Investigating the Effective Factors on Medical Treatment and Education Services with the Decision-Making Approach of the Managers of the Ministry of Health of Iran

In today's world, views of health and medical services have found a broader perspective and special attention has been paid to non-medical determinants of health. Each of these factors, by themselves or by affecting each other, severely affects the health and medical services of each country and causes injustices in the health care. The Ministry of Health and Medical Education, as the main trustee of providing and maintaining public health, with the aim of achieving the highest possible level of health for members of society, has paid special attention to social issues affecting health and health services and the issue of justice in health services. But maintaining and promoting health and health services and eliminating the destructive effect of some social factors on health and health services is an individual, national and even international responsibility that requires the joint efforts of all levels of society, namely individuals, communities and government. They have a heavy responsibility in this area. Hospitals and health centers as the most important centers providing health services in the country to improve the health of people and restore health to patients in need, scientific and efficient management at all levels. Managers' decisions and their performance in the department Health and treatment are important for the health of the community and the people because health policy is a set of guidelines developed by policy makers and senior managers of the health system in the areas of financing, generating resources and providing health services to restore, promote and maintain public health. The decision-making of managers is low-level. For example, what health managers are most involved in are health care costs and the factors that affect health care. For example, the University of Medical Sciences and its affiliated units, such as hospitals, health centers, medical schools, pharmaceutical and educational departments, and all health networks, use an adjusted cash base for their financial reports. Revenues are reflected in the books when they are acquired or realized, regardless of when the cash is received, and the basis for identifying and recording expenses is the time of incurring expenses. On this basis, transaction accounting and other events are identified at the time of occurrence, recorded in accounting documents, and reflected in the financial statements of the relevant courses, all of which affect health care. Health services are considered as one of the main dimensions of social policy that managers' decisions play an important role in improving the process of health services. Therefore, the purpose of this study was to investigate the factors affecting medical treatment and education services with the decision-making approach of the managers of the Ministry of Health of Iran.

The method of this research was survey-descriptive and it was done in deductive-inductive format. This means that the theoretical framework and background of the research is done through library studies, study of books, articles and sites and in the form of deductive reasoning and gathering information to test hypotheses through inductive reasoning and this research is another type of analytical-applied Was. The statistical population of this study included all financial staff of Zahedan University of Medical Sciences and its affiliated units including all vice chancellors who were working in 2019, which was equal to  180 people. According to Morgan table, the research sample was  118 people which was done by random sampling. In this study, to investigate the factors affecting medical treatment and education services with the decision-making approach of the managers of the Ministry of Health of Iran, a researcher-made questionnaire with 32 items and five components of legal factors, political factors, socio-economic factors, international factors and problems (challenges) It was a field of health and treatment. In this study, the interpretation and analysis of data collected from the study population in the form of analytical statistics and descriptive and inferential statistics has been done. So that in descriptive statistics, first the data related to each of the variables that were used from the answer to the questionnaire, has been obtained in the form of statistical indicators such as mean and standard deviation in terms of research components. In the inferential statistics section, the t-path coefficient test is used.

The results showed that 5 variables "legal factors", "political factors", "socio-economic factors", "international factors" and "problems (challenges) in the field of health and treatment" are the background variables affecting health services with the decision-making approach of managers is in the Ministry of Health.

Based on the research results, it can be said that the University of Medical Sciences and its affiliated units can improve the process of medical services and its development in society by considering the factors affecting the decision-making of managers. The basis of any research is the information with which the research hypothesis is tested. Obviously, the more accurate and complete information is provided to the researcher, the more accurate the results of the research will be and the more valid the research will be, which can be pointed out to the inherent limitation of the questionnaire. There are also limitations to the scale of data measurement and the Likert spectrum. The order does not exceed and cannot be considered at the level of distance scales, and the reluctance of some respondents to respond were among the limitations of the research. In order to provide better health services, service and medical organizations can develop medical services in the organization by resolving the mentioned challenges. This is more evident in hospitals due to its geographical spread. Because they will have many consequences for the organization and the country. Therefore, according to the results of the research in this section, the managers of the Ministry of Health are recommended to try to improve the above-mentioned causal conditions to develop treatment services by applying various laws and instructions.