نشریه مدیریت سلامت
پیاپی 64 (تابستان 1395)

The agility of a hospital represents responsiveness of the hospital in the face of internal and external changes and agile hospitals are able to compete with other hospitals in providing services to patients. Therefore, this study aimed to determine the factors affecting agility supply chain in hospitals of Iran.
This applied research study was conducted in 2014- 2015. The population of this study included all managers, administrators, faculty members and experts of health care centers. A sample of 260 hospitals was selected based on cluster sampling from 5 regions of country. A 53 item researcher- developed questionnaire of agility was distributed among the sample. The construct validity and reliability of the questionnaire was confirmed by confirmatory factor analysis and Cronbach's alpha (r=0.97). The collected data were entered in SPSS ¡lisrel software and were then analyzed with relevant tests.
The development of employee's skills (p =0.008), The use of information technology )p =0.008), The integration of processes )p =0.001), The sensitivity and responding to market )p =0.000), appropriate planning )p =0.004), the introduction of a new product )p =0.008), reduction in costs )p =0.000), customer satisfaction )p =0.005), and product quality )p =0.005) appeared to have a significant impact on agility of public hospitals in Iran. While the introduction of new products received the highest rating, developing the skills of employees received the lowest rating.
Rapid response to increasing and changing needs of customer is necessary to gaining a competitive advantage for hospitals that can increase their agility capabilities by creating the new strategies and improving their infrastructure.

Knowledge sharing is the mechanisms that contribute to the dissemination and application of knowledge, will help employees to fulfill their job duties. This mechanism can be affected by many individual and organizational factors. In this regard the aim of this study was Offer the causal model of abusive supervision, perception of organizational justice and knowledge sharing behavior among Shiraz University of Medical Sciences.
the method of this study was descriptive - correlational with use of structural equation model. The sample includes 215 employees of Shiraz Medical Sciences University that they were selected among the approximately 700 employees with using random sampling. The research instrument were measurement of abusive supervision, knowledge sharing behavior and perception of organizational justice that using the Spearman correlation coefficient, validity and using Cranach’s alpha coefficient, reliability was calculated and the results showed that the questionnaires had good reliability and validity.
The results showed that abusive supervision has a significant negative impact on perception of organizational justice and knowledge sharing behavior of employees and the perception of organizational justice doesn’t have a mediation role in the relationship between abusive supervision and employee's knowledge sharing behavior.
the managers of health organizations to increase knowledge sharing between their employees must take care of their supervisory actions and by avoiding abuses of their supervisory duties, increased knowledge sharing and success of their organization.

Implementation of health business intelligence (HBI) systems has become essential in hospitals and health centers in developing countries. As public and private health centers have different approaches to modern information systems, this study has investigated two sets of public and private health centers to see whether they are ready to set up these systems.
The population included all managers, employees, experts and computer and IT technicians of health centers and hospitals in two cities of Shiraz and Yasuj. Data was collected via the administration of the questionnaire, “Organization’s Readiness in Terms of Using Health Business Intelligence Systems”, to 307 participants. Cronbach’s Alpha and factor analysis was used to investigating reliability and validity. Cronbach’s alpha values were in range 0.70 to 0.88. In order to investigate the significant difference between public and private health centers in terms of their total score regarding their readiness in using HBI, the independent T-test was applied. In addition, the MANOVA test was used to evaluate the factors related to the use of HBI. SPSS 18 was used to analyzing the Data.
Results showed a significant difference between public and private health centers in terms of the total score of their readiness to use HBI (P Regarding the important role of new information systems, it is necessary for health centers of our country, especially the public ones, to plan for the provision of new information systems so that hospital information management would not face any challenge in near future.

Diabetes Mellitus, Type 2 is a common disease in modern societies and one which has attracted the attention of researchers. An examination of the literature that has contributed to the formation and growth of this field helps us to explore its thematic structure, and identify the main focus of research papers.
This is an applied research study which uses Scientometrics approaches. Research materials include documents related to the treatment of Diabetes Mellitus, Type 2 in PubMed for the period 2005 to 2014. Data analysis has been carried out using descriptive-analytical statistics and social network analysis techniques. To prepare a matrix of mesh descriptors, a software package called Ravar Matrix has been used, while for the purpose of social network analysis the Ucinet software package and its supplementary package, Netdraw, has been implemented.
The results demonstrate the growth of scientific production in this field in the years 2005 and 2013. 57 countries were involved in writing the papers, with the United States, England, Germany, Ireland and the Netherlands at the top of the list respectively. According to the Closeness and Betweeness Centrality Indicators of terms on the maps, the most active research areas in the field are as follows: Drug Therapy, Vascular Diseases, Blood, and Chemistry changes, Metabolism, Physiology, Pathophysiology and Diagnosis.
Results of co-word analysis revealed outstanding topics of the field under study, which is useful for policy makers to learn about the research status and make appropriate decisions for the promotion of scholarly products.

Reforms in nursing clinical error-reporting system is of great importance in health care systems. This study aimed to determine the factors affecting the incidence of nursing errors using the theory of planned behavior constructs.
In this descriptive-analytical study, conducted in 2015, 225 nurses were randomly chosen from five public hospitals in karaj. A questionnaire was prepared based on the Icek Ajzen’s Theory of Planned Behavior for data collection, the validity and reliabilty of which was confirmed by experts and piloted among 30 nurses. Cronbach's alpha for questions ranged between 0/610 and 0/885. The data were analyzed by SPSS version 19 using descriptive and inferential statistics.
Findings: Perceived behavioral control from self-reporting error was the strongest factor of nurses’ intention to report clinical errors (r =0 /56; P value Clinical errors reporting by nurses are affected by different barriers, social pressures and their motivation to report errors in their systems which will surely affect the quality of health care services.

Knowledge management creates a context for reviewing, developing, sharing and exchanging knowledge and leading to the effective use, maintenance and dissemination of knowledge in the organizations. This study aimed to assess the knowledge management systems in Abyek health network.
This descriptive correlational and cross-sectional study was performed in 2015. All of the health network staff were included in the study (N:153). Data were collected by Lawson knowledge management questionnaire. The data were analyzed by descriptive and analytic statistics using SPSS 16.
The mean for knowledge management in the Health Network of Abyek city was 3.19 (out of 5) with a standard deviation of 0.7, standing in a state of "medium". The mean for different aspects of knowledge management, knowledge creation (2.9 ± 1), knowledge acquisition (2.9 ± 0.9), knowledge organization (3.1 ± 0.9), knowledge keeping (3.2 ± 0.9) and knowledge application (3 ± 0.8) were calculated and estimated their position in "medium", while dissemination of knowledge (3.9 ± 0.9) appeared to be in a "good "position. There was a significant correlation between different dimensions of knowledge management and between educational level and work experience of employees with knowledge creating, organizing and storing.
Weakness in each aspect of knowledge management in the organization may result in efficiency of the system .Therefore, it is recommended to improve the foundations for knowledge management in the organization and provide an opportunity for the staff to give their contribution.

Bibliotherapy is a supplementary method for behavior treatment and promotion performed via cooperation of librarians with psychologists or physicians. The aim of the present study is to investigate the effect of group bibliotherapy on self-esteem of girl students living in dormitory at Isfahan University of Medical Sciences in 2012.
This is an interventional semi-experimental and applied study. The statistical population of the study consisted of 5160 female students who resided in dormitories and the sample including 64 students were divided randomly between the control and the case groups (32 students each). Data were collected using Cooper Smith Self-esteem questionnaire scale both in the pretest and the posttest. The case group received eight sessions of two-hour group bibliotherapy for two months. The groups were then assessed in a posttest after 1 month of intervention. Data were analyzed by descriptive statistics (mean and frequency distribution) and analytical statistics (independent t- test, paired t- test and Mann Whitney) via SPSS 20 software.
Group bibliotherapy showed significantly positive effects on total self-esteem as well as general, family and scholastic scales in the case group, but it showed no effects on their social self-esteem. There was also a meaningful difference between the mean scores of the two groups after intervention.
Group bibliotherapy can increase self-esteem levels of girl students who live in dormitories. It is suggested that the method be applied to improve the other psychological problems because of simplicity, affordability, and availability.

Limited mobility, high costs of transportation and specialized care, make it very difficult for the elderly, especially those living in nursing homes, to get specialized care services, particularly in the field of skin diseases. Therefore, Teledermatology can be considered as a solution to overcome these barriers and improve access to specialized skin care services.
The study aimed to evaluate the diagnostic accuracy and treatment planning in teledermatology compared to in person examination.
The population of this quasi-experimental study, consisted of 280 elderly people living in Kahrizak Charity Foundation in Tehran. The exclusion criteria included: emergency skin conditions and genital skin lesions. All participants should have signed a consent form. No sampling was done since there were few qualified individuals (n = 46), finally, 37 patients participated in the study. In order to calculate the accuracy of diagnosis and treatment planning, simple statistical methods were used and data were analyzed by SPSS version 20.
The participants with skin diseases, consisted of 37 elderly patients (aged 62 to 89), 22 of whom were men. The accuracy of diagnosis and treatment planning for patients provided by teledermatology compared to those of in-person examination were, 86% and 84%, respectively
The elderly can benefit from teledermatology in nursing homes; therefore, they can have better access to specialized services and avoid unnecessary trips to dermatology clinics.