مجله مدیریت بهداشت و درمان
سال دهم شماره 4 (پیاپی 34، زمستان 1398)

Creating customer value is a prerequisite for the survival and success of organizations. The purpose of this study is to determine the factors and structure of patient value in Qazvin Social Security Organaization’s hospitals.

This is a fundamental research with applied implications which has been implemented in the tradition of pragmatism. The reseach method is sequential exploration type of qualitative method to develop value scale.The grounded theory was used considering the newly introduced concept of patient value. Interviews were conducted with 13 experts and 19 hospitalized patients in under studied Hospitals. Of the 533 phrase identified by MAXQDA software, 963 primary concept were extracted

Findings show that the patient value focuses on his or her benefits and losses. Benefits include the effectiveness of treatment and care; and losses include money, time, resources, and efforts patients spend on services’ cost, accessibility, and error and risk management. The structural relations between the factors of quality of treatment and care, patient value, patient trust, luxury services, patient satisfaction and patient behavioral intentions are proposed as the research paradigmatic model.

The quality of treatment and care affects patient value mediated by the patient's trust and moderated by the luxurious services. The balance of interests and expenses as perceived value, has an effect on patient satisfaction that subsequently affects patient behavioral intentions.

The physical environment of the hospital includes elements that are upgraded, from a naturalistic perspective improves the quality of the treatment environment as well as better perception and satisfaction of users. Therefore, this study aims to improve the environmental quality of therapeutic spaces with a naturalistic approach to health and satisfaction. Case study (Shariati Hospital of Tehran) whose physical changes over a period of one year have been in accordance with physical-environmental criteria in order to benefit from green nature

Content analysis method, survey of theoretical perspectives, and in-depth interviews with professionals, practitioners and architects. Finally, a conceptual model was presented regarding factors, physical and non-physical (socio-psychological) environment affecting the quality of public hospital environment. Statistical population was selected by Cochran sampling method with 0.1 coefficient and questionnaire based on Likert's five-choice spectrum. SPSS software and LISREL software, one of the most used structural equation modeling software, were used for data analysis.

The results of the research indicate the effects of the components on improving the quality of the environment with naturalistic approach. The inferential statistics section of the present study is used to investigate the research hypothesis and to generally test the conceptual model of research based on data collected from path analysis.

The results of the questionnaire survey indicated that physical-environmental factors play an important role in the quality of the environment.

Health system Resources are limited and its expenditures are unlimited. Therefore, Use the management right strategy to maximize efficiency and productivity of system is essential. Hence, this study was performed with aim to investigate the dimensions of autonomy of university hospitals in Gilan.

This qualitative study was conducted in 11 hospitals. Semi-structured interview guide of World Bank organizational reform model was used for data collection. Interviews were conducted with 28 senior hospital managers with Purposeful sampling method. A content analysis method was used to analyze data.

The main dimensions the autonomy of hospitals include decision right in strategic management, financial resources management, human resources management, and physical resources management, financial residual claim, procurement and product market exposure, social functions, and governance structure and accountability. Decision right in strategic management, human and physical resources was limited. Hospitals compete in the product market, but their options are limited in the procurement market. The hospitals were not the financial residual claimant despite their hierarchical system and the accountability structure of the head and headquarters. The cost of their social function is not fully compensated.

Granting autonomy has improved in some dimensions such as financial resources management, product market exposure, and social functions, but has been poor in strategic management, human resources management, physical resources management, procurement market exposure, and governance structure and accountability. In these cases hospitals should be given more decision-making power.

Analysis of the Emergency performance Indices is a criterion for understanding services that performed in this department. The aim of this study was to analyze the performance Indices of the Emergency Department of educational hospitals affiliated with Kermanshah University of Medical Sciences.

The descriptive-comparative study was conducted in seven educational hospitals in the Kermanshah University of Medical Sciences in 2018. The data were collected from information technology and statistic unit from deputy of clinical affairs, using a checklist based on the performance Indices of the emergency department and its validity was determined. Data were analyzed by SPSS20 software and presented in descriptive-analytic tables.

Results showed that the number of patients encounter to all hospitals increased. Percentage of patients who were decided upon within 6 hours in five hospitals, left the emergency department within 12 hours in four hospitals and discharged against medical advice have decreased. Unsuccessful resuscitation increased in six hospitals. The average duration of triage in level four was increased in most centers, but difference in the duration of triage in level five was greater. And so, lowest difference in duration of triage was in level one.

Implementation of Health Sector Evolution Plan in general and specialized centers had different effect on emergency performance Indices. The increase in specialist and emergency medicine specialists in psychiatric and general centers has not been effective, but has improved performance in specialized centers. Developing an electronic system for recording data will also provide a better analysis of the performances.

In today's world, Businesses need to gain trust among their audience. Social marketing as the latest marketing philosophy, It has such a capacity. And it can reflect on the interests of business and customers along with the interests of the community. The main purpose of the present study, Provide a social based marketing model.

To achieve this goal, in the qualitative phase, while reviewing the subject literature and interviewing marketing and municipal experts, with the Grounded Theory approach, effective criteria were identified using MAXQDA software. In the next step, the identified criteria were identified using the interpretive structural modeling approach in new dimensions of classification and levels of components and their relationships.

The results of the first question led to the identification of nine main factors including: Responsibility, Strategicism, Marketing Infrastructure, Tendency to Social Marketing Capabilities, Understanding Environmental Dynamics, Citizens Understanding, National Characteristics, Social Marketing Mix and Developing Citizen Beliefs and Attitudes. The results of interpretive structural modeling showed the influence of responsibility, marketing infrastructure and strategy as independent variables on the tendency to social marketing capabilities.

Finally, based on the results of the research, it can be concluded that by utilizing social marketing strategies and influencing the attitude and mentality of citizens, it can be possible to develop citizens' beliefs and attitudes. Therefore, the increasing attention of senior executives of organizations is essential to the vital role of social marketing.

Considering the importance of self-care the present study identifies the dimensions and components of self-care informing of patients in the medical information system of Iran.

The method of this study is descriptive and qualitative according to propositions of the research, which was done in two phases of library and fuzzy Delphi methods by referring 10 researchers and medical experts and health in university. 

final research results are presented in a model and considering that in this analysis, Delphi method for dimension determination and the components of self-care informing of patients in the medical information system of the country have been used, all the components identified in Delphi have been confirmed and. In total 2 aspects of informing (4 components) and health care providers (10 components), and 92 indicators from 112 initial indicators have been identified

Considering the dimensions and components obtained from fuzzy Delphi method in this study, these dimensions and components can pave the way for health authorities to increase self-care informing of patients in the medical information system of the country.

Introduction Patient safety is an important global concern in all areas of health care services. The purpose of safety in the operating room is to provide the safety of the operating staff and the safety of the disease undergoing surgery. Considering the special importance of patient safety in the operating room, this study was conducted with the aim of Operating Room Safety Status Based on Patient Safety Friendly Hospital Standards at Ardabil University Hospitals.

This cross-sectional study was carried out with the participation of all 57 operating room personnel of three university hospitals in Ardabil in 1396. The data collection tool was a standard questionnaire of the WHO Patient Safety Friendly Hospital. Validity and reliability of this questionnaire has been confirmed in numerous studies. Data were statistically analyzed using the SPSS 18 software program.

According to the Patient Safety Friendly Hospital Standards, IMAM KHOMEINI Hospital with a score mean %82, ALAVI with a score %84 and FATEMI with a score %77 were in good condition.

given the importance of the subject, although the safety conditions of the hospitals studied were good, it seems, it should be continually included in the managers' plans, trying to achieve higher levels of Patient Safety Friendly Hospital Standards.

The purpose of this study was to investigate the impact of Green Education on Green Citizenship Behavior with the moderating role of Green Performance Management, Green Creativity and Green Employee’s Involvement in a hospital.

This research is a practical and descriptive-survey and considered as applied research group. The statistical population of the research is the employees of Mohammad Rasoolullah Hospital in Tehran. The sampling method in this study is non-probabilistic and the sample size is 197 in Cochran formula. The research data were obtained through field method and standard questionnaire from external research which had good validity and reliability. After the data collection, Smart PLS software was used for data analysis and implementation of structural equation modeling.

According to the results, the effect of green education on green citizenship behavior with the moderating role of green management performance is not significant because the t-statistic is 0.421 and this value is less than 1.96. Also, the effect of green education on green citizenship behavior with moderating role of green creativity is significant because the T-statistic is 8.06 and this value is greater than 1.96 and the effect of green education on green citizenship behavior with moderating role of green staff involvement is significant. It is significant because the t-statistic is 8.063 and this value is greater than 1.96.

According to the results of green education, there is a significant effect on green citizenship behavior with moderating role of green creativity and on green citizenship behavior with moderating role of green staff involvement and also on green citizenship behavior. So effective green education can help hospitals take effective measures to maintain environmental sustainability.