Comparison of the patient satisfaction from inpatient and outpatient fissurectomy in Motahari clinic and Shahid Faghihi hospital, Shiraz, Iran

Introduction: Satisfaction of the patients is considered as an important index in evaluating the performance of the hospitals and is highly effective in developing and improving the quality of the provided services .so, the present study aims to compare the satisfaction of the patients suffering from anal fissure from inpatient and outpatient treatments

Method: This cross-sectional study was conducted on 212 subjects who were selected through systematic sampling from the patients with anal fissure referring to Motahari clinic and Shahid Faghihi hospital. In order to compare the patient satisfaction in two inpatient and outpatient groups, 21-item questionnaire was designed in order to assess the patient satisfaction. Independent t-test and chi-square test were used to analyze this data

Results: satisfaction of the inpatients was significantly more than that of the outpatients [P<0.001]. The inpatients' waiting time for operation was significantly longer than that of the outpatients [P=0.029]. In comparison to the inpatients, the outpatients were more satisfied with the explanations provided regarding food diets after the operation [P=0.004]. Of course, outpatients had felt more stress during the operation compared to the inpatients [P=0.002]. Concerning the treatment environment, the outpatients were more satisfied than the inpatients [P<0.001]; however, the inpatients were more satisfied with the treatment services [P>0.001], quality, and other services compared to the outpatients [P=0.041]

Conclusion: According to the advantages that mentioned, outpatient operations can be a better choice for small surgeries; of course, health planners should pay more attention to its importance and necessity and provide more equipments and welfare facilities in treatment centers

Short-term complications of hemorrhoidectomy in outpatient and inpatient operations in Shiraz, Southern Iran

Today, hospitals and patients are both willing to benefit from outpatient services. Considering limits of supply, it seems that there is a need to run productive management in offering health services to prevent wasting of supplies and facilities. This study compares the complications caused by hemorrhoidectomy in outpatient and inpatient operations. In a cross-sectional study during 1.5 years, 208 patients without any background disease were enrolled. They were randomly allocated into two groups [inpatient and outpatient] and interviewed within two weeks after surgical operations. The data were collected through a questionnaire and physical examination. The complications in the two groups of operating theater of hospital and clinic were then compared regarding sex, occupation, education and etc. One week after the surgical operation, the patients in the hospital operating theater showed significantly a better healing recovery of their wound. Other complications such as pain, hemorrhage, infection, inflammation, involuntary emission of feces and gas indicated no significant difference between the two groups. After 2 weeks, more pain was noticed in patients in the operating theaters of the hospital and in clinics, there was more infection visible. The hemorrhage, inflammation, wound healing, involuntary emission of feces and gas did not indicate a significant difference between the operating theater of hospital and the clinic. There was no significant difference regarding the patients' satisfaction in the two groups. We recommend that for optimized use of supplies and equipments in operating theaters and to lower the cost and shorten queue of patients, grade 2 hemorrhoids are performed in the operating theater of clinics considering sterilization and safety procedures

[Relationship between emotional intelligence with conflict management strategies among educational and research managers of Shiraz university of medical sciences]

Introduction: Successful managers integrate strong interpersonal skills with technical knowledge to improve their performances. Emotional Intelligence not only provides the basis to further these skills, but also plays an important role in efficiency of group members and solves conflicts using emotions. The aim of this study was to determine relationship between Emotional Intelligence with conflict management strategies among educational and research managers of Shiraz University of Medical Sciences

Methods: In this cross-sectional study, 81 educational and research managers from faculties and research centers were selected using random sampling. Three questionnaires including Robin's conflict management, Schering Emotional Intelligence and individual traits were used for data gathering. Data were analyzed using t-test, Chi-square, and Pierson correlation tests

Results: The mean of emotional intelligence was 115.01. About half of the managers [50.6%] used avoidance strategy, and only 47.2% used collaboration strategy. Educational managers [87.6%] and males [59.6%] tend to use avoidance strategy more. Research managers [62.86%] and females [34.5%] used control strategy more. There was no statistically significant correlation between emotional intelligence with the strategies. Among educational managers, there was a statistically significant negative relationship between control strategy and management experiences. Among males, there were significant negative relationships between emotional intelligence and avoidance/collaboration strategies

Conclusion: Emotional Intelligence is an important factor to recognize and solve conflicts. It is necessary to improve top managers' performances through learning emotional intelligence strategies to them. The continuing education of conflict management strategies would help managers to recognize and manage conflicts timely and properly

[Changes in unprotected sexual behavior and shared syringe use among addicts referring to Methadone Maintenance Treatment [MMT] centers affiliated to Shiraz University of Medical Sciences in Shiraz, Iran: an uncontrolled interventional study]

AIDS is a lethal disease, for which there is no treatment or any vaccine to prevent it. The injection-drug use and unprotected sexual behavior are two factors important in HIV transmission. This study was conducted to determine changes in high-risk sexual and injection-drug use behaviors associated with HIV among drug users referring to Methadone Maintenance Treatment centers in Shiraz, Iran. This before-after interventional study with no control group included drug-users [n=694] referring to all the 7 MMT centers in Shiraz, Iran in 2009. The data were collected by interviewing patients and using a questionnaire. The software used for data analysis was SPSS 15, the statistical test being the Wilcoxon test. The average age of the clients was 36.5 +/- 9.5 years. Most of them were males [% 92.1] and single [% 43.1]. 37.3% of them being injection-drug users. The proportion of the injection-drug users having had at least one shared injection one week before referring to an MMT center was 23.3%, which decreased to 9.2% after one week. Analysis of the data also showed that 25.2% of the addicts had had at least one unprotected sexual contact during the previous month; the proportion decreased to 21.0% one month after referring to an MMT center. The reductions in the mean numbers of both shared injections and unprotected sexual contacts were statistically significant [p <0.001]. Considering the effectiveness of the MMT centers in reducing risky behaviors of injection-drug users, it is essential to expand these centers at both the national and regional levels quantitatively and qualitatively and encourage drug-users to refer to them and seek help. This will help greatly in the prevention of HIV

efficiency of general public hospitals in Fars province, southern Iran

Regarding the increase in expenses for health care services in inpatient settings, much effort has been made to compare the performance of hospitals in recent years and measure their efficiency. In this study, Data Envelopment Analysis [DEA] is applied to measure the technical, scale and economic efficiency of the general public hospitals in Fars Province, southern Iran. Twenty one general public hospitals in Fars province, southern Iran in the first and second six months of the years 2005 and 2006 were enrolled. There was an attempt to compare their rate of development or otherwise, using Malmequist index and also to determine their return to scale and rank during these years. The data, were collected through a questionnaire by interview and the existing documents were analyzed separately for each year by Algebraic Modeling System [GAMS] software. Fifteen hospitals [71.4%] were technically efficient and in the next three periods, 14 hospitals proved to be efficient. With respect to scale efficiency in the first 6 months of 2005, 7 hospitals were completely efficient [33.3%], but in the second 6 months of the same year, the number of efficient hospitals was reduced from 7 to 5. In the next two periods, 4 hospitals [19%] were recognized as highly efficient systems. As to the economic efficiency in all 4 studied periods, 4 hospitals [19%] were recognized as completely efficient. As to the average technical efficiency, state-run public hospitals in Fars Province are in a higher level as compared with those in other studies. However, their average of the scale efficiency is less than that reported in other studies. It seems that the hospitals under the study do not seek profitability since they are public; therefore, they lack any motivation to select a combination of inputs in order to minimize the expenses. It is recommended that hospital managers and decision makers should use DEA to determine the best method of using the available resources

[ effect of the implementation of quality management system [ISO 9001: 2002] on the improvement of the performance of medical records department in Shiraz Namazi hospital [2003-2005]]

Nowadays, new attitudes of clients, patients and students toward the quality of health care services, have led to unifying different systems in educational centers, which has been recognized as quality management system. The ISO standard series have created systems that integrate intra and inter organization processes to improve the quality of health services. The aim of the present study was to evaluate the role of implementation of ISO 9001:2000 on the improvement of the performance of Medical Records Department in Shiraz Namazi hospital during 2003-2005. In This descriptive study, data were collected through two custom-designed checklists and two questionnaires filled by observing the process of activities and documentation and interviewing managers, staff and members of the quality management system committee. There was no sampling and data were analyzed by using descriptive statistics. The implementation of ISO standards had led to the documentation of responsibilities and administrative guidelines, clarification of patients' and staff's rights and determination of indexes for evaluation of admission, filing and coding units. However, it had failed to improve educational processes. Although implementation of ISO 9001:2000 has been successful at improving the physical environment, personnel, facilities and equipments of the department, promotion of statistics department, use of fire extinguishing system, Periodic control of coding and filing systems for continuous improvement of ISO standards should be considered

study of job satisfaction and its demographic correlates of faculty members at Shiraz University of Medical Sciences

Job satisfaction has been regarded as a product of harmony of one's positive individual attitudes toward his/her work and the compatibility of the individual with his/her duties and with the working conditions governing the job. Job satisfaction has shown to affect productivity rate, personal output and their psychosomatic presence. The current study has been launched to investigate the faculty members satisfaction with various components of their academic career, such as nature of work salary, promotion, relations with the managers and colleagues. To investigate the relationship between the individuals and various dimensions of job satisfaction, a standard self-administered questionnaire of J.D.I was distributed between 154 respondents. A total of 122 copies of the questionnaire were returned and analyzed. Distribution of the sample, on the basis of demographic variables of the participants were shown that, 82.1% of the subjects were men, 68.8% of them were over 45 years, 95.1% of the subjects were married, 82.8% of them were assistant professors and instructors and 60% of the subject were permanent official employees. The highest and the second highest level of satisfaction with the nature of their work and their colleagues respectively, whereas they showed to be least satisfied with their salaries and promotion policies. Satisfaction with career increased as the faculty members promoted to higher academic rank [P< .05]. Further analysis of the data revealed a statistically significant linear relationship between the following pairs of variables: age and promotion aspects, salary and overall satisfaction score, years of employment and amount of salary, academic rank and promotion variable. Years of employment as a faculty member negatively correlated with all aspects of satisfaction. Also age was shown to be directly related to all dimensions of satisfaction [P< .05]