satisfaction rate. It seems that outsourcing the services can lead to improvement of hospital efficacy and enhancing the patients and personnel's satisfaction.