جستجوی مقالات مرتبط با کلیدواژه « Performance Evaluation » 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.

While the Health, Safety, and Environmental Management System may be successfully implemented, there is no guarantee of its performance quality. Therefore, the existence of a comprehensive performance evaluation system is essential for continuous improvement of these systems. This research aims to investigate the performance of the Health, Safety, and Environmental Management System using the Balanced Scorecard and its impact on system performance improvement.

it is a descriptive-analytical study conducted through a survey method. Initially, theoretical studies were conducted, and then the Balanced Scorecard (BSC) model was implemented in the HSE system. Following that, a conceptual model was designed to assess the performance of the HSE management system using a Balanced Scorecard, and finally, the HSE management system’s performance was examined.

Based on the calculation of the importance coefficients for external and internal factors, the results indicate that when evaluating external factors, threats outweigh opportunities, and in evaluating internal factors, strengths dominate weaknesses. Therefore, the Municipality of Region 4, District 22 in Tehran is currently in a favorable position as it has very good strengths compared to internal weaknesses and can respond to external threats by leveraging opportunities. Additionally, the research shows that after implementing the BSC, the HSE management system places the highest importance on financial and customer indicators in terms of the balanced scorecard dimensions, while it has weaker performance in the internal process dimension compared to another strategic dimension. Therefore, attention to the internal process component and its enhancement in the HSE domain is essential.

The Result shows that implementing the BSC can lead to the improvement of the HSE management system's performance.

One of the most complex decision-making problems of medical managers is evaluating the performance of hospitals. The problem starts from the fact that only the quantity is the basis of the decision. Designing a mathematical solution for the evaluation of qualitative components by choosing medical professional ethics, solves the evaluation gap in the therapeutic environment with qualitative components, which we have discussed in this research.

By combining 4 models of DEA, DEA and BSC simultaneously and the evaluation laboratory and decision test, efforts have been made to reach a standard model in a period of 8 months. The quantitative population is all the doctors of 37 private and public hospitals in Shiraz City, 378 people were selected as a sample.

The findings showed that the mean professional ethics in the education and growth sector was equal to 84.73%, in the internal processes sector it was equal to 92.09%, in the financial sector it was equal to 95.81% and finally in the service recipient sector it was equal to 100%. Also, hospitals 1, 3, 5, 8, 12, 13, 17, 21, 22, 23, 24, 25, 27, 28, 29, 30, 31, 32, 33, 35, 36 and 37 are efficient and others are ineffective.

In the evaluation, no significant difference was observed between public and private hospitals in respect of professional ethics. Also, the designed model showed that hospitals that are efficient will ultimately lead to an increase in the overall efficiency of the organizational system and better service to patients.

Facilitating people's access to healthcare services is one of the main goals of policy makers in the healthcare sector of every country. In this regard, evaluating healthcare services supply chain performance is a necessary step towards achieving this crucial goal. This study was conducted with the aim of developing model for healthcare services supply chain performance evaluation in Tehran’s governmental, private and social security hospitals based on Grounded Theory.

The present study is a qualitative study that was performed by Grounded Theory method. The data collection method was in-depth semi-structured interviews with 16 experts from Tehran’s governmental, private and social security hospitals familiar with performance evaluation concepts. The purposeful sampling method was the snowball method. To measure the validity of the findings, four criteria including credibility, generalizability, reliability and verifiability were applied. The test-retest reliability method was used to evaluate the stability of the researcher's identification. Open, axial and selective coding methods were employed for data analysis.

In this research, 58 open codes and 21 axial codes were identified for healthcare services supply chain performance evaluation in Tehran’s governmental, private and social security hospitals categorized in form of 6 selective codes consist of causal conditions, context, intervening conditions, phenomena, strategies and consequences.

The final pattern shows that the causal conditions include 2 axial codes, the context includes 3 axial codes, the intervening conditions include 2 axial codes, the phenomenon includes 6 axial codes, the strategies include 5 axial codes and the consequences include 3 axial codes. It is suggested to use the results of the provided model to improve healthcare services.

Performance evaluation is a useful way to obtain information for decision-making and management of healthcare organizations. The purpose of this study was to assess the performance of health houses in rural areas in Kerman City, Iran during the outbreak of Covid-19.

This cross-sectional study was conducted in 2021-22 using descriptive and analytical methods. The research population included all the health houses in Kerman City (n=57), Iran. The tool for data collection was the Health House Performance Evaluation Checklist of the Ministry of Health and Medical Education developed to supervise the performance of health houses during the outbreak of Covid-19. Data analysis was done using SPSS 26 software, the statistical tests being descriptive statistics (mean and standard deviation) and analytical statistics including independent t-test, one-way analysis of variance and Pearson and Spearman correlations.

The average performance score of the health houses (n =55) in managing Covid-19 was 96.37 out of 136. Installation of the village map on the wall of the health house  (92.3%), screening and following up the positive-test individuals and informing the health care team to track and isolate individuals in close contact (84.6%) were found to have the highest, and injecting the third dose (78.8%) and the second dose (75%) of the Covid vaccine the lowest,  scores. From among the characteristics investigated the variable of native Behvarzes (the personnel of health houses) had a statistically significant positive relationship with the performance score (p=0.01). In addition, the health houses with more than one Behvarz were found to perform better than those with only one Behvarz (p=0.05).

Assessing the performance of health care units at times of crisis, including communicable diseases epidemics, will make it possible to identify the bottlenecks that need improvement for better preparedness in the future. Based on the findings of this  research, the expansion of the coverage of the covid-19 vaccination, updating the disease incidence, the performance of health care teams at home visits, and the progress of the operational plan were the variables that needed improvement most.

What helps to improve the performance of the supply chain of hospital medical equipment is having a suitable model to evaluate your collection in line with strategic goals. The purpose of this research is to provide a performance evaluation model for the sustainable supply chain of hospital medical equipment.

This research is exploratory and survey. In this research, using existing literature and backgrounds as well as experts' opinions, effective elements (dimensions, components and indicators) on the performance of sustainable supply chain were identified; Then these elements were finalized using the Delphi method and asking for opinions from experts. The experts reached a consensus on 4 dimensions, 8 components and 54 indicators, that 8 indicators did not receive the necessary points in this review and were removed, and the rest were used to design the final model. Interpretive Structural Equations (ISM) method was used to investigate the relationships between dimensions and components.

The final performance evaluation model included 4 dimensions, 8 components and 54 indicators, which is used to evaluate the performance of the sustainable supply chain of hospital medical equipment from an internal and external perspective, and can be used with changes in other organizations. The obtained dimensions (views) include sustainability, key stakeholders, processes, and growth and learning. The components are economic-financial, integration, people capabilities, lean-agility, organizational culture, upstream/supply chain actors, social-environmental and downstream/customers.

The use of Balanced and Sustainable Score Card (BSSC) monitors and evaluates organizational goals in the supply chain of hospital equipment, and the extent to which goals are achieved is determined. The use of this model leads the organization towards balance and sustainability in the macro goals and will bring a guarantee to pay attention to various important aspects inside and around the organization.

Parallel to the progress of services, organizational complexity levels in health care centers (HCCs) have increased. The influential factors in this regard include the variety of services, the non-uniformity of the centers’ management conditions, and the rising expectations from the health system. Therefore, considering many factors influenced and effective, improvement of health services requires development of a systematic approach to evaluate their efficiency and management system. The aim of this study was to develop a balanced scorecard (BSC) model suitable for HCCs using a hybrid approach that combines the Fuzzy Delphi and DNAP techniques. 

This research was a combined qualitative-quantitative study that was conducted with the aim of developing a BSC model suitable for HCCs. The statistical population consisted of 15 experts in health and medicine, who were selected based on the targeted snowball sampling. A researcher-made questionnaire and a 20×20 matrix questionnaire were used to collect the data. The questionnaire validity was calculated based on the experts’ opinions and the reliability was calculated using Cronbach’s alpha and consistency rate. The data was analyzed using Excel and MATLAB, and DNAP technique was used to determine the cause-and-effect relationship and the influence levels of the objectives. 

According to the results of the Fuzzy Delphi technique in the panel of experts, 5 viewpoints with 20 objectives of the BSC suitable for HCCs were identified and replaced the traditional viewpoints of the BSC. In addition, these results showed that the views of growth and development, intra-organizational processes, and social responsibility are considered as the influential factors due to the positive D-R values, while the views of patients and society, financial status, and performance are considered as the factors that are effective due to the negative D-R values.

The results of this study indicated that those points of view that are consistent with the goals of the HCCs should be used in the BSC in order to evaluate their performance. Also, prioritizing and determining the cause-and-effect relationship and considering the contribution of each point of view for achieving the goals of the HCCs can increase the performance.

Evaluating safety performance in a work environment is one of the most important steps in establishing an optimal safety condition in an organization. This study was designed and conducted with the aim of evaluating safety performance in a food industry.

This cross-sectional study was conducted in a large food industry in 2021. The sample size in this study was calculated using Cochran's formula with an accuracy of 0.05 equal to 231 people. The studied variables included two groups of reactive (safety training, risk assessment and control) and reactive (type of accidents, unsafe conditions and acts) performance indicators, as well as the final safety performance index. The numerical range of this index was 0.2 to 5.0.

The final safety performance index in this food industry was evaluated as 1.76. The results showed the amount of six groups of safety performance indicators in this industry respectively were estimated, risk assessment (4.01), risk control (3.93), safety training (3.85), type of accidents (2.47), unsafe acts and (2.17), unsafe conditions (2.05). In addition, among the 32 evaluated indicators, the lowest and highest indicators were related to unsafe equipment (0.13) and use of personal protective equipment (2.09), respectively.

The findings of the study indicated that although the level of safety performance in this food industry is not unfavorable, but in order to achieve a favorable safety performance index, practical and beneficial measures should be designed and implemented in line with the six groups of indicators and 32 indicators.

the present study evaluated the implementation of legal materials related to health in the Sixth Development Plan.

The present study was a triangulation combined study in 2022. The first stage was carried out with the aim of identifying the measures including documentary analysis, using the data collection form, and the data collected by the research team were refined separately and using contract content analysis. In the second stage, the evaluation indicators including the review of documents and the data collection form, the calculated indicators were sent in the form of a researcher-made questionnaire, and using experts meeting through the discussion framework. The third stage was conducted with using questionnaire approved and completed by three groups including the apparatus and its affiliated units, foreign experts and supervising experts.

Based on the findings, 122 indicators were used separately for legal clauses. The highest distribution of foreign experts’ scores was in percentages of less than 25 and 26 to 50, and this distribution was largely similar for observer experts. On average, the rate of progress of the verdicts was 49%, foreign experts 43% and the opinion of the apparatus with a large difference of 87%. About 60% of the opinion of the supervising experts and evaluators were similar. The focus of foreign experts has been more on outcome indicators. About 43% of the 122 indicators were part of the support document or quantitative indicators with the documents provided by the executive body.

Reviewing and evaluating the progress of development plans, depending on their generalities and details, can include very small to large indicators. Also, the use of three groups of evaluators, the use of different sources to enumerate the indicators, relying on official documents such as supporting documents and monitoring devices, as well as presenting the progress of program implementation separately for each of the legal materials are other strengths of this research.

Effective monitoring and evaluation of human resources in countries require an agreed set of indicators and measurement tools. Due to the existence of different payment mechanisms, this study aimed to identify performance evaluation indicators in hospitals affiliated with the Tehran University of Medical Sciences.

A qualitative phenomenological study was conducted in 2022. Data were collected using semi-structured interviews, purposive sampling, and participation of 23 members of the Senior executives and financial team of hospitals affiliated to Tehran University of Medical Sciences and analyzed by content analysis method using MAXQDA-10 software.

Twenty-three experts participated in this research, 78.2% were men and 21.7% were women, and a total of 526 final codes were identified and according to the balanced scorecard management tool in 4 main themes of finance, customers, internal processes, and growth and Development. Also 8 sub-themes of resource efficiency with 86%, medical tourism with 52%, professional ethics with 65%, satisfaction with 78%, accreditation with 48%, diagnosis and treatment with 78%, education with 56% and The research was categorized with 78%.

The provision of optimal medical services requires managers to be aware of the performance of subordinate personnel, which makes it possible to choose the appropriate criteria, develop performance evaluation systems and conduct correct evaluation, informing Doctors regarding the indicators considered for more accurate evaluation are among the suggestions that can be a solution to the existing problems. Another important point considering the limited available resources is the role of doctors in the field of health tourism to which attention will lead to an increase in financial resources.

 Balanced Scorecard (BSC) is a performance appraisal method that offers a broad perspective in identifying the strengths and weaknesses of the organization's activities and is a prerequisite for strategic management. Performance evaluation as a control tool has always been considered by managers. Therefore, this study was conducted to apply the BSC approach to evaluate the performance of Rasoul Akram Hospital in Abdanan, Iran.

 The statistical population of this survey study included all staff of Rasoul Akram Hospital, Abdanan, Iran, in 2021. According to Cochran's formula and sample size of 204, the collected data were obtained from both documentary and field methods. A researcher-made questionnaire was used to assess each component of the research. The confirmatory factor analysis was used as the statistical method for data analysis, followed by SEM structural equations and t-test in SPSS software (version 22).

 The examination of hypotheses indicates a direct relationship of performance with the implementation of BSC, factors related to internal processes, and the customer-oriented dimension (P<0.05). However, organizational performance showed no significant relationship with the dimensions of growth, learning, and finance. The hospital under study obtained the highest BSC scores in terms of internal processes (3.41±0.44). On the other hand, the lowest scores were obtained regarding financial (02.85±0.23), growth and learning (02.85±0.23), as well as customer dimensions (0.09±1.05) in descending order.

 The results show that the implementation of the BSC model is directly related to organizational performance, and there is a significant and effective relationship between the four dimensions of the scorecard on organizational performance. The results also revealed that the most important aspect of the BSC is the process. Accordingly, four dimensions of financial, customer, internal processes, as well as growth and learning have been upgraded from the dimensions of Rasoul Akram Hospital BSC

 The aim of the current research was to formulate the design of the performance evaluation system of the Karate Federation in order to promote health.

 The statistical population of this research includes three groups, the members of the monitoring and evaluation committee of the Ministry of Sports and Youth and the president, secretary and vice president of the Karate Federation and all the presidents, vice presidents and secretaries of the provincial karate committees of the country, which number 90 people and expert professors in management. and planning in physical education and sports sciences. According to Bartlett's sampling table for a society with this size, the number of samples is 60 people. A stratified random selection method was used to select the provinces. The research tool in this study is a researcher-made questionnaire. Questionnaire questions were compiled in 9 performance evaluation indicators. The reliability of the indicators was obtained through Cronbach's alpha test of 0.89. Finally, a questionnaire based on pairwise comparisons of indicators and the degree of preference of one based on the other according to Thomas Saati's spectrum was used to rank the karate federation's performance evaluation indicators. Calculating the compatibility rate in AHP is a useful guide to measure the validity of the participants' points of view in decision making. Single sample t-test was used and Friedman's ranking test was used to rank the questions of each index. The decision rule is determined at the statistical confidence level of 95% and the critical alpha is 0.05. All statistical operations are performed using SPSS software. AHP method and expert choice software were used to prioritize the indicators.

  Prioritization of indicators in order of importance including, 1- management, 2- financial, 3- championship, 4- educational, 5- control and supervision, 6- research, 7- information technology, 8- human power and 9- Culture was obtained.

 One of the most important stages of designing a performance evaluation system is the development of indicators and performance evaluation criteria. So that the indicators determine the movement path of the organization to reach the goals. Indicators represent the realities in the field of an organization's activities, and in the management system, they are an efficient tool for evaluating programs and activities, and through them, one can find out about the achievement of predetermined goals in the programs.

The outbreak of coronavirus disease 2019 (COVID-19) has led to many visits of patients to medical centers which has subsequently affected the performance evaluation of hospitals. One of the important non-financial performance measures is medical professional ethics. This study aims to evaluate the performance and rank the hospitals in Shiraz, Iran based on medical professional ethics affected by the COVID-19 pandemic.

Based on the balanced scorecard (BCS) method, the indicators were divided into four perspectives. Then, using the decision-making trial and evaluation laboratory (DEMATEL) method, the causality between the four BSC perspectives as well as the relative weights between the evaluation indicators were determined. The fuzzy data envelopment analysis (DEA) method was used to rank the performance of 37 hospitals. The DEA model ranked the decision-making units (DMUs) based on efficiency.

The DMUs (hospitals) 1, 3, 5, 8, 12, 13, 17, 21, 22, 23, 24, 25, 27, 28, 29, 30, 31, 32, 33, 35, 36 and 37 were efficient, while others were inefficient. 

The efficiency of hospitals in Shiraz is lower in learning and growth perspective than in other perspectives, and all hospitals are efficient in terms of customer perspective. This indicates that hospital managers pay less attention to learning and growth and more attention to the customer (patients) perspective during the COVID-19 pandemic.

It is necessary to improve the educational performance of faculty members continuously. However, achieving such a goal will not happen unless efficient tools and processes are available to evaluate. Therefore, the current study aimed to develop a questionnaire to evaluate the educational performance of faculty members in medical universities.

The present study undertook an integrative methodological approach to reach the aim. Reviewing the literature, interviewing the experts, and using the protocols to develop and standardize a questionnaire were implemented. The identified items were categorized according to valid scientific sources. Ten well-experienced experts with an academic degree in medical education or educational management evaluated the face and content validity of the designed questionnaire. Finally, a flowchart was presented to show the difficulties and solutions of the evaluation of the faculty members in medical universities.

The final questionnaire had 74 items divided into five divisions: educational goals, educational content, teaching-learning process, educational evaluation, and clinical / laboratory education. The highest number of items was assigned to the teaching-learning process (34 items) and the least number was allocated to the educational goals (6 items). According to the CVR and CVI (92% and 89% sequentially), the experts were strongly in agreement regarding the content validity of the questionnaire. The research team obtained the perspectives of the experts qualitatively to assess and enhance the face validity of the questionnaire. The reliability of the questionnaire was confirmed based on the internal consistency (Cronbach’s alpha = 0.781).

The present study indicated that the questionnaire had considerable comprehensiveness and acceptability. The research team hopes that the use of this questionnaire along with the presented flowchart would help universities to evaluate and improve the educational performance of their faculty members comprehensively and accurately.

Human resources are the center of sustainable development in advanced management. Health, Safety and Environment (HSE) is a system that consistently and by means of human resources, facilities and equipment and tries to create a healthy, pleasant, fresh environment away from accident, damage and waste. This study was conducted to assess the health performance, Safety and Environmental Indicators (HSE) in the field of human resources development of Tehran Municipality.

This study was conducted as a descriptive cross-sectional and, the study base was all 22 districts of Tehran municipality. After designing and validating of HSE performance evaluation protocol, HSE status was evaluated in 22 districts of Tehran. The aforementioned protocol contained seven sections: leadership and commitment, policy and strategic goals, organization and documentation, risk management, planning, implementation and monitoring, audit and review). Its validity and reliability were determined by obtaining corrective opinions from specialists and experts inside and outside the municipal organization.

In most areas of Tehran municipality, the inter-organizational communication index was the highest score. The highest score (68%) is related to this index. The mean overall score for performance evaluation was 46.6.

The HSE situation was undesirable (less than 70%) in more than half of Tehran's municipalities. Regions 4 and 7 were in desirable status (above 70%). Thus, for current situation improvement, we should use long-term strategy planning in the field of HSE.

Permit-to-work system (PTW) system is a documented system to control the activities with inherent risks and probability of accident occurrence. To inform the performance and efficiency of a system, it must be periodically monitored and evaluated, and the permit to work system is no exception of this principle. The aim of the present study was to design and develop software for evaluating the performance of the PTW system.

This study included two main stages. At the first stage, based on the literature review and interview to the academic and industrial experts, the PTW questionnaire for evaluating the performance was created. The second stage involved the design and implementation of an initial version of a software and the investigation of its usability. Designing the software was performed using system development life cycle (SDLC). The usability of this software was evaluated by Think -Aloud method. Finally, the users’ satisfaction was measured using the Questionnaire for User Interface Satisfaction (QUIS) questionnaire.

Based on the results of the QUIS questionnaire, the overall satisfaction of the designed software was 7.71 in a nine-point scale. The scores of the software performance, display and user interface features, software terminology and information, learning, and overall system capabilities were obtained as 7.58, 7.37, 7.75, 8.11, and 7.74, respectively. Also, the outputs of the excel and SPSS software were in accordance with those of designed software, which show the reliability of the outputs of the designed software.

The designed software facilitate the proper and systematic analysis and it is flexible to evaluate the PTW system and represent types of reports in predefined structures that can be a useful tool in the process industries such as oil and petrochemical refineries and other similar industries.