فهرست مطالب

نشریه مدیریت سلامت
پیاپی 45 (پاییز 1390)

تاریخ انتشار: 1390/11/01
تعداد عناوین: 9

فارسی
English

انتخاب همه

The Effectiveness of Government expenditures on Human Development Indicators Case study: Organization of Islamic Countries

M. Basakha, M. Kermani S., K Yavari Page 11

Introduction
In modern economics, equity objectives are the main reasons for government intervention. Dispensation policies are not only related to economic outcomes (such as income, etc.), but encompass other issues such as education, health and social services. This has led to entrusting the provision of social health and educational needs to the government. The purpose of this study was to investigate how much government expenditures would be effective in achieving better health outcomes.
Methods
In this study, panel data of a group of Organization of Islamic Countries (OIC) in 1991–2005 was used to explore the effectiveness of government expenditures in health and education sectors. Classical Econometrics Model (CEM) and Covariance Structure Model (CSM) were applied to analyze the relationship between public social expenditures and social indicators.
Results
The results of this study showed that the government expenditures in these sectors had significant impact on the health and education indicators in these countries. Furthermore, the superiority of the CSM model to CEM was approved in this study.
Conclusions
Since the governments are committed to achieving Millennium Development Goals, it is of prime importance to consider the effectiveness and efficiency of public expenditure. Furthermore, using particular estimation techniques, like CSM, can lead to accurate estimation of social expenditure effects and an improvement of the elasticity magnitudes.

Abstract View Paper Original: Persian
Benchmarking Records of Administrators and Officers at Health Deputy Headquarters of Iranian Universities of Medical Sciences: 2008 - 2010

Mohammad Reza Maleki, Sayeid Davoud Nasrollahpour Shirvani, Mohammad Esmahil Motlagh, Sharam Tofighi, Mohammad Javad Kabir, Nahid Jafari Page 27

Introduction
Benchmarking is used to identify the successful experiences and achievements of a business to develop and improve organizational performance. This study aimed to determine, firstly, the frequency of benchmarking made by administrators and officers at Health Deputy headquarters of Iranian universities of medical sciences and, secondly, the relationship of this frequency to individual and organizational factors.
Methods
This cross-sectional study was conducted in spring 2010. The research population constituted administrators and officers at Health Deputy Headquarters of Iranian universities of medical sciences from which thirteen universities were randomized and stratified. All available administrators and officers in the selected universities were interviewed and, then, were asked to complete a reliable and valid questionnaire consisting of individual and organizational variables.
Results
From the 293 administrators and officers under study, 75 (26.5%) could exploit 167 cases of successful experiences and achievements of other organizations to improve and develop their organizational performance. While 46.7% of benchmarking was conducted through site visits, 86.2 % of all the process was performed by the health sector, and 91% of the activity was done within the country. Among individual and organizational factors, only the educational degrees of the participants showed a significant relationship with benchmarking rates (ρ=0.045).
Discussion
To promote the low amount of benchmarking capita among the administrators and officers, it seems necessary to design and implement intervention programs.

Abstract View Paper Original: Persian
A Survey of Knowledge Production of Iranian Researchers on AIDS: Evidence from the Web of Science Database

Ah Mardani *, A. Mardani, H. Sharif Moghadam Page 35

Introduction
The main purpose of this study was to investigate the knowledge productions of Iranian researchers who had published papers on AIDS in journals and sources with impact factor indexed in the Web of Science between 2000 and 2010.
Methods
The amount of scientific publications by Iranian researchers on AIDS in the Web of Science was studied with scientometric methods. 336 documents with at least one author affiliated to Iranian organizations were identified.
Results
The process of science production of Iranian researchers enjoyed an increasing annual growth rate of 30%. Iranian researchers had scientific collaboration with 22 international authors dominated by American authors. Tehran University of Medical Sciences contributed to almost one fifth of the scientific productions among national organizations. Most research studies conducted by Iranian researchers on AIDS were listed under the category of infectious diseases. 35% of the journals in which Iranian researchers published their papers were American journals. However, the journal, Hepatitis Monthly, published the highest number of papers by Iranian researchers.
Discussion
Iran’s share of journal publications enjoyed an upward trend internationally, and in this regard, Iranian researchers have remarkable contribution to international joint venture articles.

Abstract View Paper Original: Persian
Economic Expenditures of Multiple Sclerosis Medications and Feasibility of Providing Health Insurance Policies for Medications

E. Ghanati, M. Hadiyan, A.R. Daghighi Asli Page 47

Introduction
Treatment of multiple sclerosis (MS), a brain disorder, is very costly and requires supportive care and management of symptoms. MS is, in fact, a highly debilitating chronic disease with social and economic consequences. It has been shown that insurance policies can influence the economic burden of MS by reducing the cost of drug coverage. This study, therefore, aimed to probe the feasibility of providing health insurance policies for MS medications.
Method
The population of this retrospective and applied study constituted all Iranian MS patients taking Interferon drugs from 2000 to 2009. Data gathering tool was a checklist through which the related data were collected from National Statistics Center of Iran and the Ministry of Health (Deputy of Food and Drug Affairs and Deputy of Health). Data were analyzed by means of Excel and Eviews 6 (econometric software).
Results
The predictions showed that the total cost of Interferon drugs in the country would be 20,206,788,808 Rls in the next 30 years (provided that the government’s subsidy continues).The results also showed that the cost of insurance covering Interferon for the whole country (scenario I), for the urban population (scenario II), and for only 50% of urban population (scenario III) were, respectively, 354/209, 693/261, and 385 /523 Rls.
Conclusion
The present feasibility study, showing possibilities for different affordable insurance scenarios, presents practical recommendations for health sector policy makers to cover Interferon drug costs.

Abstract View Paper Original: Persian
The Relationship between Job-Demand for Learning and Job-Related Learning with the Need for Achievement in Nurses of Teaching Hospitals of Esfahan University of Medical Sciences

Ma Nadi *, N. Moshfeghy, Mh Yarmohamadiyan Page 55

Introduction
Job-related learning occurs as individuals acquire knowledge and skills helping them to perform their jobs effectively. The amount of job-related learning depends on the job demands and is facilitated through the need for achievement. The main purpose of this research was to examine whether the need for achievement moderates the relationship between job-demand for learning and job-related learning.
Methods
This is a cross-sectional study in which path analysis was used to examine the correlation between the variables. The population of the study consisted of the nurses employed in hospitals affiliated to Esfahan University of Medical Sciences in spring 2010. There were 208 male and female nurses who were selected using cluster random sampling. Three questionnaires to assess perceived job-related learning, Job-demand for learning and the nurses’ need for achievement were used. The data were analyzed using LISREL 8.5 software for descriptive and inferential statistics.
Results
There was a significant positive correlation between the need for achievement and job-demand for learning. There was also a significant positive correlation between Job-demand for learning and Job-related learning. Other findings showed that job-demand for learning, in the presence of a need for achievement, explained 22% of Job-related learning. In addition, the results of structural equation modeling demonstrated that the relationship among variables with indicators such as GFI=0.86, AGFI= 0.86, and RMSEA=0.09 was approved.
Discussion
The job-related learning of nurses can be facilitated through increasing the need for achievement which allows establishing their own learning and performance goals rather than being imposed to set those goals.

Abstract View Paper Original: Persian
Modern Information Architecture in ICD11: a Dynamic, Interactive, and Ontological Context

K. Ebrahimi *, A. Mahdavi, M. Shahi Page 65

Introduction
International Classification of Diseases (ICD) is considered as the most successful product among various activities performed by World Health Organization. However, ICD has faced many challenges due to dynamic environment of needs. The main purpose of this study was to identify ‎ICD challenges and structure of ICD 11 life cycle through a review study of the published papers. Literature Review: A review study was adopted as the methodology of this paper. Data were collected by search strategy in the following databases: NLM, SCIENCEDIRECT, WHO‏‎, and ICD 11 related sites.
Discussion
The findings showed that ICD was used in many countries some of which found ICD an insufficient tool for ‎the level ‎of details needed for clinical and ‎administrative uses. In addition, little consideration was given to adaptability of codes and mapping between the ICD-9 to ICD-10 codes. Therefore, WHO initiated ‎a new dynamic architechture based on ‎semantic web application and employed a four stage workflow ‎‎engine for collecting proposals. This architecture has applied a Semantic Wiki as well as a four stage peer review to provide a three layer ontological structure. ICD11is at the experimental stage and it is predicated that it would have a significant role in the interaction and interoperability of different terminologies leading to the development of Electronic Health Records.

Abstract View Paper Original: Persian
Income Inequality and Population Health: Evidence from Panel Data Analysis

Ghanbari, A. Nikravan, M. Fattahi Page 77

Introduction

The relationship between population health and income inequality has attracted much attention during the last two decades. But the question on which there is no consensus is that whether fluctuations in economic inequality would lead to changes in population health indices.

Methods

In response to this question, life expectancy and mortality rate as health indicators and Gini coefficient of inequality were used. A cross sectional data was used to survey the relationship between income inequality and population health over a period of 12 years (1995-2007) in 125 countries.

Results

There was no significant relationship between inequality and population health when panel data method was used and the heterogeneity and unobservable differences among countries in the form of fixed effects were considered,

Discussion

An income increase would enhance life expectancy and decrease mortality rate. Contrary to the findings of many studies using time series data, it appears that there is no significant relationship between inequality and health indicators.

Abstract View Paper Original: Persian
The Relationship between Cultural and Structural Factors of Organizations with Knowledge Management Strategy in Public Teaching Hospitals Affiliated to Tehran University of Medical Sciences: 2011

Mehdi Jafari, Hasan Abulghasem Gorji, Masoud Salehi, Babak Rastegari Mehr Page 87

Introduction
Much has been discussed on the importance of knowledge management over the past years in various communities. Hence, knowledge management has become one of the most essential tasks of the organizations attempting to become a learning organization. Since a considerable number of patients lose their lives annually due to medical errors caused by lack of academic knowledge, research conducted in the field of knowledge management seems to be necessary. The main purpose of this study was to investigate the relationship between the cultural and structural factors of organizations with knowledge management strategy in public teaching hospitals affiliated to Tehran University of Medical Sciences (TUMS).
Methods
This cross-sectional descriptive study was conducted in 2011. The study population consisted of the staff, working at nine public teaching hospitals of TUMS, 200 of whom were randomly selected. Data were collected by means of a questionnaire the validity of which was determined by experts’ ideas and the reliability of which was measured by Alpha Cronbach Coefficient (0.88). The data were analyzed using descriptive statistics and Spearman correlation coefficient through SPSS.
Results
Knowledge management was found to be at an intermediate level due to high formalization and concentration in the organizational structure of the public teaching hospitals. There was a significant relationship between structural and cultural dimensions of organizations with knowledge management (p<0.005). Moreover, structural and cultural dimensions of organizations had a negative correlation with formalization(r= -0.144) and concentration(r=-0.272) but a positive correlation with communication flow (r=0.223), knowledge distribution (r=0.217) and continual learning (r=0.162).
Discussion
Considering the correlation between the cultural and structural factors of the organization with knowledge management as well as the role of knowledge in the quality of medical services provided by the centers, it is recommended that the cultural and structural dimensions of the organizations be highly taken into consideration while establishing knowledge management in public teaching hospitals. It is also suggested to provide an atmosphere for multilateral communications, continuous exchange of information and to enhance and support the culture of trust through giving freedom to personnel and decreasing excessive restrictions on them.

Abstract View Paper Original: Persian

علمی مصوب

نشریه مدیریت سلامت

Journal of Health Administration

فصلنامه پزشکی به زبان فارسی و انگلیسی

آخرین شماره | آرشیو

ISSN: 2008-1200 eISSN: 2008-1219

صاحب امتیاز:

دانشگاه علوم پزشکی ایران

مدیر مسئول:

دکتر محمدرضا ملکی

سردبیر:

دکتر فرحناز صدوقی

تلفن نشریه: ۰۲۱-۸۸۷۹۴۳۰۰

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فهرست مطالب

نشریه مدیریت سلامت پیاپی 45 (پاییز 1390)

نشریه مدیریت سلامت

Journal of Health Administration

نشریه مدیریت سلامت
پیاپی 45 (پاییز 1390)