مجله دانشکده مدیریت و اطلاع رسانی پزشکی کرمان
سال دوم شماره 2 (پیاپی 4، تابستان 1393)

Career success is an important issue in human resources management, but this concept was neglected in the medical professions. The aim of this study was to review the existing literature in the case of career success indicators in medical professions. This study was conducted as a systematic review. Career success, occupational success, objective career success, subjective career success, objective occupational success, subjective occupational success, and also medical, paramedical, radiology, nursing, anesthesia, physiotherapist and occupational therapist were searched as Persian keywords in SID, Magiran and Iranmedex databases and their English forms were searched in Google scholar, Elsevier and PubMed databases. These three databases were selected for their comprehensiveness and free access to full-text articles. Hand searching of Google and unpublished journals was done at the end, too. All eligible articles from 2000 onwards were assessed. At last data were classified, summarized and analyzed. 7 from 240 articles were finally included in the study. Research community in the most of them (n=6) were doctors and nurses. Objective career success was assessed mainly. There was not found specified and dedicated instrument in this case.Discussion and according to the results the important concept of career success and its components should be redefined for medical professions.

Job burnout is a psychological expression for describing the experiment of negative attitude, morale and behavior when people facing work-related stressors. The aim of current study was to determine the rate of job burnout among librarians of public libraries in Ardabil. The method of current study was the descriptive-analytical method. The Maslach and Jackson burnout inventory were used to discover the job burnout rate among all public libraries employees (librarians and library directors) of 5 public libraries. This inventory determined three main aspects of emotional exhaustion, depersonalization, personal performance and the minor aspect of involvement. A combination of descriptive and inferential statistics was used to analyze the gathered data. The analysis of the data showed that the rate of job burnout among librarians in large scale redundancy and violence was at a low level, and the rate of burnout for two redundancy and violence scale from the point of emotional exhaustion, depersonalization and individual work was low level, but the rate of burnout for the aspect of inclusion in redundancy scale was moderate; while the violence scale was high. Discussion and Regarding the rate of job burnout, the aspect of involving in redundancy scale was moderate and the violence scale was high. The job burnout may affect health of librarians; hence the techniques for addressing and preventing the job burnout among librarians are recommended.

Shariati MRI center located in Esfahan began producing services in 21 July 2011. The responsibility of producing services was delegated to the radiology staff based on a contractual agreement between hospital executives and radiology department staff. We aimed to assess to what extent this method had been successful in improving efficiency comparing to a similar public MRI center and outsourcing alternative. A case study approach was used. We collected quantitative and qualitative data to provide a comprehensive picture of the experience and forthcoming challenges. By using quantitative data, we measured unit cost of services and the cost-revenue ratio of the MRI center. Relevant documents and reports were reviewed and key peoples were also interviewed for understanding potential challenges. The ratio of the cost to the revenue of the MRI center was 48% without the equipment depreciation and 60% including depreciation. The unit cost of the MRI center of Shariati hospital was 10% lower than outsourcing alternative and 35% lower than a similar public MRI center managing by governmental system. Nevertheless, qualitative analysis showed that the MRI center may have some challenges in the long-term period.Discussion and Despite the advantages of the new method, some important challenges such as physician’s issues, coordination between different hospital departments and delegating more authorities must be considered in long-term period.

Medical wastes have high sensitivity in many countries due to containing hazardous, toxic and pathogenic agents. Proper medical waste management has an important role in controlling environmental pollutions. In this study, medical waste management in all affiliated hospitals of Tabriz University of Medical Sciences was investigated with the purpose of providing proper information for comprehensive planning and enhancing quality of health services in future. Information were gathered by completing the questionnaire, interviews and weighting the wastes of hospitals during 2010-2011. Hospitals had 2283 active beds, capita waste generation was calculated 3.79 kg/d. According to the cluster Analysis based on waste production, this hospitals were divided in to four separated groups. The comparison of status of the hospitals staffing with standard of Medical buildings housing Research Company of Iran showed that some hospitals are facing with lack of service personnel that can affect medical waste management in these hospitals. All hospitals use autoclave instrument for treating the medical wastes. Also, the average production rate of general wastes, infectious and chemical wastes, sharp wastes and the pathological wastes were calculated 2.75, 0.875, 0.128 and 0.043 kg/d per bed, respectivelyDiscussion and The medical waste management in studied hospitals is almost in a good condition but it needs more attention in some aspects.

Knowledge management provides exceptional opportunities for libraries. If libraries use and share knowledge management, their services will be promoted. This study aims to investigate the application of knowledge management in libraries’ services related to organization of printed and electronic resources at central libraries of governmental universities. This is a descriptive survey. All central libraries of governmental universities (both Ministry of Health and Medical Education and Ministry of Science, Research and Technology) which had been established sooner than 20 years were selected and the questionnaires were distributed among 65 mangers of the libraries. Fifty-six questionnaires were gathered. The familiarity level of km among the libraries managers with explicit and implicit knowledge was 54(60.6) and 35(39.3), respectively and the difference was significant (p=0.002). According to the managers, km application in printed resources organization46 (46.6) was statistically different from electronic resources organization 53 (53.4) (p=0.03). A large percent (73.2%) believed applying KM in resources organization leaded in effectiveness increase and a few (21.4%) put forward km would facilitate team working.Conclusion and Library officials need to be more familiar with their explicit knowledge. So requires the use of tacit knowledge in the organization of library resources more visible.

Providing services to patients covered by different insurance companies, are among hospitals insurance sources, but insurance organizations deduct some of the claims after auditing hospital financial documents each month. We aimed to study deductions causes using “problem solving” technique. In this cross sectional study, 1706 inpatients records and pharmacy and laboratory services of Shohada-e Sarvestan hospital were investigated. Checklist was used for data collection. Collected data were analyzed using Microsoft Excel version 10. Deductions causes were patient history defect for inpatients records, prescriptions without pricing for paraclinic outpatients records and prescriptions without physician sign and stamp were for pharmacy outpatients’ records.Discussion and Discussion and According to the results, the need to hire a resident physician, taking less extra work, having shift works with proper intervals, informing and teaching the staff for solving the problems and reviewing insurance records on a regular basis to avoid accumulation of records, encouraging and educating the staff, labor division and the maximum cooperation of the staff is felt to decrease pharmacy and paraclinics deductibles.

Nowadays that dry and bureaucratic structures have been replaced by flexible management, organizations need the employees that act beyond their job duties to achieve sustainable competetive advantages (social capital) by use of internal resources and assets and to help improve organizational performance. In this regard, the purpose of this study was to evaluate the impact of social capital on organizational performance among employees of the General Administration of Health Insurance in Isfahan. The present research was a descriptive–analytical one conducted in health insurance organization in 2014. The sample included 150 headquarters personnel selected randomly. Social Architecture and standard cheudhury organizational performance questionnaire were used to gather the data. The organizational performance questionnaire was standard consisted of 26 questions related to performance appraisal (customer service, productivity, quality and innovation) in five- likert scale and social architecture questionnaire was designed based on the likertscale. The data were analyzed in SPSS software, version 21 Descriptive and analytical statistics including Pearson correlation coefficient and independent t-test were used The results showed that in 4 dimensions of performance, highest mean belonged to customer service dimension (56 ±71.3) and lowest to the quality (20.3 ±70). The highest mean in social architecture was for multidisciplinary team (84.3 ±6) and the lowest belonged to the facility layout and location. Data analysis showed that there were significant positive correlations between techniques of social architecture and organizational performance of personnel (α=0.001, r=0.65).Discussion and Due to the sensitive nature of the job in organizations, social architecture should undoubtedly be applied. On the other hand, the transparency of routine affirs in organizational units and responsible behavior as well as articulation of the goals and programs, engaging staff and appreciating their efforts will be helpful in improving their performance.