مجله مدیریت بهداشت و درمان
سال سیزدهم شماره 1 (پیاپی 43، بهار 1401)

One of the most important management a in the E -health system is Security, which plays an important role in increasing public confidence in the quality of services. In this study, the allocation of High security improves the interoperability of remote devices. In this research, the published studies were reviewed which led to the design of the initial conceptual model and in the next stage, Delphi's four steps were screened by 22 experts in the field and finally the final conceptual model was presented with effective factors. As the results depicted, Kendall coordination coefficient in the fourth round was 0.007, which shows that there is a consensus among experts and it is possible to end the repetition of stages, and this amount is considered statistically significant. This research expressed the acceptance of secure EHR by considering different dimensions through presenting a conceptual model and explored IoT entrepreneurial opportunities as well as more appropriate responses to patients in the IT space. The initial conceptual model has 3 sections: Patient data smart tools, Cloud storage, Smart doctor environment and finally the final conceptual model was presented with effective factors. the final conceptual model directly affects important therapeutic indicators such as reducing the number of errors and length of treatment. The ability to transfer data in this platform has led to the smarter telemedicine.

organizational ambidexterity and leadership are considered factors of growth and development in organizations. The purpose of this study was to design an organizational ambidexterity model based on knowledge oriented leadership in health care service organizations in Kerman province.

The present study is descriptive which has been done by survey method. Also in terms of purpose, this study is developmental- applied research. The statistical population of the study is employees of health care service organizations in Kerman province that the sample size of 586 people is based on 5 to 10 times the number of questions in the questionnaire. In order to analyze the data, descriptive and inferential statistical methods were used and the tools of data collection are researcher-made questionnaire of knowledge oriented leadership and organizational ambidexterity.

Findings while confirming the proposed model, showed that knowledge oriented leadership has a positive and significant effect on organizational ambidexterity and its dimensions (exploration and exploitation) in health care organizations and the effect of knowledge oriented leadership on the dimension of exploration has been more than the exploitation dimension.

It can be concluded that knowledge-oriented leadership has a positive and increasing (direct) effect on organizational ambidexterity (exploration and exploitation) and the ability of health care service organizations to discover new opportunities and also exploit existing competencies in this context and establishment of organizational ambidexterity requires the use of knowledge-oriented leadership style in the organization.

The complete implementation of the referral system and the elimination of its deficiencies is one of the important issues of health services in today's societies. One of the consequences of the incomplete implementation of the rural referral system is the costs that enter people's pockets and the system of a country. One of the main factors in completing the referral system, considering the large number of beneficiaries, politicians and executives in this plan, is how to communicate effectively among the many and different groups of this plan (doctors, insured, midwives, nurses, executive staff, staff The aim of this study is to measure the extent and manner of family doctor plan studies addressing communication components as an effective index in solving the challenges of the plan.

Research method The method of the present study was conducted in the form of a library review on 40 studies from 2001 to 2020. The research population is all the articles related to communication components in the family doctor project. In order to carry out information research by reading texts from the library, websites of selected related organizations and in order to search systematically based on keywords based on 1- family doctor plan 2- communication in family doctor plan 3- referral system 4- challenges and obstacles of the plan Family doctor 5-Health care 6-Rural family doctor plan strategies 7-Effective communication in the referral system was collected and evaluated and compared in the comparison table of the fields. Articles were systematically searched based on relevant keywords in authoritative and specialized databases in English and Farsi languages, Google scholar, along with national databases including SID, IRANDOC, ISC. From all the identified articles, according to the research strategy, the researcher evaluated the content of those articles that addressed the impact and importance of communication components in the rural family physician plan and the referral system in the discussion and conclusion section of the direct article.

In the document review of 230 articles related to the keywords considered by the researcher, it was observed that in 40 articles, the issue of communication components as an important indicator in solving the problems of the referral system in the family doctor plan was discussed in the discussions and conclusions. Was. 4 components, satisfaction measurement, lack of awareness (training, information, participation), human resource empowerment, improvement of health indicators, were communication components that were identified and discussed in the text of the articles and conclusions.

It is suggested to use the experiences of successful countries in the field of effective communication in the referral system, by creating an integrated communication system, to provide a communication model to solve the problems of the family doctor plan. It is necessary to study the impact of communication components as the main indicator and independent variable in solving the problems and challenges of the family doctor plan.

Routines are the distinguishing factor of organizations in terms of how they perform similar basic tasks. Routines reflect the specific personality of each organization. It is possible to identify the routines of any company, but merely imitating them will be useless. Therefore, the purpose of this study is to identify and rank innovation management routines in the pharmaceutical industry.

This research is a descriptive research in terms of nature and method and an applied research in terms of purpose.The statistical population of this research is the experts of Royan Daroo pharmaceutical companies, whose number is 130 people. The proportional sample or number of populations studied according to Morgan's table is 97 people. In this study, sample subjects were selected based on random sampling method. In this study, the indicators identified in the study of Vala et al. (2017) were used. The validity of the questionnaires was confirmed by the supervisor and experts of Royan Daroo Company. The reliability of these questionnaires in this study is 0.958. Descriptive indices and structural equation modeling were used to analyze the data using SPSS and PLS Smart software.

The results showed that innovation management routines are 22 indicators and all the innovation management routines are effective in pharmaceutical industries (Royan Company). Also, innovation management routines in the pharmaceutical industry (Royan Company) are in a normal and acceptable state.

The results also show that the two routines "Project Management Activity" and "Feasibility Studies in Innovation Projects" are in the first place with the highest factor load. Therefore, it is suggested that the company carry out project management activities in full in order to use their development in accordance with its purpose; Feasibility studies should also be conducted in selected innovation projects.

Accreditation means the systematic evaluation of health care centers with specific standards. The overall purpose of this study was to investigate the effect of accreditation interventions on patient safety measurement in operating rooms of one of the social security hospitals in Tehran.

The present study is cross-sectional in terms of result, application and implementation method, analytical and time. The statistical population is information sources related to the patient safety measure and its sampling is in the period 1391-1399. The sampling method is numerical and includes all the information related to this time period. Data collection tools are receipts that have been extracted by library method from data sources and data centers in coordination with the Quality Improvement Office and the hospital statistics unit. Data analysis was performed using SPSS software and intermittent time series analysis method.

Findings of time series analysis, research has been reported in three forms of incremental effect, decreasing effect and ineffectiveness of the accreditation scheme of the scales. In the patient's safety measure, the results of the fragmentary regression table showed that at the beginning of the study period, the average patient's safety measure was 76.34%. Monthly changes in patient's safety measure were not significant before the intervention (P = 0.43). After the intervention, the mean level of the patient's safety measure did not change suddenly and significantly (P = 0.42). Also, the difference in the trend (slope) of the patient's safety measure before and after the intervention did not change significantly (P = 0.31). But the results showed that after the first intervention, the trend (slope) of the patient's average safety measurement changed significantly (P = 0.000); So that the patient's safety measure after the first intervention has increased seasonally by 1.06%. In general, the results of the study have shown that, as a result of the implementation of the accreditation scheme, the patient's safety measure has increased.

The results show that the implementation of accreditation measures has an effect on patient safety measures. The number of significant measures from 2016 to 2016 shows that the third and fourth editions of the national accreditation standards of Iranian hospitals have been effective. Based on the analyzes performed, it is recommended that the patient's safety measure be increased after the first intervention. Therefore, the implementation of accreditation in hospitals is recommended to managers.

Physicians' personal branding is one of the new areas in the medical-health system that promotes business growth and productivity. In addition, in the field of treatment and health, it also improves public health and public trust in the system. Given the importance of this issue, the present study has taken a step in this direction to identify the effective indicators in creating personal branding of physicians and to prioritize them.

The present study is an applied, descriptive survey. The statistical population of the present study is the specialized physicians of Bandar Abbas city and to collect data, ten specialized physicians have been selected as research experts with the snowballs technique. To analyze the data, the fuzzy Delphi method has been used to identify the effective indicators in creating the personal brand of specialist physicians and the multi-criteria decision making method (SWARA) has been used to gain weight and prioritize these indicators.

First, by examining the theoretical foundations of the research, 25 effective indicators for creating a personal brand were identified. Then, according to experts’ opinion answers, among the available indicators, 14 effective indicators in creating a personal brand of specialized physicians were identified. Finally, the identified indicators were confirmed and prioritized using the SWARA technique. According to the results, these indicators along with their average rank (a lower average rank indicates more importance) are experience and expertise (1.8), social responsibilities (2.6), adherence to professional ethics (3.5), credibility (4), reliability (5.1), personality traits (6.6), generosity and generosity (6.7), communication ( 8.3), authenticity (8.5), presence in social media (9.6), attire (11.4), individual performance (11.9), having personal goals (12.30) and having a personal vision (12.70)

According to the results, the indicators that have the greatest impact in creating the personal branding of specialist doctors are related to indicators related to professional, social or cultural issues such as expertise, compliance with professional ethics, trust and credibility, social responsibilities, communication and indicators that are related to personal and individual issues such as individual performance, having a vision and personal goals, although they are influential, but have a lower priority. Specialist physicians can be more successful in the field of competition by identifying and strengthening the indicators that influence their brand.

 Organizations are not able to develop the effectiveness of their collective wisdom without the voluntary willingness of individuals to cooperate. The purpose of this research was to investigate the impact of hospital social responsibility on organizational citizenship behavior with the mediating role of identifying organizational opportunities and environmental performance.

 The research method is descriptive-survey. The statistical population of this research was made up of managers and experts of a public hospital in Isfahan city (300 people), and some of them (164 people) were studied by simple random sampling method. The tool of data collection was a questionnaire, and the validity of the structure was examined through the professors and its reliability was examined by Cronbach's alpha test. Analysis of research data was done through structural equation modeling using SPSS and PLS software.

 Based on the obtained results, the measurement indices of each of the scales used at the 5% confidence level were greater than 1.96, which indicates that the observed correlations are significant.

 Therefore, according to the findings, it is suggested that in order to gain the trust of the human force and strengthen the spirit of risk-taking, the managers should seek to reduce the factors that cause nervous pressure and reduce formal and completely political behavior to the lowest possible level. Accept differences of opinion easily in the organization.