مجله پیاورد سلامت
سال هفتم شماره 6 (بهمن و اسفند 1392)

Clinical governance is the application of mechanisms at the right time and place to do tasks for patients properly and obtain maximum clinical results. The implementation of clinical governance definitely requires the skills and inclinations of those working in healthcare sector. The main objective of this study is to identify the relationship between human resource management (HRM) on the one hand and the implementation of clinical governance and the optimal establishment of its framework on the other hand through offering strategies for effective human resource management. This is a descriptive analytical study conducted in a cross-sectional way in 2012. The sampling method was a two-step cluster sampling. Shariati، Imam Khomeini، and Hashemi Nejad were randomly selected from among the hospitals of Tehran University of Medical Sciences (TUMS). The data collection instrument was a researcher-made questionnaire and a checklist. In each hospital، 30 questionnaires were randomly distributed. The gathered data were analyzed by SPSS. The minimum and maximum scores of clinical governance pertained to Imam Khomeini (594) and Hashemi Nejad (753) hospitals، respectively. Moreover، significant relationships were found between variables of training، recruitment and employment، salaries and benefits on the one hand and clinical governance on the other. Considering the significant relationship between HRM and the implementation of clinical governance، investment in this aspct of clinical governance as the one that influences success in other aspects can be effective in the establishment of clinical governance.

Aging is a natural experience which is usually accompanied by a variety of diseases. Hence، this research was conducted to study the elderly people’s disease rate and the number of times they refer to medical centers in Tehran. This descriptive analytical study was conducted on the old people referring to the Elderly Centers in Tehran in 2012. For data collection purposes، valid and reliable self-report demographic and disease questionnaires were used. The data were analyzed by SPSS software together with T-test and one-way ANOVA. Four hundred old people participated in this study. Of the participants، 300 (75%) were female and 100 (25%) male with a mean age of 67. 65 (±6. 38) years. Besides، 160 (40%) people had heart diseases، 137 (34. 3%) muscoskeletal diseases، and 83 (20. 8%) endocrine diseases. Moreover، 381 (95. 2%) participants had referred to doctors and therapeutic centers at least once during the last year. Furthermore، 177 subjects (44. 2%) were hospitalized at least once last year. The prevalence of diseases in elderly people is more than expected. Most old people refer to doctors and therapeutic centers، which is indicative of the fact that they suffer from diseases and need varied health services.

Learning styles are among efficient factors in the teaching-learning process. The aim of the present study was to assess healthcare management students’ learning styles at Tehran University of Medical Sciences (TUMS). This descriptive cross-sectional study was conducted on healthcare management students selected randomly through stratified sampling (response rate = 85%). The data collection tool used in this study was Kolb learning style questionnaire (Cronbach Alpha was 0. 7-0. 9). The data were analyzed through descriptive and analytical tests (χ2 and t-test). Most postgraduate students preferred the Accommodate Style (55. 6% of PhD students and 64% of MCs students). The majority of undergraduate students، however، preferred the Convergent Style (45. 67%). As to these students’ dominant learning styles، the results of the study emphasized the use of “teaching methods based on Role Playing and Simulation” among postgraduate students and “Problem-Based Learning” among undergraduate students.

X-Ray departments are among the most essential and expensive parts of any healthcare organization. Meanwhile، the proper application of hospital information systems (HIS) leads to the quality enhancement of health services and to the cost reduction of medical departments. The purpose of this study is to evaluate the knowledge of radiology department staffs in hospitals affiliated to Hamadan University of Medical Sciences (HUMS) about HIS applications. In this descriptive research (2012)، the knowledge of radiology department staffs in HUMS hospitals was studied using a two-part questionnaire including a demographic part and standard items to evaluate the HIS knowledge of radiology department staffs. Finally، the obtained data were analyzed statistically by SPSS (version 17). The results showed that 3. 8% of staff members had a weak awareness، 65. 4% an average awareness، and 30. 8% a good awareness about HIS applications. Perfect awareness was not observed in this study. According to the results of this study، running related and up-to-date courses for staff members working in radiology departments is recommended.

Evidence Based Medicine (EBM) is the explicit use of current best evidence in making decisions about the care of individual patients. Hospital information system (HIS) can act as a bridge between medical data and medical knowledge through merging of patient''s data، individual clinical knowledge and external evidences. The aim of this research was to determine the Capability to establish EBM by HIS. This descriptive cross-sectional study was carried out on HISs of 30 hospitals from March to October 2011. Data were collected using a researcher- constructed checklist including applicant’s background information as well as information based on research objectives. Validity of the checklist were assessed by the qualified specialists and then the data were analyzed using descriptive statistics and SPSS software. HISs lacked the essential components for providing access to CDSS، Reference databases and internet-based health information in 19، 16 and 20 hospitals were 63. 3%، 53. 3% and 66. 7%، respectively. Twenty-two hospitals (70%) had more than two-thirds of the essential components to access clinical and administrative data repositories; 23 hospitals (76. 7%) had at least one essential component to access contextual and case specific information. The Capability of HIS is better in order to place EBM in having access to the clinical and administrator data repositories; while it needs more attention in other areas.

The purpose of the present study was to assess and prioritize the factors affecting the quality of services of pharmacies in Bushehr using Kano model and TOPSIS method and to provide practical strategies for quality improvement in the current situation. This Study was practical and descriptive. The samples contained the pharmacies customers and visitors in 1390 and the data were obtained using questionnaires measuring the quality of service and standard (Kano). Finally، the indicators were prioritized by applying the technique of group decision-making (TOPSIS). According to the TOPSIS prioritization، Uni-dimensional requirements (10 requirements)، basic requirements (6 requirements)، attractive requirements (8 requirements)، and finally، requirements of indifference (3 requirements) had the greatest impact on improving the quality of services in pharmacies in Bushehr، respectively، based on the Kano model. Strong and positive correlation among the indices of the quality of services in the pharmacies and customer’s satisfaction was observed، Planning to improve the services would lead to satisfaction improvement.

The lack of paying attention to overlap between two databases cause purchase of duplicate resources waste of funds. This study examined overlap of articles in the field of cardiovascular which was indexed in Scopus and Web of science databases during years 2001 to 2010. In this study، at first، sub-headings in cardiovascular field from medical thesaurus (Mesh 2012) was extracted، then each keyword in the title of the articles in both databases were searched and articles retrieved. Then bibliographic information of these articles entered into Endnote X3 software and afterwards was arranged based on alphabetically title. As a result common articles between the two databases and unique articles to each database was determined. Using SPSS version 0. 1. 0. 8 the amount of relative and traditional overlaps was calculated between the two databases. Totally 45،680 articles were retrieved. There were 27،979 common titles، 14،875 articles belonged only to Scopus and 2826 articles belonged to Web of Science. Finally traditional overlap was 61/5%. Overlaps of Web of Science with Scopus 65/28% and Scopus with Web of Science were 65/28% and 90/82% repectively. The amount of relative overlap between the two databases as well as relative overlaps from Scopus with Web of Science is more than the relative overlaps from Web of science with Scopus. It means many articles that have been indexed in Scopus don’t exist in the Web of science.

Since employees satisfaction have important effects on achieving the goals of organizations and also organizational justice is a key factor in employees satisfaction، The aim of this study was to determine the relationship between organizational justice and organizational citizenship behavior in selected hospitals of Tehran University of Medical Sciences. This study was a descriptive and cross-sectional analysis. The study sample was composed of 312 employees from selected hospitals of Tehran University of Medical Sciences by cluster Stratified Random sampling. Data collected by using two questionnaires: Moorman& Niehoff Organizational Justice and Yaghoobi Organizational Citizenship Bahavior. The questionnaires reliability was supported and based on Cronbach s Alfa (OJ=94%، OCB=93%) and questionnaire validity was confirmed by specialist point of view. Data was analyzed by SPSS 18 software. The result of analysis revealed that Hasheminejad hospital had the highest score of organizational citizenship behavior in all dimensions except for altruismin dimension. The score in each of the dimensions for organizational justice except for interactional justice in Hasheminejad hospital were the highest There was significant relationship between organizational justice and organizational citizenship behavior in the following dimensions: Altruism، Conscientiousness، Courtesy، Sportsmanship (p=0/0001). As shown، there was a relationship between organizational justice and all aspect of organizational citizenship behavior in selected hospitals and also there was a positive relationship between involving staffs in organizationl activities with facilitating achievement of organizational goals and improvement of hospital performance، Therefore، strategies should be adopted in line with organizational justice to increase citizenship behavior.