نشریه مدیریت سلامت
پیاپی 1 (زمستان 1376)

Human societies are increasingly and rapidly developing. These changes and revolutions influence human attitudes, world views, values and expectations along with changes in higher education. Universities as one of the most thoughtful institutes are responsible for fulfilling national development objectives. So, as their mission they ought to activate their member organs in accordance with development plans. Dedicating large amounts of funding for higher education necessitates increasing efficiency of specialists on one hand and seeking a basic evolution in the structure and activities of higher education system, on the other. University leadership is responsible for such evolution and monitoring its efficient development. Therefore, it is unavoidable to firstly benefit from a dynamic leadership in the higher education system. Thus, author intends to state the available relationships between university activities and national development objectives. Besides, author will investigate the necessity of doing fundamental evolutions and changes in higher education plans of the country and will emphasize revolutionizing university leadership as the key element.

The present study is the result of a comprehensive and continuous study for assessing the performance indexes in public-educational hospitals of Iran University of Medical Sciences. Considering disclosed standards of Ministry of health and medical education, five public-educational hospitals in a descriptive-analytical cross-sectional study have been investigated with a comparative perspective, demonstrating some applied results. Variables include: inactive day bed, active day bed, the ratio of bed activity (%), number of inpatients, all day beds in 365 days, day bed in use, all hospitalized days, percent of bed in use, bed turnover rate, and days of hospitalization on average.
Pabon-lasso graph was used in order to easily and rapidly compare the hospitals in their performances. Internal specifications of hospitals have been considered in this method, their variables are then compared and significant points have been analyzed. This study has been carried out in 1994.

Hospitals as care services providers play determining role in the success of health and treatment networks. Hospitals are effective in the balanced dissemination of health and treatment cares in all networks. However, their roles is not appropriately determined in health and treatment networks in developing countries and treatment centers with short-term treatments and hospitalization in these countries, almost centralized, secluded, and out of reference network have devoted most of health and treatment costs to themselves.
In the first section of this paper, we have tried to represent the outstanding points and explicit problems available in the outcome of hospitalization bed services and its incompatibility with the needs of societies under the title "what it is". In the second section we have tried to find ways out of this problem under the title "what should be". The conclusion section will emphasize the necessity of reevaluation of internal organization of these centers and a revolution in the management of hospitalization treatment centers through a non-centralized organization.

In the present study, we investigated the attitudes of supervisors, staff and individuals in charge of libraries of Tehran, Iran and Shahid Beheshti universities of medical sciences on the quality and quantity of use of 22 theses on librarianship and medical information course written by students of faculty of management and medical information proposed in years 1992-1993. Data were elicited through two kinds of questionnaires submitted to medical libraries' staff and the supervisors of investigated theses. All questionnaires were filled out and there was no missed one. The findings showed that 58% of libraries' staff was unaware of the theses which had investigated their libraries as their investigation community. Those who were informed of these theses, had not studied them firstly because they didn't access to them and secondly because they didn't need them.
Of those who had studied the theses, only 2.1% had made some changes to their libraries according to the research findings after study. 77.28% of supervisors had pointed or referred to their supervised theses. 45.5% of theses' results were published as papers or presented in student seminars of librarianship. Half of the theses were benefitted in the choice of titles for other theses.

In the present study, we investigated the attitudes of supervisors, staff and individuals in charge of libraries of Tehran, Iran and Shahid Beheshti universities of medical sciences on the quality and quantity of use of 22 theses on librarianship and medical information course written by students of faculty of management and medical information proposed in years 1992-1993. Data were elicited through two kinds of questionnaires submitted to medical libraries' staff and the supervisors of investigated theses. All questionnaires were filled out and there was no missed one. The findings showed that 58% of libraries' staff was unaware of the theses which had investigated their libraries as their investigation community. Those who were informed of these theses, had not studied them firstly because they didn't access to them and secondly because they didn't need them.
Of those who had studied the theses, only 2.1% had made some changes to their libraries according to the research findings after study. 77.28% of supervisors had pointed or referred to their supervised theses. 45.5% of theses' results were published as papers or presented in student seminars of librarianship. Half of the theses were benefitted in the choice of titles for other theses.