مجله مدیریت بهداشت و درمان
سال یازدهم شماره 4 (پیاپی 38، زمستان 1399)

This study analyzed the information therapy behavior of immunologists in the country, based on the Cohennon self-organized neural network model.

Applied research has been done by descriptive survey method using neural network technique. The tool is a researcher made-questionnaire that was distributed among 149 people. Using MATLAB software, specialists based on the main components of clustering research, and then by removing each of the main sub-components,, the most effective and least effective option was determined.

Analysis showed in information retrieval skills; 63.75% of the population are in the first cluster with an average of 29.88 and in the second cluster 36.24% with an average score of 30.22, and the most important component is the use of keywords and terms related to the required information. About ways to get information; 22.14% of the population with an average score of 54.36 in the first cluster, 18.12% of individuals with an average of 48.11 in the second cluster, 14.09% with an average of 43.28 in the third cluster, 16.1% with an average of 0.04 49 were in the fourth cluster and 29.53% of the people with an average score of 53.72 were in the fifth cluster, and the most important way to find information was to use electronic information sources. Based on the use of various information services, 46% of people with an average score of 54.85 in the first cluster, 20.66% with an average of 49.38 in the second cluster and 32.66% with an average of 43.08 in the third cluster and the most important component of information therapy services has been familiarity with various sources and information services in the specialized field.

Neural clustering of information therapy behaviors of the study population and the resulting information transactions, in addition to resulting in awareness of the needs and information resources required by users, as an accessible and low-cost method that improves the quality of information of immunodeficiency specialists leads to the provision of more effective medical services to patients, provides the necessary basis for anticipating information-oriented arrangements and decisions to meet the needs and information carriers requested by users of medical databases and provides managers and staff This field, and as an effective strategy with the highest level of possible standards, leads to the discovery of the intangible pattern of information seeking behaviors of health users, and teaches the audience to use information media intelligently.

The support and participation of the managers of an organization is necessary to implement an effective crisis management. The preparation of the situation is done by clarifying the aims and objectives of the crisis management plan based on the philosophy and values of the organization, which is more evident in health centers. The purpose of this study was to identify the role of shared leadership competencies in crisis management (Case study: Farabi Hospital).

This research is applied in terms of purpose and descriptive and survey method. The statistical population of the present study includes all managers, deputies and staff of Farabi Hospital, whose number is 820, so the required sample size was determined 262 people based on Cochran's formula. A questionnaire was used to examine the research variables. The reliability of the questionnaires was confirmed by Cronbach's alpha coefficient and the content validity of the questionnaires was confirmed by a group of university professors and their construct validity was confirmed by confirmatory factor analysis. The research hypotheses were tested by structural equation modeling.

Characteristics and skills are directly (coefficient 0.48) and indirectly involved in crisis management through task-oriented leadership (coefficient 0.80), people-oriented leadership (coefficient 0.26) and organizational leadership (coefficient 0.14). It was also found that task-oriented leadership, people-oriented leadership and organizational leadership with direct coefficients of 0.89, 0.33 and 0.79, respectively, are directly involved in crisis management.

Based on the research findings, characteristics and skills can play a role in crisis management of Farabi Hospital.

From the point of view of health economics, medical equipment has a special place and a large part of the capital of medical centers and medical institutions is spent on maintenance and modernization of this equipment he purpose of this study is the relationship between employing a medical equipment expert and the cost of purchasing medical equipment in the units covered by Marand Health Center.

The present study is an analytical research in terms of implementation method. And from the perspective of the result, it is practical. Data collection method in this study was done with the library method and data collection tool was filing. Statistics and financial documents related to the costs of purchasing medical equipment of the units covered by Marand Health Center and comparing this cost in the years when the medical equipment expert was present (1996-97) with the years when the medical equipment expert was not present in the center (1994) -95) was done. All collected data were taken based on the base discount rate of 1997. For descriptive analysis of data, cumulative percentage and frequency percentage statistics, and for inferential analysis proportional to the levels of measurement of variables, statistics such as paired correlated t have been used.

The results of statistical tests show that there is a significant difference between the costs of purchasing medical equipment in employing a medical equipment expert and not employing a medical equipment expert with PValu.

Considering that there was a relationship between employing a medical equipment expert and the costs of purchasing medical equipment in the units covered by the city health center, it is recommended to health managers to prevent equipment disruptions and impose purchasing costs without a medical equipment program at the health center level. Maintenance of medical equipment As well as the management of medical equipment in the treatment department, use the presence of independent experts and technical staff of medical equipment in the health centers of the cities.

In recent years, hospitals have faced various challenges, such as budget cuts and increased competition in the healthcare field. Internet of Things based health care is expected to increase quality of life in addition to reducing costs. The purpose of this study is to identify and prioritize Internet of Things technological applications on hospital quality management using a structural interpretive approach.

The present research is applied in terms of purpose, mixed in terms of research nature and a descriptive-analytical research in terms of data collection method. The most important technological applications of Internet of Things on hospital quality management through Delphi method (in 2 stages) were identified and interpretive-structural modeling was used to analyze the information.

Applications of controlling the vital signs of the patient, caring for patients without the need for the presence of the person on site, checking the inventory of equipment and essentials, tracking and monitoring the performance of staff, patients and inventory, intelligent monitoring and regulation of environmental conditions of patient care and medication, road visits patient turnover in acute and special times, reduction of hospital waste, monitoring of physical activity of the elderly and launching online communities and online medical consulting were identified as the key factors.

Due to the effectiveness of the Internet of Things in the field of health care, medical center officials are advised to make appropriate changes in the field of information technology so that they can take useful steps to improve the quality of their services.

Job burnout as a major characteristic of job stress is a kind of delayed response to chronic workplace stressors and is one of the most important factors that may predict it.

This is a descriptive survey based on purposeful data gathering method. The study population consisted of 194 nurses working in Tehran Social Security Hospitals. Available necessary information was collected using Steinmetz (1977), Goldard (1), and DASS-21 Emotional Response Questionnaires. Confirmed. Structural equation modeling and imaging software and LISREL were used for data analysis.

The results of the hypotheses test showed that job stress at the significant level of 0.01 and anxiety, stress and depression were positively correlated with the level of job burnout at the significant level of 0.05. Also, job stress has a positive effect on emotional response, so occupational stress indirectly influences emotional reaction on nurses' job depression.

Recognizing stressful resources and coping strategies can help reduce, control and treat burnout in nurses.

In general, procrastination means leaving work, or doing it at the last minute, and feeling uncomfortable with it. Procrastination means having trouble getting things started and done. Or, to put it simply, procrastination means postponing today's work to tomorrow. The purpose of this study is to design a model for procrastination in purchasing health insurance based on data theory.

The present research is applied in terms of purpose and qualitative in terms of research nature and based on data theory. In this study, 14 insurance industry experts and 18 industry clients participated in interviews and focus group meetings. The collected data were encoded in three steps using MaxQDA software.

In the open coding section, 383 sentences were coded separately and the highest repetition of comments with 31 cases was related to the factor of distrust in insurance companies. The findings show that three types of psychological, ethical and knowledge factors affect procrastination in insurance. To measure the behavior of procrastination in insurance, three indicators can be used, which are the postponement of the purchase of selected non-compulsory insurance, the postponement of the purchase of compulsory insurance and the postponement of the payment of purchased insurance installments.

According to the results, it was found that three psychological, ethical and cognitive factors cause the formation of procrastination behavior in buyers of supplementary health insurance.

There is no doubt that determining the efficiency of hospitals is one of the key steps that must be taken. Therefore, performance appraisal can help health plan executives to better understand its strengths and weaknesses. The purpose of this study is to evaluate the effect of health system transformation plan on the efficiency of selected hospitals in Ahvaz in the period 2012 to 2017.

Data related to seven hospitals implementing the project and one control hospital in 2012, 2013, 2016 and 2017 were collected. The efficiency of hospitals was calculated using data envelopment analysis technique using CCR method and WinDeap2 v 2.1 software. Independent t-test and Poisson using Stata v 15.1 software were used for inferential analysis.

The highest efficiency of hospitals were related to 2017 with average 0.987 and the efficiency of two hospitals in 2016 and 2017 was 1 and the other two hospitals have experienced an upward trend during these two years. Efficiency, number of hospital admissions, number of outpatient admissions and number of surgeries before the transformation plan were significantly different from after, but this difference was not true for the number of active beds, number of physicians and number of nurses.

Totally the efficiency of hospitals implementing transformation plan has been experienced an upward trend. considering the health system transformation plan in 2014, the improvement of the efficiency, the number of outpatient admissions, the number of hospital admissions and the number of surgeries was probably due to the transformation plan.

Today, green information technology is recognized as one of the key factors for achieving sustainable environmental development. The aim of this study was to designing pathology pattern of green information technology implementation in hospitals and treatment centers.

This study is applied in terms of purpose and took place in terms of methodology, descriptive – analytic that first, with reviewing the theoretical bases and the opinion of the experts, the challenges of deployment of green information technology in hospitals and treatment centers were identified. Then after identifying these challenges by Delphi method, the main challenges of deployment of green information technology in hospitals and treatment centers were identified and to analyze the data, structural interpretive approach was used.

after members of the panel reached a theoretical consensus in two steps, 19 factors were extracted to analyze the structural interpretive modeling. The results of the study show that the two factors of government lack of financial support by providing financial facilities and lack of sufficient budget and credit in the organization to deploy green information technology are at the key level of study factors.

The results show that hospitals and health centers without government support will not be able to establish green information technology infrastructure and enjoy its benefits. The government can be fruitful in terms of financial support for hospitals and medical centers in order to purchase equipment and other requirements for the establishment of green information technology.