scholarly journals Identifying Factors Affecting of Cooperation Management between Charities and the Teaching Hospitals of Shahid Beheshti University of Medical Sciences

2021 ◽  
Vol 16 (3) ◽  
pp. 249-259
Author(s):  
Seyed Mahmud Nayeri ◽  
Somayeh Hessam ◽  
Amir Ashkan Nasiripour ◽  
Katayoun Jahangiri

Objectives: One of the most important issues in the provision of health services in every country is providing the necessary resources for presenting these services. Cooperation between charity organizations and public hospitals is especially important as it can increase charity participation, facilitate public participation in the treatment area and develop hospital units. This study aimed was to identify factors affecting cooperation Management and designing a model of cooperation management between charities and the university hospitals of Shahid Beheshti University of Medical Sciences. Methods: This descriptive-analytical, cross-sectional and applied study was conducted in hospitals of Shahid Beheshti University of Medical Sciences in 2019. The statistical population consisted of 411 people including managers, chiefs and deputies, contracting hospital experts and social workers, managers and lawyers of the university, trustees and managers and charity experts. The research sample consisted of 330 people who were selected through the stratified random sampling method. Data was collected using a researcher-made questionnaire. The SPSS 18 and AMOS software were used to analyze the data. Results: The most effective contract pattern determinant had a path coefficient of 1.177, while the least effective current consumption expenditure determinant had a path coefficient of 0.530. Conclusion: The following steps are ways in which costs related to an inpatient department are guaranteed to be covered by a charity during the term of the contract: defining the criteria for selecting a charity to operate in a hospital, choosing a cooperative method and a contract template, determining the share of capital and current costs, and selecting the department type in the contract.  

Author(s):  
Nader Tavakoli ◽  
Mahnazalsadat Hosseini ◽  
Reza Jahangiri ◽  
Samaneh Sarkhosh ◽  
Reza Shirani ◽  
...  

Background: Admission and dispatch of patients is considered as part of the patient treatment process. The aim of this study was to investigate the status and income effects of admission and dispatch of patients in need of vascular surgery in hospitals of Iran University of Medical Sciences in 2018-2019. Methods: The present study is a descriptive cross-sectional study in which a checklist was compiled and the required information about admission and dispatch of patients in Iran University of Medical Sciences was extracted from the MCMC (Medical Care Monitoring Center) system. In order to extract the income of services related to vascular surgery service from the average income of each patient file in need of this service, university hospitals were used. The sampling method was census and 14,481 patients admitted and dispatched were examined. The data were analyzed by descriptive statistics using Excel software. Results: The total number of registrations for dispatch of vascular surgery service was 605, 378 of which were successful. Of these, 145 were from hospitals affiliated to private hospitals and other hospitals affiliated to other medical universities, 233 were related to vascular surgery admissions, and 227 patients were related to failure to dispatch and death. The lost income due to dispatching patients is equal to 4,875,100,680 Rials. Also, the hospitals affiliated to the university have gained income equal to 7,833,782,472 Rials by admitting and not dispatching these patients. Conclusion: The findings showed that the lost income due to dispatching patients requiring vascular surgery is 4,875,100,680 Rials. Also, the earned income resulting from the existence of medical facilities in the field of the patients’ admission to the hospitals affiliated to the university is 7,833,782,472 Rials. 


Author(s):  
Meghdad Rahati ◽  
Esmaeil Fakharian ◽  
Ali Yousefianarani ◽  
Aydine Omidvar ◽  
Zahra Nazemi-bidgoli

Background: Due to limited resources, efficiency is very important to maximize resources for hospitals. Time-Driven Activity-Based Costing estimates costs and provides valuable information to increase efficiency. Therefore, the cost of COVID-19 in the hospitals affiliated with Kashan University of Medical Sciences was investigated using this method. Method: In this cross-sectional and retrospective study, the statistical population included all patients (n = 3129) with COVID-19 hospitalized in the Seyed Al-Shohada hospital (88 beds) and Shagid Beheshti hospital (700 beds) selected via census method during March and April 2020. Data collection was conducted through review of litreture (library method field); and review of accounting documents, direct observation of activities related to the treatment of patients, interviews with top managers for timing of receiving services by patients (field method). The descriptive statistics including means and frequency tables was reported and time-driven activity-based costing was conducted. Data analyses were performed using Excel software. Results: Findings showed that the cost of one bed night for COVID19 patients was 22,866,669 Rials in Shahid Beheshti hospital and 30,554,405 Rials in Seyed Al-Shohada hospital and was 23,672,447 Rials for both hospitals in total. The cost of treatment of COVID19 by time-driving costing method was higher than the tariff approved by the Supreme Insurance Council. Conclusion: Due to the difference between the cost of treatment of COVID-19 and the tariffs, it is necessary to calculate the bed night of these patients based on the tariffs of special wards. Moreover, due to the high cost of these patients, it is necessary to make appropriate policies for allocating beds in the hospitals affiliated to the University of Medical Sciences.


Work ◽  
2021 ◽  
pp. 1-7
Author(s):  
Hamed Zandian ◽  
Mehdi Sarailoo ◽  
Shahriar Dargahi ◽  
Helia Gholizadeh ◽  
Mehdi Vosoughi ◽  
...  

Background: Coronaviruses are a large family of viruses that have symptoms ranging from the common cold to severe respiratory syndromes. Objective: The purpose of this study is to provide appropriate strategies to raise knowledge and health behavior of students of the University of Medical Sciences to prevent COVID-19. Methods: This study was conducted as a cross-sectional and descriptive study, and the online questionnaire was used by random sampling. Our sample size was 360 subjects and the statistical population was the students of the University of Medical Sciences. We used the nonparametric test (Kruskal Wallis, Mann-Whitney U) and (Chi-Square & t-test) for statistical analysis. Results: The test results were statistically significant for students’ health behavior (p <  0.01, df –99). The knowledge of women was higher than men (F = 5.32, p <  0.02). Conclusion: The results show that the Ministry of Health has acted well in promoting students’ knowledge and health-promoting behaviors. Therefore, it is recommended that such research be conducted in the public statistical population.


2017 ◽  
Vol 9 (4) ◽  
pp. 266 ◽  
Author(s):  
Husam Eldin Elsawi Khalafalla ◽  
Mohamed Salih Mahfouz ◽  
Muath Hassan Ibrahim Najmi ◽  
Sayyaf Abdullah Mohammad Najmi ◽  
Qasem Ali Yahya Arishi ◽  
...  

BACKGROUND: Physical activity is one of the most important factors that affect human health; it reduces the chances of hypertension, coronary heart disease, stroke, diabetes, breast and colon cancer, and depression.OBJECTIVES: The objectives of this study were to measure prevalence of physical activity and to determine the factors affecting the level of physical activity among medical student in Jazan University.METHODS: A cross-sectional study was conducted among the students of medical colleges of Jazan University. A random sample of 419 was determined using most recent physical activity prevalence. A validated self-administered questionnaire was used for data collection.RESULTS: There is a high prevalence of inactivity among study participants (88.1%). Females (91.7%) were more significantly (p value=0.013) inactive than males (83.8%). The most influential barrier perceived by participants is (heavy) academic work as well as lack of places for physical activity; the latter factor being more effective in hindering female students' physical activity.CONCLUSION: Results revealed that the inactivity rate was very high among medical students. The results of this study call for a well-planned intervention at the university level for improving the level of physical activity among university students.


2012 ◽  
Vol 2 (1) ◽  
pp. 158 ◽  
Author(s):  
Sayyad Mohsen Allameh ◽  
Ahmad Abedini ◽  
Javad Khazaei Pool ◽  
Ali Kazemi

The vital importance of knowledge management, in today’s complicated and changing environment as a source for strategic reconstruction of an organization cannot be denied. Furthermore, the effective sharing of knowledge is one of the most important success factors in an organization. This study aims at predicting the staff’s sharing of knowledge in the central library of the University of Isfahan. The conceptual framework for this study is consisted of the completed model of Theory of Reasoned Action. The statistical population of the current study contains the staffs of central library in university of Isfahan out of which 160 participants were studied by the census method. For the validity evaluation of the model, the structural equations model was applied and based on the results of path analysis relationship between research variables it was confirmed. The research results show that the expected organizational reward, reciprocal benefits, self-efficacy of knowledge, and enjoyment in helping others affect attitude and intention for the sharing of knowledge. The research findings indicate the positive impact of subjective norms on knowledge sharing intentions.


Author(s):  
S. B. Gupta ◽  
Meenakshi Singh ◽  
Atul Kr. Singh ◽  
Huma Khan ◽  
Alpana Saxena

Background: India was the first country in the world to have launched a National Programme for Family Planning.Methods: A cross-sectional descriptive study was carried out in the in Vaccination unit of rural field practice area of Shri Ram Murti Smarak institute of Medical Sciences (SRMSIMS) Bareilly (U.P). Objective of the study was to assess knowledge and practice of postpartum contraception and factors affecting the usage of contraceptives in Rural area. All females who delivered within last one year were included in the study. A pre-structured questionnaire was used. A total of 98 females were included. The appropriate statistical analysis was done to present the results.Results: 28.57% females had adopted one or the other postpartum contraceptive measure. Condom was the most common method used. Usage of postpartum contraception was significantly associated with women’s and husband’s education, type of delivery and availing of antenatal and postnatal visits.Conclusions: Overall usage of postpartum contraception was low there is need to focus at every step to contact of these women with health facility or health workers.


2020 ◽  
pp. 096973302095210
Author(s):  
Tahereh Najafi Ghezeljeh ◽  
Mansoureh Ashghali Farahani ◽  
Fatemeh Kafami Ladani

Background: Error communication includes both reporting errors to superiors and disclosing their consequences to patients and their families. It significantly contributes to error prevention and safety improvement. Yet, some errors in intensive care units are not communicated. Objectives: The aim of the present study was to explore factors affecting error communication in intensive care units. Design and participants: This qualitative study was conducted in 2019. Participants were 17 critical care nurses purposively recruited from the intensive care units of 2 public hospitals affiliated to Iran University of Medical Sciences, Tehran, Iran. Data were collected through in-depth semi-structured interviews and were analyzed through the conventional content analysis method proposed by Graneheim and Lundman. Ethical considerations: The Ethics Committee of Iran University of Medical Sciences, Tehran, Iran approved the study (code: IR.IUMS. REC.1397.792). Participants were informed about the study aim and methods and were ensured of data confidentiality. They were free to withdraw from the study at will. Written informed consent was obtained from all of them. Findings: Factors affecting error communication in intensive care units fell into four main categories, namely the culture of error communication (subcategories were error communication organizational atmosphere, clarity of processes and guidelines, managerial support for nurses, and learning organization), the consequences of errors for nurses and nursing (subcategories were fear over being stigmatized as incompetent, fear over punishment, and fear over negative judgments about nursing), the consequences of errors for patients (subcategories were monitoring the effects of errors on patients and predicting the effects of errors on patients), and ethical and professional characteristics (subcategories were ethical characteristics and inter-professional relationships). Discussion: The results of this study show many factors affect error communication, some facilitate and some prohibit it. Organizational factors such as the culture of error communication and the consequences of error communication for the nurse and the patient, as well as individual and professional characteristics, including ethical characteristics and interprofessional relationship, influence this process. Conclusion: Errors confront nurses with ethical challenges and make them assess error consequences and then, communicate or hide them based on the results of their assessments. Health authorities can promote nurses’ error communication through creating a supportive environment for them, developing clear error communication processes and guidelines, and providing them with education about the principles of ethical practice.


2017 ◽  
Vol 18 (1) ◽  
pp. 53-60
Author(s):  
Dragana Ignjatovic-Ristic ◽  
Ana Solujic ◽  
Andrea Obradovic ◽  
Katarina Nikic-Djuricic ◽  
Marija Draskovic ◽  
...  

Abstract Research over the past twenty years has shown that the attitudes of health care workers and students towards people who are suffering from schizophrenia have become more negative. The aim of our study was to investigate the attitudes of medical and pharmacy students towards patients with schizophrenia and explore the differences in attitudes between study groups and students in different years. Materials and methods: Second- and fifth-year medical and pharmacy students from the Faculty of Medical Sciences at the University of Kragujevac were included in an observational, prospective, cross-sectional study. The sample consisted of 113 students from the pharmacy and medical schools who were chosen via random sampling. The students completed a two-part questionnaire. Th e first part contained questions about sociodemographic characteristics, whereas the second part was a translated version of the Mental Illness: Clinician’s Attitudes (MICA) v4 scale. Results: There is a statistically significant difference (р<0.05) in the attitudes towards people with schizophrenia between second- and fifth-year medical and pharmacy students (with lower scores in both groups in fifth-year students). Of the total number of students who had lower summed scores on the Likert scale, 51.3% had previously finished medical high school, whereas 28.3% had previously finished regular high school. Conclusion: Our results showed a statistically significant difference in attitudes towards people with schizophrenia between second- and fifth-year students as well as a difference related to previous high school education. This stresses the importance of levels of knowledge about schizophrenia to reducing the stigmatization of patients who suffer from this disorder.


Author(s):  
Ali Reza Yusefi ◽  
Parnian Nikmanesh ◽  
Zahra Kavosi ◽  
Ahmad Sadeghi

Background: Medication errors are one of the major causes of injury to patients while receiving medical care. This study aimed  to investigate the effective causes of medication errors in nurses in educational hospitals affiliated with Shiraz University of Medical Sciences. Methods: This descriptive-analytical and cross-sectional study was conducted in 2020 on 340 nurses from 10 educational  hospitals affiliated to Shiraz University of Medical Sciences. The data collection tool was a questionnaire. Data were analyzed using t-test, ANOVA and Pearson correlation coefficient were analyzed using SPSS23 software . Results: According to the results, human factors have been the most important factor in the occurrence of medication errors. The most important causes of medication errors with respect to human, managerial and environmental factors include fatigue due to overwork (3.13 ± 1.16), method of supervision (3.06 ± 0.98) ,and heavy workload (3.00 ± 1.19), respectively. There was a statistically significant relationship between human factors and  age (p = 0.024), gender (p = 0.013), employment relationship (p = 0.016), and marital status (p = 0.027), and between management factors and employment relationship (p = 0.034) and the number of patients under observation (p = 0.011). Conclusion: Considering the most important causes of medication errors, including fatigue due to overload, supervision methods, and heavy workload, using strategies to reduce fatigue due to workload, such as balancing nurses' work shifts and also holding workshops on supervision methods is recommended in order to improve the level of managerial competencies of nurses.


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