مجله مدیریت بهداشت و درمان
سال هفتم شماره 1 (پیاپی 19، بهار 1395)

Suggestions system as a participatory management approach is one of the success factors, and it seems the system offers as a method of participatory management style is the most important way to engage employees, In addition to cooperation is also effective in increasing their motivation. The aim of this study was to determine factors facilitating the establishment of the suggestions are Firoozabad Health Network.
Descriptive co relational study and the duration is a cross-sectional study. The study population included all senior managers, middle and supervisors constitute Firozabad Health Network and the sample was equal to population of 50 people. Data collection tool was a questionnaire consisted of 13 questions the validity of the content validity and reliability by Cronbach's alpha coefficient (80%) were confirmed. To test the hypotheses of descriptive statistics, correlation analysis and regression analysis were used SPSS software.
In this study it was found that staff training, information dissemination and provide feedback on the success of the proposal and will deploy it more easily possible.
These results support the establishment of a proper strategy to offer active participation in the affairs of the organization's employees with appropriate information, training and feedback to comments and ideas they can to achieve this goal.

Green Hospital is a hospital that improves people's health by continues reducing environmental impacts and meets its share of the burden to disease. Since there is no single and the same pattern of green and healthy hospitals sothe aim of this study was to determine the patterns in green hospital in the world by systematic review.
This study is a comprehensive review and search the site by reputable domestic and foreign institutional and electronic databases was conducted in order to identify patterns green hospital.
There are seven green hospital management models for each specific dimensions of their own. There is a large overlap between these models, indicating the importance of some aspects of hospital green. Patterns include: BEPHS, GGHC, USGBC, LEED, ISO14000, SHT, PAHO and GGHH respectively.
Overlap in terms of energy efficiency, water efficiency and waste management patterns were observed in all other aspects could be due to differences in location patterns and different organizations providing organizations needs to be mentioned.

According to research conducted by many factors have an impact on the performance and commitment of organizations including organizational structure, organizational environment, policies and procedures, organizational culture, training and knowledge management in the organization, etc.Intelligence agencies that the organization makes decisions wisely using the maximum of their intellectual abilities and intelligent behavior and presence in the business environment of the show. And thereby improve their organization's performance and organizational commitment.
This research is based on correlation assumptions level of performance and commitment of nurses in private hospitals Alborz Province was conducted. A stratified sampling study population included 700 patients from community nurses in private hospitals, sample using a questionnaire containing 80 questions and 101 assigned to the face and content validity by using confirmatory factor analysis were examined is taken. Cronbach's alpha reliability coefficient questions via (0.91), respectively. For this purpose, 130 questionnaires were distributed and then collected 106 of these, 5 were deleted as a result of flawed.
Based on the results of the study measured a total score of organizational intelligence in the study population, higher than average performance and organizational commitment has been below the national average. The dispersion observed in 7% of nurses and 47% of the variance in organizational commitment of nurses is explained by the dimensions of organizational intelligence.
As the results show higher than average of the sample group has organizational intelligence and organizational performance and organizational commitment is lower than average, it is suggested to preserve, protect, and promote the necessary measures be taken.

Setting a budget based on employee involvement, including approaches that could lead to more accurate budget and also causes positive feeling of staff. In this paper, the effect of participation in budgeting on the employee job satisfaction Fars University of Medical Sciences and Health Services is investigated.
Descriptive correlational research method and a survey is used. In terms of time, the research is a cross-sectional study. Standard questionnaire for Milani (1975) and a standard questionnaire job description of Smith, Kendall and Halyn (1989) is used to gathering data. All staff administrative Fars University of Medical Sciences and Health Services make up the population of the study. Using Cochran formula, the statistic sample of research was 291 people. To test the hypotheses, the regression method and the software SPSS version 18 was used.
Based on regression analysis, adjusted coefficient of determination is equal to 0/376 can be 37/6% of the variability of the variable job satisfaction and participation in the budget forecast. The results also indicate that the variables involved in the preparation of the budget (t=7/476 and p=0/000) significant positive impact on job satisfaction is Fars University of Medical Sciences and Health Services.
Involvement in the preparation of the budget is affecting job satisfaction and the results should be considered in the budget process.

Organizational citizenship behavior, has important implications for organizations. The incidence of these behaviors can increase the performance and organizational efficiency. This study aimed to determine the relationship between organizational climate and organizational citizenship behaviors among employees of Tehran University of Medical Sciences.
Cross-sectional study that was conducted in 1393. Data collection tools include questionnaire of organizational climate and Lyle Sussman, Sam Deep (1989), and Podsakoff and colleagues (1987) and demographic characteristics of the staff. For the scientific validity of the questionnaire content validity with CVI higher than 0.8 and for the reliability of the test-retest correlation coefficient and determine the organizational climate and 0.95 to 0.79 for organizational citizenship behavior was. On the basis of Kochran, 313 people were selected and finally 241 questionnaires were fully available to researchers. Spss software was used for statistical analysis and to analyze the relationship between variables and Pearson, Spearman, t and ANOVA operation was necessary. Compliance with organizational citizenship behavior higher than average and more than half of them are satisfied with the existing organizational atmosphere.
Between organizational climate and organizational citizenship behavior and all its dimensions and there is a significant positive relationship. The organizational climate as much as 14% on organizational citizenship behavior had an impact.
The establishment of an appropriate climate and employee satisfaction on space and extra-role behavior causes spontaneous organization of staff that will be ultimately can affect the success of an organization.

Organizations using business excellence model, compare their performance with the others and emulate the best practices of successful organizations in order to provide continuous improvement of performance. The main objective of this study was to evaluate the effect of organizational excellence has been implemented on the performance of hospitals.
Research method is surveying descriptive. Statistical society (population) are total counted and contains 50 individuals of top and middle managers of “Sh. Chamran” and “Dr. Shariati” hospitals. Data are processed by Rev. 18 of SPSS software. Quantitative data are reported as standard deviation (±) and qualitative mean data as quantity (%). Two sample T-test was used to compare other quantitative variables and statistical significance level was considered 0.5% for tests.
In statistical analysis, management commitment dimension with mean and standard deviation 57.87±16.01 had maximum, and improvement in hospital results with mean and standard deviation 51.16±17.41 had minimum scores. There was a statistical significant association (P Considering results of this study show that accomplished organizational excellence model has a positive and major effect on hospital operation; so some suggestions were recommended to population executives.

One of the perennial challenges associated with coding diagnoses and treatment, quality data encryption is. Accuracy, reliability, completeness timed and all the components are coding quality. The aim of this study was to evaluate studies on the quality of diagnostic coding and medical care and its determinants in Iran, respectively.
This study is a systematic review, in which all articles published on the topic in the lower period 1380 to the end of March 1394 (March 2001 to March 2015) were studied. Internet search to find articles in the internal data base Magiran, BarakatKnowladege Network System, Irandoc, SID and external databases, Google scholar, Science Direct and PubMed and was Persian and English keywords. 200 articles published in Farsi and English were retrieved and finally 14 articles were identified and evaluated.
Four paper specifically examines the components of quality of coding, six paper examines the factors affecting coding quality, and the four paper also common for both components and factorsaffecting coding quality were examined. Component coding quality, most studies (seven cases) were examined coding accuracy. The factors affecting coding quality, most studies (five cases) to investigate the role of documentation and diagnosis recording among, respectively.
The results of the study showed that among the components of quality timeliness of coding properties is not desirable. Findings of the study on factors affecting coding quality is the importance of observing principles of documentation on coding quality.

Health sector has been considerably affected by globalization, despite its public and non-commercial nature. Globalization can directly effect on health through the removal of customs barriers, the creation of common markets, growth and income distribution and; In addition, globalization can affect the field of health through several factors such as its impact on culture and customs. So, the purpose of this study was to evaluate the effect of globalization on health in Iran.
This study is paid to study dynamic long-term and short-term relationship between health indicators, globalization Indexes, per capita income and per capita physician, by using time series data from 1979-2011. For this purpose is used the bounds co integration test and Auto-Regressive Distributed Lags (ARDL) model. Also,the statistical analyzes were performed using software Eviews and Microfit.
Based on the results of the ARDL model, total globalization, economic globalization, social globalization, income per capita and per capita physician; improve health indicators in the short-term and long-term, while the influence of political globalization on health indicators is meaningless in the short-term and long-term. One percent increase in the index of total globalization, increases the life expectancy in the short-term and long-term, respectively, 0.03 and 0.14 percent and decreasesthe mortality rateofchildren under 5 years in the short-term and long-term, respectively 0.07 and 0.29 percent.
The results indicate that economic globalization is remarkable compared to other aspects of globalization, health indicators improved; therefore, move towards an open economy can be effective in promoting public health.