International Journal of Hospital Research
Volume:10 Issue: 2, Spring 2021

Flexible management is the theory of focusing on the people, but good governance examines the characteristics within a system, and it is general and organizational. The theory of good governance, which builds on the theoretical foundation of client-agent theory, believed that all economic behavior cannot be accommodated in the context of demand-supply. The importance of good governance, apart from its economic implications for Iranian society, is that it may make the democratic process a little easier. Therefore, the relationship between good governance and management flexibility at Tehran University of Medical Sciences has been investigated.

To this end, a questionnaire containing 40 questions was provided to the respondents. Given the explanations provided, the main question of the research is whether there is a relationship between flexible management and good governance? Therefore, the study examined the relationship between flexible management with the components of good governance including consequentialism, promotion of values, effectiveness of roles and tasks, clarification and capacity building using Smart PLS software.

Regarding the path coefficient of 0.766 and t value (44.418), flexible management has a significant positive relationship with consequentialism and according to the path coefficient of 0.720 and t value (41.049) with promotion of values.

The results show that there is a significant relationship between flexible management and the components of good governance.

This study has been conducted for a comparative analysis of service quality models in the Western and Islamic Health System. Accordingly, the researcher sought the similarities and differences between these two different ideologies and perspectives in terms of service quality in the health and hygiene sector. Thus, a qualitative design has been selected and a review of national and international studies has been made.

after identifying the dimensions and factors of service quality in the health sector and Islamic and western hygiene (considering the relevant models being used) and Islamic perspective based on Islamic resources, research dimensions and factors have been defined. Then, these dimensions and factors have been provided to experts in the same field to express their opinions regarding the significance of each concept. Then, both perspectives have been compared together in terms of the quality of services in the health sector.

the results suggested that models based on Islamic and western administration viewpoints were different from each other in terms of the intention and motivation behind the provision of services, consideration for justice in service provision, different attitudes toward clients, and different views toward ethical concepts. Besides, these two perspectives are similar in terms of concepts such as responsibility, supervision on the provision of quality services, cooperation with organizational stakeholders, being conscious toward opportunities and threats, and emphasis on training and education.

considering the similarities and differences between Islamic and western perspectives in the health sector, it seems that service provider organizations in Iran must reconsider the quality of their services. They mustn’t solely imitate the western quality models; rather, they must pay more attention to Islamic values in the same field.

The present study aimed to investigate the factors affecting the lifestyle of the elderly in Tehran.  

This study was qualitative research based on the grounded theory method. Purposeful sampling was used and continued until theoretical saturation was obtained. Psychiatrists and neurologists of Tehran city in 2018 with more than 5 years of experience were included in this study. Totally 10 participants with high marital satisfaction were interviewed in semi-structured and in-depth method and analyzed using the constant comparative methods. The interview was about the factors affecting the lifestyle of the elderly.

Six specialists were male and 4 were female and had doctoral degrees. The mean age of the male specialists was 47.66±4.31 and 41.75±3.44 in female subjects. Factors influencing the lifestyle of the elderly were divided into seven areas: the lifestyle of the elderly, socioeconomic status, media and the lifestyle of the elderly, beliefs, ethnic diversity, customs, and the state of the elderly, each of which included a total of 23 themes and 19 categories.

The results indicate that the media program has the most impact and rituals and religion have the least impact on the lifestyle of the elderly in Tehran.

Life satisfaction is an important concept in positive psychology, so that it is nowadays considered as one of the important indicators of well-being. The present study was an attempt to investigate the structural model of the role of personality traits on life satisfaction considering the mediating role of self-efficacy.

The statistical population of the present study included all students of the paramedical faculty of Shiraz that 486 people were selected among them using a convenience sampling method. Neo personality inventory and life satisfaction and self-efficacy questionnaires were used to collect research data among general paramedical students in Shiraz. The proposed model was evaluated through structural equation modeling (SEM) in SPSS18 software and AMOS 18 software. Bootstrap method was used to test the indirect effects in the proposed model.

The results revealed that the proposed model has a relatively good fit with the data. Better fit was achieved by eliminating a non-significant path.

In general, the results of present study include important implications about life satisfaction and the factors affecting it, including personality traits and self-efficacy in paramedical students in Shiraz.

The growing healthcare costs are one of the most important concerns of health systems around the world. The role of physicians in managing diagnostic and therapeutic costs has always been prominent. The present study aims to assess the attitude of physicians towards cost-conscious prescription services in Iranian West Azerbaijan province.

This study is a cross-sectional, descriptive-analytical survey conducted in 2018 in West Azerbaijan Province. The study sample included 306 general practitioners from the private sector, family physicians and specialists from both public and private sectors, in contract with Iran health insurance organization. A researcher-developed questionnaire was used to collect data, which were analyzed using SPSS version 25.

The overall mean score of attitude toward cost-conscious care was 73.32% with a standard deviation 7.71. There was a significant difference between the physicians’ attitudes in terms of gender, medical group, geographical location of workplace, and interest in participating in the seminars related to health economics. The family physicians had a higher positive attitude towards cost-consciousness.

The results were promising in terms of the physicians’ attitude towards cost awareness; the real hope should be nonetheless relied mostly on how they practice. Efforts should be adopted by health authorities to sustain such attitudes and grow them into practice.

The performance of the complaint management system in hospitals has a significant effect on the quality of services in the health system and improving client satisfaction. The aim of this study was to compare the complaint management system in hospitals of selected countries in order to identify the shortcomings in the complaint management system in Iranian hospitals.

In this study, first some basic information related to the three areas of grievance management system (executive structure; executive mechanism and control mechanism) by referring to the websites of organizations related to the health system of selected countries (Australia, USA, UK, South Africa). , Turkey) and Iran were collected. Attempts were made for each country to ask questions to guide the text review in 3 dimensions of the executive structure; Executive mechanism and control mechanism to be answered. For this purpose, Persian keywords and their English equivalents such as Executive structure, Executive mechanism and Control mechanism were used.

The current situation of the complaint management system in Iranian hospitals in comparison with selected countries creates challenges in improving the quality of services and client satisfaction. Compared to Iran, the patient complaints management system in the studied countries is more defined and coherent in terms of relevant laws and regulations, executive structure, review process, response rate, dissemination of information and statistics, system evaluation and control.

The grievance management system in Iranian hospitals faces several challenges in structure, implementation and control. Modeling the grievance management system of successful countries and its localization, leads to the reform and strengthening of the grievance management system in Iranian hospitals and provides the basis for improving the quality of services and patient satisfaction. Keywords: Complaint, Complaints Management, Hospital, Patient

Most of the victims of administrative corruption are the employees of medical sciences and there is no standard tool for measuring administrative corruption among them. Therefore, this research was conducted with the aim of constructing and validating the short form of administrative corruption questionnaire.

The method of conducting this research is of qualitative and quantitative type. The statistical population included all the employees of medical sciences in Kerman. At first, a questionnaire was prepared by reviewing the sources of the initial questions. Then, 4,500 employees of medical sciences were selected among the Kerman government organizations as stratified; 100 people of the samples were selected for convergence validity and 350 people of the samples were selected for exploratory factor analysis. The tool used included the short form of administrative corruption questionnaire and the McCusker’s Violence Questionnaire (2006). To investigate the validity of the scale, content validity, convergence and factor analysis methods were used. The reliability of the scale was investigated by internal consistency methods and composite reliability.

The results of exploratory factor analysis showed that the administrative corruption questionnaire consists of 30 five-factor and has proper validity and reliability. The second-order confirmatory factor analysis also confirmed the five-factor model.  

The administrative corruption questionnaire can be used to evaluate administrative corruption among the employees of medical sciences.

Research has been done on the social-emotional skills of children with autism, but a study that examines the effectiveness of social-emotional skills training on the dimensions of executive functions, imagination, and play participation in children with autism has been neglected. The aim of this study was to evaluate the effectiveness of social-emotional skills training on the dimensions of executive functions (flexibility, response inhibition, planning and organization, self-regulation), imagination and participation in play of children with autism.

The quasi-experimental research design was pretest-posttest with a control group. In order to conduct this research, a sample of 20 people from the statistical population of the study were randomly assigned to the experimental and control groups by available sampling method. The instruments used in this study included the Executive Function Questionnaire, Teacher Form Brief, Gresham and Elliott Teacher Form Social Skills, and the Researcher Imagination Checklist. Prior to performing the independent variable, pre-test was taken from both groups. Then, the experimental group received social-emotional skills training (Sadri Demirchi, 2010) during 12 training sessions over 2 months. The obtained data were analyzed by multivariate analysis of covariance.

The results showed that social-emotional skills training had a significant effect on the dimensions of executive functions, imagination and participation in play of children with autism. (f = 11.7, P <0.001) The effectiveness of social-emotional skills training on flexibility, response inhibition, planning and organization, self-regulation, imagination and participation in play of children with autism are 56.5 , 61.2, 66, 66, 38 , 62.2 , 27% respectively.

Based on the findings of this study, social-emotional skills training can be used as an educational intervention to promote socio skills and excitement management in children with autism in educational and counseling centers.