Factors Affecting the Independence of Hospital Management in Iran University of Medical Science / Factores que afectan la independencia de la gestión hospitalaria en University of Medical Science en Iran

Introduction: Governmental hospitals have so far managed in different ways to increase the efficiency of hospitals, each of which has its disadvantages and advantages. This study aimed to determine the factors affecting the independence of hospital management in Iran University of Medical Science. Material and Methods: This descriptive-survey study was conducted pragmatically at hospitals of Iran University of Medical Sciences to identify obstacles and provide the necessary infrastructure by conducting study and follow-up. The sample was 94 people including university dean, deputies and chief executives of hospitals, educational and research deputies, therapists and professionals. Questionnaire was used as data collection tools and field data collection method. Results: The mean age of participants was 47.24 ± 5.41 years. Cronbach's alpha of 41 questions was assessed to test the reliability of the questionnaire. The total alpha coefficient was 0.843. The results showed that the mean score of all domains based on experience time was not significantly different (p> 0.05). The mean score of all domains in the first and third items based on education was statistically significant (p <0.05). In other items, there was no significant difference based on education level (p> 0.05). Conclusion: In general, according to the results and extracted five items, the independence of hospital management can improve the efficacy of services and satisfy the patients and staff.

Introducción: Los hospitales gubernamentales hasta ahora se han manejado de diferentes maneras para aumentar la eficiencia de los hospitales, cada uno de los cuales tiene sus desventajas y ventajas. Objetivo: determinar los factores que afectan la independencia de la gestión del hospital en la Universidad de Ciencias Médicas de Irán. Material y métodos: este estudio de encuesta descriptiva se realizó pragmáticamente en los hospitales de la Universidad de Ciencias Médicas de Irán para identificar obstáculos y proporcionarla infraestructura necesaria mediante la realización de estudios y seguimiento. La muestra fue de 94 personas, incluidos decanos universitarios, diputados y directores ejecutivos de hospitales, diputados de educación e investigación, terapeutas y profesionales. El cuestionario utilizó como herramientas de recolección de datos y método de recolección de datos de campo. Resultados: La edad media de los participantes fue de 47,24 ± 5,41 años. Se evaluó el alfa de Cronbach de 41 preguntas para evaluar la fiabilidad del cuestionario. El coeficiente alfa total fue de 0,843. Resultado: Los resultados mostraron que la puntuación media de todos los dominios basada en el tiempo de experiencia no fue significativamente diferente (p> 0,05). La puntuación media de todos los dominios en el primer y tercer ítems basados en educación fue estadísticamente significativa(p<0,05). En otros ítems, no hubo diferencias significativas en función del nivel educativo (p> 0,05). Conclusión: En general, de acuerdo con los resultados y extraídos cinco ítems, la independencia de la gestión hospitalaria puede mejorar la eficacia de los servicios y satisfacer a los pacientes y al personal.

Factors relating to working life quality in Garash University of Medical Sciences in 2017

Background: Working life quality is one of variables which have been recently noticed in respect of significance by many directors who are seeking promotion of human resources quality. Determining factors relating to working life quality of Grash University of Medical Sciences which may reflect the significance that working life quality could be improved in the organization. Methods: This study is cross-sectional descriptive which was conducted in 2017 on 243 employees covered by Grash University of Medical University. Data collecting tool includes demographic information and Walton working life quality questionnaire. Data analysis was performed using SPSS software version 22 and Kolmogorov- Smirnov statistical tests, Pearson correlation factor and regression analysis. Results: among 243 respondents, 53.3% were women and the rest women. Working life quality level of 7% of them was low, 64.9% moderate and 28.1 was high. Among dimensions of working life quality, the highest average is related to life general space. Regarding the study results, 6.4% of changes of personnel working life quality are affected by demographic factors variable and the rest is due to other variables which is significant in significance level p<0.05. The average score of personnel working life quality in this study has been 108.85 which is in medium level. Conclusion: regarding the results of this study, managers and planners awareness of personnel working life quality and performing principal measurements for promoting working life quality is necessary to provide the required conditions for personnel for improving the quality of personnel services.

Comparative Investigation of Gachsaran Hospitals Readiness Against Disasters in 2017

Background: During occurrence of events and disasters, hospitals are among the most vital units that their optimal and timely healthcare services could play a vital and determining role in reducing mortality and saving the injured. The present study was performed with the aim of investigating the rate of readiness of Gachsaran City hospitals against disasters. Methods: This study is a descriptive-cross sectional study that was conducted on 150 persons of treatment and non-treatment personnel of three hospitals of Shahid Rajaei, Besat and Bibi Hakimeh in Gachsaran City with simple random sampling method. Data collecting tool includes scholar – made questionnaire (with Likert range), assessing the rate of hospital readiness against disasters. For data analysis, descriptive statistics, ANOVA test and SPSS 24 software was used. Results: the results obtained the findings indicate that manager's awareness status against disasters in Besat, Bibi Hakimeh and Shahid Rajaei hospitals is respectively 3.72, 3 and 2.74 respectively that Besat and Shahid Rajaei hospitals with the highest and Shahid Rajaei with the lowest awareness status of managers against disasters. The average of human resources in Shahid Rajaei, Besat and Bibi Hakimeh hospitals are respectively 3.54, 3.46 and 3 that Rajaei is the greatest and Bibi Hakimeh is the lowest. Conclusion: it may be said that human resources are considered an effective factor in encountering natural disasters and trained and skillful people during occurrence of natural disasters could have an effective performance in reducing damages and financial and physical losses. So, Oil and Bibi Hakimeh Hospitals should have required readiness by planning for increasing their human resources volume.

Investigating the Impact of Managers Leadership Styles on General Health of Personnel of Cheram City Health Network

Background: Managers' leadership styles have negative and positive impacts on affairs of governmental organizations and in this regard influences psychological variables, such as psychological variables influencing general health which are studied in this paper. So, the present study aims at investigating managers' leadership styles on general health of Cheram City Health network personnel. Materials & Methods: This study is descriptive and of correlation type that the statistical population incudes all managers and personnel of Cheram City health network managers and personnel. The number of managers is 54 and personnel are 218 persons. For sampling, Morgan table was used that randomly 45 managers and 135 employees were selected as sample. The research instrument in this study is questionnaire of Salesman and Anderkolc (1982) managers' leadership styles and Goldberg & Hiller (1979) general health questionnaires. The statistical analysis was performed with SPSS software and statistical tests of multivariate variance and correlation factor. Results: : findings showed that there is a significant and positive relation between leadership styles and personnel general health (p<0.05). There is a significant and negative relation between authoritative - exploitative leadership style and personnel general health (p<0.05). There is a significant and positive relation between authoritative - benevolent, participative and consultative style and personnel general health (p<0.05). Conclusion: Discussion and conclusion: managers' leadership styles impact personnel general health and the more flexibility the managers in the organization have, the personnel psychological indicators are more and the organization status becomes better.