جستجوی مقالات مرتبط با کلیدواژه « سازمان های سلامت » در نشریات گروه « پزشکی »

The performance evaluation of the Iranian Health Insurance Organization (IHIO), considering the responsibilities, objectives, and duties outlined in the higher-level documents and laws, is an important issue that has received less attention. Given the importance of systematic monitoring and evaluation to facilitate planning based on overarching domestic policies, it is necessary to adopt a suitable approach to monitor programs and policies and to respond to higher-level authorities to fulfill assigned tasks. The present study aims to identify performance indicators for IHIO based on the analysis of relevant higher-level documents and laws.

This study was conducted qualitatively and based on content analysis of documents, policies, and executive activities related to monitoring the performance of IHIO, from the year the Universal Health Insurance Law of the country was passed (1373) until 1402, in the year 1402 (Solar Hijri calendar, equivalent to 2023/2024 Gregorian calendar). The Scott method was used to examine the validity of the documents, and qualitative content analysis and the deductive approach were employed to analyze the data.

Nine policies related to monitoring the performance of the IHIO were identified, with 11 themes and total of 188-indicators identified as follows: Population indicators (8 indicators), National Health Accounts (NHA) (13-indicators), Covered population (25-indicators), Covered health services (19-indicators), Covered costs/financial participation status (11-indicators), Organization’s financial resources (26-indicators), Contracted centers (11-indicators), Cost trends, cost burden, and visit burden (23-indicators), Monitoring indicators (11-indicators), Operational efficiency of the organization (30-indicators), Access to services and health outcomes (11-indicators).

In order to conduct a thorough and comprehensive evaluation of the Iranian Health Insurance Organization's performance, which aims to enhance transparency and public trust in the organization, it is imperative to take into account a diverse range of indicators that encompass all operational and performance aspects of a health insurance entity. Additionally, national macro indicators, including population metrics and national health accounts, play a crucial role in this process. Failing to consider these indicators may lead to challenges and biases when assessing the organization's performance.

Organizational climate is a set of characteristics which describes an organization, distinguishes it from other organizations, and influences the behavior of people in the organization. Organizational health is also the ability of the organization to maintain survival and compromise with the environment and improve the status of the organization. Therefore, the current research was conducted to determine the predictability of organizational health regarding Kermanshah University of Medical Sciences through organizational climate dimensions.

The current cross-sectional study was conducted in 2019. The statistical population of this descriptive correlational research included all the employees (n = 1337) of the eight deputies and the management of Kermanshah University of Medical Sciences, 299 of whom were selected as the research sample by stratified random sampling method using Cochran’s formula. Data were collected by two standard questionnaires, Organizational Climate Questionnaire by Halpin and Croft (1963) and Organizational Health Questionnaire by Hoy and Fedman (1987). Data were analyzed by SPSS 22 and Smart PLS 3 software using Pearson correlation coefficient test and regression analysis.

The mean score of organizational climate (101.9 ± 13.006) of Kermanshah University of Medical Sciences was at a moderate to high level, and the mean score of organizational health (131.4 ± 18.51) was at a normal level. The results of the correlation test showed that all the components of organizational climate, except team work spirit, had a positive and significant correlation with organizational health (r = 0.56 and p < 0.01). In addition, the results of the regression analysis showed that organizational climate predicted and explained 0.56 of the variance created in organizational health (p < 0.05).

The results indicated a positive and significant relationship between organizational climate and organizational health of Kermanshah University of Medical Sciences. Therefore, improving the positive organizational climate dimensions will promote organizational health.

Background and

organizational health and flexibility enable organizations to manage complex challenges in the organization such as the occurrence of crises such as Covid-19. The purpose of this research was to determine the relationship between organizational health and organizational flexibility with the mediating role of stress of contracting Covid-19 in medical personnel of Shohdai Anohmim Yasuj Hospital in 2022.

In a cross-sectional descriptive study, 160 medical staff working in Shahada Anhomesh Yasouj Hospital were selected by simple random sampling. The treatment staff responded to the Organizational Health Scale (OHI) of Hoy and Fidman, the Organizational Flexibility Questionnaire of Mofabi et al., and the standard Covid-19 stress questionnaire. Data analysis was done using structural equation modeling and SPSS20 and SMART PLS software at a significance level of 0.05.

The results showed that the average age of the participants was 32.18±1.62, and 98 people (61.25 percent) were women and 62 people (38.75 percent) were men. The findings showed that organizational health has a positive and significant relationship with organizational flexibility and a negative and significant relationship with the stress of contracting Covid-19 (p<0.001). The stress of contracting Covid-19 has a negative and significant relationship with organizational flexibility (p<0.001). The stress of contracting covid-19 significantly plays a mediating role between the relationship between organizational health and organizational flexibility (p<0.001).

it seems that by controlling the stress of contracting Covid-19 Organizational health and organizational flexibility can be improved.

Today, managers make an effort to ensure organizational health and maintain and improve it more than before in their activities. In this regard, jihadi management, which indicates management based on Islamic values, is necessary to achieve a healthy organization and comprehensive development of affairs. The aim of this study was to investigate the effect of jihadi management on organizational health with the mediating role of dynamic capabilities in Payame Noor University centers and branches in Isfahan province.

The present study is applied in terms of purpose, quantitative in terms of data type and descriptive, and correlational in terms of data collection method. The statistical population of the study includes Isfahan Payame Noor University centers and branches, which were selected by random sampling method. The validity of the questionnaire was confirmed by both face and content analysis and its reliability was confirmed by Cronbach's alpha. Then the conceptual model of the study was tested using structural equation modeling. In this study, all the ethical considerations were observed and the authors reported no conflict of interests.

The results showed that jihadi management has a direct positive and significant effect on organizational health. Jihadi management also affects organizational health through dynamic capabilities.

By creating the structure of a jihadi organization and using the components of jihadi management by identifying and applying the dynamic capabilities of the organization, it is possible to help improve the level of organizational health in Payame Noor University centers and branches.

Measuring and monitoring health costs will help health system policy makers choose appropriate policies to protect patients. The purpose of this study was to investigate the referral burden and cost of hospitalized patients covered by the Rural Insurance Fund before and after the implementation of the referral system program in Golestan province, Iran..

A cross-sectional descriptive study was performed based on the information of the first six months of 2017 and 2018 of all patients admitted to health insurance in all hospitals of Golestan province. The information systems and existing documents of the General Directorate of Health Insurance were used to collect data.

Compared to 2017, the number of hospitalizations of health insurance policyholders in the public sector in 2018 in total funds and rural funds decreased by 13 and 10 percent, respectively, and in the private sector, in all funds and rural funds decreased by 39 and 98 percent, respectively. The cost of hospitalization of health insurance policyholders in the public sector in total funds and rural funds decreased by 13 and 12 percent, respectively, and in the private sector by 24 and 99 percent, respectively. This reduction in referral burden and hospitalization costs in the public and private sectors in rural and public funds and in all funds has been significant (P <0.05).

According to the findings, in order to reduce the demand for hospitalization, it is recommended that the guidelines of the rural family physician program and the referral system at level one be fully implemented. By increasing the facilities and physical capacity of services in level one and providing comprehensive and timely services that continue in level two, the induced demand created in patientschr('39') hospitalization should be prevented.

The success of the surgical safety checklist in reducing surgical mortality and morbidity largely depends on the degree of compliance with the checklist and correct implementation of its components by the staff. The aim of this review is to determine the challenges of effective implementation of the surgical safety checklist and to provide solutions for its more effective implementation.

 In the present systematic review, all the relevant qualitative papers published from 2010 to October 2018, were examined. A  literature search was done in databases SID, Iran Medex, Iran doc, Magiran, Science Direct, Medline/PubMed, Web of Science, Scopus, ProQuest, Google Scholar, Cochran Library with keywords patient safety, surgical procedures, operative, checklist, World Health Organization, implementation science, qualitative research and their equivalent terms in Persian. Inclusion criteria were articles written in English or Persian, qualitative studies and relevant to the objectives of the study. Exclusion criteria were review articles, posters, presentations, letters to editor and quantitative studies.

The findings of the review of 14 qualitative studies showed that the most important challenges in effective implementation of the surgical safety checklist were unpredictable priorities, lack of collaboration and coordination of the surgical team members, mismatch between the checklist and hospital setting, lack of patient’s cooperation and lack of a planned approach towards implementing the checklist. The strategies to improve the implementation of the surgical safety checklist included checklist localization, improving the collaboration and coordination of all the team members, training and practicing, patient participation, and active organizational leadership.

The introduction of the surgical safety checklist to the health care setting is a permanent challenge and requires ongoing evaluations and its integration into the workflow in the hospital, active and effective leadership, explanation of why and how to use it by managers and receiving support from the organization. Continuous education, performance evaluation and the participation of all the surgical team members in the implementation of the checklist are key factors for effective implementation of the surgical safety checklist.

As the pharmaceuticals play a decisive role in promoting health of the community, its consumption and cost puts the burden on society. Regarding the role of insurance organizations in health system financing and the lack of a description of the costly services of the health insurance organization in Iran, the present study aims to identify the most costly pharmaceutical items of the health insurance organization and provide solutions to reduce the consumption of identified items.

The present study was a descriptive cross-sectional study conducted in 2017 based on 2015 data. Information was obtained from the medical documentation software of the provincial health insurance offices throughout the country. In order to improve the accuracy of the information and the accuracy of the selection of the most costly services, duplications were identified and corrected. Data analysis was done using Excel 2013 software. The initial questionnaire containing 20 costly services identified at the previous stage was completed by the chief of provincial health insurance offices and relevant responsible experts. The proposed interventions were reviewed and, after removing duplicates, were classified as special interventions for each service and non-specific interventions for all of them.

The cost of 20 items of costly pharmaceuticals has accounted for 35% of total pharmaceuticals costs of health insurance organization in 2015. Among the most important non-specific interventions identified, recording drug prescription (more monitoring of drug use), proper education of rational drug prescription, the presence of a trusted physician to approve drugs, staggered franchising, the pharmaceuticals cost-effectiveness studies and culture empowerment in Prescribing and consumption of medication (increasing general information).

With the knowledge of costly services, in order to balance the costs of the health insurance organization, it is necessary that various policies be put in place by the health insurance organization in order to control costs.

Research is a logical and rational process that leads to revision, critique and refinement, or production and creation of a thought. The purpose of this research is to investigate the challenges of doing research and provide an appropriate solution to facilitate the research process in health insurance staff of the country. The present study was a descriptive analytical research on 834 experts working in health insurance departments of the country in 2016 using self-administered questionnaire finally, 646 questionnaires were completed. Validity of the questionnaire was assessed using the views of health insurance experts and health system management specialists. To determine the reliability of the questionnaire, 50 health insurance experts from Khorasan Razavi province were interviewed at two stages. 314 (50%) women and 313 (50%) men were among the respondents. 276 (43.5%) of the respondents had a history of participation in the research methodology workshop. The rate of familiarity with the underlying factors and the research basis among the participants in the research (44.5%) was estimated. Among the most important barriers to research, the lack of access to library resources (47.8%) was 47.9% from the perspective of its staff, the most important way to support research in the country's health insurance organization is to allocate sufficient funds for research and provide sufficient opportunity to present research ideas (74%). The limited scientific capability of experts, the organization and management of managers, the proportion of work and responsibility, limited library resources, and analytical thinking and inadequate communication with academic institutions are among the issues mentioned in this study; therefore, strengthening the domestic infrastructure and strengthening communication outsourcing, creating a suitable platform for research in the organization and developing organizational interactions, will be an effective steps to improve the research process in Iranian Health Insurance Organization.

The health insurance organizations in Iran are an important part of the health system. However, they are not conscious to many unnecessary costs incurred by providers and recipients, and the health system suffers from a lack of an efficient health insurance system. Therefore, it is essential to assess the performance of insurers and implement appropriate measures. This study aims to investigate the performance of Iranian health insurance organization and present solutions to the challenges.

This study employed an explanatory sequential mixed method. The quantitative part of the research is a descriptive cross-sectional study and the qualitative section is conducted through qualitative content analysis. Quantitative data were collected by a researcher-made tool and analyzed based on descriptive statistics. For the qualitative section, the focus group discussion method was used for collecting data.

Quantitative results show an increase in the population covered, especially in Self-employed fund, and increase in the number of contracting providers except physicians and dentists. The analysis of indicators related to utilization of health services indicates that the distribution of health facilities varies in different provinces which Sistan and Baluchestan Province has the lowest ranking. Also, financial indicators show that overhead costs and medical expenses of health insurance organization have been rising significantly since 2014. The analysis of qualitative data led to identification of three themes including: factors affecting budget deficit, suggested solutions for health insurance organization and suggested solutions for the health system. Based on the findings, the increasing of tariffs, population covered and benefit packages coverage are the most important factors in increasing costs, which strategic purchasing and revising of basic benefit package can play a significant role in meeting challenges.

In recent years, the population covered by the health insurance organization and the number of contracting providers have risen, and the utilization of health services has increased. On the other hand, the costs of this organization experiencing a significant increase for various reasons. Therefore, it is vital to design and implement appropriate strategies to manage the costs.

Hospitals are the most important and largest institution in each country's health system which health care services are carried out on a large scale. One of the most important processes to improve the quality of health services is accreditation in the country. This study aimed to identify challenges, obstacles and providing solutions in hospital accreditation. This research is a qualitative one which conducted using content analysis approach in the north of the country in 2017. Twenty-five people consisted of two heads of hospitals, three hospital managers, three matrons, four supervisors, ten nurses, three people responsible for accreditation selected as contributors to the study using a targeted sampling approach. After the interview with Maxqda software, coding was performed and necessary analysis was carried out. In order to obtain data validity, two methods of reviewing the participants and reviewing experts were used. Analyzed data was categorized in the 98 initial codes, 16 concepts and 5 main categories. The main issues included resource challenges, organizational challenges, technical challenges, negative consequences and solutions. Pathology helps the organization to focus on problems and by collecting and analyzing data and identifying risky spots, managers and planners will find methods to develop and solve the problem. Particularly, the correct implementation of the accreditation process can lead to comprehensive clinical excellence.

The health system reform plan was carried out in university hospitals with eight practical plans in the second half of June 2014. One of these plans is the decrease in the payment made by inpatients. The present research has been conducted aiming at studying the effect of the design of changing health system pays of insurance by people.
The present study is analyzing- descriptive and field studies that were done in 2013-2014 in quantitative and cross sectional way. The statistical population of this research consists of 2178 people under the insurance of health care organization of Iran that were hospitalized in the hospitals of Ilam of whom 937 belong to 2013 and 1205 belong to 2014. Out of these patients, 331 subjects have been selected by Morgan table as the research sample. In the present study the librarian method and theoretical bases were used to collect athering data and statistical findings have been selected by field method. The bases of collecting findings were statistics and documents of costs of inpatients that were analyzed by Excel and SPSS22 software in two parts of descriptive and inferential statistics.
Findings: The findings show that the mean of total of costs of each inpatient in 2014 had growth compared to 2013 in 44 percent. Final share of pay of people in 2014 compared to 2013 in women and delivery part had decreased in 11.2 percent and reached 26 percent and other parts with 10.6 percent decreasing, it reached 4.6 percent that the share of rural insurance was more than other ones. During the design of changing health system, governmental subsidies covered 6.1 of hospital costs and mean of base cost of insurance with growth of 5.9 percent was 86 percent.
Discussion & According to the results of the present study, the variables of the health system reform plan, the subsidies paid by the govermment to the health care system as well as having an agraring certificate lead to a decrase in payment made by the patients. Nevertheless the implementation of the health system reform plan has had the general effects of an increase in the expenses.

Nowadays staff development is more a culture than a process. In this culture، organizations’ staff are considered the most crucial resource. They evaluate the existing problems actively and creatively while at the same time they try to solve them in teams. Performing the process of staff development in different organizations especially health organizations has its own fragile points depending upon many different conditions. This process has been done in the central supporting department of the Kerman University of Medical Sciences and its results have been analyzed. Staff development process has been done based on David Coghlan’s Model and it is of action-research type. The findings of this research justify the positive impacts of the intervention on staff development. These interventions include: raising the participation proportion، performing team work، communication freedom، access to information، and clear goals، feedback، and organization learning. The results of this research show the positive impacts of the intervention on development of those in charge of the qualitative cycle. In addition to these there are some barriers in the development process، the omission of which can lead to the improvement of this process.

The aim of the study was to report the results of a systematically conducted literature review of empirical studies about healthcare organizations’ ethics and management or leadership issues. The study was conducted by a four-member team, and search in electronic databases MEDLINE and CINAHL yielded 909 citations. After a two stage application of the inclusion and exclusion criteria 56 full-text articles of qualitative and quantitative studies were included for review in this study. No large research programs were identified. By examining each of the team members, and a final conclusion a lot of information from the literatures were obtained. Research in the field organizational ethics has increased since 2000. Most of the studies were in acute hospital settings from the 1990s onwards. The studies focused on ethical challenges, conflicts and dilemmas; employees and managers’ moral distress in practice and the ethical set priorities, values, beliefs and climates or environments. Study samples typically consisted of healthcare practitioners, operational, executive and strategic managers. Data collection was mainly by questionnaires or interviews and most of the studies were descriptive, correlation and cross-sectional. The result of this study, Inadequate development of organizational ethics, along with organizational change and grow general knowledge level, there is need to develop conceptual clarity and a theoretical framework around the subject of organizational ethics and the breadth of the contexts and scope of the research needs to be increased.