مجله مدیریت بهداشت و درمان
سال یازدهم شماره 2 (پیاپی 36، تابستان 1399)

Supply chain risk management is very important for effective supply chain management. In the meantime, the healthcare supply chain and its risks need more attention given its important mission. Concerning the sensitivity of blood and its supply chain, the purpose of this study is to investigate the risks of the blood supply chain and their relations in Tehran.

In this descriptive-analytical study, the risks of blood supply chain were selected by reviewing the articles and expert opinions through interviews and questionnaires. The most important ones were identified using risk matrix and expert opinions, and their relationships were discussed using DEMATEL method.

The 19 most important risks were identified. Also, according to the Demetel method, it was shown that in terms of the importance of risks (D + R), selection of inappropriate suppliers (2.25), lack of appropriate budget allocation (2.23), low employee productivity (2.16) and inadequate blood inventory (2.01) were identified as the most important risks. In terms of mutual influences (D-R), economic and political sanctions (1.68) were selected as the most influencing and inadequate response to hospital demand (-0.89) as the most influenced risk.

After identifying the risks that are both significant and most influencing, such as the risks of lack of appropriate budget allocation, sanctions, exchange rate fluctuations, and catastrophes, in order to improve supply chain performance and prevent future problems, the factors that cause these risks need to be focused. And for controlling them, appropriate strategies, especially management strategies should be adopted.

Given that in Iran, there is a potential need to address issues related to dentistry, this study attempt to explain the components that affect the possibility of choosing dental offices by patients to identify key roots of office.

This research is a practical research in terms of research purpose and the statistical population of the present study is all customers of dental offices in western Mazandaran province. The number of statistical samples based on Morgan table is at least 384 people using cluster sampling. In this study, to measure the factors affecting customer choice, the questionnaire (Kim, 2011), (Lu et al., 2015) and (Lee et al., 2013) were used. To determine the validity, confirmatory factor analysis was used using LISREL software. Data analysis was performed using descriptive and inferential statistics including Kolmogorov-Smirnov test and structural equation modeling.

The research findings indicate that each of the factors including facilities and equipment (path coefficient 0.61), services (path coefficient 0.57), dentist attributes (path coefficient 0.49), professional appearance of dentist (path coefficient 0.38) and dental practice attributes (path coefficient 0.44) affect the likelihood of customers choosing a dental office.

Due to the increase in dental offices and the intensity of competition between them, so by using the results of this research and by adopting a solution in the field of identified factors, especially the most important, ie appropriate facilities and equipment which have significant impact on the choice of customers, dental offices can improve their competitive position.

Human resource management has always been influenced by many factors and one of these factors is the ruling generations of the organization that determine the type of management within the organization. Therefore, the purpose of this study is to design a human resource management model based on generational differences among employees. It was one of the medical universities in IRAN.

The research method was applied in terms of purpose, exploratory in terms of data type, mixed (qualitative-quantitative), and descriptive-correlation in terms of data collection time. The statistical population of the qualitative research section included university experts in the fields of human resource management and educational management, as well as executive experts, including senior and middle managers of the university. Using targeted sampling method and saturation principle, 11 people were selected as sample size. The second group of the statistical population of this study included all employees of the University of Medical Sciences, who were selected as the sample size using the stochastic cluster random sampling method. In this study, in order to collect data, the library method, semi-structured interview and researcher-made questionnaire of human resource management based on the qualitative part (in the quantitative part) were used. In order to investigate the validity of the questionnaire, formal validity, content and structure were used and to calculate its reliability, Cronbach's alpha coefficient and combined (composite) reliability were used. The results showed that the researcher's questionnaire was valid and reliable. Content analysis and content analysis using MAXQDA12 software were used to analyze the qualitative data of the research. In the quantitative section, according to the research questions, descriptive statistics methods (mean, standard deviation, frequency distribution charts and diagrams) and inferential (confirmatory factor analysis) and SPSS and LISREL software were used.

Findings from the implementation of the research model showed that idealistic components with a coefficient of 0.82, action components with a coefficient of 0.56, technology component with a coefficient of 0.40 and civil component with a coefficient of 0.31 are effective on human resource management.

Analysis of the current situation showed that the most important components of human resource management based on generational differences include the idealistic generation with the first rank and the active generation, technology and civil with the next ranks. Therefore, it is necessary to pay attention to strengthening the culture of creativity and innovation, diversity, observance of professional ethics, professionalism and meritocracy in universities.

Since Iran is one of the main hubs of health tourism in the region, it will not only prevent the outflow of foreign exchange, but will also bring significant foreign exchange earnings to the country. Although in recent years, management and marketing measures have been taken to attract foreign tourists, but unfortunately due to the lack of coherence and coordination between the public and private sectors, and especially the lack of codified rules in the field of tourism. Health, this process has not had the desired economic results. The aim of this study is to investigate the factors affecting viral marketing in the development of health tourism and prioritize factors.

This research is descriptive in terms of its practical purpose and in terms of data collection. After expressing the subject and examining the research background, the conceptual framework of the specific model and the data were analyzed using fuzzy cognitive mapping tools and techniques and analysis of social networks.

Findings indicate that the factors that distinguish distinctive services, build trust and credibility, and the content of the message are more central than other factors, and therefore more attention should be paid to these factors.

Due to the rapid growth of the Internet, there are countless opportunities for health activists and consumers, which, according to research, suggests that the main factors affecting viral marketing that promotes health tourism development. More attention can be paid and steps can be taken in this direction with appropriate planning.

it has been an important challenge; how to supply raw materials and select suppliers in the health supply chain.  The pharmaceutical industry is part of these challenges, and there is no specific mechanism for selecting pharmaceutical suppliers. Therefore, the aim of this study is to provide a model for evaluating and prioritizing pharmaceutical suppliers for pharmacies.

The research method is descriptive-analytical and a field study; and the statistical population includes a group of managers of Shiraz pharmacies; statistical sample of experienced and expert managers has been selected. The measuring instruments included three researcher-made questionnaires that were provided to the respondents. Data analysis was performed in two descriptive and analytical sections using BOCR structure and fuzzy MCDM method. Weighing the criteria of suppliers, the ranking of suppliers has been done based on the set criteria.

According to the confirmation analysis factors, 14 sub-criteria were determined in four main criteria. Weight rankings showed that the first and second priorities of the indicators were "agility and speed (weight 0.111)" and “discounts cost (0.069)". Also, the results obtained from the prioritization of suppliers showed that Daroopakhsh (similarity index 1) and Hejrat (similarity index 076) companies were in the first and second priorities.

The results showed factors such as product diversity, low defect, experience and expertise, quality, up-to-date technologies, discount in cost, credit, agility, inspection cost, shipping cost, product price, customer complaints, delay rate and supplier reputation are the most important criteria influencing the selection of drug suppliers.

The aim of this paper is to investigate the effect of Six Sigma process management on improving the quality of health information services and reducing treatment costs. Research

The methodology of the present study, which is among the applied studies in terms of purpose, has been a descriptive survey of the type of correlation. The statistical population of this study consists of all managers, supervisors and experts of Farhikhtegan Hospital, which is 125 people. The Cochran's formula has been used to determine the sample size, which is 94 people according to the statistical population. The method of selecting statistical samples is also a simple random sampling according to the subject and nature of the research. The required data were collected using standard questionnaire tools and data analysis using regression analysis through SPSS 23 software.

The management of the six Sigma process through the mediating variable of the quality of health information services has an impact on cost reduction. Therefore, the mediating role of quality of health information services is confirmed.

Six Sigma provides a systematic approach to improving business processes based on customer needs and real-time analysis of ongoing processes in each institution. This is the difference between Six Sigma and other methods and the main reason for using it in health care institutions. Regardless of these differences, the implementation of any approach requires the establishment and acceptance of a culture of quality in that organization.

Foreign aid is one of the ways to increase health spending in developing and low-income countries to achieve the goals of global health care coverage. Accordingly, the main purpose of this study is to investigate the impact of official development assistance and health aids in developing countries.

This study is paid to study long-term relationship between health indicator, the share of official development assistance and health aids in GDP, per capita physician, income, education and urbanization, by using the statistical data of 25 developing countries (including Iran) during the period 1995-2017. For this purpose, the Dynamic Ordinary Least Square (DOLS) estimator is used. Also, the statistical analyzes were performed using the Eviews soft wares.

Based on the results of the model estimation, the share of health aids in GDP, per capita physician, income per capita, enrollment rates in secondary courses (education index) and urbanization rate; improve the health indicator in the long-term. One percent increase in the share of health aids in GDP, reduce the infant mortality rate (IMR) in developing countries by about 0.18 percent, in the long run. But share of official development aids to GDP has not a significant effect on the health index.

Proper use and management the health aid in developing countries can help improve health in these countries.

In management accounting, the budget is cornerstone of management control process and one of the unresolved issues. In this regard, the purpose of this study is to investigate the effects of hospital budgetary control system on budgetary performance considering the mediating role of budgetary perception.

This is a descriptive and correlational research in terms of nature and method. The statistical population of study is the managers of public hospitals in Fars province. 400 questionnaires were distributed among members of statistical population and 103 questionnaires were collected. For statistical analysis, structural equation modeling technique have been used.

Findings showed that with increasing managers' budgetary evaluation, budgetary attitude (0.895) and budgetary motivation (0.280) increases. Also, managers' budgetary performance by increasing budgetary motivation (0.305) and managers' propensity to budgetary slack (0.382), will increase. However, increasing budgetary participation have no effect on managers' budgetary perception in terms of budgetary attitude (-0.085), propensity to budgetary slack (0.208) and budgetary motivation (-0.1). Budgetary feedback also has not the power to influence managers' budgetary perception in terms of budget attitude (-0.220), propensity to budgetary slack (0.271) and budgetary motivation (0.066). In addition, between budgetary evaluation and managers' propensity to budgetary slack (0.139) and also between budgetary attitude and budgetary performance (-0.055) have no significant relationship was observed. The results of the Sobel test also confirmed the mediating role of the budgetary motivation (3.050) in the relationship between budgetary evaluation and budgetary performance.

Hospital managers and policymaker via giving more importance to budget evaluation can improve managers' budgetary motivation and attitude; Also, they can improve the performance of hospital budgets by improving budgetary motivation.