جستجوی مقالات مرتبط با کلیدواژه « استراتژی » در نشریات گروه « پزشکی »

The purpose of this study is to compare the policies and strategies of the Social Security Organization as the second provider of social insurance and treatment in Iran with 5 other countries.

Methodos: 

This research is a comparative study with a qualitative approach that was conducted in 1401, the sampling was purposeful and the five countries of Japan, Costa Rica, Egypt, Greece and Mexico in the components of policies and strategies, including treatment management and administration, social components, provision Financial and insurance, legal, policy making and strategic plan were compared with Iran. In this study, an authentic database was used and the data were analyzed using the comparative education model in the four stages of description, interpretation, juxtaposition and comparison, and compared in the form of a comparative table.

The results indicate the impact of the components of health and treatment management, financing and insurance, social, legal, policy making and strategic plan on the policies and strategies of the treatment deputy of the Social Security Organization; The social component with an average of 92.8% had the highest frequency observed among the accepted documents and the strategic plan component had the lowest frequency observed among the accepted documents with an average of 65.5%.

Paying attention to the growing elderly population, paying attention to the financial stability of the social security organization, the correct implementation of the insurance and medical policies and the correct and scientific formulation of the strategic plan can lead to an improvement in the provision of medical services and an improvement in the management of expenses and resources of the organization. ; Therefore, it is necessary to review and modify the policies and strategies of the deputy of social security treatment.

After the Corona pandemic, most hospitals faced challenges such as staff shortages and inadequate medical equipment. Dealing with the Corona crisis at the hospital level needs scientific evidences from various international and national experiences. Given the important role of sharing experiences in improving the performance of hospitals, this article was conducted to identify effective strategies to deal with the Corona crisis in Mohammad Vasei Hospital in Sabzevar.

This study was a descriptive case study performed by combined (quantitative-qualitative) method in Mohammad Vasei Hospital in Sabzevar in July 1400. Targeted content analysis of documents by the opinions of key informants was used in the qualitative phase. Comparison of selected indicators before, during and after the Corona crisis was used in the quantitative phase.

Effective strategies were divided into 5 main categories including hospital capacity development, development of medical equipment required in the corona crisis, provision and maintenance of human resources, improving the quality of services provided to patients and promoting cross-sectoral participation. A practical guide and the results of strategies implementation were also reported.

In this study, we tried to report the effective strategies and main activities that have been implemented for each strategy and the results as a practical guide. The managers of other hospitals in the country can use the experiences of this hospital to improve the readiness of hospitals in the face of this crisis.

 In the age of globalization, innovation in education is obvious. Innovation in education means solving a real problem in a new and simple way to promote equitable learning. In this study, by implementing and evaluating the risks arising from the implementation of the strategy of transformation and innovation packages in medical education, the implementation of a national strategy was supported.

 This study is from the perspective of applied orientation, from the perspective of descriptive purpose and qualitative in terms of approach. This research was conducted using grounded theory method and Charms approach. The Statistical population included all educational assistants and heads of transformation and innovation packages in the land use planning. Data were collected (document review, participatory observation and interview) and coded in several stages (initial, centralized, central and theoretical coding). The risk model for qualitative study was also qualitatively assessed in light of the teachings of risk management (Rita Mulcahy).

 The model on demand from the stages of risk identification and evaluation was presented in a model consisting of 5 categories (structural, attitudinal, economic, managerial and operational risks) and 16 sub-categories and 39 concepts. Structural risks had the highest coefficient and operational risks had the lowest risk coefficient at the risk assessment stage. The total risk factor of the package strategy is 54 out of 80 units; this means that the risk of packages in execution is moderate.

 Implementing the strategy of transformation and innovation packages has many inherent risks that have been taken from the stage of strategy development to the stage of strategy implementation. Therefore, rewriting the strategy of packages as the accessible lever for risk control and management is recommended.

Technological advance in education and learning over the past decades has led to the substitution of traditional methods with the modern ones such as electronic education. This replacement is increasingly developed, and the nursing educators' role and the strategies that they employ in such educational environments are significant. Therefore, this study was conducted to assess the nursing faculties' role in improving the quality of electronic education and learning and instructional Strategies.

Information sources or data: 

In this review, the keywords of education, learning, electronic, virtual, and strategy were searched both in Farsi and English, in databases and articles published over the last decade. Issues such as citation, trustworthiness, intellectual property rights, and creation rights were respected in data transfer.

Selection methods for study:

 In order to investigate the role of nursing professors in improving productivity in electronic education and learning and the educational strategies used, a review study was conducted using a narrative review method.

From a total of 345 studies, after removing unrelated, duplicated, overlapping articles and the ones whose full text was not available, ten English and one Persian articles related to the purpose were identified.

The results indicated that nursing educators have a fundamental role in promoting the electronic education and learning process. Therefore, to improve this process, they must create and strengthen their abilities and competencies beyond those used in traditional methods. It seems that this requires the creation of the necessary infrastructure.

Today, religious coping behaviors such as prayer, hope in God and participation in collective rituals are considered as one of the main determinants of health behaviors because it can have positive effects on womenchr(chr('39')39chr('39'))s behavioral strategies with the aim of self-care. However, there is little empirical research in this scope and the present study intends to investigate the relationship between religiosity and self-care of women.

The present research was a survey cross-sectional study. The population of this study included all Women 18-70 years old, the city of Yazd in 2020. The sample size was determined based on Cochran formula 737 and was used with Probability Proportionate to Size Sampling (PPS). Data based on a researcher-made self-care questionnaire and religiosity standard questionnaire were collected.

The results on the relationship between religiosity and self-care revealed that the effect of religiosity on self-care was positive and significant (β= 0.38, p<0.001). The effectiveness rates of religiosity on womenchr(chr('39')39chr('39'))s self-care in the marginal, the middle, and the upper areas were 0.56, 0.38, and 0.36, respectively (p<0.001). Also, there was no significant difference between the intensity of the relationship between religiosity and self-care in the three areas (CR<1.96). Also, the structural equation model had a good fit.

It is necessary that since womenchr(chr('39')39chr('39'))s decision to adopt care-oriented behavior is conditioned by the social conditions that surround them, we should pay special attention to the social contexts in which they live to improve self-care performance in them.

As with other occupations, mistakes and unsafe behaviors are among the major causes of accidents in sports. Given the harmful consequences of sport accidents, it is essential to identify ways to control and reduce these unsafe practices. Therefore, the purpose of this study was to develop a strategy to prevent the effects of unsafe practices on the occurrence of sports accidents in sports environments.

The research was fundamental in terms of purpose and qualitative data were collected using grounded theory using a Glaser approach. The study was conducted among 20 experts in the fields of safety, occupational medicine, psychology, sports injuries, and sports management in 2020. The participants were selected to attend in-depth unstructured interviews purposefully based on the snowball method. Data were analyzed simultaneously using a set of open, selective, and theoretical coding.

The results indicated that the four factors of individual, organization, job knowledge, and the relationship between individual and organization were the main causes of human error in the occurrence of sports accidents. The individual and organizational variables (as process variables) and job knowledge as well as the relationship between the individual and the organizational factors as developmental and auxiliary variables played teh major role in this field.

According to the causes of sport accidents, improving the personal attitude and performance, improving the organizational structure, continuous learning and training of job knowledge, as well as improving and strengthening the positive relationship between the individual and the organization can reduce the risk and promote safety. However, lack of  paying attention to these factors disrupts immunity.

With the development of technology and the passive lifestyle of people, citizenship sport as one of the needs of modern society has always been in demand by citizens. The aim of this study was to explain the strategies and outcomes of health-oriented citizenship sport in metropolitan areas of Iran.

The present study, following the interpretive paradigm, has a qualitative approach to content analysis. The method of selecting experts for the interview was continued in a purposeful manner and snowball until the theoretical saturation was reached. The criteria for selecting participants was to have executive and operational backgrounds or to have scientific and research backgrounds and theorizing in the field of citizen sports. Finally, 20 experts were considered for this purpose. Data were collected using semi-structured interviews. Data analysis was performed by conventional (conventional) content analysis method using coding method.

82 open source codes were extracted containing strategies and outcomes and after aggregating the codes, 6 sub-themes in the form of 2 main themes were identified as "strategies" and "outcomes " in health-oriented citizenship sports in the metropolises of Iran.

In order to develop health-oriented citizenship sports in metropolitan areas, "strategies" and "outcomes" in citizenship sports must be considered. Therefore, it is suggested that necessary measures be taken for the development of Iranian metropolises to implement citizenship sports.

The efficiency and effectiveness of health systems and the amount of health insurance coverage are considered as one of the main components in the development of countries. Empowerment of people in the health system has been introduced as one of the effective and efficient solutions by the World Health Organization. The purpose of this study is to model effective strategies for empowering people in the health insurance system of Iran.

This research is applied in terms of purpose and descriptive-analytical in terms of method and is a qualitative research in terms of tools. In this study, using the tacit knowledge of experts and the method of content analysis, the causal relationships between strategies affecting the empowerment of individuals / insured in the health insurance system were identified. Due to the ambiguity and uncertainty in the statements of experts, the developed method of cognitive numbering has been used for modeling.

Based on the indicators of effectiveness, impressiveness and centrality, effective strategies on empowerment of individuals in the health system were evaluated. Local organization capacity strategy with a score of 2.62 with the highest impact index, rights protection strategy with a score of 2.67 with the highest impact index and participation strategy with a score of 4.91 with the highest centrality index. FCMapper and Pajek software were used to draw and determine the amount of indicators.

Implementation of empowerment approach in health insurance organization of Iran has different dimensions among effective strategies that modeling causal relationships between them can play an effective role in proper implementation of this approach.

Suicide is a kind perspective of behavioral multi-dimensional disorder that is associated with many factors. Suicide Prevention requires a global with national plan and local action. Developing a suicide prevention strategy requires attention to all levels of prevention, and it is possible to implement in cooperation with various institutions and ministries such as education, health and wellbeing, and culture. The purpose of this study was to determine the dimensions of a comprehensive suicide prevention strategy.According to the results of this study, it seems that the pathway to developing a suicidal prevention strategy for countries that have not yet started any activities on suicide prevention have been different with this pathway to developing a suicide prevention in countries that have been implementing at least a comprehensive suicide prevention plan or strategy. Therefore, it is imperative that each country, in accordance with its requirements and background and by relying on the precise definition of suicidal behavior and its stages, identifying the most important risk factors for suicide in each region and paying attention to all levels of prevention, setting up a comprehensive suicide prevention strategy

Outdoor workers are vulnerable to heat stress and climate change due to their occupational and environmental conditions. Short-term exposure to extreme heat (acute exposure) can lead to rise the core body temperature, which it may directly cause heat related illnesses such as mild rash, cramps, heat exhaustion and heat stroke. It is reported that long-term chronic exposure to heat leads to chronic kidney diseases, cardiovascular diseases, and mental health problems.
 The vulnerability consists of three components including sensitivity, exposure, and adaptability. According to the third assessment report of the intergovernmental panel on climate change (IPCC), the defiition of vulnerability is the degree to which a system or an individual is sensitive to, or unable to adapt to the adverse effects of Heat Stress and Climate Changes. Sensitivity is the physical capacity of workers to be affected by a hazardous agent like the heat. Sensitive is an intrinsic and internal factor that indicates how the person is vulnerable to heat stress. Individual risk factors in heat stress may decrease the individual’s tolerance to heat stress. The ability of system to cope with climate changes and adapt to extreme heat to reduce the risks and consequences resulted from these conditions is called adaptive capacity. Adaptation leads to reducing the vulnerability and increasing heat tolerance. Adaptive capacity is definedas“Theabilityof asystemtoadjusttoclimatechange, to moderate potential damages, to take advantage of opportunities, or to cope with the consequences”.
Therefore, it should be necessary to reduce the level of vulnerability through providing the control programs and strategies. Since there are no national laws, regulations, guidelines to protect outdoor workers against heat stress in the country, only the relevant policy in this area is the permissible occupational exposure limit. Therefore, the present study aimed to develop a comprehensive operational program to reduce the vulnerability of outdoor workers to heat stress and climate change. The results of this study can be very effective in decision making of the macro-management as well as planning of control measures in the country. Also, the program presented in this study can be helpful for organizations in charge of health and safety such as the Ministry of Health and Medical Education and the Ministry of Cooperatives, Labor and Social Welfare (which are responsible for maintaining, protecting and promoting the health of the workforce).

According to the objective of the study, which was the development and implementation of an operational plan to reduce the vulnerability of outdoor workers to stress and climate change, several technical panels and brainstorming sessions were held   with the cooperation of the Institute for Environmental Research, Tehran University of Medical Sciences by eminent experts in the fields of industrial hygiene, environment engaging in  Medical Sciences University, Department of Environment and Ministry of Health and Medical Education during the 2014-2016.  The main components of the vulnerability, the areas and strategies for application of an operational program to reduce the effects of exposure to heat stress and climate changes in outdoor workplaces were taking into account in the meetings. Also, the Delphi technique (due to the lack of access to some of the professors and executives directors), the study of text books and articles have also been used in this study.
Delphi, as an effective and highly flexible technique, is used to achieve consensus or forecast future events. It is a proper method to collect the opinions of experts, who cannot easily meet each other due to geographical distance. Using Delphi as a research method is useful when there is no integrated knowledge about a specific issueorproblem.

According our finding, six main components including general plans and policies (16 Strategies), prevention programs (6 Strategies), conservation programs (11 Strategies), training programs (11 Strategies), management planning (14 Strategies) and research and future study programs (11 Strategies) were proposed in the form of 69 strategies with three goals: reduction of sensitivity, reduction of exposure levels and increase of compatibility.

The proposed program and strategies in present study, can be used to prepare guidelines for work in hot environments. Our results can be of great help to the occupational health and safety -related organizations such as the Iran's Ministry of Health and Medical Education and Ministry of Cooperatives, Labour, and Social Welfare for planning and providing preventive procedures and control measures, in order to take effective action to maintain and improve employees' workplace health. Should be noted that the development and implementation of the mentioned policy require the cooperation of all members including employers, health and safety committee, supervisors and employees.

Maternal health program plays an important role in community health, so this study was conducted to analyze the strategic system of maternal health program evaluation for providing improvement strategies using internal-external environment assessment technique in Iran. This qualitative study was conducted using the internal-external environment assessment technique. The required data were collected using a qualitative semi-structured questionnaire. The items included the strengths, weaknesses, opportunities, threats, and proposed strategies for improving the performance of the evaluation system. The study experts comprised of 40 health professionals with least 10 years of experience in the maternal health program. They were working in the field of population and family health in the health deputies of Iran medical sciences' universities. The provided points of views by the experts were categorized and reported based on the contents and the internal-external environment assessment matrix was used to develop the strategy.   This study resulted in a comprehensive strategic analysis of the positive and negative points in the internal and external environment of maternal health program evaluation system. The proposed strategies by experts were categorized in 7 main domains under the topics of strengthening the monitoring and evaluation tools, enhancing the monitoring and evaluation process, reforming the clinical information system, establishing a national independent evaluation organization, strengthening the motivation of human resources, enhancing the internal and external coordination, and procuring of the sustainable financial and physical resources. The results indicate that there are important internal weaknesses and external threats in this evaluation system, but they can be overcome by designing and implementing the appropriate promotion strategies.  

The study goal is to evaluate the suaccessful vital factors on welfare of organization’s clerk strategies in Tehran province using Okemos model which is based on 4 aspects: Content, Underlying, Process and outcome factors This study according to research goal is an applicable study and considering data gathering is adescriptive survey, Toll of collecting data was a mulitiple resercher made questionnaire including 38 questions,which its reliability confirmed by using cronbach s Alpha, and its validity affirmtion by using experts affirmation. The population study was 295 clerk in organizations and sample size was 167 clerk which obtained by using stratified sampling. For analyzing data KMO test used, and for providing the model of structural egutions we used AMOS software by using fitness test All variables had an acceptable load factor and also T test was significant P≤0.05. Data analyzes showed that all aspects and variables influenced on strategies implementation. Therefor the ranking of organizations factors are as follow respectively: underlying factors, process factors, out come factors and finally content factors.

A tool by which all individuals in an organization can understand the strategies of the organization in an overview is a strategy map. The purpose of this research is to formulate a strategy map in Montaserieh Hospital with a balanced scorecard approach.
This is a qualitative and applied study that was conducted in Montaserieh Hospital of Mashhad in 2016. Initially, in group discussions with the analysis of the hospital's strategic plan: the Vision, strategy themes, and a list of goals related to the strategic plan were categorized into 4 perspectives of the balanced scorecard: financial, customer, internal processes, and learning and growth. By summarizing expert's opinions and various reviews, the way of achieving these specific goals and the relationship between goals in the perspectives were completed. Finally, about 22 different relationships were made which were related to the impact of perspective goals on each other and to reach the ultimate goals and vision. Therefore, the hospital strategy map was drawn up.
By reviewing the level of balanced scorecard perspectives and linking their goals, customer's perspective was at the highest level and, respectively, financial perspectives, processes, and growth and learning at the next levels. "Empowering the required" as the most basic goal and "customer satisfaction" was at the top of the strategy map.
Investing in the field of growth and learning is very important since the employee ultimately affects the organization's outcomes and process and the goals of other perspectives and the vision of the hospital are realized by them.

The aim of this paper is evaluating and analyzing the previous studies of Iran’s higher education strategic planning.
Since this is a review-analytical study, the data collecting was done in the form of documentation and review of previous studies. In addition to presenting a summary of the previous articles, this article has analyzed them in brief.
This studies contain some notable points that can be deal with several levels as follows: lack of attention to how to operationalize strategies (at micro, middle and macro levels) in the studied area, lack of determining financial resources in the process of implementing changes in strategies, assuming the university as a commodity in the process of reviewing strategies.
Finally what has been considered in this article is that since universities and higher education differ in nature from organizations and enterprises (in terms of area, period, consensus, value systems, clients, etc.), so some changes need to be applied in provided models. Having identified these differences, universities can change the traditional model to improve their knowledge and participation in this process, and strategic planning will always provide them with better results.

The structure of an organization is designed to implement and to enforce the organization's strategy; hence, paying specific attention to the relationship of these two is essential for an organization’s survival. Therefore, this paper aimed at studying the relationship between the organizational structure and organizational strategy in the teaching hospitals of Shiraz University of Medical Sciences in 2016.
This cross-sectional descriptive study was conducted in 10 teaching hospitals in Shiraz University of Medical Sciences. The statistical population consisted of internal, administrative, financial, accounting and nursing managers among them 40 individuals (4 from each hospital) were selected by census to participate in this study. The data-collection instruments were a 22-item Robin's organizational structure questionnaire and Miles and Snow strategic framework to measure organizational strategy. The data were analyzed using SPSS software and the statistical test employed was Pierson Correlation. The level of significance was determined at 0.05.
Among all the dimensions of organizational structure, all three dimensions including ‘formalization’ (23.40±3.25), ‘complexity’ (20.82±3.15) and ‘centralization’ (30.32±5.26) on hospitals studied were at a high level. Furthermore, the dominant strategy for all hospitals was analytic. The results also showed a significant relationship between the dominant strategy and dimensions of ‘formalization’ (P= 0.03) and ‘complexity’ (P= 0.026). Furthermore, with the P-value of 0.23, the result indicated that there was no statistically significant relationship between organizational strategy and organizational structure in hospitals.
There was no significant relationship between organizational strategy and organizational structure. According to this result, if hospitals tend to follow analytical strategies, they should reduce their ‘complexity’ and ‘centralization’, and there should be strict control over their current activities and limited control over new ones.

This study examined the relationship of strategies human resources with professional ethics among staff of Mazandaran University of Medical Sciences
this study was correctional research. To this end, 315 employees were selected as a sample from 1750 staff of Medical Sciences in university of Mazandaran by random sampling method and Cochran formula. Data was collected by human resources strategy research-made questionnaire and Oregon & Kavinsky professional ethics questionnaire and analyzed by SPSS software, Pearson correlation and Regression.
Findings: The finding showed that the performance management, compensation and labor relations strategy had relationship with professional ethics while the procurement, training and development strategy had not relationship with professional ethics. As well as 33 per cent influence on professional ethics by human resource strategies explained.
Given that performance management, compensation and labor strategies was related with professional ethics and it is an appropriate predictors for professional ethics so to enhance professional ethics recommended apply people based on the abilities needed in their jobs and expertise, activate education, development scientific and technical and circulation systems and offer bonuses to revive the team. All feedbacks is associated with the development of skills and organizational culture change to ensure a constructive function in the organizational structure.

Objectives In recent decades, it has become important to approach aging issues from the point of view that can ensure older adults’ Quality of Life (QoL). As a result, countries have adopted a positive perspective with regard to aging, including active aging. The fact is that indigenous understanding of active aging is an unavoidable necessity for every society. Thus, the current study’s aim was to understand active aging strategies based on older adults’ experience.
Methods & Materials This qualitative study, conducted during 2014-2016, used the Grounded theory method. It was initiated with the help of purposeful sampling and continued by way of applying theoretical sampling. The study field was cultural centers, artistic-cultural associations, and parks of Tehran. Data saturation was achieved through semi-structured interviews carried out among 35 elders. Data were analyzed and coded through coding suggested by the Strauss and Corbin method. Reliability of data was fulfilled in accordance with the Schwandt, Lincoln and Guba criteria.
Results Based on the experience of elders, active aging strategies consisted of 41 concepts, 7 subcategories, and 5 main categories. The categories and subcategories included primary strategies of isolation avoidance (not staying at home and interactionism), social participation (including continuity of career roles, volunteerism and institutional participation), strategies of active attitude and learning, physical activity and management of home’s time and daily life
Conclusion Active aging requires applying strategies in 3 areas: elders’ attitude, home environment, and society. For active aging in the country, practitioners and social planners need to strictly consider these 3 areas.

Strategy is one of the important factors affecting the organizational structure. Taking the relationship between these two mentioned factors into consideration is essential. This study surveys the relationship between organizational structure and strategies of public and private hospitals in Tehran. This study is a descriptive and analytical study of 20 selected public and private hospitals conducted in Tehran in the year 2012. The statistical population included supreme hospitals managers. We did a complete count because the sample size was small(60 managers). Research instrument was Miles and Snow strategy and Robbins's organizational structure questionnaire. A panel of experts were used for validity of questionnaires while the estimation of their reliability was calculated by Cronbach`s Alpha which was 0.75. The data analysis was conducted with descriptive statistics and Spearman correlation test. Among the structural dimensions, “centralization” was between was 85% and 75%, “formality” was 92% and 88% and “complexity” was 81% and 100% public and private hospitals respectively. Dominant strategy for both groups of hospitals was analytic. Correlation coefficient between strategy and organizational structure in public hospitals was -0.2 and in private hospitals was +0.3 which showed that relationship was not significant. There was not a significant relationship between dimensions of organizational structure and the dominant strategy (analytical strategy) in public and private hospitals. If these hospitals tend to follow analytical strategies, they should reduce their complexity. Moreover, centralization could be towards analytical strategies if there is a strict control on current activities and little on new ones.