جستجوی مقالات مرتبط با کلیدواژه "university hospitals" در نشریات گروه "پزشکی"

The hospital autonomy plan, the biggest decentralization plan to reform the administration structure of public hospitals, has been implemented for about three decades in Iran. In this study, we aimed to examine the effects of the plan on the financial indicators of autonomous public hospitals.

This descriptive cross-sectional study used revenue and cost data associated with all public hospitals affiliated to Bushehr University of Medical Sciences in 2021. The relevant data was extracted from two big databases including health information system (HIS) and accounting system, and after the data quality control, specific financial self-sufficiency balance (the ratio of specific income to the specific cost of the same hospital) and total financial balance (the ratio of specific income to the total cost of the same hospital) were calculated using Excel software.

Results demonstrated that the specific financial self-sufficiency balance and the total financial balance were 61% and 27%, respectively. The highest and the lowest values of the specific financial self- sufficiency index pertained to the Heart Hospital (the only single specialty heart hospital in the province) and Imam Hossein Hospital (a hospital with 29 active beds in Tangestan county with a population of 82502) as 74% and 45%, respectively. The gap index between the specific cost and revenue of each ac-tive bed showed that on average, the cost of each bed was nearly 215 million Tomans higher than its own income in 2021.

The hospital autonomy plan had different effects on the financial indices of public hospitals studied in this research, denoting it is not possible to cover all hospital-specific expenses through its own earned revenues. Accordingly, government subsidies to autonomous hospitals are necessary.

 Non-observance of ethics in society causes many problems for the general public, and on a smaller scale in the hospital, non-observance of ethical points will result in harmful issues. In order to promote ethical goals in the organization or in other words to promote ethics in university hospitals based on scientific and management recommendations, it is absolutely necessary to use new technologies, which will be investigated in the last step of the research.

 In this research, methods of library studies, in-depth interviews with experts, surveying experts, and observation are used to collect data. Considering the nature of the study, "content analysis ofobtained data" was performed in the hospitals of the University of Medical Sciences and health care services. The opinions of organizational ethics experts in the healthcare industry and other ethics academic experts, ethics and organizational culture, and strategic management were researched.

 In coding the text of the interview, the researcher used natural or live codes, which were the same as the interviewees' sentences, or expressed his understanding of the sentences. This is called confirmation code, which is based on the materials that have been formed from past researches. Appropriate codeswere assigned. The main question of the current research was to obtain fundamental concepts in the field of organizational ethics breaches in the hospital, and this goal was also kept in mind during coding. Moreover, the dimensions of the model and the relationships between the dimensions were also in acknowledged, andwere taken into account in the coding. The ethics of the treatment staff does not only pertainto the doctors, but also to other departments that treat the patient in some way. In the meantime, nurses have the most interaction with patients and their and companions, and due to the nature of their work, they must be morally restrained and self-controlled in order to be able to behave ethically, so as not tocause discomfort to the patient, but also relieve him mentally.

 This plan is comprehensive and helps recognition of the fact thatdevelopment of ethics in hospitals is comprehensive, requires prioritization, has various dimensions, and that it should be considered as an organizational goal.

Safety management is the process of determining, analyzing, estimating, and preventing risks, and hospitals need to evaluate it due to the high sensitivity and stakeholder expectations. Therefore, this study was conducted to evaluate the status of safety management in the selected hospitals’ headquarter and clinical settings.

This descriptive-analytical study was performed in 10 available hospitals affiliated to Tehran University of Medical Sciences in 2018 with a sample size of 124 people. Data collection tool was a 115-item questionnaire in two areas: headquarters (safety and accident committee, organization, and structure) and clinical setting (operating room and inpatient wards), and its validity and reliability was approved.

The general status of safety management in 10 hospitals was assessed as "moderate", the difference between the mean scores of hospital wards was statistically significant (p=0.003). These scores were inversely and significantly related to the hospital bed occupancy rate (p=0.011), and also a direct and significant relationship was observed between the total scores of the safety and the accidents committee (p=0.005).

To strengthen safety management in the inpatient wards, it is necessary that the referrals be managed and coordinated with the service capacity of wards. It is also necessary to improve the activities of headquarter (the safety and accident committee) due to its direct significant relationship with safety management of clinical wards.

 The importance of studying Instruments is so great that some experts in the field of calligraphy; Calligraphy is considered the same as calligraphy Instruments. The field of health, especially University hospitals, is no exception to this, and given its role in promoting peoplechr('39')s health, it is doubly important. Therefore, the purpose of this study was to identify the effective Instruments in developing the outline of Iranchr('39')s University hospitals.

 This research was of applied and developmental type and its general strategy was of the type of mixed methods study. In this study, first qualitative data and then quantitative data were collected and analyzed. In the qualitative section, semi-structured interviews were used to collect data. For data analysis in this section using MAXQDA18 software and thematic analysis method was used. In small quantities; data were collected using a researcher-made questionnaire. The sample size in this section was 148 people. In this section, confirmatory factor analysis was used to validate the model using Smart PLS3 software and the results of reliability, validity, factor structure fit, model quality and alignment were reported.

in this study; the instruments of outsourcing policy formation included 53 codes which were divided into 8 conceptual categories including: organizational Instruments, cultural Instruments, human capital Instruments, structure, geographical locations, management Instruments, legal Instruments and financial instruments. Based on the findings of this study, the good fit value obtained had a favorable coefficient that indicated the overall desirability of the model.

Each type of policy will succeed when it has the right and optimal combination of available Instruments. Many high goals fail because they do not use the right tools in their policies. Therefore, considering the existence of different dimensions of effective instruments in outsourcing of Iranian university hospitals, paying attention to all dimensions can make the outsourcing policy successful and lead the organization to the desired and expected goals. Finally, if the Instruments are properly predicted and selected, the policies will be implemented, otherwise they will be ineffective.