مجله مدیریت بهداشت و درمان
سال دهم شماره 2 (پیاپی 32، تابستان 1398)

Today, in some countries the health tourism category has a high share of the income for health system. Health tourism is a new form of tourism recruitment in marketing that has grown exponentially in recent years. Health tourism is the use of services that lead to improved health and well-being outside a person's place of residence the globalization of health care or Health tourism is not a new issue, and people have been traveling thousands of years ago to treat foreign travel abroad. But now this journey has taken a different pattern than the past at present, patients travel from advanced countries to less developed countries to take advantage of lower costs. In this research, the researcher used a phenomenological approach to identify the factors influencing the concept of tourism tourism with an emphasis on the role of oral advertising. After conducting an interview with the experts, the researcher provided the required data through open, axial, selective analysis and final results of the research in a template, including 6 main dimensions such as market attraction. Different type of services. Internal country condition. Word of mouth. Tourism health. Strategy and 33 sub-dimensions. if the health care complaints collect and categorize according to defined components base on phenomenological approach, this tool can open the door to administrators and health authorities to increase income for country.

Health services, like other services, have a specific capacity and overuse of this capacity will reduce quality. Part of the referrals to the Social Security Organization for the use of health care services is unnecessary visits and leads to improper use of available capacities. Anti-marketing is one of the duties of marketers to carry out activities to discourage people from consuming products or services. The purpose of this study is to identify the causes and methods of anti-marketing in theunnecessary use of health care services of the Social Security Organization.

This research is an applied in terms of research purpose, exploratory in terms of nature and qualitative research in terms of approach. In this research, the data from an interview with 24 physicians, staff and clients referring to social security centers using the grounded Theory Method and was analyzed in three stages (open coding, axial coding and selective coding).

As a result of data analysis, 27 concepts from all interviews were extracted and eventually categorized into selective coding in six segments of cultural, personal, infrastructural, access, medical and communication.

Based on the results of the research, social security organization should pay attention to the causes of unnecessary referrals to social welfare centers, and use relevant strategies in various cultural, personal, hospital settings, and communication in their planning.

Despite Iran's capability in the field of medicine, a small share of the international market holds and given the importance of exports in a country's economy, the purpose of this study was to investigate affect Factors on Export Relationship Continuity of Iranian companies of medicine exporter Such as strategic orientation, export performance, satisfaction of exports and export quality relationship

Based on the three models of Scalorad, 2015, Liu and Fu, 2011 and Theodeso et al., 2012, gathered the views of managers and experts in the business of pharmaceutical companies. A total of 202 questionnaires were collected for analysis. Validity test was used for confirmatory factor analysis and AVE, and for reliability of Cronbach's alpha and combined reliability, the results confirm confirmation.

The study by using SEM via Smart PLS software showed that the effect of relationship quality on export financial (0/166). Among the highest impacts, exporters' satisfaction on the expectation of continuity of import-export relationship was 0.174, while the lowest impact had a strategic orientation on export financial performance with 0.085.

the study shown strategic orientation through export performance (financial-strategic) and export satisfaction affect the expectation of continuity of relationship in Iranian companies of medicine exporter. These results can be of great help to industry executives in the development of exports.

Nowadays, with the advent of the e-learning system, other previous ideas about the availability of education and education have disappeared. Now, with the arrival of universities and virtual education centers everyone can use these facilities at any time and place. The purpose of the present study was to evaluate the Effectiveness of Virtual Education among the student of health services management.

This research is a descriptive survey of type of data collection method. The survey population consists of all health care management students of Tehran University in 1396. The sample size was 165 from the Morgan table, which was distributed by simple random sampling of the questionnaires, due to the non-widespread community of the study population. The instrument used in this research is a researcher-made questionnaire of 30 items. The validity of the tool has been verified as structural and its reliability has been calculated by computing the Cronbach's alpha in a total of 0.854.

Effectiveness of virtual education was evaluated in desirable students. The components of system quality (mean 17.77), facilitator factors (mean 10.84), in terms of teacher quality (mean 24.76), user inclination factors (mean 15.94), e-learning success (mean 15.94) are in a favorable situation, and in dimensions The quality of the information and the content of the courses and in the interaction between the teacher and the student were not evaluated against other appropriate factors.

Considering the existing conditions and the increasing spread of information technology and the satisfaction of the major part of the student community from e-learning services, the quantitative and qualitative expansion of the necessary planning in universities Country.

The jobs that employees have the role of care are naturally susceptible to various types of physical and mental illnesses. Psychological well-being is one of the variables that can act as deterrent and moderating against such issues and problems. This study aims to investigate the role of psychological empowerment in the prediction of psychological well - being in health care workers.

This research is descriptive – correlative study. The statistical population of this study was 720 people of the health care workers of the city of Qayen, among which, using cluster random sampling method, and 250 people were selected as sample. Data were gathered using psychological empowerment questionnaire of Spritzer and Mishra (1995) and psychological well-being of Riff (1995). The results were analyzed using SPSS software whit Pearson correlation coefficient and reg0ression test.

The results showed a positive and significant relationship between three dimensions of psychological empowerment (autonomy, meaningfulness, and trust) with psychological well-being, but there was not relationship between two other dimensions of psychological empowerment (competence and effectiveness) with psychological well-being.The results of the regression analysis showed that, among the dimensions of psychological empowerment, two dimensions (trust and self – determination) have the power to predict psychological well - being.

Therefore, human resource needs and priorities must always be considered and as far as possible, the empowerment programs in the organization must be carried out.

Considering the importance of the effect of chronic renal failure on various aspects of patients' life, the purpose of the study was to determine the factors affecting the quality of services provided to hemodialysis patients.

The research was carried out using a mixed method. Samples were targeted at the qualitative stage and included 24 experts from hemodialysis section from 6 provinces of the country. In the quantitative phase, 150 employees in the hemodialysis department were examined. The information gathering tool in the first step was a library and in the second step was a questionnaire. The researcher-made questionnaire was designed with 6 elements; validity and reliability of the questionnaire were also evaluated using goodness of fit. The analysis in the descriptive statistics section included frequency, percentage, mean and standard deviation, and was used in the inferential statistics of exploratory and confirmatory factor analysis. Exploratory factor analysis was performed using SPSS 21 software and confirmatory factor analysis through Laser Level software.

Six factors influencing the quality of hemodialysis services were identified, and based on the importance were: human resources (0.866), management (0.874), information technology (0.749), equipment (0.731), facilities (0.683) and physical space (0.628). The fittest indices also showed that effective factors have suitable fit and can be mentioned as factors affecting the quality of hemodialysis services in Iran.

Due to the low quality of life in hemodialysis patients, appropriate strategies should be taken to prevent the loss of resources and improve the patients' life quality by using the result.

Medical equipment replacement as one of the major principles of medical equipment management plays a sensitive and vital role in monitoring medical equipment in diagnosis, treatment and monitoring patients. In medical equipment replacement, we are aimed at adopting a policy in which, instead of using the equipment for a long time and with a higher maintenance cost, a suitable program for replacement the equipment is determined. The present study aims to present a decision-making system to facilitate the medical equipment replacement planning.

The present study attempts to provide a solution to the medical equipment replacement program for the first time by providing a SWOT-ANP-WASPAS hybrid approach. In the proposed framework of the research, the SWOT matrix has been used to identify criteria, sub-criteria and strategic alternatives. Subsequently, ANP technique is used to weigh the criteria and sub-criteria. Strategic alternatives have been also weighted using the WASPAS method.

The proposed decision-making system attempts to increase the self-confidence of the decision makers and present sufficient supporting evidence in order to provide strategies for medical equipment replacement. This system allows the decision makers to understand the complex communications regarding decision-making better, which will increase the reliability of the corresponding decisions.

The proposed hybrid approach can be integrated as a comprehensive decision-making system for medical equipment replacement in health centers and if the implementation of the formulated strategies and the sequence of their implementation is supported by managers, the costs of replacement will decrease and medical equipment technology will develop

In this study, by examining the impact of individual, organizational, authentic leadershipand psychological characteristics, a model for virtue in health area accounting by emphasizing the mediating role of ethical development is presented.

For this study, theme analysis and standard questionnaires were used. The statistical population is focused on financial managers, budget and their deputies and finance chiefs of Iran university of medical sciences (N=897) in the year 2019, out of which 269 questionnaires were collected and tested through structural equation modeling in AMOS software.

We showed that personality characteristics with a significant level (0.039), authentic leadership characteristics including self-awareness, communication transparency, internalized ethical perspective and balanced information processing, (0.015) and psychological characteristics including reward mechanisms and moral intelligence (0.013), through mediating variable of ethical development, lead to virtue (positive and meaningful) in health area accounting. In addition, organizational characteristics (job satisfaction, employment relationship, organizational responsibility, and type of service) and psychological characteristics (quadratic dark personality traits, five personality traits, and religious orientation) do not lead to virtue in health area accounting through the mediating variable of ethical development. Also according to the fit indices, the developed model has favorable fit.

Special attention is paid to individual, authentic leadership and psychological characteristics in fostering the ethical behavior of employees and the need for policymakers to focus on enhancing these characteristics in drafting professional ethics codes.