[Assessment of urban family physician program in pilot centers covered by Ahvaz Jundishapur university of medical sciences]

Family physician is the core in the world efforts for quality improvement, cost effectiveness, and equity in the health care systems. The main purpose of this present study was to investigate situation of the family physician program and identify referral route in this program in six pilot cities in Khuzestan province. A cross-sectional descriptive study was conducted in 2011. Pre-designed checklists were used for collecting data. In this study, 15 healthcare team in six pilot cities for family physician program in Khuzestan province were examined and their specified referral levels for each city was investigated and compared with the national instruction to identify current gaps. The least number of staff belonged to nutrition, nurses and physicions respectively. In the second referral level cities, Specialists did not welcome the program. In Mahshar, a second level city, five specialists have been registered to family physician program. In the third level, 28/5 percent of specialist were enrolled in this program. It seems that it is necessary to facilitate patient access to physicians under contract with family physician program and referral system in second and third levels. Therefore, establishing a motivation system for attracting specialist and improving their maintenance situation can also be beneficial

Effective factors on staffs job satisfaction based on herzberg theory in Qazvin teaching hospitals

The Effectiveness and success of an organization depends on two factors; one is the employees' Performances and the other is the level of understanding between managers and employees in prioritize of different job motivators. The aim of this study was to determine factors that affect staffs' performances in Qazvin teaching hospitals based on the Herzberg's theory. This research was a descriptive study. To achieve the main aim of this study, one hundred and ten employees were selected through a multi- stage sampling method .In this study, for data collection a self-report questionnaire was used. The five-point Likert scale was used to determine the degree of importance of any hygiene and multinational's factors affecting the performance of the employees. Among hygiene factors, the prevailing place was for Job security with an average 4/39 and then followed by a suitable salary with an average 4/38 of 5 scores. Among multinational's factors, job responsibility with an average 4/38 and job interest with an average 4/38 were placed as the most important factors in employees' performance.%70/8 employees mentioned that two factors of suitable salary and job security are the most important obstacle for improvement of employee's performance. The data of this study reveals that, Attention and Planning in providing proper salary and job security as hygiene factors and sense of responsibility and success as motivational factors, may play a more effective role in improving employees' performance than any other factors

[Assessing the role of hospital ownership on total factor productivity changes in Qazvin hospitals using malemquist's index and dea]

In many countries, hospitals have triple ownership [governmental or public, for-profit, and not-for-profit]. Numerous studies have been performed in order to investigate the differences among these hospitals in accordance to expenditures, presentation of uncompensated therapeutic services, number of outgoing patients and other measurement devices of hospital performance. The aim of this research was to investigate the role of ownership on total Factors Productivity changes in Qazvin`s selected hospitals. Descriptive-analytic study was conducted in three periods of time from 2005 to 2007 in 8 selected hospitals of Qazvin. Inclusion criteria included the active beds and the value of intermediate consumptions in hospitals.The exclusion criteria included the total number of inpatient and surgical operations. Data collection tool, was researcher-designed checklist. Data were analyzed using DEAP 2/1 software and ANOVA, HSD and TUKEY tests. There was a significant difference between the mean productivity of three hospital groups due to the existence of various ownership[p=%012], Also a significant difference was observed between the mean of technological efficiency of the three groups of hospitals[p=%006], No significant differences was found between the mean of technical efficiency of the three groups of hospitals[p=%23]. Cause of the variation in total factor productivity in private hospitals, is due to their suitable production technology which is always improved. But in respect to their efficiency promotion and optimization of production and products, there was no distinguishing difference with other hospitals