حسن فراتی

the problems in the treatment industry have caused a decrease in the innovation and performance of the treatment centers, increased the cost of these centers and increased the recovery time of the patients. The government's attention to this industry and cooperation with competition between these centers can be a solution in this field. The present study aims to identify the impact of this strategy on the innovation and performance of health centers, taking into account the effects of market instability, competition and the effects of medical teams have been made for these factors.

This research is applied and a cross-sectional observational analytical study. Content validity was used to determine validity, and Cronbach's alpha and homogeneity criteria were used to determine reliability. The studied population was 1250 employees and doctors of private hospitals in the south. Sampling method is cluster and data collection is done through questionnaire. The sample size was estimated to be 205 people using Morgan's table and data analysis was done using structural equation modelin.

The findings showed that there is a positive and significant relationship between competitive strategy and innovation and the performance of medical centers

While increasing the innovation and performance of medical centers, this strategy helps to reduce costs, increase the quality of services, and reduce the recovery time of patients. The instabilities in the treatment market and the level of competition among hospitals moderate the relationship between the competitive strategy and the innovation of health centers

The purpose of this study is to evaluate and compare job satisfaction between public and private sector employees. This research is based on quantitative information, questionnaire completion, and statistical analysis and has been done in three steps. For this purpose, after reviewing the research background and other studies in this regard, a questionnaire was prepared based on the JDI model. After distributing 210 questionnaires, 140 questionnaires from 7 government departments and organizations and private companies were completed and summarized. The results of this study showed that in general, job satisfaction is higher among public sector employees than in the private sector. The highest impact factor is related to the factors of leadership style and salary and merit. Job satisfaction in the public sector is higher than 2.5 in the sense that public sector employees are more satisfied and in the private sector is lower than the average of 2.5 in the sense that job satisfaction is lower among private-sector employees.

 Today, there isgap between the potential of the health system and its current performance, which justifies the need to a performance appraisal model for the health sector. The purpose of this study is to provide a comprehensive performance evaluation model for assessing the performance of hospitals.

 For this purpose, 12 hospitals under the supervision of Tehran University of Medical Sciences have been selected as a case study. The fuzzy best-worst method was used to identify the criteria for assessing hospital performance based on expert opinions. The productivity of each hospital unit was calculated using the established criteria. The data research from the Tehran University of Medical Sciences statistical yearbook were collected during the years 2012 to 2016.The present study is applied in terms of purpose and based on the nature of the data, it is a quantitative research based on mathematical planning. This research was conducted in 1398 and was conducted in GAMS software.

The results show that Farabi Hospital, Roozbeh Psychiatry and Baharlo Hospital have the highest levels of efficacy, respectively and Arash Hospital, Farabi Hospital and Ziaeean Hospital have the highest rate of Effectiveness, respectively and Farabi Hospital, Arash Hospital and Ziaeean Hospital have the highest rates of Productivity during the Study period, respectively.

Also the efficiency, effectiveness, and productivity scores of most hospitals fluctuated and did not have a growing trend. This indicates that although most hospitals sought to improve the quality of their services, they needed to take more serious steps.

The aim of this study was to identify the indicators of staff competency development in the center of evaluation and development in the judiciary affiliated to the judiciary in Yazd province. This research is a descriptive study with applied purpose and has been done in a mixed way (qualitative and quantitative). First, by reviewing the literature on the subject of research and then by Delphi method, indicators of employee competency development in order to create a center for evaluation and development are identified and in the next step, using interpretive structural modeling, relationships between dimensions and indicators are determined and analyzed. Is located. Based on the research literature and Delphi method, 7 dimensions and 32 indicators were identified. The main dimensions are structural factors, contextual factors, behavioral factors, factors related to the characteristics of evaluators, competency indicators, characteristics of those evaluated and competency assessment tools. The results show that in model leveling, competency assessment tools were identified in the first level as a dependent variable and structural factors in the sixth level as an independent variable. It is suggested that the improvement of structural factors that are the basis of the model be given priority and in accordance with the set indicators, measurement tools be developed and used for the development of employees and managers.

The aim of this study was to "design a model for the development of employee competence using the Center for Evaluation and Development." This research was an exploratory study with an applied purpose and in a mixed form. First, by reviewing the literature of the research subject and then by Delphi method, the dimensions and indicators of staff competency development were identified and in the next step, the implementation of structural equations was performed. The statistical population in the qualitative field includes 14 experts in the field of human resources and in the quantitative part includes all employees of the judiciary affiliated to the judiciary of Yazd province to 650 people and using Cochran's equation, 241 people as a statistical sample randomly selected Were. Based on the research findings, for the proposed model, 6 dimensions and 32 identification indicators and the main dimensions of the model including structural, contextual, behavioral factors, factors related to the characteristics of evaluators, characteristics of the evaluated and competency assessment tools were identified. It is related to the dimensions of "contextual factors" and "behavioral" and the lowest dimension is related to the "characteristics of evaluators". It is suggested that in order to develop human resources and assess the competencies of the employees of the studied devices, the implementation of the evaluation center is on the agenda and in order to develop the competencies of the employees, attention should be paid to structural, contextual and behavioral factors. Establishing the establishment of the proposed model is helpful.

The various successes of organizations are related to knowledge management in terms of their ability to provide services. Therefore, examining the relationship between knowledge management and organizational effectiveness is very important. Researches have shown that, in general, knowledge management has a significant positive relationship with organizational effectiveness, but the extent of this relationship varies based on different studies. The purpose of this study was to determine the components of knowledge management firslty, and then to examine their impact on organizational effectiveness.

For these purposes, mixed methodology was used with the priority of qualitative method over quantitative one. In the qualitative stage, first based on theoretical and experimental background, the components of knowledge management were identified, and then with the help of 11 expert evaluators by performing three stages of Delphi panel, the degree of agreement on the components with Kendall coefficient (W) was determined. In the quantitative stage, based on the results of the qualitative part, a knowledge management questionnaire was prepared and distributed along with the organizational effectiveness questionnaire among 293 people who were selected by the convenince sampling and data were collected. The construct validity of both questionnaires was assessed by confirmatory factor analysis. In both questionnaires, the fit of the model with the data was acceptable.

The Cronbach’s alpha of knowledge management and organizational effectiveness questionnaires were 0.96 and 0.93, respectively. Indicators of knowledge management construct, with respct to the impact of this construct on them respectively are: knowledge application, knowledge internalization, knowledge externalization, knowledge sharing, knowledge creation and knowledge retention. Indicators of organizational effectiveness structure, with respect to the impact of this construct on them respectively are: employee performance, operational efficiency, client's mental image, innovation, profitability and service development. Structural equation modeling (SEM) and path analysis were used to analyze the quantitative data. The results revealed that knowledge management positively influenced organizational effectiveness, such that about %7.6 of its variance is explained by knowledge management, which is considered as the average effect size. Among the knowledge management components, only knowledge creation, knowledge retention, and knowledge application positively influenced organizational effectiveness. According to the results of path analysis among the components of knowledge management, only knowledge creation and knowledge retention have a positive effect on the organizational effectiveness variable (i.e. total organizational effectiveness score) (P <0.05), in the presence of these two variables other components have a significant effect, and they have no effect on the total score (P> 0.05). Together, these two variables accounted for about 20% of the effective variance (Table 10). The results of path analysis regarding the effect of different components of knowledge management on different components of organizational effectiveness showed that only three components of service development, profitability and innovation of organizational effectiveness are related to different components of knowledge management. In the service development component, only knowledge creation, knowledge retention and knowledge application have a positive and significant effect on it, so that about 41% of the variance of the service development component (dependent variable) by the components of knowledge creation, knowledge retention and knowledge application (independent variables) is explained. In the equity component, only the effect of the components of knowledge creation and application of knowledge is significant, so that about 32% of the variance of the profitability component is explained. In the innovation component, only the effect of the components of knowledge creation and knowledge retention is significant, so that about 18% of the variance of the innovation component is explained. There is a significant relationship between knowledge management effectiveness and organizational effectiveness in various studies.

It can be concluded that knowledge creation, retention and application need to be emphasized in achieving organizational effectiveness. Long-term planning to further enhance the effectiveness of knowledge creation functions; improving and strengthening programs for the effectiveness of knowledge storage functions; improving and strengthening programs for the effectiveness of knowledge sharing functions; long-term planning to further enhance the effectiveness of knowledge utilization functions; long-term planning to further enhance the effectiveness of knowledge internalization functions and long-term planning to further enhance the effectiveness of knowledge externalization functions are areas that need to be emphasized.

Considering the formulation of general policies of the administrative system, development programs, etc., in the eleventh and twelfth governments, as well as the adaptation of these policies in institutions related to public health, the purpose of this study is to provide a conceptual model of dimensions, categories. Macro and basic is the evaluation of administrative system reform programs implemented in medical universities in Semnan province.

The research paradigm is an interpretation that was used with an inductive approach of the data theory theory strategy, in addition to the data obtained from the review of relevant texts, the opinions of presenters, observers and policy makers are also used; Thus, while analyzing the content of texts related to policy evaluation, administrative reform programs and documents related to the administrative reform program, snowball sampling was used to obtain the opinions of stakeholders. In this study, after interviewing 12 people in 37 sessions No new data appeared and theoretical saturation occurred.

 Extracting a systemic conceptual model from the administrative system reform programs of the first and second periods implemented in the executive bodies of Semnan University of Medical Sciences includes 280 basic concepts, 71 basic categories, 9 macro categories and six dimensions.

Current evaluation of administrative policy in the executive organs of Semnan province with characteristics; Method-oriented, goal-oriented, retrospective and focused on the implementation of the policy-making process that these results can be used in designing a comprehensive system of administrative policy evaluation of medical universities in Semnan province.

The aim of this study was to evaluate the performance of child and adolescent health centers over 13 years old in Semnan, Golestan and North Khorasan provinces. The present study is applied in terms of purpose, and is descriptive-survey in terms of data collection. The statistical population of the study is the managers and experts of the child centers in the provinces of Semnan, Golestan and North Khorasan to prioritize the performance evaluation indicators. A sample of 20 individuals was selected. Adolescent care centers over 13 years of age were also selected as performance evaluation samples. A questionnaire was used to collect data. AHP technique was used to prioritize the performance evaluation indicators of adolescent care centers and ARAS technique was used for comparative evaluation of selected centers in this study. The results of paired comparisons showed that the index of specialist force with the weight of 234/0 was in the first rank, the empowerment and future supply of children with a weight of 221/0 in the second rank, the atmosphere and environment of the maintenance center of children with a weight of 0/188 Third place. Similarly, the weight of each of the sub-indicators was characterized by a hierarchical process analysis technique, which was ranked below the high experience of employees with a weight of 0.071, the skill of working with adolescents weighing 0.65 and the future insurance contracts Third is located. Based on the results of the ARAS technique, center number four has the highest performance.

Today governments around the world are modernizing public services and ways to provide them with interaction with citizens through the use of information and communication technology; Accordingly, the development of e-government, which is one of the axes of the administrative system reform policy, was examined. To provide a conceptual model of the concepts and categories of e-government development. The research paradigm is an interpretive approach that used the inductive approach of the Foundation's data theory strategy and in addition to the data obtained from reviewing the relevant texts and documents, the opinions of experts and experts were also used. Tan was interviewed in 11 sessions. The analysis tool in this research is max qda software. Extracting 10 basic categories, 54 concepts and determining the relationships between them in the form of a conceptual model. By improving the quality of policy-making, resource provision, efficient and effective investment, the development of e-government should be accelerated and in this regard, the successful experiences of other governments should be considered.

The doctor-patient relationship is built largely on trust. It is in the shadow of trust that the patient can safely transfer all necessary information to the physician, which makes it possible to diagnose and treat medical treatment. The aim of the present study is to identify, prioritize and determine the causal relationships of factors affecting the patient's confidence in the physician.

The present study is applied in terms of purpose, and is descriptive-survey in terms of data collection. The statistical population is the experts who were selected by snowball sampling method. The Dematel method is used to determine the relationships and the ANP method is used to prioritize the criteria.

The results of this study showed that in the main criteria of the factors related to the physician in his/ her self with a normal weight of 0.422, has the highest priority and according to the sub criteria, the patient's knowledge of the skills and experience of a physician in the first priority has it. Also the factors related to the patient in his or he self-have the most impact and the factors related to the patient on the other side has the most impact.

The criteria of faith, duty, competence and mastery of the doctor, accountability and predictability of the physician, and the observance of ethics by the physician are factors that have the greatest impact on the patient's trust in the physician and the consideration of these factors can play an important role in promoting trust the patient to the doctor.

The purpose of this research was to study the behavior of green consumption based on the theory of planned behavior. This research was a descriptive-survey based on the purpose of the applied research and according to the method of data collection. The population of the research was managers, educators and parents of kindergartens in Qazvin, which according to the unlimited statistical population (384 people).The expression of the research was a questionnaire whose validity was of a kind of content and formality, which was confirmed by experts in this field and its reliability was confirmed using Cronbach's alpha coefficient. The obtained data were analyzed using structural equations. The results show that perceived usefulness has a positive and significant positive effect on consumer attitude and perceived risk has a negative and significant effect on consumer attitude. Also, ethical commitment to consumer's subjective norm, power control over consumer behavior control, belief in controlling consumer behavioral control, consumer attitude towards consumer intentions, subjective norm on consumer intentions, behavioral control over consumer intentions and behavioral intentions have a significant effect on actual consumer behavior.

  Supply chain performance in hospital for fast and efficient delivery and in order to improve the speed of operations in various departments affiliated to the hospital supply chain is considered important. Therefore, in this research, the effect of dynamic capabilities on collaboration with hospital provider and supply chain supply function of hospital with the role of technology orientation has been investigated. This research is a descriptive-survey based on the purpose of the applied research and according to the method of data collection. The population of the research is the employees of the supply chain of Ali ebne Abitaleb Ravar Hospital and is a sample of 267 people. Data were collected by a researcher at one stage. Data were then analyzed using descriptive and inferential statistics in AMOS and SPSS software. The results show that collaboration with the hospital provider has a direct and significant effect on hospital supply chain performance. Also, the four dimensions of dynamic capabilities have a significant impact on collaboration with the hospital provider. The technology orientation has a direct effect on collaboration with the hospital provider, but its moderating effect was not meaningful in collaboration with the provider of the four dimensional dynamic capabilities. According to the results of this study, to improve the supply chain performance, the concepts of the four dimensions of dynamic capabilities and collaboration with the provider of the hospital should be considered and the use of technology should be decided with a more coherent and transparent view

Disproportion between personality characteristics and the proportion of job dissatisfaction with their jobs, the major challenges that forensic directors in connection with its staff faced. The aim of this study was to determine the relationship between personality characteristics and job satisfaction forensics is Lorestan province in 1393.

This cross-sectional study, descriptive and analytical. Legal Medicine Lorestan Province was studied population of employees. Staff of forensic Medicine Lorestan Province was studied population. Smith and colleagues gauges to measure job satisfaction questionnaire and personality characteristics of Eysenck, which had a total of 61 questions, is used. Data from the study were analyzed using partial least squares method.

The total number of participants (n = 44) were 60% male and 40% female. The correlation coefficient between personality characteristics and job satisfaction was 0/726. The correlation coefficient introverted character, extroverted, stable, neuroticism and job satisfaction, respectively was, 0/231, 0/448,0/ 613,- 0/453.

The characteristics of personality (introverted, extroverted, emotional stability) had relationship with the components of job satisfaction (nature of the work, manager’s behavior, job commitment, payments, citizenship behavior, colleagues’ behavior, promotion and enhancement). But the neurotic personality type there is a significant negative correlation with job satisfaction. As a result, employees who are neurotic are slower than job satisfaction.

Value engineering is one of the tools to create and enhance value for goods and services that used in different fields such as industry, agriculture, education, transportation and also in the transportation and Infrastructure projects. The aim of the research is to Identify and prioritize Value Engineering index with Fuzzy Delphi Technique in Semnan Department of Transportation. This research is applied and its research method is descriptive. Because of using Fuzzy AHP for ranking alternatives, our research is a single cross-survey. In this regard, after a comprehensive literature study, 23 indicators identified and standardized questionnaire among 10 experts in the field were distributed and collected. Delphi fuzzy Utilizes and win 13 indexes higher than 0.7 were screened. The investigators then to prioritize the factors identified in an integrative approach Permutation and genetic algorithms because the problem is NP-Hard were used. Based on these findings, the index of compatibility with existing machines, information and experience in working in road construction projects are the most important variables. According to research results, index Embassy completion rate was the lowest priority.

Having sufficient and expert Staffing in in health systems, is a key factors in improving the quality of services to citizens. Also, the shortage of human resource in this field may impose costs on the health system and society. Thus, this research aims at determining the Staffing Need in Pathology of Semnan University of Medical Sciences through WISN.
Research method based on purpose was applied and data collection was descriptive- survey and WISN. The population includes all laboratorial processes in Semnan’ Patholog in which from 85 processes, 72 were selected as samples. Using WISN, the amount of work and standard time were selected as variables. Then, the new situation was compared with the real one and the differences were analyzed and reported. The research data were gathered through prepared time study form and direct observation.
According to the results, currently 14 experts and one secretary are working in Semnan’ Patholog. Comparing this real amount with the calculated one reveals that the average is 18.89 in the best situation is 18.05, in the worst situation is 19.76.
The staff in the Pathology of Semnan University of MedicalSciences where study was conducted are constantly under pressure to match the existing workload due to shortage of manpower. Appropriate human resources management and planning can contribute greatly to the improvement of efficiency of their work by ensuring optimum workload.

Human capital has been one of the most important wealth capitals of the progressive organizations. These organizations try to develop their human capitals to preserve their competitive positions. One of the effective methods in this field is to perform knowledge management successfully in the organization. The current research studies that how and to what extent knowledge management practices can develop the organizational human capitals. To study this issue, the effect of knowledge management process (four stages of creation, recordings, application and sharing knowledge) on four aspects of human capital (adaptness, skill,experience and knowledge) is investigated. The research method is descriptive. The community of this research includes 359 managers and employees of managing and development department of ministry of civil and road of Islamic Republic of Iran. A sample of 186 persons was chosen by random sampling. The research results showed that knowledge management practices have a meaningful and positive influence on all studied aspects of human capital and performing effective knowledge management practices in the organization leads to development of human capital. Some recommendations were presented to managers and researchers.