A comparison of hospital quality management systems in Tehran hospitals and European hospitals

Background: Accreditation is a tool for assessing the patients' safety and quality improvement. The aim of this study was to compare quality management evaluation between Tehran hospitals with Europe hospital with accreditation approach

Materials and methods: This comparative, cross sectional, multilevel study was conducted among 21 systematic selected hospitals and their quality managers and hospital departments and patients between 2016, June and 2017, June. Anonymous Quality management system index [QMSI] questionnaire was conducted among quality managers. Quality management compliance index [QMCI] and clinical quality implementation index [CQII] and Clinical review [CR], specialized expertise and responsibility [SER], evidence base organization [EBO], patient safety strategy [PSS] were used during on- site visits by trained external surveyors. Retrospective and case note reviews, and direct observation were used for patient's level data gathering. The validity and reliabity of constructs were tested. The choice of instruments was based on "Deeping our understanding of quality improvement in Europe [DuQuE] project. Instruments were translated and back translated and changed base on third generation of Iran hospital accreditation that was developed by ministry of health and medical education [MOHME]. We assessed patient- specific process and outcomes for acute myocardial infarction, stroke, hip fracture and deliveries at patient level

Results: Management specific indexes at hospital level in Tehran hospitals, alike Europe hospitals, were related. In Tehran hospitals, an association was observed between QMSI and departmental levels in EBOP and CR and SER at four clinical conditions. In Europe hospitals, an association was observed between three levels of hospital quality management

Conclusion: The comparative evaluation for quality management for hospitals in Tehran and European hospitals showed similar results in terms of quality improvement at the management level

Population and mortality profile in the Islamic Republic of Iran, 2006–2035

Background: The Islamic Republic of Iran has encountered demographic and epidemiological changes as a result of the transformation of health measures.

Aims: This study aimed to calculate the population and mortality in the Islamic Republic of Iran during the years 2006 to 2035.

Methods: We carried out a cross-sectional analytical–descriptive account. We calculated the age and sex structure of the Iranian population using census data as well as mathematical methods. The crude and causal death rates were calculated and their 20-year trend was predicted using the Lee–Carter model.

Results: In 2035, the age group 60 years and over will reach 17.6% of the total population. Endocrine, nutritional and metabolic diseases will be the biggest causes of an increase in the rate of death in the general population. The largest decline in cause of death is for unintentional injuries.

Conclusions: Noncommunicable diseases will increase as the aging population grows. Identification of their primary causal and risk factors can, therefore, contribute to prevention and control

[ relationship between organizational commitment and staff performances in a health care network]

Objective [s]: To measure the relationship between organizational commitment of "Marand Health and Treatment Network" and their performance in Iran, 2010

Methods: The research has been a cross-sectional one of correlation type, which has been carried out in "Marand Health and Treatment Network".the data gathering device consisted of two questionnaires: a] organizational commitment Questionnaire in three dimensions consisting of emotional Commitment, normative commitment and continuance commitment on the base of seven ranking "Likert" scale[strongly against up to strongly for] b]work performance questionnaire in two dimensions consisting of operation factors and behavior factors on the base of five ranking "likert" scale[unacceptable up to excellent].Utilizing relevant books and essays the work was corrected and proved by professors

Results: Related to the organizational commitment the following results were obtained: From emotional, continuance and normative commitment points of view the averages were 4.98, 4.43 and 4.95 respectively. The total average was 4.79 [out of 4].From work performance point of view the averages of operation factors and behavior factors were 3.24 and 3.22 respectively. The total average was 3.23[out of 3].In general, organizational commitment and work performance of the staff were satisfactory and more than the average. There was no meaningful relationship between emotional commitment and work performance [P>0.05].A meaningful relationship was seen between continuance commitment and staff operation factors [P<0.05 and r =0.157], however, there were no continuance commitment and work performance as well as a meaningful relationship between normative commitment and work performance [P>0.05]. Finally the relationship between organizational commitment and work performance was direct and obtained at the rate of r =0.158

Coclusion: Regarding the increase in work performance of the staff that has high organizational commitment, we can have active health and treatment services by reinforcing effective factors on organizational commitment [especially effective factors on continuance commitment]