Journal of Evidence Based Health Policy, Management and Economics
Volume:6 Issue: 3, Sep 2022

Medical equipment maintenance plays an important role in improving the equipment's function, increasing its effectiveness and efficiency, providing continuous health services, and improving the quality of services. This study is conducted to investigate the factors affecting medical equipment maintenance management.

The present study was a qualitative investigation based on content analysis that was conducted in 2021. Data collection method was an open ended interview. The interviewees included all medical equipment operators and technicians of educational and medical centers affiliated with Qazvin University of Medical Sciences. The semi-structured interview guide was used as a data collection tool. Qualitative data obtained from interviews were analyzed by the content analysis method. The obtained coded were classified into dimensions and components using MAXQDA Software12 .

According to the findings, categories of time constraints, access to information, instructions and programs, type and number of equipment, financial constraints, user, patients, training programs, and equipment repair agencies were the most important factors affecting medical equipment maintenance management.

Observing purchasing standards and guaranteed equipment, training all the staff involved, developing and explaining instructions and programs are essential for optimal equipment maintenance. These measurements will reduce the cost of repairing.
g medical equipment and the need to purchase equipment; improve equipment, service quality performance, patient and user safety; and increase the device life.

Complaints are expressions of dissatisfaction that need to be addressed and are a very effective tool for improving the quality of care and treatment services. This study was conducted to investigate the complaints received in 2020 in the treatment supervision department of the Iran University of Medical Sciences.

The present study is a retrospective descriptive study. All registered complaints, including written, oral and telephone, were reviewed by the complaints officer of the treatment supervision office in 2020. The data obtained from the review of complaints provided by clients of affiliated centres, including personal information of the complainant, the complainant was classified in an Excel file and analyzed by using descriptive statistics Such as number and percentage.

Of the total number of complaints received in 2020 with 2121, the cases included complaints about the provision of care and medical services 809cases, tariff 301 cases, health and infection control 222 cases, the activity of unauthorized persons 194 cases, visit services 125 cases, defects, respectively, Technical equipment 76 cases, lack of licenses 76 cases, admission and clearance services 69 cases, induced demand 66 cases, drugs 64 cases,  how to deal 63 cases, center closure and non-service 20 cases, forgery and misuse 18 cases, illegal advertising 10 cases, manpower shortage 8 cases.

It seems that by identifying the effective factors in the occurrence of complaints and dissatisfaction and adopting solutions regarding Training in improving behavioural, communication and professional skills, periodic monitoring visits, reporting functional deficiencies to affiliated centres to correct and eliminate deficiencies, can be done to satisfy and prevent dissatisfaction so that the patient and with a pleasant memory of the process if necessary, refer others to the mentioned centre if necessary.

Development of non-oil exports, including pharmaceutical products is one of the most important economic development strategies. This study aims to explain challenges of pharmaceutical export in Iran by using the sources and content of online media news.

This was a qualitative study which analyzed the content of general and specialized online media news in Iran (conventional approach) from January 20, 2017 to January 20, 2020. Data sources were selected using the purposive sampling method .Then, the eligible news was determined by quota sampling method and was inductively analyzed in MAXQDA10.

The identified challenges were divided into five main categories including the domestic market of medicines, pharmaceutical manufacturing, financing, marketing and diplomacy. The most important challenges were related to financing and marketing.

Iran's position regarding worldwide export of drugs is not satisfactory. The target markets for drug exports should be developed using a national economic program and appropriate diplomacy, in addition to improving the quality of drug production.

Job satisfaction and the quality of work life are measured as indicators of organizational development in many studies.Work’s nurses affected from this two variables .This research aims to study the relationship between quality of work life and job satisfaction among nurses.

This was a descriptive analytic study. Research population included 538 nurses in Golestan hospital in Ahvaz in 2020.  111 nurses were selected through simple random sampling. Data collection instruments were Walton quality of work life and Whiskey and Chrome job satisfaction questionnaires. The reliability and validity were measured. Data were analyzed through descriptive statistics, Pearson correlation analysis, independent t-test and ANOVA in SPSS20.

In this study, 32.40 % of the participants were male and 67.60 % were female. Quality of work life and job satisfaction showed a significant and moderate correlation (r = 0.36, P-value < 0.001).  Results indicated a significant correlation between job satisfaction and components of quality of work life (P-value< 0.05), except for the general atmosphere of working life (P-value> 0.05). There was no significant correlation between the study's variables and demographic characteristics.

There is a significant relation between the quality of work life and job satisfaction. Job satisfaction among nurses in Ahvaz hospitals can be increased by implementing programs to improve the quality of work life.

Nowadays, since many health care organizations are facing a crisis of declining productivity and labor force stagnation, productivity can be improved through identifying and strengthening the components affecting the labor force productivity and performance. Thus, the present study was aimed at determining the effect of intellectual capital on innovative performance with the mediating role of health staff’s empowerment in Qazvin University of Medical Sciences.

This is a descriptive-analytical cross-sectional study carried out in 2021. Three hundred and four staff of the Health Department and Health Networks participated in the research by the available sampling method. The Bontis questionnaire was employed for measuring the intellectual capital, the Spritzer questionnaire for measuring staff’s empowerment, and the Huang and Li questionnaire for measuring innovative performance. Moreover, for preliminary data analysis, SPSS25 Software was used as well as AMOS software for structural equation modeling at a significance level of 0.050 %.

The results of the path coefficient among the model variables on each path, corresponding to the research hypotheses, are positive, revealing a positive relationship among the research variables. The path coefficient of the direct relationship between intellectual capital and innovative performance was equal to 0.767 (P-value < 0.001). Moreover, the relationship between intellectual capital and empowerment was equal to 0.306, and between empowerment and innovative performance was equal to 0.153, both of which were significant (p < 0.001). Furthermore, indices of fit including NFI = 0.652, RMSEA = 0.064, GFI = 0.710, and CFI = 0.769 exhibited a relatively good fit of the final model.

Given the direct relationship between model variables, the University of Medical Sciences’ managers and health officials should provide the bed for improving the capacity of human resources and innovative performance through developing intellectual capital besides creating a platform to play an effective role in the organization. Accordingly, effective and innovative performance based on responding to the human resources’ changing needs in all sectors may be imagined.

Heart disease is one of the most common types of diseases in the contemporary world. In the treatment process, rehabilitation programs can bring patients back to the course of daily life as soon as possible, and improve their functional levels life quality. The present study used the meta-analysis method on studies that have examined the effects of rehabilitation on the life quality of heart patients.

Based on meta-analysis method, the researchers tried to compile different studies conducted at different periods in the form of a specific subject. Then, the research results were examined in a systematic way. The statistical population of this study included all the scientific and research papers on the effects of rehabilitation programs regarding the life quality of heart patients. They were studies from 2007 to the end of 2017 published in scientific journals. 44 studies regarding the life quality of heart patients have been conducted. Finally, 10 studies were selected as a sample and meta-analysis was performed using the Comprehensive Meta-Analysis Software 2(CMA2).

Results of the study demonstrate that all the studies on the effects of rehabilitation on life quality of heart patients were significant. This means that the relationship between the variables considered in each study was statistically related, and this relationship was correct.

It is concluded that sports rehabilitation has the highest impact on life quality and physical and mental dimensions. Generally, all effects’ sizes are significant. This confirms that the results of all the research conducted regarding the effect of rehabilitation programs on the life quality of heart patients are correct; rehabilitation has an effect on improving the quality of life.

Job stress greatly affects the physical and mental health of nurses. Therefore, this study was conducted to investigate the relationship between spiritual health and job stress among nurses working in selected hospitals of Yazd University of Medical Sciences and Health Services in 2020.

This was a cross-sectional and correlational study conducted in 2020 in Rahnemoun and Shahid Sadoughi hospitals in Yazd. The sample size was 203 nurses selected through random cluster sampling. Data were collected using the Pulotzin Wallison Spiritual Health questionnaire and the Tuft and Anderson Job Stress Questionnaire. Data analysis was performed using descriptive statistics, Spearman, Mann-Whitney, and Kruskal-Wallis correlation coefficient by SPSS24.

The mean of nurses' job stress was (109.17 ± 28.66) and the mean of spiritual health was (92.58 ± 14.80). The relationship between job stress and spiritual health was statistically significant and negative (P-value < 0.001). There was a statistically significant relationship between spiritual health and marital status(P-value = 0.0002), age groups(P-value = 0.013), work group(P-value = 0.003)s and employment status (P-value < 0.001); and between job stress and gender (P-value < 0.001), marital status (P-value < 0.001), age groups (P-value < 0.001), work experience(P-value < 0.001) and employment status (P-value < 0.001).

In order to improve spiritual health, experts advise managers and supervisors to hold classes and seminars related to the positive effects of spiritual health regarding physical and mental health. Consequently, their job performance will improve.