مجله مدیریت بهداشت و درمان
سال سیزدهم شماره 2 (پیاپی 44، تابستان 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.

Aimed at investigating role of personal responsibility for health in prioritization of providing health services from the viewpoint of organ donors referring to the Center for Organ Donation in Mashhad, Iran, the present research has been conducted in spring 2021.

This is a descriptive – cross sectional study conducted among organ donors. Required data is collected via a standard questionnaire designed to measure tendency towards donating an organ to two patients seeking liver donation. Questionnaire data was fed into software where it was analyzed via descriptive and analytic statistics as wells as content analysis for open questions.

Finally, the analyses undertaken on 214 questionnaires collected indicated that, of total number of responders, the number of those who tended to donate their organs to patients with hereditary diseases was 4 – 5 times as large as the number of responders who tended to donate their organs to the drug addiction-resulted patients. Furthermore, 74% of the responders believed that, individuals actually take part in either their health or diseases.

Responsibility for health represented an important factor in making decisions regarding the prioritization of providing health services among the responders. Presentation of comprehensive and neutral reasoning contributed to the elimination of misconceptions within the responders’ minds (if any), so that, with their minds opened, they can answer the questions in a non-biased manner. It is worth noting that, the responders had their opinions not significantly changed once they read the ideas raised in the questionnaire, and most of them still relied, in their choices, on the principle of responsibility for health.

Narcotic analgesics are used to effectively relieve pain in some diseases. The use of these drugs with barriers such as lack of access as well as weak laws and regulations to prevent deviations in the use of these drugs has severely disrupted medical access to these painkillers in various countries. The purpose of this study is to review and propose the method of distribution of these drugs through selected pharmacies.

The statistical population in this study consisted of experts in the drug distribution system, which was selected by non-probable snowball sampling method. Strengths, weaknesses, opportunities and threats to achieve this goal, using semi-structured interviews and distribution of questionnaires in person with these people were obtained and analyzed by the strategic planning model (SWOT).

The results showed that cases such as reviewing regulatory laws for the production and distribution of narcotic drugs, changing the sales portfolio of these drugs in pharmacies for greater profitability, delegating the distribution of these drugs to private networks under the supervision of the Food and Drug Administration, proper distribution of Drugs in all pharmacies for better control of patients and their easier access to drugs, networking and recording information and records of patients and addicts in a comprehensive national system were obtained as a necessary solution to achieve the purpose of this study.

The implementation of the findings of this study can be used as effective strategies for the proper distribution of narcotic analgesics through pharmacies in Iran.

The aim of the current research is to design a model to identify factors affecting the productivity of non-medical hospital employees. Today, all the countries of the world are trying to achieve a suitable position in the global competition scene and increase the welfare of people's lives by consuming fewer resources and producing more. Meanwhile, human resources, as one of the main factors and institutions of any organization, plays a significant role in the quality of the headquarters of that organization.

The research is applied and descriptive correlation and the data collection method is a questionnaire. The statistical sample of the research includes 135 non-medical employees of Maryam Hospital in Alborz province. Also, in order to test the research hypotheses, the Kolmogorov test, t-test, confirmatory factor analysis, structural equation analysis, and SPSS and Smart PLS software were used.

The research results indicate that research and development variables, organizational capacity, government laws, equipment life, energy costs, workforce composition, work ethics, and management have a significant impact on productivity. On the other hand, the stability and job security variable have no significant effect on productivity.

The results of the research show that research and development variables, organizational capacity, government laws, equipment life, energy costs, workforce composition, work ethics, and management can affect the productivity of non-medical hospital employees.

Corona virus disease has faced the world with a big challenge and countries have reacted to it according to their capacity. In this crisis, social media as a social institution have played a vital role in providing knowledge about the corona virus, which due to the cultural differences of countries, the extent of the help of these media during the disease transmission crisis is unknown. This research was conducted with the aim of investigating the effect of social media on compliance with the recommendations for the prevention of Covid-19 through public awareness and behavior change in Iranian society.

This research was conducted descriptively and with a correlation design with a covariance-oriented approach in the community of social network users by collecting evidence through a closed-answer questionnaire and random sampling in a systematic and scientific manner and analyzed by statistical methods.

According to the results of the descriptive part, the evaluation of the measured items is at a high level, and according to the inferential results, by using exploratory factor analysis and structural equation modeling, while confirming the validity of the study, the role of using social networks in public health security through public awareness and Behavioral change during the Corona epidemic has been significantly supported.

Based on the evidence and results of data analysis, social media strategies can be used for public education and increasing users' knowledge and awareness, creating behavioral changes for users and increasing users' compliance with the recommendations for preventing Covid-19 and finally improving public safety.

An increase in the share of defense expenditures from the total public expenditures may have a negative effect on the share of public health expenditures from the total public expenditures due to the concept of opportunity cost and through the crowding-out effect. The intensity of this effect can change according to the income level. Based on this, the main purpose of this study is to estimate the crowding-out effect of defense expenditures on public health expenditures in countries with different income groups.

The present descriptive-analytical and applied study using the panel data of 90 countries of the world (including Iran) during the period of 2000-2018, to estimate the crowding-out effect of defense expenditures on public health expenditures by separating the studied countries into three income groups including low and below average income, above average income countries and high income countries, and also to examine the cross-sectional effect of defense expenditures and per capita income on public health expenditures in all sample countries. The data used were also collected from the World Health Organization database, World Development Indicators belonging to the World Bank and SIPRI. Also, the models were estimated in the form of dynamic panel data using stationery and panel cointegration analyzes and Generalized Method of Moment (GMM) in Eviews10.0 software.

The results show that the crowding-out effect of defense expenditures on public health expenditures in terms of elasticity and for countries with low and below average income, countries with above average income and countries with high income are equivalent to -0.654, -0.453 and -0.316 respectively. The cross-sectional effect of defense expenditures and per capita income on public health expenditures of all the studied countries is also positive and equal to 0.112.

The (negative) crowding-out effect of defense expenditures on public health expenditures is confirmed for all countries with different income groups; But with the increase in per capita income, this crowding-out effect decreases exponentially. Based on this, it is necessary to adopt the necessary policies to ensure security without spending high defense expenditures, especially in countries with low per capita income, in order to prevent the reduction of public health expenses.

What plays a central role in raising and excelling an organization and administrative system and increases its competitive power is human power. Job re-creation refers to job redefinition. The aim of the current research is to provide a model of job regeneration in the health system.

This is a combined research study, and the research design is a mixed exploratory research design (qualitative-quantitative) and cross-sectional in terms of time. The statistical community of the research in the qualitative part, a group of professors in the field of public administration, human resources and organization in universities and higher education centers, senior managers of the organization development and resources department in universities of medical sciences and experts in the field of career design and in the quantitative part, administrative department employees There were 342 social security hospitals in Tehran province. In the qualitative part of the snowball sampling method, 17 people and in the quantitative part with the relative cluster sampling method based on Cochran's formula, 181 people were selected as a statistical sample. In the qualitative part, the data were extracted and analyzed using the SPSS and Amos software, through the implementation of the Delphi technique with four rounds of semi-structured and structured interviews, and in the quantitative part, through structural equation modeling (SEM) with a researcher-made questionnaire.

Qualitative findings showed that the model of job regeneration in the health system has four dimensions (structural, task, relational and cognitive), twelve components (formality, concentration, complexity, scope of control, independence, nature, feedback, assistance, consultation, perception of self, perception of job and attitude) and thirty four indicators. The results of the quantitative part showed that all dimensions and components of the research model were confirmed.

According to the obtained results, it should be stated that the important solutions for job regeneration include complete knowledge in the work area, complete knowledge of clients and their needs, complete knowledge of the space and organizational environment, complete knowledge of competitors and comprehensive analysis of them and What is very important is a correct understanding of the future of work. In explaining these cases, it should be said that for any change and development, we must have reached a sufficient stage of self-knowledge and self-confidence to know exactly what our abilities and possibilities are and to recognize our weaknesses and deficiencies in our work.