مجله مدیریت بهداشت و درمان
سال نهم شماره 3 (پیاپی 29، پاییز 1397)

Today, exports play a major role in the development of countries, and in this regard, the medical equipment industry is one of the most prestigious industries in Iran. The purpose of this study was to identify the factors affecting the export of medical equipment. The present research is an applied research, in terms of nature of research is exploration and in terms of approach, is a qualitative research type. Data from interviews with 12 specialists and managers of medical equipment companies were analyzed using Grounded Theory Methodology. The results of the interview were analyzed in three stages (open coding, axial coding and selective coding). 37 concepts were extracted from the interviews and ultimately in selective coding in five structural, economic, organizational, political-legal and marketing components was accepted. According to the results of the research, the active companies in the medical equipment industry should consider the indicators introduced in structural, economic, organizational, legal, political, and marketing components in their planning for export development.

A doctor's obligation to follow standard time of visiting patients has an important role in diagnosis and treatment of diseases and decreasing in visiting times. This study aimed to determine the trend of changes in the rate of Physicians' visiting-hour indicator after carrying out the Health System Reform Plan. This comparative study compared the indicator from September 23, 2014 to 20 March 2015 and from September 23, 2016 to 20 March 2017.Research population included all 24 hospitals located in Mazandaran. Information on visiting activities in private clinics in each hospital (including the hours of Physicians' activity and the number of visited patients, teaching vs. non-teaching hospital, Physician's employment kind and his/her profession, etc.) was extracted and analyzed in p The mean rates of visiting-hour indicator were 11.9±17.7 and 8.4±4.2 first year and second year, respectively (p=.002). The mean rates of this indicator amounted to 12/0±15.7, 9.7±12.4 and 7.8±4.2 for surgery, internal medicine and other professions, respectively (p=.002). In first year, the mean rates of the indicator amounted to 10.3±12.1 and 14.5±23.4 in non-teaching and teaching hospitals, respectively (p=.02). In second year, the mean rates of the indicator were 8.1±3.6 and 8.8±4.9 in non-teaching and teaching hospitals, respectively (p= .1). The mean rates of visiting-hour indicator were significant difference with Expertise (p< .001) and Ownership (p= .43) The mean of visiting-hour indicator recovered in second year (2016-2017) in comparison with that of first year (2014-2015). Therefore, while paying attention to continuous improvement of this process, more monitoring is recommended to achieve the objectives of this important service package.

this study done to determine and provide a model for explaining the role and importance of the components needed In Social Security Hospitals due to importance of safety and health factors in the optimal management of nutrition part in hospitals and the lack of clarity on the impact of these factors on the preparation, production and distribution of healthy food. type of this study was qualitative - quantitative. The research population consisted of managers of hospitals, environmental health experts and nutrition experts. The data collection tool was an information form, that was a Social Security treatment checklist that completed by direct observation and interviewing. Data collected using a questionnaire including 15 questions that gathered in three areas. Use of SPSS software and AMOS Software analyzed with approach of modeling structural equations. In this study, 3 aspects identified that included safety and health, monitoring and control, and human resources. Obtained Fitness was very close to unit, indicated the strength of the model's one dimensional. Based on the confirmatory factor analysis, "good food storage" in proper temperature and " Inappropriate storage conditions for raw materials "had the highest and the least effect among safety and health factors with coefficients of 0.753 and 0.554 , Respectively . In order to better manage of nutrition section in hospitals, while emphasizing on issues of health and safety, it is necessary to consider other influential factors and this will be applied in the future planning of the managers of social security hospitals.

Success in dentistry depends on the ability of the dentist to manage both clinical and managerial aspects. The purpose of this study was to compare the management of dental clinics in selected countries and provide solutions for Iran.

This research was conducted in a comparative manner in five countries of the United States, Canada, France, England and Iran. To determine the pattern of management of dental clinics, a review of previous studies, comparative matrix and Delphi technique were used.

The pattern of management of dental clinics has three main dimensions of customer management, personnel management and technical management. Also, according to the analyzes carried out by the comparative matrix, dental clinics in Iran are far away from implementing the activities of the dimensions of the pattern of dental clinic management with the advanced countries of the United States, Canada, France and the United Kingdom, and in most of the activities act as a minimum. According to an adaptive matrix analysis, 11 strategies for improving the management of dental clinics were identified which its validity with Delphi technique was confirmed by the experts in two phases.

If dental clinic managers in Iran decide on strategies for managing dental clinics and in line with the needs and strategies of the dental clinic, allocate the necessary human and financial resources, there will be significant results in relation to the performance of the dental clinic in the long run.

In the current world, organizations continuously improve their performance in order to maintain survival. Therefore, the present study attempts to investigate the effect of organizational transparency on reducing administrative corruption with the interactions of organizational trust in Tehran Municipality health centers. This research is descriptive and data collection method is a survey and a questionnaire has been used to collect information. Validity of the approved questionnaire and its ending according to Cronbach's alpha are acceptable for all components. The statistical population of this study includes physicians and nurses of Tehran Municipality health centers. The Cochran formula was used to determine the sample size. The method of information analysis is using the structural equation modeling technique and using the LISREL software. Organizational transparency has a positive and significant effect on decreasing administrative corruption in Tehran Municipality centers. Confirmation of t = 78/7 - Organizational Transparency has a positive and significant effect on the organizational trust of Tehran Municipality centers. Confirmation of t = 42/6 - Organizational trust has a positive and significant effect on the reduction of administrative corruption in Tehran Municipality's health centers. Approval is t = 54.5. The results showed that transparency on trust and corruption is effective, but trust in the reduction of administrative corruption in the health centers of Tehran municipality does not affect. If there is transparency in the organization, it can be countered by this phenomenon.

One of the four essential components of each organization is its culture. The purpose of this study was to determine the effective factors on promoting the safety culture of the patient in the Fayazbakhsh Hospital. The present study was descriptive-correlational and applied in terms of its purpose. The statistical population of the nurses of Fayazbakhsh Hospital was 345 and the sample size was 181. The research tool was a HSOPSC questionnaire which was confirmed in previous studies with verified factor analysis (GFI=0.96) and its reliability was confirmed by Cronbach's alpha (α=0.82). Data were analyzed using descriptive statistics, one-sample t-test and SPSS22 software. According to the findings of the research in Fayazbakhsh Hospital, the Components of team work in one unit (p=0.00, t=27.66), management expectations and management measures (p=0.00, t=14.12), a general understanding of Patient safety (p=0.001, t=6.6), staffing issues (p=0.001, t=3.81), our teamwork between organizational units (p=0.00, t=9.78), and the exchange and transmission of information (p=0.001, t=11.47) are effective in improving the safety culture as well as organizational learning components (p=0. 100, t=1.65) Management support of patient safety (p=0.001, t=-11.25), communication and feedback feedback (p=0.289, t=-1.63), reporting frequency of events (P=0.059, t=-1.90), openness of communication channels (p=0.00, t=-4.219) and non-punitive encounter with the incident event (p=0.00, t=-9.40) is not effective in promoting patient safety culture. If hospital managers find obstacles and problems in this dimension to further increase these dimensions, there will be significant results in relation to patient safety culture in hospital in the long run.

Nurses who work in intensive care unit (ICU) are confronted with multiple stressful factors. Resilience is one of the most important human abilities that cause effectively adaptation with difficult situations and psychological stresses. This property can help to improve nurses' professional commitment. Therefore, this study was conducted with the aim of association between resilience and professional commitment among nurses working in ICU.

In this descriptive-analytic study, 200 nurses working in ICU in hospitals affiliated to Birjand University of Medical Sciences in South Khorasan province was enrolled with census method in 1397. Resilience questionnaire (CD-RISC) and professional commitment questionnaire (ATS) were used to data collection. Descriptive and inferential statistics (Mann-Whitney, and Kruskal-Wallis) were used for data analysis through SPSS version 16.

Most nurses reported a high rate of profession commitment (76%) and a moderate rate of resilience (70%). Also, there was a positive and significant relationship between resilience and profession commitment (r = 0/22 P=0/001).

Regarding the significant relationship between resilience and professional commitment, it is recommended to put educational strategies for increase resilience in the nursing education program to increase the level of professional commitment in nurses. So, one of the biggest nursing challenges, that is shortage of nursing staff, can be reduced.

In specialized groups and medical centers, improving patient health through the establishment of standards through the use of accreditation programs is considered progressive. One of the indicators for monitoring the health of a community is death. The overall aim of this study was to examine the relationship between the establishment of accreditation standards and mortality rates in selected hospitals.

This descriptive cross-sectional study was conducted in 1396 with a statistical population of all hospitals in Mashhad, in which 10 hospitals were selected as samples. The findings of this study consisted of accreditation scores of hospitals, along with mortality rates, and hospital admissions before and after the implementation of accreditation standards. The method of data collection was fieldwork and the checklist was completed by the researcher. In this research, descriptive statistics (percentages, frequency, mean and standard deviations) were used to analyze the data and t-test was used to extend the results.

Considering the significant probability value of 0.027, the averages are rejected. Considering the positive and low limit of confidence intervals, the average mortality rate before the implementation of the standards was higher than this ratio after the implementation of the standards.

There is a significant relationship between the implementation of accreditation standards with the mortality ratio in the hospitals; the establishment of these standards can reduce hospital mortality rates.