ABSTRACT
Technical knowledge of managers of health care industry regarding budgeting have an essential function on increased efficiency of organizations working in this sector, since every single right decision, rely on appropriate knowledge and analysis. Therefore, the purpose of this study was assessment of technical knowledge of managers of health care system regarding budgeting. This was a descriptive - analytic, cross- sectional study. From 80 managers of Tabriz Medical Sciences University 63 participated in the study and a questionnaire was employed to collect data. Data was analyzed by Spss 16 software, Pearson correlation test, T test and ANOVA. Mean of total scores was 16.9 +/- 4.6 of 30. There was no significant difference between total scores in different courses [P=0.276] and positions [P=0.431]. Mean of total scores between women and men [P=0.782] were the same. There weren't significant relation between technical knowledge of managers with age [p=0.392, r=0.1], job background [p=0.299, r=0.1] and management background [p=0.121, r=0.2]. With respect to low level of manager's awareness about budgeting, improving of technical knowledge is essential. Lack of significant relation between technical knowledge of managers and their length of management practices, with unstable situation, may harm seriously organizational achievements. Reviewing and promotion of educational programs and continuous training of managers with respect to budgeting seems to be an essential need for improving manager's performance
ABSTRACT
Job Burnout is one of the important factors to reduce productivity, making mental and physical adverse effects on jobs related to human services and losing efficient manpower by considering the important role of nurses in the health care systems. This study has been done to survey the association between mental health and job burnout syndrome among nurses' staff in training hospitals in Qom province. This is an analytic-descriptive study which has been performed among 200 nurses personnel in the training hospitals of Qom province with applying proboblity multistage statistical method. Three quetionnaires including demographic data, general health and Maslach's Burnout questionnaire [Inventory] were used to data gathering by which validity and reliability were certified in the previous studies. Data analyzed by SPSS18. Descriptive statistics such as frequency, percentage, inferential statistics [Chi-square test and correlation coefficient of spearman and pearson] and also man-whitney test applied. Average score of job burnout was 60.8. Respecting general health, 53% of nurses was in danger. Average score of emotional fatique, the personalization and personal accomplishment was 27.2, 12.17 and 21.7, respectively. 50 percent of nurses had physical dysfunction, 44.5% suffered from anxiety and sleep disorders, 32.5 and 44.5% had social dysfunction and depression, respectively. There was a significant correlation between burnout syndrome and general health. Based on the spearman correlation test, there was a significant correlation between emotional fatique and physical disorders, anxiety and sleep disorders and social dysfunction. Regarding srtessful nature of nursing job and high prevalence of disorders in general and mental health of nurses incomparision to others and also high prevalence of burnout among nurses in Qom province, it is nesecary to decrease these sort of problems through applying arrangements such as enhancing motivation, increasing work stability, increasing job satisfaction, clearance in how individuals respond to take actions and tasks division among personnels to reduce workload
ABSTRACT
Background: Escalating economic costs due to prevalence of diabetes, particularly in epidemiologic transition era, makes assessing of socio-economic status of diabetic patients as a necessity. Materials and Methods: A cross sectional study was conducted on type 2 diabetic patients with complications in four major teaching hospitals affiliated with TUMS during July 2009 to March 2010. Based on a randomized sampling, 530 patients were interviewed through a questionnaire with 85% response rate [450 patients]. The applied questionnaire composed of 42 questions based on "Yes" or "No", and likert questions. Internal validity of applied tools in this study was 0.89. Data analyzed by SPSS version 11.5. Results: The majority of patients had experienced one or more complications. Findings revealed that [50%] of the patients suffered from one complication, [33.6%] had two complications, and [16.4%] had three complications of type 2 diabetes. Patients with one complication [22.2%] had cardiovascular, participants with two complications [12.7%] had both cardiovascular and eye outcomes, and patients with [cardiovascular, eye and foot ulcer] outcomes were [14%]. Number of complications had significant association with sex, age, education level, type of occupation, duration of diabetes at [p < 0.001], and social class [p=0.002]. Conclusion: It seems that patients with low socio-economic status have more challenges in their social environment with less psychological support. Health care systems are responsible to empower diabetic patients to control the complications of their illness and help them to feel a better life to alive
ABSTRACT
Background: lIealth needs prngamming of the rising elderly population is an incvilablc racl [hat I should be senuus cunsidcraion by hcalth policy makcrs. Thjs study was carried nut to determine the patterns of inpatient services utilization in aged people hospilalizcd in rcitching hospitals of Kashan. Universily uC Mcdical Scitnccs. [Kay MS]. Materials and Methods: In this cross-sectional study: arnung patients agcd -60 ycarv old whu had k e n hospitalized in !caching hospilals QKIa UMS during one-year [Stp Zfl119-Sep2nlO]. ?Oh7 I participanrs wcrc sclcctcd by using stratified random sainplinp method. Haw related to inpatient services utilization by elder! y WEE ublaincd from mcdical rccords. Mmn-Urlritncy atld Knrskal-Wallis I tests were used for anal ysis nf collected data. Results: The mean lcnglh uT stay in lht sludy was 4-67 days. F, lderly patients with tnental health pblern had the highest and ophthalmic old patients had thc luwcsl lcngrh uC slay in hospilals. Thc greatcut s;hfiros f day-patients wcrc kloiiging to internal diseas? and cardnhgyw ards. Aged Patients in different wards, 5 p e s nf diseases, and co morbidities had statistically significant differen1 LOS. Conclusion: More attention should be paid to discascs wilh rhc highcst LOS. Prcvcnlivc mcasurcs, predicting appropriate number of hospital beds and alternative inexpensiw care services such as hume care senriccs md LTC ccnbcrs shvildb c suggcstcd as well.