فهرست مطالب

Hospital Research - Volume:11 Issue: 2, Spring 2022

International Journal of Hospital Research
Volume:11 Issue: 2, Spring 2022

  • تاریخ انتشار: 1401/02/18
  • تعداد عناوین: 8
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  • Mahdi Esnaashari, Amin Nikpour *, Yaser Salari, Saeed Sayadi Page 1
    Objective and Background

    Discussing and reviewing the quality model for hygienic and health services from Islamic viewpoint is of importance, because as the value of providing services is proven, its necessity and importance become more transparent. Therefore, the aim of this paper is to provide a quality model for hygienic and health services based on Islamic values in the health insurance industry.

    Method

    Considering the purpose, the current research study is applied, and in terms of nature, it is descriptive of correlation type, and the method used is of survey. The statistical population includes two groups; 1) 14 experts who were selected among academic and seminary elites familiar with the subject of research by the snowball sampling method. 2) Managers, supervisors and experts of different departments of the Social Security Organization (390 people) and health insurance (226 people) in southeastern Iran were selected by stratified random sampling, and based on Morgan’s table, the sample size was 118 and 59 people; respectively.

    Results

    Components in the field of service quality in the health system from Islamic viewpoint (relying on the source of the Quran and hadiths) were identified, and a questionnaire consisting of 8 dimensions (divine motivation and intimacy, compassion and kindness, attention to participation and collaboration, public relations, growth and reverence, prudence and foresight, rule of justice and evaluation and observation) and 65 components was prepared. The face and content validity of the questionnaire was evaluated using the opinion of experts (academic and seminary experts). Cronbach's alpha coefficient of the questionnaire was also estimated to be higher than 0.7, which indicated the internal consistency of the items and the reliability was confirmed. Data analysis was done using structural equation modeling in PLS software. Based on the results, all paths between the research variables were approved from the perspective of both the Social Security Organization and the Health Insurance of Southeastern Iran at 95% confidence level.

    Conclusion

    According the analysis of the research model from the perspective of the Social Security Organization of Southeastern Iran, the highest path coefficient was obtained for the dimension of public relations and then for evaluation and observation; and from the point of view of health insurance in southeastern Iran, the highest path coefficient was obtained for the rule of justice and then public relations

    Keywords: quality of hygienic, health services, Islamic management, health, hygienic system, Insurance Industry
  • Pouria Farrokhi, Asgar Aghaei Hashjin, Rafat Bagherzadeh, Ehsan Zarei * Page 2
    Background and Objectives

    The healthcare industry is increasingly growing in a competitive atmosphere. One of the key issues for the survival of healthcare organizations is patient satisfaction. This study aimed to investigate the impact of health service quality and demographic characteristics on patient satisfaction with outpatient departments at teaching hospitals affiliated with Tehran University of Medical Sciences in Iran.

    Method

    This cross-sectional study was conducted in 2019. A sample of 400 patients referring to outpatient departments at teaching hospitals was recruited through a multistage systematic random sampling technique. A valid and reliable questionnaire was used to collect data which were then analyzed by using descriptive tests and linear regression in the SPSS 23 software.

    Results

    The mean scores of service quality and patient satisfaction were 3.73 ± 0.51 and 3.61 ± 0.97 out of 5, respectively. Moreover, patients’ demographic characteristics, like age, marital status, residence area, as well as service quality dimensions, such as admission process, physician consultation, service costs, accessibility, and appointment were identified as the most effective factors on patient satisfaction.

    Conclusion

    The admission process was the most important determinant of patient satisfaction. Therefore, physicians and reception staff are advised to provide patients with useful information and cost-effective service to increase their satisfaction. Nonetheless, it seems necessary for teaching hospitals to establish plans which facilitate payment, appointment, and examination process.

    Keywords: Patient Satisfaction, Service Quality, Outpatient service
  • Fatemeh Jahanian *, Seyyed Hossein Montazer, Mobina Mahdavi Page 3
    Background and Objective

    Healthcare workers face a wide range of stressors due to the specific nature of these jobs. Aim of this study was evaluation of satisfaction, burnout, compassion, and secondary traumatic stress and related factors among residents working in training hospitals.

    Method

    This descriptive-analytical, cross-sectional study was performed on medical residents working in Imam Khomeini Training Hospital in Sari, Iran, affiliated to Mazandaran University of Medical Sciences, in 2019. Data were collected using a demographic characteristics questionnaire and the professional quality of life scale (ProQOL). Data analysis was performed in SPSS version 24.

    Results

    Among 300 subjects evaluated, 134 were male (44.7%) and 166 were female (55.3%). In addition, the mean age of the residents was 29.24±3.42 years. According to the results, the mean and standard deviation of satisfaction with compassion, occupational burnout, secondary stress at workplace and compassion fatigue were estimated at 21.99±8.22, 38.46±4.17, 28.30±4.58, and 33.38±3.19, respectively. There was a significant relationship only between satisfaction with compassion and gender (P<0.001). Significant relationship was observed between the dimensions of satisfaction with compassion and job burnout (P<0.001).

    Conclusion

    Female residents had a higher level of satisfaction with compassion, compared to male residents. Among the evaluated dimensions, the residents at the pediatrics and internal wards had more compassion satisfaction, whereas the residents in surgery and emergency medicine wards had the highest rate of job burnout. In many teaching hospitals, residents have more contact with patients, recognizing and controlling psychological behavioral challenges can play an effective role in those wards policies.

    Keywords: Violence, Hospital, Mazandaran
  • Reza Ramesh, Shahabeddin Shams *, Mahmood Yahyazadehfar, Hassanali Aghajani Page 4
    Objective and background

    The importance of technology and innovation foresight in the health and hospital industry management as one of the important tools in policy intelligence is increasingly revealed. Although theoretical research and practical efforts are not very old in the area of foresight, lack of comprehensiveness of existing models highlights the necessity of integrating the issues raised.

    Methods

    In the present study, to achieve a comprehensive model for technology and innovation foresight in the health and hospital industry management, a systematic qualitative research method is used to systematically review the research findings in this area to explore the approaches and principles of these models after extracting the main themes. To achieve this goal, 70 articles published in electronic databases such as Emerald and Elsevier, etc. were reviewed through the Google Scholar search engine between the years 1990 and 2021. After screening, 35 articles were selected for work, open coding tools were used to analyze the articles. In the next step a descriptive analysis using the Preferred Reporting Items for Systemic View and Mata Analysis protocol proposed and the then developed proposition based on keywords analysis.

    Results

    By reviewing 70 final articles, researchers identified 3 dimensions and 12 categories as the factors affecting the use of foresight models in health industry management with the aim of innovation and technology development. Key themes included networking among inclusive actors, comprehensiveness of foresight programs, and utilization of foresight output data in the health and hospital industry management. The main themes obtained in this study are in line with approaches to the phenomenon of technology and innovation foresight in the health and hospital industry management adopted by scientists in this area.

    Conclusion

    These main approaches include conceptualization, history and evolution, differentiation from other aspects of foresight, types of classifications (based on geography, thematic and applied orientation, and foresight generations), and types of frameworks, methods and techniques used, communication with policy-making and strategy determination.

    Keywords: Foresight, Technology, Innovation Foresight, Health Industry Management, Meta-Synthesis, Hospital, Meta-Analysis
  • Mahmood Bonyadi, Hossein Bodaghi Khajeh Noubar * Page 5
    Background and Objective

    Health care systems worldwide have been influenced by the globally growing trend toward a sharing economy and will likely advance with these trends in the near future. The aim of present study is to provide a model for marketing of sharing economy based on local conditions of Iran, a case study of hospital service industry.

    Methods

    The present study is an applied study of quantitative and qualitative in terms of method and mixed-exploratory in terms of approach. The statistical population in the qualitative section was composed of experts in sharing economy familiar with the concepts of sharing economy and business models. The research model was analyzed using confirmatory factor analysis approach in Amos software. Qualitative data were collected through in-depth interviews with open-ended questions. Qualitative data analysis was performed using open, axial and selective coding. The statistical population of study in the quantitative section included all employees working in a company providing hospital service. In this section, the sample size was calculated to be 380 people based on Cochran's formula. Data collection tools in the quantitative section included a researcher-made questionnaire based on the concepts expressed in the research literature along with the results of qualitative data analysis. To check the validity of the research tool, two methods of participant feedback and receiving the opinions of coworkers were used.

    Results

    Cronbach's alpha coefficient of the whole questionnaire was calculated at 0.763, which is greater than 0.7, so the questions of the questionnaire have a good and desirable reliability. Based on the results, knowledge and technology management component with a coefficient of 0.047, structural and system process component with a coefficient of 0.67, human resources quality with a coefficient of 0.55, marketing management with a coefficient of 0.208, economic factors with a coefficient of 0.102 and socio-cultural factors with a coefficient of 0.18 had a positive and significant effect on marketing of the sharing economy.

    Conclusion

    The proposed methodology is a useful tool for managers of the hospitals, as well as researchers, who seek to evaluate alternative performance in various studies related to sharing economy in health centers. Sharing Economy will reduce costs and improve healthcare, particularly its accessibility. Our goal should be to help accelerate these changes first by identifying them and driving awareness, and also giving them a context and framework so that new models can be developed more rapidly.

    Keywords: Hospital marketing, Sharing economy, Hospital Services Industry
  • Mohsen Mijani, Saeed Sayadi *, Zahra Shokoh, Amin Nikpour, Mahdi Mohammad Bagheri Page 6
    Objective and Background

    This study was conducted to investigate the antecedents and consequences of abusive supervision using multi-grounded theory in management of public hospitals in Kerman.

    Method

    In this study, effective variables were identified by examining the 10 professors and their 360 employees as a group of professors and experts in the field of human resources and experts of management of public hospitals in Kerman. This study is a cross-sectional study using the multi-grounded theory in which data was collected during a few weeks. Interviews and coding have been investigated using Maxqda software. We recruited teams by means of a university leadership program that offered a leadership profile to supervisors of academic teams. The Employees working under the supervision of the same leader were considered a team and they should be more than 10 person in one team. Thus, the statistical population includes experts who have the following characteristics: 1. having a doctorate degree or specialization in the field under study, 2. sufficient experience and familiarity with issues, 3. scientific and specialized aristocracy to identify and analyze the subject.

    Results

    The results of open coding of qualitative data collected using interview tools showed that 87 open codes out of 375 concepts have been identified. 87 primary codes have been extracted in the form of 6 categories of negative organizational consequences, individual negative consequences, organizational factors, environmental factors, personal characteristics of the leader, and characteristics of subordinates. The impact of abusive supervision and job satisfaction and organization performance of the hospitals were mediated by trust in the team.

    Conclusion

    The results showed that the category of personal characteristics of a leader is in the first rank with 169 repetitions of code, organizational factors are in the second rank with 120 codes and negative organizational consequences are in the third rank with 49 codes

    Keywords: leadership, leadership styles, Abusive Leadership, Antecedents of Abusive Leadership, Consequences of Abusive Leadership, Hospital management
  • Najmeh Eizadpanah, Hamdollah Manzari Tavakoli *, Amin Nikpour Page 7
    Background and Objective

    The Research Was Conducted with the Aim of Exploring the Effect of Health Centers Empathy on Job Wellbeing Among the Employees of Kerman University of Medical Sciences in (2020).

    Method

    The Study is Descriptive and an Applied-Type Study in Terms of Purpose, and its Population Consists of 222 Employees of Kerman University Medical Sciences, 141 of Them Were Chosen as Sample Using Cochran Formula. For Data Collection, a Researcher-Made Questionnaire Was Used, the Validity of Which Was Confirmed by Means of Five Organizational Behavior Experts' Opinions, and Then Its Reliability Was Obtained 87% Using Cronbach's Alpha. The Questionnaire Was Distributed among Employees in a Stratified Random Fashion, and SPSS 19 and PLS 3 were also Used for Data Analysis.

    Results

    The Results Indicated that Empathy and its Dimensions Namely Organizational Climate, Perceived Organizational Support, and Affinity of an Intimate Relationship, Have a Positive and Direct Effect on Job Wellbeing, in that as Level of Organizational Climate Tend more to a Supportive Climate, and Coworkers Show Positive Behavior toward one another, We Can Manage Stress Factors Better.

    Conclusion

    the researcher realized that as level of empathy increases among employees, job wellbeing can also improves, and the level of the effect increases, considering the component perceived organizational support achieving the highest level. Thus, it is necessary for the managers and authorities of the university to pay special attention in this context so that they can raise healthy employees and provide them with a tranquil and friendly environment free of any stress.

    Keywords: : Empathy, health centers, Job Wellbeing, perceived organizational support
  • Nadia Sedighi *, Ghazaleh Garivani, Mona Azarbuyeh, Zahra Alizadeh Page 8
    Objective and Background

    The present study aims to compare perfectionism and behavioral-personality type A in mental hospital cases with tic disorder and healthy adolescents. Recognizing the psychosocial-social and behavioral-personality characteristics of referrals to a psychiatric hospital can help to plan for their future.

    Method

    This study is descriptive and causal-comparative. The statistical population of the study consists of all referrals to a psychiatric hospital with tic disorder who had referred to Ibn Sina Medical Sciences Hospital of Mashhad from the fall 2017 to January 2018, and healthy adolescents not having this disorder in Mashhad. From among this population, 60 adolescent boys (30 with the disorder and 30 healthy individuals) who were selected by available random sampling as the sample filled the Hill’s et al. Black Perfectionism Questionnaire and Nigerian’s et al. Behavioral-Personality Type Questionnaire. Multivariate variance analysis test (MANOVA) was used to analyze the data.

    Results

    The results showed that there is a significant difference between referrals to a psychiatric hospital with tic disorder and healthy cases in perfectionism (components of positive perfectionism: order and organization, purposefulness, striving to be perfect, high standards for others, and components of negative perfectionism: need for approval, focus on mistakes, perception of pressure from parents, and thought rumination) and behavioral-personality type A.

    Conclusion

    as it was concluded from referrals to a psychiatric hospital perfectionism and behavioral-personality type A are closely related to the occurrence and persistence of tic disorder. Therefore, it can be said that the use of psychological interventions to control the above variables seems necessary.

    Keywords: perfectionism, behavioral-personality type A, tic disorder, psychiatric hospital