مجله پیاورد سلامت
سال نهم شماره 1 (فروردین و اردیبهشت 1394)

Medical Laboratory Sciences is one of the important fields in Medicine that is closely associated with other disciplines in this group. This study aims to evaluate laboratory sciences curriculum in Iran and several countries worldwide. In this research، data collection is based on documents and curriculum goals of countries. The data collected was analyzed using qualitative methods. Comparative study of curriculum courses of bachelor of Laboratory Medical sciences was done and compared with the number of basic and specific units in Iran and other countries. The curriculum in Iran with Turkey and Australia is remarkably consistent. Internship units in hospitals have lower returns in compared to other universities in the world. Laboratory Science curriculum in Iran is matched with developing countries. However، more attention to training units and projects to improve the quality of teaching laboratory sciences could be more effective.

Thermodynamic indicators are considered in scientometrics studies to survey research performance as the Exergy that is most important ones. Therefore، this article is aimed to introduce، review، definition، application and importance of Exergy. This study is a review article that determined by using related literatures with thermodynamic indicators of scientometrics by library research، and simple and advanced searches of English papers on valid websites. 30 English papers were retrieved and 24 articles related to this study were selected; but among Persian literatures، no related papers were found. Exergy is a thermodynamic measure which reperesenting a maximum useful work that a system can perform in order to create balance. This indicator is applicable in bibliometrics and as an indicator of research performance for ranking of research institutions. According to the role of exergy in assessing the research performance of individuals and organizations، and its advantage over H-index، due to consideration of all the articles and all the citations، this indicator can offer new reperesentation of rankings.

The function of any technology in a society depends on the culture of that society. Organizational culture leads to a common understanding and agreement on institutional practices. Meanwhile، it is a powerful barrier to change، especially technological change. This study aims to determine the effect of indicators of organizational culture on the unified theory of acceptance and use of technology in hospitals of Rasht، Gilan Province. This is a cross-sectional، descriptive-analytic study. From April to July 2013، 235 questionnaires were completed by health، administrative، financial and educational personnel of Razi، Poursina، and Heshmat Hospitals. For data analysis، such tests as compound reliability test، root mean square of variance، bootstrap test، t-test، and hierarchical regression were applied using Lisrel، PLS and SPSS softwares. Among the components of organizational culture (performance expectancy، effort expectancy، subjective norm، and facilitating conditions)، there was a significant relationship only between «performance expectancy and facilitating conditions» and «behavioral inclination and using computers» (P<0. 0001). Gender played no role in the relationship between cultural components and the use of computers (P>0. 05). The results of the study indicate that there is a relationship between organizational culture and application of information technology، and that a unified organizational culture can facilitate and speed up the acceptance and application of information technology.

Due to the changing environment of hospitals and the necessity of providing services for patients in the shortest possible time and at an acceptable quality and cost، it seems to be necessary to utilize the maximum intellectual capacity of the organization to enhance agility in hospitals. The aim of this study is، in fact، to investigate the relationship between organizational intelligence (and its components according to the Albrecht model) and organizational agility in hospitals of Mashhad University of Medical Sciences. This descriptive study was conducted in 2013 on 408 hospital employees seleced through stratified sampling method. To collect data on organizational intelligence، the Albrekht standardized questionnaire was used and to gather data on organizational agility، a questionnaire designed based on Goldman model was employed. For data analysis and hypothesis testing، the SPSS software version16، Pearson correlation، t-test، Anova، and regression techniques were applied. The results of the study showed that there was a significant relationship between agility in hospitals and organizational intelligence (components: Appetite for change، heart، knowledge deployment، performance pressure، strategic vision، shared fate، and alignment and congruence). The determinants of agility were mainly strategic vision، performance pressure، and a lignment and congruence. The results of the study showed that dynamic strategic planning in hospitals and developing educational programs of organizational intelligence aiming at employees'' and managers'' awareness could lead to an increase in the agility level of hospitals and provision of effective services for patients.

Equitable distribution of resources in health sector is one of the prerequisites of social justice in any society. The aim of this study is to determine inequality in the distribution of specialists and hospital beds in West Azerbaijan Province. This was a descriptive study. The population of the study consists of all hospital beds in the public sector and all specialists working in the health sector of West Azerbaijan Province in 2012. The required data were collected after referring to health and treatment d eputies of Urmia University of Medical Sciences and Statistical Center of Iran. To determine inequity in the distribution of specialists and hospital beds، per capita resource indicators، the Gini coefficient، and Lorenz curve were employed. Distribution of specialist physicians in the province was not equitable; the situation was the same as regards hospital beds، too. It seems that neither the distribution of specialist physicians nor the number of hospital beds is proportional to the population. Besides، measures such as p roviding special welfare facilities، paying higher wages، and considering the health needs of people in the province can better attract physicians and modify the existing shortcomings.

One of the perennial questions for hospitals and insurance organizations are the real cost of g lobal surgery. The aim of this study was to compare the cost of global surgery bills with approved tariffs in hospitals affiliated to Tehran University of Medical Sciences Medical Sciences. This was a cross – sectional study. The study population included all hospitalized patient bills eligible for global tariff at nine selected hospitals (include: Imam Khomeini، Shariati، Arash، Fatemeh Alzahra، Zanan، Cancer Institute and Razi) affiliated to Tehran University of Medical Sciences in 2012. Checklist was used for data collection. Data about the real costs of surgical procedures were collected from the patients'' bills. Data were analyzed using descriptive statistics in SPSS version 16 software. The results showed that a total of 90 included global tariff surgical، 68 surgical procedures were performed in nine selected hospitals. Except seven surgical procedures in other cases (61 cases)، the real costs of surgical procedures average 3 -312 percent more than approved global tariff. The surgical procedure «Septoplasty» had the most difference with global tariff. The results showed that surgical global tariff are not real، and lead to the hospitals financial loss. Therefore، it is recommended that to prevent the hospital financial loss in the calculation of the g lobal t ariff factors such as patient age، presence or absence of comorbidity and complication، disease severity، length of stay and inflation rates in country to be considered.

Personality testing is one of the most factors for selection of the managers. If the managers select by their personality traits and its compatibility with their jobs specifications، organizational productivity will increase. Therefore، this research is aimed to determine the managers` personality traits compatibility with managerial positions in Tehran University of Medical Sciences faculties. This was a cross-sectional، descriptive and analytical research which induced among 34 faculties، deans and vice chancellors of Tehran University of Medical Sciences during 2012-2013. The research society was selected by census technic. For research tool، Bass، Aldrich and Valenzia personality questionnaire that consisted of 27 questions was used. The validity and reliability of the questionnaire was confirmed. The data was collected by SPSS software to prepare the descriptive findings، and for analysis of data، one sample T test and Anova method were used. All of managers of TUMS faculties presented all personality traits based on Bass questionnaire. Although، introvert specification was the most personality traits among this managers. There was significant correlation between brave personality trait with the type of the faculties managers. Only half of the faculties managers presented management traits compatible with their jobs. Therefore، we suggest management personality preemployment testing should be examined before the staffing of the selected managers for administration of the faculties.

Today universities admit International Students as well as national students. Tehran University of Medical Sciences has been also started admitting International Students in regards of its Internationalization aims. Student’s satisfaction is of high importance in order to gain the given goals. The purpose of this study was to evaluate the satisfaction of International students of TUMS. This was a descriptive study. The target group was international students of TUMS، the participants were selected through availability sampling. The research instrument was researcher-made questionnaire which the reliability calculated as 0. 97 by Chronbach’s alpha. The data was analysied by Microsoft Excell version 2010. The overall satisfaction of the students was 70% (satisfied and completely satisfied) while the overall dissatisfaction was 10% (dissatisfied and completely dissatisfied). Given satisfaction of more than half of the International students، TUMS has performed reasonably. Based on the results obtained in this research the university may pay attention to the fields reported as dissatisfied.