مجله ره آورد سلامت
سال چهارم شماره 4 (زمستان 1397)

Organizational health is the physical, mental and social adaptation of the organization to its surrounding environment. Organizational health plays a key role in increasing the productivity of the organization. Hospitals must be healthy to provide quality, safe and effective services to society. This study aimed to measure the organizational health of Isfahan city hospitals in Isfahan, Iran.

This survey was conducted using a questionnaire in 14 public, private, charity and social security hospitals in Isfahan city in 2015. A total of 578 hospital managers and employees participated in this study. The organizational health assessment questionnaire included 3 main dimensions, 18 sub-dimensions and 54 questions on a five-point Likert scale. SPSS software, version 21, and descriptive statistics (frequency, percentage, mean and standard deviation) and inferential statistics (regression and analysis of variance) were used for data analysis.

The average score of organizational health in Isfahan hospitals was 3.17±0.61 out of 5 points. Three hospitals had good organizational health, ten hospitals had moderate organizational health, and one hospital had poor organizational health. Hospitals had more social, physical and mental health, respectively. The highest organizational health was observed in the dimensions of planning, formality, ethics and leadership, and the lowest organizational health was observed in the dimensions of organizational justice and decision making. The dimensions of intra-departmental relations, optimal use of resources, leadership, cohesion, control and commitment had the greatest impact on organizational health. Charity hospitals had higher scores in organizational health scale than other hospitals.

Isfahan hospitals had an average level of organizational health. Hospital managers should take necessary measures to improve the health level of their organization.

Elderly is a critical period of human life increasing the amount of selfcare in health can reduce the burden of disease. The purpose of this study was to determine self-care ability and its effective factors in elderly referring to comprehensive health centers in Karaj in 1397.

This is a cross- sectional descriptive analytical study that was performed on 410 elderly people over 60 years who referred to comprehensive health services by multistage random sampling method. A standard questionnaire self-care ability and demographic profile form were used. Data was entered into SPSS version 20 and were analyzed be descriptive and analytic tests.

The mean age of the subjects was (66.86±6.48). The mean score of total self-care ability was (139.03±13.08) and above the standard average. In this study, the underlying variables of physical status, sex, education, occupation, income, place of living and income were significantly correlated with self-care ability dimensions (p<0.005). Geographic area of life, number of children and family size as well as age groups had no significant relationship with the dimensions of self-care ability.

The majority of subjects had good self-care ability. It seems that the educational intervention can improve the self-care ability of the elderly.

Prerequisite for the success of service organizations is the provision of superior services.  Hospitals play an important role in providing medical services and the opinions of the clients determine the quality of the services provided. The purpose of this article is to identify and rank the quality of services provided based on SERVQUAL model in selected wards of Ali Ibn Abitaleb Hospital in Zahedan.

Using the results of Ahmadi and medical research and library and field studies, 5 criteria (SERVQUAL's Five Model) and 22 sub-criterions were collected. By collecting data by distributing this questionnaire among the patients (patients and companions) in four departments of CCU, men's surgery, pediatrics 1 and internal medicine 1. Sampling method was random and using Morgan's table, 100 people were selected. The ranking criteria were ranked by Shanon's entropy weighting method and the service quality of the departments was ranked by ARAS multi-criteria decision-making method.

The research findings show the inequality in the quality of services provided between the four selected departments, so that the CCU, men's surgery, pediatrics and internal medicine ranked first to fourth, respectively. The framework presented in this research can be used as a criterion for evaluating the performance and improving the quality of services in hospitals.

According to the results of this study, hospital managers can improve the quality of services and ultimately patient satisfaction by using medical facilities and equipment, increasing staff and treatment staff, increasing the number of rooms with low beds and increasing welfare facilities and increasing the number of physicians in different shifts.

Spiritual health is a personality dimension that significantly impacts various aspects of people's lives. This characteristic has a two-way relationship with demographic factors such as gender, age, and occupation. Due to their unique circumstances, older adults are more susceptible to the effects of this personality dimension compared to other age groups. Therefore, this study aims to investigate the relationship between spiritual health and demographic characteristics among older adults during the Covid-19 pandemic.

The current study is a cross-sectional, descriptive, analytical study conducted on 323 older individuals who sought services at comprehensive health centers under Shahid Beheshti University of Medical Sciences during the Covid-19 pandemic in 2021. Data was collected using two questionnaires—one that focused on demographic characteristics and another that used the standard spiritual health questionnaire of Polotzin.

66.9% of older men and 54.9% of older women participating in the study were over 60 years old, and the average score of spiritual health in the present study was 86.38±0.474, which indicates the average level of spiritual health of the participants. The demographic characteristics of occupation and literacy level have a significant effect on the spiritual health of older adults (P<0.05).

Spiritual health is one of the most important dimensions of health, which can be increased by considering the factors affecting it. By increasing spiritual health, it is possible to reduce anxiety and increase the quality of life, and this will also affect the health of older adults. In order to maintain their health, older adults need a feeling of peace, and one of the important factors to achieve it is to focus on increasing spiritual health.

due to the importance of hospital infections, the need to diagnose the causes related to it was noticed, control and attention to this important cause reduction of mortality, reduction of therapeutic interventions, reduction of hospitalization time, reduction of hospital costs and increase of supply and improvement of the level The health of the society and the satisfaction of the healthcare system.

The current study is a cross-sectional descriptive study; which was measured in 6 sections including the infection prevention and control program organization, technical guide, human resources, microbiology laboratory support, environment and isolation space standards in the field of infection prevention and control. Descriptive statistics were used to describe and analyze the data of this research. After collecting the data and entering it into the software, statistical analysis was performed.

In this study, 73.5% of hospitals partially, 4% completely, and 23.5% did not comply with the index of the organization of infection prevention and control program. In terms of the index of technical guidelines, 6% of hospitals had fully complied and 94% had complied to some extent. Also, the human power index of 100% of the hospitals has partially matched this index. Microbiology laboratory support: 25% of hospitals fully, 73.5% partially and 1.5% of them did not comply with the index.

the performance of most hospitals in the field of compliance with infection control indicators, with the exception of the budget allocation indicator with the lowest level of compliance; It was average. It is necessary for health system officials to set patterns and agendas for allocating funds to ensure infection control activities. In the context of other indicators that are weak, it is suggested that hospital management take steps to improve the mentioned indicators with more monitoring and attention and short-term planning.

 Philanthropy refers to individual contributions for the common good, relief of pain and suffering, and improvement of people's quality of life. Philanthropists and donors are involved in financing, generating resources and providing health services. This study aimed to explore donors' participation in generating resources in the Iranian health system and identify factors affecting the allocation of donors' resources.

 This qualitative research was conducted using semi-structured interviews and document analysis in 2018. Semi-structured interviews were conducted with 38 health donors and 26 policy makers, managers and experts in the field of social affairs of the Ministry of Health and medical universities using purposeful and snowball sampling methods. Data were analyzed using thematic content analysis method.

 Donors participate in providing the capital, current and human resources. Capital resources include endowment of land, construction, development and operation of healthcare facilities and provision of capital equipment. Current resources include the repair and reconstruction of healthcare facilities and technologies and the provision of medicine and consumables. Human resources include employees working in charity hospitals and clinics and volunteers working in healthcare projects. Economic, managerial, legal, behavioral, ethical, environmental and technological factors affect the participation of donors in generating resources for Iran's health system.

 Donors contribute considerably to resources generation in Iran's health system. Several factors inside and outside the health system affect the participation of health donors. Policy makers and health managers should direct donors’ resources towards the priorities of the health system by educating, encouraging and supporting them.