محمد مسگرپور

Accountability as one of the main goals of the health system is a very important issue for policy makers and managers.

The study is descriptive-analytical and cross-sectional and was carried out in the spring and summer of 1401. To collect and measure the data required for the research, two questionnaires were used to measure public trust and responsiveness, and the research questionnaires were distributed among 610 clients using the stratified sampling method, so the number of samples in Chalus Hospital is 250 people and There are 360 ​​people in Sari Velayat hospital.

The findings of regression models and structural equation models indicate that there is a positive statistical relationship between the dimensions of communication, dignity, independence, confidentiality of information, the right to choose and physical facilities with all dimensions of public trust and the average total score of public trust. P-value>0.05). The dimension of quick action has a positive statistical relationship with other dimensions of public trust, except for the two dimensions of public trust (macropolitics and communication and information) and the dimension of social support, except for the dimension of macropolitics, which do not have a significant relationship with each other. The results of the regression model showed that all response variables except quick action (p=0.195), the right to choose (p=0.469) and social support (p=0.253) had a statistically significant relationship with public trust (p<0.05).

Responsiveness as a qualitative criterion has an effective relationship with public trust and a clear picture of the performance of hospitals, and the responsiveness of Sari Velayat Hospital has been better than Imam Reza Chalous Hospital.

Due to the legal necessity of changing the approach of universities from traditional budgeting into the operational budgeting system, it should be noted that this method of budgeting is associated with challenges. The aim of this study was to evaluate the feasibility and prioritization of operational budgeting dimensions in a military medical university.
Materials &

This descriptive-analytical and cross-sectional study was conducted in 2020 in two stages. In the first stage, 68 managers, staff and experts of the deputy for Planning and Finance of a Military Medical Sciences university were enrolled by census method. In the second stage, 10 experts were purposefully included in the study. Data collection tool was two valid and reliable questionnaires. Data were analyzed using t-test and SPSS software in the first stage and using AHP approach and Expert Choice software in the second stage.

The average overall score and the score for each of the dimensions of ability, authority and acceptance of operational budgeting was 2.3, 2.39, 2.38 and 2.31, respectively which was at an undesirable level (P< 0.05). Also, dimensions of the ability with a weight of 0.547, acceptance with a weight of 0.244 and authority with a weight of 0.209 had the highest weight and importance in the implementation of the operational budgeting system, respectively.

Based on the results, it is necessary to pay attention to the three main dimensions of ability, authority and acceptance in implementing operational budgeting in the study population.