relationship between management style and social responsibility at Tehran hospitals

Nowadays, the success of a hospital administration is not only subject to taking care of hospital internal processes but also identifying the hospital concerns about external processes; that is, the social responsibility of hospitals. It seems one of the factors influencing the acceptance of social responsibility is the management style. This study is going to investigate the relationship between management style and social responsibility at Tehran hospitals. This cross-sectional study was conducted in 2011. The study population included hospitals and academic medical centers affiliated to Tehran and Shahid Beheshti Universies of Medical Sciences; as well as private hospitals in Tehran [n=94]. Census method was employed for collecting data. Tools for collecting data included two questionnaires related to determining the management style and assessing the social responsibility score of hospitals. The collected data were analyzed by descriptive parameters, independent t-test and Chi-square test using SPSS software version 16. The mean score of social responsibility in the studied hospitals was 3.46. The mean score for marketplace, leadership and internal processes, environmental, workplace, and community policies were 3.69, 3.64, 3.4, 3.38 and 3.22, respectively. There was no significant difference between social responsibility score and type of ownership [P>0.05]. The mean scores of management styles were not significantly different between public and private hospitals [P>0.05]. Social accountability level of the studied hospitals was evaluated as average. To promote the social responsibility level, it is recommended appropriate measures to be taken for the policies of social responsibility, particularly in workplace and society and country policies

Allocation of health resources according to the type and size of Iranian governmental hospitals

Due to consuming about 50%-80% of health resources, hospitals are the greatest and costly operational units in Iranian Health system. so allocation of resources specially human and space resources as the most expensive ones is really important for further controlling of costs, analysis of costs and making suitable policies for increasing the profitability and allocation of resources and improvement of quality. This paper intends to describe and analyze any allocation of resources in 530 university hospitals in Iran. The final goal of this research is to provide a data bank according which there is a basis for more scientific budget allocation of state's hospitals from the size and type of application points of view. The relevant index of person to bed was 2.04 for human resources. All hospitals more than 300 beds are located in benefiting areas from which 17 cases are educational and 2 cases are therapeutic. This is necessary to mention that the rate of management group forces to total personnel at deprived areas is about 2.5% more than benefiting areas. Because 60-80% of hospital costs are applied for human forces, all managers of hospitals are obliged to revise their policies in attraction and employment of human force in order to benefit from such a valuable resource and prevent from expensive costs. So any employment of personnel should be based upon real needs of hospital

[ relationship between health care providers' perceptions of patient safety culture and patients' perceptions of medical errors in teaching hospitals in Tehran: 2011]

This study was conducted to examine the relationship between care providers' perception of patient safety culture and patients' perception of medical errors in teaching hospitals in Tehran. It was a descriptive analytical and Cross- Sectional study. The population consisted of 216 health care providers and 216 patients selected using stratified random sampling in 13 general teaching hospitals in Tehran. Hospital Survey of Patient Safety Culture was used to assess health care providers' perceptions of patient safety culture and a researcher-made questionnaire was developed to assess patients' perceptions of medical errors. Data were analyzed using Pearson correlation test. The results showed an expected direction [negative] among the relationships and coefficients correlation between patient perception of medical errors and hospital management supported the patient safety [r=-0.586, p= 0.035], frequency of event reporting [r=-0.625, p= 0.022], hospital handoffs and transition [r= -0.637, p= 0.019] and HSOPS dimension average [r= -0.602, p=0.03] were statistically significant. The findings supported the idea that there are fewer medical errors in hospitals with more positive patient safety culture. Further research is needed to determine the generalizability of these results to other hospitals and to assess the relationship between patient safety culture and other patient outcomes

[Social responsibility in hospitals of Isfahan city]

Hospital's traditional charter that mostly emphasized productivity has been replaced by a charter that stresses social and environmental issues. On this basis, to achieve success, managers should regard both the inner and the outer environments of hospitals. This study aims at measuring hospitals' social responsibility. The present descriptive-analytic study was carried out through a cross-sectional method in 2010. The study population consisted of hospital managers of the city of Isfahan [n=21]. The data collection instrument was a researcher-made questionnaire. The instrument's content validity was determined by the experts' views and its reliability calculated through Cronbach's alpha was found to be 0.95. The collected data were analyzed using SPSS software [version 16] and the hypotheses were tested by t-test, ANOVA and Eta coefficients. The maximum mean score was 100. The mean score of hospitals' social responsibility was computed to be 68.6. The mean scores of leadership and inner processes, market place, community policies, environmental policies, and workplace policies were found to be 72.2, 70, 67.8, 67.4 and 66.2, respectively. There was no significant relationship between hospital's social responsibility and type of hospital's possession and activity [p value > 0.05]. The social responsibility of hospitals was assessed as moderate. To improve hospital's social responsibility, it is suggested that more attention be paid to workplace and environmental policies