مجله مدیریت بهداشت و درمان
سال دوازدهم شماره 1 (پیاپی 39، بهار 1400)

The importance of speed, synergy, and efficiency in service delivery has made the network paradigm the dominant paradigm for many government agencies, including the health care system. The purpose of the present study is to present a model of network performance evaluation in network governance of the Ministry of Health and Medical Education.

This was a qualitative content analysis study. Semi-structured interviews with exploratory orientation were conducted with 14 experts from the Ministry of Health and Medical Education. These were selected by purposive sampling. Content validity of extracted themes was 0.90. Reliability between the two coders was 87%.

After six stages of content analysis, 52 basic themes and five organizing themes (competency development of 10 themes, effective planning of 7 themes, flexibility of structure and process of 13 themes, realization of goals of 12 themes, effective accountability of 11 themes, effective accountability of 11 themes). Network rule was designed.

In evaluating the performance of network governance, accountability and system stability are the most important factors. Health managers and policymakers can use the model provided in developing performance appraisal indicators.

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.

The Corona crisis has posed a huge challenge to businesses, giving organizations the opportunity to identify new business models and survive in the crisis.  The aim of this study was to effective factors online shopping with the approach of customer-health during the Corona spurt using the Meta synthesis technique.

The present study is a type of developmental research in terms of the purpose. In the qualitative section, the statistical society included 126 documentary articles, which were finally selected into 33 articles related to the subject, and in the quantitative section, 5 online stores were selected as experts by using convenience sampling method. Qualitative data were analyzed using the seven-step method of Barros & Sandelowski in Meta synthesis technique and in the quantitative part data were analyzed by the best-worst method (BWM) using MAXQDA, SPSS and LINGO software.

Factors affecting online shopping were introduced in 5 categories (website features, customer features, environmental factors, customer perceptions, online shopping advantages), 16 axial codes and 81 open codes and their prioritization were presented (Website features 0.427, customer features 0.321, environmental factors 0.129, online shopping advantages 0.08 and customer perceptions 0.042).

Business managers can influence customer's attitude and mentality and ensure their health in order to take preventive action by using the factors affecting online shopping with the priority of customers' health in the Corona spurt as an important action.

Today, the pharmaceutical industry is one of the largest industries in the world and is closely related to other industries. This industry has created employment opportunities for many pharmaceutical professionals, technical technicians, marketing, advertising and sales experts. There are several factors affecting the industry facing exports worldwide, some of which are related to their products and others to their sales market.

In this study, the effectiveness and influential of each of the institutional factors affecting the internationalization of Iranian pharmaceutical technology companies, including 37 indicators derived from in-depth semi-structured interviews with pharmaceutical industry experts, was determined using the DEMATEL technique.

Based on the research results, influential and effective factors in the internationalization of pharmaceutical technology companies were classified into 7 levels. Indicators that are completely dependent and effective are at level 1, and at level 2, there are indicators that are less effective than the first level and more effective than level 3 and similarly, the most influential indicators were at level 7.

Indicators of Consistency in government policies and long-term plans for drug exports, Observance of quality and international standards in drug production, and Adherence to the health regulations of the target countries, which are the most influential indicators on internationalization of pharmaceutical technology companies, were at the highest level.

Balancing work and life is one of the concerns of employees in organizations today. One of the tools to create work-life balance is effective organizational communication. The present study was conducted in this direction with the aim of analyzing the effect of effective organizational communication on work-life balance with the mediating role of occupational injuries in Sabalan Social Security Hospital in Ardabil.

In terms of purpose, the present applied research is descriptive-survey in terms of method. The statistical population of this study includes the staff of Sabalan Social Security Hospital in Ardabil, whose number is 600 people. Morgan table was used to determine the sample size of employees and the number of samples was 234 which were selected by simple random sampling method. To measure the variables, Dibaj Occupational Injuries Questionnaire, Susman and Krinos Effective Organizational Communication Questionnaire and Wang and Ko Work-Life Balance Questionnaire were used. Data were analyzed and path analysis and structural equations and regression were used to analyze the research hypotheses.

Findings show that effective organizational communication with the mediating role of job injuries has a significant effect on work-life balance. Predicts effective organizational communication 0.76 and job injuries -0.67 predict changes in work-life balance of employees.

The relationship between the two variables of effective organizational communication and work-life balance of employees is intensified by the variable of occupational injuries if the occupational injuries increase, this effect will be weaker, and if the occupational injuries weaken, this relationship will naturally become stronger.

Researchers consider the most important factor in the development of health tourism as the attitude of tourists to the destination. E-marketing can create credibility and reputation as well as create a good image in people's minds. The purpose of this study is to identify and prioritize the factors affecting e-marketing in promoting the brand of health tourism destinations.

This research is applied in terms of purpose and descriptive-survey in terms of data collection. The effective factors were identified by 15 experts in the field of health tourism. Then, matrix questionnaires were prepared and provided to 173 health tourists and the data were analyzed and modeled by social networks using fuzzy mapping tools and techniques.

The factors of verbal advertising of users, design of websites with appropriate content and management of knowledge and expertise with the amount of 21.3, 18.15 and 17.6, respectively, are more central than other factors and as a result these factors should be paid more attention.

The results indicate that 13 factors affecting e-marketing in promoting the brand of health tourism destinations in order of priority include verbal advertising of users, design of websites with appropriate content, knowledge and expertise management, awareness and Information about health tourism destinations, tourists 'mental image of the destination, technology infrastructure, creating a sense of trust and confidence in tourists, tourists' loyalty to the destination, interaction and communication, service delivery innovation, use of educational videos on the web, Organizational factors are environmental factors.

Urban health centers are one of the most important centers for providing primary health services. According to the wide range of health centers and the number of services provided by these centers, a significant portion of the community health system resources are allocated to these centers; therefore, the determination and continuous monitoring of the effectiveness of these centers can play a significant role in improving the efficiency of health resources and preventing waste of resources. The purpose of this study Assessment of Technical Efficiency of Comprehensive Health Services Centers of Hamadan by Data Envelopment Analysis (DEA) in 2019.

This descriptive-analytic study evaluates the effectiveness of Hamedan comprehensive health centers services using the data envelopment analysis method. Inputs include: number of physicians and number of employees (midwife, specialist in the fight against diseases.). Outputs include: number of examinations by physician, midwifery services, vaccinations, injections and dressings.

In 2018 the average technical efficiency of the comprehensive health services centers was 0.751, the mean management efficiency was 0.85 and the mean efficiency of the scale was 0.88. Of the total centers of comprehensive health services surveyed, 6 centers have technical capacity of 1 and 13 centers with a technical efficiency of less than 1.

In centers with efficiency less than 1, there were initial and optimal values of the same and different inputs. Therefore, it is suggested that these centers reduce their inputs as much as possible so that they can achieve maximum efficiency.

Hypertension is the third leading cause of death in the world. One of the ways to control chronic diseases is to increase patients' awareness, which requires improving their health literacy. For this purpose, in this study, a health literacy model for hypertensive patients in Shahid Rajaei Heart Hospital is presented.

This research is applied in terms of purpose and in terms of survey method and a combination of qualitative and quantitative methods. The statistical population of the qualitative section is all experts in the field of health and treatment, and in the quantitative section the staff has a bachelor's degree or higher from Shahid Rajaei Heart Hospital. In the qualitative part, after conducting 23 theoretical saturation interviews, in the quantitative part of the research, 122 employees of Shahid Rajaei Heart Hospital were selected by counting method. In addition to library studies, the field method has been used through interviews in the qualitative section and questionnaires in the quantitative section. The validity of the questionnaire was confirmed by CVR and its reliability was confirmed by Cronbach's alpha. In order to analyze the data, open coding method in qualitative part and structural equations in quantitative part have been used.

The results showed that basic literacy with a coefficient of 0.923, cognitive literacy with a coefficient of 0.648, social literacy with a coefficient of 0.585 and cultural literacy with a coefficient of 0.483 are of great importance in the health literacy of hypertensive patients in Shahid Rajaei Hospital, respectively.

Based on the findings of this study, it can be concluded that the existence of 4 basic literacy factors with reading and writing components and knowledge, cultural literacy with attitude components, values and norms, cognitive literacy with application components, evaluation, comprehension And access, and social literacy with components of communication and interaction can affect the health literacy of hypertensive patients.