مجله مدیریت بهداشت و درمان
سال دوازدهم شماره 2 (پیاپی 40، تابستان 1400)

One of the most important management and policy-making functions in the health system is hospital accreditation, which plays an important role in increasing public confidence in the quality of services.

The present research is qualitative, applied in terms of purpose and is part of cross-sectional research. In this study, Delphi technique was used to present a suitable model. Finally, the proposed model was determined with 4 axes, 26 areas and 106 standards. The validity and reliability of the questionnaire were assessed and its applicability was evaluated by the best experts in public hospitals in Kerman province.

In this study, the proposed model was evaluated. The mean of accreditation variable was 4.21±0.34. Accreditation and its domains and axes related to each domain were at a strong level. Friedman test was used to rank the dimensions of the validation variable. The component of "prevention, health and social health" had the highest rank with an average of 2.78 and the components of "care and treatment", "service recipient" and "leadership and management" with an average of 2.56, 2.44 and 2.23, they were in the second, third and fourth ranks, respectively. 87.20% of the experts confirmed the effectiveness of the model.

The results of the study confirmed the appropriateness of the proposed model and the strong relationship between its variables and components. Considering the proof of the effectiveness of the proposed model, it can be said that it can take all the same value in providing and providing services and services in hospitals.

This study was conducted with the aim of providing a model for the appointment of managers with an emphasis on talent management in the Ministry of Health and Medical Education.

This research is applied in terms of purpose and descriptive-survey in terms of method and a qualitative-quantitative research in terms of tools. Data were collected in three stages: model design, synthesis of studies, selection of desirable criteria of the Ministry of Health and Medical Education, and conducted among 351 managers and staff of medical universities. Descriptive and inferential statistics were used to analyze the data using SPSS and Amos software version 18.

The appointment of managers with emphasis on talent management in the Ministry of Health, Treatment and Medical Education is examined in 5 dimensions. The variable of talent development with a standard coefficient of 0.981 is the highest rank and respectively the maintenance of talent with a standard coefficient of 0.944 in the second rank and the use of talent with a standard coefficient of 0.934 in the third rank and the recruitment of talented people with a standard coefficient of 0.876 is in the fourth rank and identification and segregation of talented employees with a standard coefficient of 0.649 is in the fifth rank.

In present study model of appointing managers by considering talent management in five dimensions of talent development, talent retention, talent utilization, recruitment of talented and identification and segregation of talented employees for policies and decisions managers' is presented.

The aim of this study was to determine the study of the moderating role of social support in the relationship between social skills and social health of staff and nurses in the health network of Guilan province.

Library method and questionnaire will be used to collect information. The statistical population of this study includes all the staff and nurses of Guilan Health Network in the number of 594 people. The number of samples was 245 using Hooman method and stratified random sampling method was used to distribute the questionnaires. To test the research hypotheses and analyze the data, descriptive statistics, path analysis and structural equation modeling using SPSS and Amos software were used.

The results show that there is a significant relationship between social skills and social health, ie with increasing the level of social skills, social health increases and vice versa. The coefficient of social skill and social health path coefficient was obtained in two cases higher (0.229) and lower than average (0.506) as well as probability value (0.002). Therefore, it can be concluded that by increasing social support from medium to high, the relationship between social skills and social health is reduced or adjusted, in which case social support has a moderating role in the relationship between social skills and social health.

According to the findings, it was observed that according to grouping results, in two cases, higher and lower than average social support has a moderating effect on the relationship between social skills and social health.

 The present study was conducted to evaluate the effects of biophilic design in therapeutic environments in order to improve patients' health characteristics. It may be necessary to rely on biophilic architecture in terms of human-environment interaction to increase environmental quality and psychological impact on patients.

In this study, three main dimensions of biophilic design with its components were assessed in the form of a questionnaire. Participants in this survey included three groups: architects, patients and medical staff, which was conducted in some hospitals in Mashhad. The collected data were analyzed by appropriate statistical methods by SPSS software, t-test and ANOVA test. The aim of this study was to compare the effective factors of biophilic design on the promotion of health characteristics in the therapeutic environment.

According to the data and tests performed in all three groups, the rate of direct experience of nature was the highest score of 68%, followed by indirect experience of nature with an impact of 28% and the nature of place and space with an impact of 19%. Demonstrates the high effectiveness of the direct experience of nature commonly shared among groups despite differences.

The analytical results of this study indicate that the existence of nature in the human environment has a greater impact and shows the positive relationship between the patient and nature and the improvement of the biological quality of the treatment environment. Therefore, designing a biophilic treatment environment can lead to improved patient health characteristics.

Assessing and quantifying the resources of the health sector and how it is distributed among the regions should be done continuously by policy makers and planners of the health system. Therefore, this study was conducted to investigate the status and trend of inequality in the distribution of dentists in the cities of Lorestan province in the period 2011-2019.

In this descriptive cross-sectional study, the status and trend of inequality in the distribution of dentists were investigated using Lorenz curve and Gini coefficient. In 2011, the Gini coefficient of distribution of dentists working in the University of Medical Sciences and private sector dentists was also compared.

The results showed that in the public sector, Khorramabad city with 4.52 and Koohdasht city with 1.66 dentists per 100,000 populations, have the highest and lowest numbers, respectively. Khorramabad city has the highest number of dentists per 100,000 people in both public and private sectors. The Gini coefficient in the public sector in the period under review ranged from 0.357 in 2011 to 0.56 in 1398. The Gini coefficient in both private and public sectors is 0.53 and 0.567, respectively.

According to the results of the distribution of dentists in Lorestan province during the years under study has been unfair. Despite the increase in the average number of dentists, inequality in the distribution of dentists has been increasing. Therefore, it is suggested that distribution policies be reformed to reduce inequality and gaps between cities in the future.

Lack of proper planning in blood supply may lead to irreparable damage of humans. The purpose of this study is to determine the optimal plan for donating, storing and sending blood to hospitals in each period to minimize the cost of set up and design a blood supply chain and its delivery time.

This study is applied in terms of purpose and descriptive-analytical methodology. The model was solved with the uncertainty approach using the Epsilon constraint method in GAMZ software. To evaluate the accuracy of the model, a case study was conducted in 5 regions of Mazandaran province and by performing sensitivity analysis on key parameters, its effect on total cost and time of blood transfusion cycle was investigated.

The results of this study indicate the high accuracy of the model with the possibility of lateral delivery between hospitals. With a 5% reduction in transport time to 15%, a reduction in blood cycle time and a 25% reduction in this time has 26% reduction in the total blood transfusion process.

Lateral blood delivery between hospitals was used as a solution to increase the model's ability to respond hospital's demand and also reduce shortages costs and lack of blood in the blood supply chain. Also, the important parameters of the problem such as blood supply, demand, capacity of each center and related costs in the blood supply chain and the possibility of lateral delivery of blood products were analyzed to validate the model.

Paying attention to the dual view of citizens on public services is the phobia of bureaucracy, which means a negative image of the public sector in the minds of citizens and their distrust of the public sector. This study seeks to analyze the relationships between backgrounds affecting bureaucratic phobia in one of the universities of medical sciences.

The present study is qualitative and applied in terms of purpose and descriptive in terms of data collection. The method of sample selection is purposeful and snowball. To screen the data, the average opinion of experts on fuzzy logic was used. A questionnaire with a matrix structure was prepared to explore causal relationships between factors. Agents took action.

Among the factors, corruption is the main factor and making constructive changes in it can help reduce the phobia of bureaucracy. Also, two factors of strict and inflexible rules and procedures and lack of accurate information of processes have been the most effective factors among other factors, the most effective indicator is the lack of accurate information of processes. The criterion of employees' motivation has the most interaction with other criteria studied. The criterion of gang play in offices has the least interaction with other criteria.

Based on the results, politicians and managers should think of measures to align the structure of the bureaucracy in terms of having a hierarchy and division of labor with a rational model; In terms of following the rules and regulations and paying attention to expertise and competency system, do not distance yourself from this model and try to reduce this hierarchy.

An important factor that helps teachers to prepare the conditions for effective learning is to pay attention to the type of learning style of students. The purpose of this article is to design an effective teaching model based on learning styles in medical education.

The method of this research is mixed (qualitative-quantitative) approach. In this research, in addition to the documentary study, the content analysis technique with MAXQDA12 software has been used to identify the dimensions, components and indicators. The statistical population was in the qualitative section of all experts in the field of education and medical sciences. In order to validate the model, confirmatory factor analysis has been used through smart pls3 software. The statistical sample of the quantitative section includes 387 professors of Tehran University of Medical Sciences.

Findings were extracted in the qualitative section including 3 dimensions of 9 components and 43 indicators. The findings of the quantitative section showed that among the studied dimensions, teaching and learning process with a coefficient of 0.700 and among the components, learner readiness with a coefficient of 0.875 and finally Educational design of medical courses with a coefficient of 0.930 among the indicators have the largest share in the design of effective education based on learning style.

The results showed that in order to draw an effective training model based on learning styles in medical education, special attention should be paid to educational processes, outputs and finally to inputs.