[Factors affecting the human capital development in hospitals of the Iranian social security organization]

Development of human capital within the healthcare organizations is of vital importance due to their dealing with health and lives of people. The aim of this study was to recognize the main factors affecting the Human Capital Development in hospitals affiliated to Iran social security organization. This was a descriptive and applicable study carried out within the hospitals affiliated to Iran social security organization in 2010. Initially, a conceptual model was designed based on comparative study of Human Capital Development models which was later confirmed by a group of expert. In addition, a questionnaire was designed based on conceptual models of components and variants and filled out by the organization's Education authorities [n=68] in two stages with a 20-day interval to assess the current state of the Human capital Development. After determining the adequacy of sample volume by Kaiser Meyer Olkin method and meaningfulness of coefficient matrix with Bartlott test, the exploration factors analysis using maximum probable method as well as the interpretation of variants by Varimax method were performed. Later, to confirm the acquired factors verifying factor analysis and to determine the direct and indirect relationships of components, the structural equations model method was used. Factors-related commitment component [organization development and management commitment] showed a direct relationship with planning component [career development path and plan for education]. The factors of career development path and master plan for education demonstrated a bilateral relationship in which a direct correlation between these factors and the factors of Human Capital Development [education and personal development] was established. Also, it was found that the Evaluation factor is an effective independent factor influencing all other factors. The factors recognized in this research are suitable for Human Capital Development in hospitals affiliated to Iran social security organization

[Providing a standard operating process for health and care rapid response teams in Iran]

Regarding the frequency of disasters and effective response to the first hours after occurrence, it is necessity to form rapid response teams in order to reduce casualties and property losses. This paper aims to provide a standard operational process for health and care rapid response teams in Iran. In this applicable research, which was done by descriptive-comparative method, various countries were compared based on different factors such as activation process, training, structure, equipment and their functions during crisis. All studied countries activated their own rapid response teams based on a predetermined standard process in response phase. These teams are working under a unique command reference. They already are selected and have changeable structure based on disasters. Also they received standard trainings continuously and provided an appropriate response to disasters based on their job description and modern equipment, According to the research, some measures should be taken in order to decrease mortality and timely response to disasters as follows: to organize health rapid response teams in different levels of country; to establish an incident command system for guiding teams; to use local facilities with necessary equipment, and to define a clear job description with appropriate training for the selected individuals of these teams

[ effective factors on receivers' access to health care services in urban health care centers]

In any country, one of the fundamental goals of health policymakers is to facilitate the people's access to treatment and health care services. Therefore, the aim of this study was to identify factors that influence receivers' access to delivered services in urban health care services. We performed this descriptive and cross sectional study in year 2008. We used the multi-stage sampling method for selecting 57 staffs of urban health care centers as statistical samples. The valid and reliable questionnaire for gathering data was designed. Data was analyzed by SPSS 2 version 13 software. Our findings indicate that mean scores of individual, geographical, financial and structural factor was 2.29 [61.4% with high impact], 2.42 [57.9% with high impact], 2.27 [56.1% with high impact] and 2.58 [86% with high impact], respectively. [Our mean score range was 0 to 3]. According to the assessment of employee's viewpoint of Urban Health Care Centers, all of four individual, geographical, financial and structural factors had high influence on person's access to health care services in Urban Health Care Centers. Consequently this study has presented suggestions [according to the findings] for improving access to delivered services in urban health care centers

[Study of waiting time in Shahid Dastani's specialized clinics of Shariati hospital using by six sigma model]

Waiting time is one of the factors affecting patient satisfaction of service quality which is offered. In This Study waiting times referred to some clinics like Shahid Dastani integrated clinical training center, treatment and researching center like Shariati Hospital was performed. Six sigma model in four stages together with qualitative and quantitative methods was used in this study. The study population consisted of the all patient referred to specialist clinics like Shahid Dastani during every week. We selected 10% of all patients as a sample size referred to specialist clinics [n= 266]. Data were collected by interviewing and filling the checklists using a stopwatch. Measured waiting times were registered in a blank form. Data entry and analysis were performed using SPSS. Mean and standard deviation of waiting time were 121 +/- 33.73 minutes. The most important processes from referred entrance to leaving the physician's office consisted of comprehensive workflow processes, overall workflow, times forming, funds, medical records, previous bloom times, refunds and discount at all costs, and complaints. The first three factors of prolonged time form health care providers and referees view are simultaneous increase in the number of referees, physicians being on time and shortage of doctors. This collection extends the time of giving services by clinic, providing human resources and modifying the physical spaces which were some of recommendations to reduce waiting times

[Border hospital readiness in handling border relater crises in Kermanshah Province, Iran, 2007]

Helping the injured at the time of crisis is one of the duties of hospitals; therefore, they should plan and be prepared prior to any crisis. The present research was designed to measure the readiness of Kermanshah Province hospitals located near the western boarder of Iran to handle border related crises. The readiness of the three border hospitals in Kermanshah Province, e.g. Az-zahra [in Gilanegharb], Shohada [in Sare-Pole - Zahab], and Hazrat Abolfazl Abbas [in ghasre-Shirin] was evaluated using a checklist on the following six aspects: 1] crisis management information systems, 2] commandership terminal, 3] crisis-related training, 4] organizing hospital manpower, 5] having adequate facilities and equipment, 6] maneuvering and practicing. The data were gathered through interview, observation and using available statistics. According to the findings, hospitals scored [average] on crisis management information systems, commandership terminal, crisis-related training, and organizing hospital manpower, [good] on having adequate facilities and equipment, and [weak] on maneuvering and practicing. The findings also revealed that readiness was fairly good in Shohada hospital, average in Hazrat Abolfazl Abbas hospital and weak in Az-zahra Gilanegharb [hospital in general, readiness to deal with crisis in all three hospitals was evaluated as average]. Despite adequate facilities available for the investigated hospitals, they are not well prepared to handle border related crises in Kermanshah Province and it is essential to take necessary steps in this respect

[Comparison of hospital based cancer registry of Iran and the United States of America]

Cancer research is one of the essential activities for its control and treatment. Hospital based cancer registry system is an information system designed to collect, organize and analyze data on cancer. The objective of the present study was to compare hospital based cancer registry system in Iran with that in the USA. This research was a comparative study. Studied population included all the health care centers of Tehran, Shaheed Beheshti and Iran medical sciences universities having a pathology laboratory. The findings indicate that [Pars] software program is mainly used in pathology, while [ADS-9] program in medical record departments of the hospitals .Furthermore, requested information about cancer cases was mostly by researchers and students and the least by the hospital heads, cancer committees and physicians councils. 4-8% of cancer information from the pathology departments was demanded by hospital managers, pathology committees, physicians, researchers and students. 60% of cancer information from [medical record departments] was reported to the drug and care deputy of the medical sciences universities to which the hospitals were affiliated. 56% of cancer information from the pathology departments was reported to the health centers outside the hospitals. The hospital based cancer registry system in Iran is imperfect and limited in scope as compared to the registry system in the U.S. The cancer registry in Iran only records demographic information of patients and the type of tumors. Learning from the hospital based cancer registry of the U.S.A can help to improve the hospital cancer registry based system in Iran

[Client tribute plan in Rasht teaching hospitals]

Introduction: One of the measurement indices for effectiveness and development such as in health and treatment sections is client satisfaction with governmental organizations services. In order to promote this plan, client tribute plan has been implemented

Objective: This study is done to evaluate the implementation method of client tribute plan in Rasht teaching hospitals in 2004

Materials and Methods: The research was performed in a cross- sectional descriptive method. Target population of the study consisted of Rasht six teaching hospitals. Measurement instrument used for the study was a check-list so that its validity and reliability has been approved by the quality promotion of Iranian Health and Medical Education Ministry. It was based on three methods of observation, use of documentations and registered data, and interview. In this research all activities related to 10 clients programs were studied

Results: Mean scores related to the education of staff in the study hospitals were 45.3%. They were as follows: 60% in the area of clarification and documentation of providing services for the clients, 68.3% in the area of giving information regarding the method of providing services for people 100% in the field of preparation of ethical charter of the organization in connection with people, 93.3% concerning the prediction for appropriate space and facilities, 73.4% in the area of improvement and amendment of ways for providing services to people, 76.6% survey program from clients, 60% in the area of supervision and inspection, 53.3% concerning the appreciation and encouragement for successful managers and staff and 55% in connection with how to behave with people. The mean total scores from the "clients tribute plan" in Rasht teaching hospitals were 68.34%. Of these, Dr. Heshmat hospital had the highest score by 83.49% and Alzahra madernity hospital had the lowest score by 52.66%

Conclusion: Implementation of clients tribute plan in Rasht teaching hospital was associated with relative success. Also, we will witness the increasing success of this plan by stablishing change and development program in managerial systems as one of the important necessities as well as by changing the punishment and encouragement criteria of managers and staff from the traditional method so that the views of clients can be taken into consideration in this regard