مجله بیمارستان
سال بیست و یکم شماره 2 (تابستان 1401)

Satisfaction with the salary and other payments and the way they are distributed are of the most important and effective dimensions of human resources management. The purpose of this study was to determine the level of employee satisfaction with the performance-based payment plan in 2021 across hospitals.

This was a cross-sectional study conducted in 2021 on 280 employees of teaching hospitals affiliated to Iran University of Medical Sciences. Data were collected by a questionnaire and analyzed by non-parametric tests and Spearman correlation in SPSS.

The mean of total satisfaction in the staff was 2.95 ± 0.55 (out of 5). Among the various categories in the field of satisfaction, the highest mean of satisfaction was related to the physical conditions of the workplace with 3.3 ± 0.64 (out of 5) and the least was related to the payment system with 2.56 ± 0/86. The mean performance of all employees was 63.72 ± 8.82. (out of 100). In this regard, the mean score of staff attendance was 74.22 ± 6.97, job type was 30.97 ± 15.78 and the average quality coefficient of performance was 85.98 ± 11.12. According to the Spearman correlation test, there was a significant correlation between mean total satisfaction and attendance score (r = 0.19), job type score (r = 0.32) and performance quality coefficient (r = 0.21) (p-value <0.05).

The mean of employee satisfaction with the performance-based payment scheme was estimated to be moderate. It seems that health policy makers need to work and plan to improve payment and increase the motivation of healthcare staff.

The occurrence of all kinds of errors and mistakes imposes many costs on the hospital and society. Whistleblowing and error reporting plays an essential role in preventing and reducing errors, but the rate of error reporting in hospitals is low. This research was conducted in order to investigate the effect of selected individual factors on whistleblowing of hospital employees.

Materials:

 The research was conducted as a descriptive correlational study. 229 nursing and para clinic staff of a hospital in Tehran were selected by random sampling. A standard questionnaire with 69 items from valid questionnaires of selected factors, including organizational commitment, source of control, moral judgment, altruism, individual's attitude towards whistleblowing and intention to whistleblowing was collected and its validity and reliability were confirmed. The method of data analysis was confirmatory factor analysis and SPSS and Amos software were used as well.

The variables of organizational commitment, altruism and individual's attitude towards whistleblowing have an effect on the intention of whistleblowing, and moral judgment and source of control have no effect on the intention of whistleblowing. Also, individual variables such as age, gender, and work experience did not have a significant effect on the intention to blow the whistle.

Strengthening organizational commitment, altruism of employees and the positive attitude of the individual toward whistle-blowing play an important role in improving error reporting. Hospital management methods can strengthen or weaken these factors. Participatory management style, job empowerment, supporting and creating a safe environment for reporting, promoting employees' ethical and professional principles,  and learning and sharing medical errors are effective measures in promoting whistle-blowing.

Today, hospital care, relying on the health record system, has received more attention than before. Considering the diversity of data in these systems, the design of standard conceptual and logical models by service providers will play an important role in their success. Therefore, this research was conducted with the aim of designing a logical data model of the hospital information management system for athletes based on international standards.

The design of the logical model of the hospital information system for athletes in Iran based on the main entities and components of the system was done after comparing the selected countries, the initial review of the needs of the beneficiaries, the dataset validated by the experts and the validation of the conceptual model, and the diagrams were painted. The meeting was held with the presence of experts to validate the proposed logical model. The proposed amendments were discussed and carried out in the meeting, the collective agreement on the presented logical model and the validity of the model were confirmed.

login activities, password change, examination appointment booking, athlete information registration, examination registration, test results registration, vaccination information registration activity, health reminder registration,  and health information registration were determined as the main diagrams of this system.

Based on the findings, it seems that access to sports medicine information is the key point, and a person can see and receive health needs related to him in a patient-centered treatment.

One of the challenges that organizations face today is the issue of retaining employees in the organization. Meanwhile, addressing the causes of early retirement among health workers is doubly important. The aim of this study was to investigate the causes of early retirement in retirees of Yazd University of Medical Sciences.

The present descriptive research was conducted to find the causes of early retirement among retirees of staff of Yazd Medical Sciences between 2016 and 2018. Collecting dada was done by examining the personnel file, retirement system and through interviewing people. Data description was done using descriptive statistics and SPSS.21 software.

The average number of years of service lost was 3.7 years. In total, there were more than 528 years of service lost. Regarding job characteristics, the majority of retirees were employed in service and nursing positions (4701%), in hospital (45%) and health centers (42.9%). The study of the causes of early retirement showed that the most common causes of retirement were related to boring work environment (55.7%), physical problems and underlying diseases (40.7%) and lack of support from officials (24.3%).

According to the findings, multilateral support in the organization, promotion of rewards and economic benefits, creating morale in the organization, observing the principles of mental health, reducing anxiety and creating hope and increasing participation of employees in the decision-making process can be effective in reducing early retirement.

Health tourism is a new form of tourism industry that aims to maintain recovery and regain physical and mental health and has grown in recent years. Therefore, the present study was conducted to investigate the factors affecting the marketing of health tourism in hospitals affiliated to Iran University of Medical Sciences.

The present study is descriptive-analytical and was conducted on 270 individuals at some point in 2021. The study population consisted of all heads, managers, matrons, quality managers and heads of international patients of public and private hospitals affiliated to Iran University of Medical Sciences. The data collection tool was a researcher-made questionnaire. Data were analyzed by using SPSS software version 23.

The results of study showed a significant difference between the components of price, place, promotion and people in the two types of hospitals (P-value <0.05). While no significant difference was observed between other components (product, physical evidence and process) (P-value <0.05).

Providing the needs of medical tourists will increase their satisfaction. Therefore, paying attention to the effective factors in marketing and trying to solve the shortcomings of this field can be very effective in attracting health tourists and turning Iran into a medical tourist destination.

Human resources determine the quality of performance of health care organizations and are one of their most important competitive advantages. Also, committing is very important to perform their duties. Therefore, it is necessary to recognize the factors that affect organizational commitment. This study aimed to investigate how organizational transparency could affect organizational trust and commitment from the perspective of hospital staff.

The present study is an applied descriptive-analytical study conducted on 640 staff members in teaching hospitals affiliated to Tehran University of Medical Sciences. The instruments used were: Organizational Transparency and Trust developed by Rawlins (2008) and  Organizational Commitment developed by Meyer and Allen (1997). Data were analyzed using SPSS software version 26 and AMOS.

Organizational transparency dimensions (overall transparency, participation, substantial information, and accountability) had a positive indirect effect on organizational commitment dimensions (affective, continuance, and normative commitment). Additionally, secrecy has a negative indirect effect on organizational commitment dimensions. The relationship between organizational transparency and commitment was also statistically significant, which indicates that organizational trust mediated the relationship between organizational transparency and commitment.

Managers might be able to improve transparency and staff participation in decision-making by taking cognizance of the priorities and information that can be disseminated by hospitals. In fact, increasing organizational transparency expands cooperation and leads to enhancing staff’s organizational trust, and ultimately increases their organizational commitment.

Cost management is the most important factor affecting the economic performance of the hospital. Good management of costs in the short term stabilizes and balances the operating balance of the hospital and secures the hospital in terms of liquidity. Also, good management of costs in the long term makes the hospital financially stable. According to the mentioned cases and increasing hospital costs, the present study was conducted with the aim of identifying and investigating the factors, drivers and obstacles to improve cost management.

Methods & Materials: 

This systematic review was conducted in 2020. Data was collected through  searching keywords in Google scholar, PubMed, Scopus, Web of Science, Science direct, Magiran, SID and Irandoc databases from 2007 to 2020. The classification of the results of the studies was done by the researchers.

All the components identified and extracted from the articles were divided into four dimensions (increasing factors, prerequisites, obstacles and solutions) to improve hospital cost management.

Reviewing the results of each study showed the importance of each component in managing, improving and controlling hospital costs. In this regard, policy makers at decision-making level and managers at executive level should pay attention to the components and dimensions affecting the control and improvement of hospital costs according to the structure, process and expected consequences, and then decide on their implementation.

 Anxiety is an unpleasant condition that occurs in the majority of people before surgery, and it can cause bleeding and complications after surgery and it can also affect the induction of anesthesia and recovery from it. Nowadays, due to the side effects of medications, non-pharmacological and non-invasive treatments are receiving a lot of attention.The purpose of this research is to determine the effectiveness of acupressure and recommended recitals on the patients’ anxiety before surgery in the hospitals of Ferdows city in 2019-2020.

 This study was a double-blind clinical trial research that was conducted on 150 patients who were candidates for surgery. The samples were selected using convenience sampling. The participants were randomly assigned to one of the three acupressure groups (n=50), recommended recitals (n=50) and the control group (n=50). In order to apply acupressure, the third eye point (Yintang) was pressed for 10 minutes, and in the recommended recitals group, the patients listened to Surah Hamad and Zekr several times using an audio source and headphones. In the control group, pressure was applied to the false point for 10 minutes. The level of anxiety was measured using the VAS questionnaire in all three groups before, after and 30 minutes after the intervention respectively. Data were entered into SPSS software version 19 using descriptive and inferential statistical methods. 

 In recommended recitals group, the average anxiety score before, after and 30 minutes after the intervention had a significant difference with each other (P<0.001). Also, the average anxiety score after the intervention was significantly lower than immediately and 30 minutes after the intervention in this group (P<0.001). Meanwhile, the average score of anxiety in the acupressure group (p=0.06) and the control group (p=0.10) did not show any significant difference with each other at three times.

 Recommended recitals can reduce anxiety before surgery and can be used as a non-drug, safe and cheap method to reduce anxiety before surgery.