Shahid Sadoughi University of Medical Sciences Management Strategies in Health System 2476-6879 3 1 2018 6 1 One verse, One Concept 1 1 FA Razieh Montazeralfaraj Assistant professor, Management and Health Policy Research Center, Department of Healthcare Management, School of Public Health, Shahid Sadoughi University of Medical Sciences, Yazd, Iran No Abstract  

Shahid Sadoughi University of Medical Sciences Management Strategies in Health System 2476-6879 3 1 2018 6 1 Sustainable Improvement of Health System Functions through Health System Strengthening Approach 2 4 FA Vajihe Ramezani_Doroh Ph.D. of Health Economics, School of Public Heath, Tehran University of Medical Sciences, Tehran, Iran Weaknesses of health systems limit their performance. Health System Strengthening (HSS) is an approach which made of strategies, responds and activities and aimed to sustainable improvement of health systems' performance. The HSS helps policy-makers to achieve the improvements by stimulating the system thinking. Furthermore, effective monitoring, evaluation, and learning are important factors in the effectiveness of the HSS.    

Shahid Sadoughi University of Medical Sciences Management Strategies in Health System 2476-6879 3 1 2018 6 1 Investigating Access Status to Healthcare Centers with the Spatial Justice Approach (A Case Study: District 7 of Tehran) 5 16 FA Abolfazl Meshkini Assistant Professor, Department of Geography and Urban Planning, School of Humanities, Tarbiat Modares University, Tehran, Iran Mohammad Ebrahimi Ph.D. student of Geography and Urban Planning, School of Humanities, Tarbiat Modares University, Tehran, Iran Background: A society will be sustainable when the basic needs of all its citizens are met. On the other hand, the increasing population of urban areas has increased the demand for public services, especially health services. Today, the level and extent of residents' access to services are calculated on the basis of spatial justice. This study aimed to analyze the extent of realization of spatial justice in access to health centers in Tehran 7th district based on the need criterion. Methods: The present applied study was located in the 7th district of Tehran. In order to measure the pattern of treatment centers distribution, the nearest neighboring distance method as well as the need criterion (age groups that are prone to use of health services, unemployment rate and population density) were used to calculate access to services. This study was conducted using Arc Gis 10.2.2 software. Results: The results showed that the amount of access to health care services is quite different in terms of the distance between the building blocks and the covered population. Furthermore, only 9 % of the population is located within the standard distance from the hospitals and 25 % within the standard distance from the clinics. The ratio of the nearest neighborhood average was 0.95, 1.15, and 1.34, respectively, in the spatial distribution pattern of hospitals, clinics and pharmacies. It showed that hospitals and clinics have random pattern and pharmacies have scattered pattern. However, regarding the distribution of pharmacies that seems to be more appropriate, the results showed that when in the spatial justice the need criterion is required to intervene, only 13 % of the total population has full access and 39 % do not have access to pharmacies. Conclusion: Based on the results of this study, the population of the studied district could have more equitable access to health care services through establishing health care centers as well as licensing for the establishment of pharmacies in no access and less access areas, respectively.  

Shahid Sadoughi University of Medical Sciences Management Strategies in Health System 2476-6879 3 1 2018 6 1 Identification of Hospital Information System Performance Key Indicators for Benchmarking; A Qualitative Study 17 32 FA Maryam Jahanbakhsh Instructor, Health Information Technology Research Center, Department of Health Information Management and Information Technology, School of Management and Medical Informatics, Isfahan University of Medical Sciences, Isfahan, Iran Ahmad Reza Raeisi Associate Professor, Health Management and Health Economics Research Center, Department of Healthcare Management, School of Management and Medical Informatics, Isfahan University of Medical Sciences, Isfahan, Iran Elham Javaheri Kian MSc student in Health Information Technology, School of Management and Medical Informatics, Isfahan University of Medical Sciences, Isfahan, Iran Background: To have an optimal hospital information system, performance indicators used for evaluation must be recognized. Since defining proper performance indicators is one of the important principles in benchmarking. This study aimed to identify key indicators of hospital information system performance benchmarking. Methods: This qualitative content analysis study was conducted in 2016-2017. The study population consisted of experts working in hospital Information Technology and data processing units in Tehran Province Social Security Hospitals (110). The present study was conducted in 3 stages using interview and focused group discussion. In the first stage, a review of the literature was carried out to collect the benchmarking indexes of the hospital information system. Then performance indicators were identified using the targeted snowball sampling. The experts were selected and identified by performance indicators. The data analysis method was conducted as a qualitative content analysis in the interview. The results of the third stage indicated confirmation of the identified main themes and sub- themes in the first stage and categorization of indicators. Results: The identified indicators for optimization and benchmarking of hospital information system were classified into 9 main themes and 121 sub-themes in three key groups of structure, process and results. The data analysis method was conducted as a qualitative content analysis in the interview. In the last stage, the results were organized and classified into 3 main categories of structure, process and results through focused group discussion. Conclusion: The results of this study can be used as a basis for quality improvement in evaluation process of hospital information systems. By planning to improve the indicators, it is expected to have quality improvement and productivity in the system.  

Shahid Sadoughi University of Medical Sciences Management Strategies in Health System 2476-6879 3 1 2018 6 1 The Relationship between the Patient's Safety and Nurses' Team Working in Surgical and Intensive Care Units in Gilan Province Selected Hospitals 33 43 FA Mahdieh Torka beydokhti MSc student in Healthcare Management, School of Medical Sciences and Technology, Sciences and Research Branch, Islamic Azad University, Tehran, Iran Kamran Hajinabi Assistant Professor, Department of Health Services Administration, Science and Research Branch, Islamic Azad University, Tehran, Iran Katayoun Jahangiri Associate Professor, Health in Disaster and Emergencies Department, School of Health, Safety and Environment, Shahid Beheshti University of Medical Sciences ,Tehran, Iran Background: Patient safety is one of the most important and vital issues in the health systems of different countries. Team working and communication are very important in preventing and reducing medical errors. This Study aimed to investigate the relationship between the patient's safety and nurses' team working in surgical and intensive care units in Gilan province selected hospitals. Methods: This analytical study was conducted in 30 selected hospitals in Gilan province in 2015. The statistical population of the study consisted of all nurses working in surgical and intensive care units (n = 600), and safety authorities of 30 selected hospitals. Team working data were collected by the teamwork assessment questionnaire and the patient's safety data by the checklist of mandatory standards of patient safety. Data were analyzed by spearman correlation and SPSS 16 software. Results: According to the results, there was a significant relationship between the patient's safety and nurses' team working (p < 0.05). Conclusion: According to relationship between team working and patient's safety, financing in teamwork culture promotion can prevent serious injuries and possible complications from patients and returns the investment to the hospital.  

Shahid Sadoughi University of Medical Sciences Management Strategies in Health System 2476-6879 3 1 2018 6 1 Determinants of Stool Sampling Behavior for Cholera Diagnosis of Clients to Health Homes among Health Workers in Taft City Based on the Health Belief Model 44 55 FA Salime Zare Abdollahi MSc student in Health Education and Health Promotion, School of Medical Sciences and Technology, Science and Research Brench Islamic Azad University, Tehran, Iran Reza Tavakoli Associate Professor, Department of Health Education and Health Promotion, School of Medical Sciences and Technology, Science and Research Brench Islamic Azad University, Tehran, Iran Mohammad Ali Morowatisharifabad Professor, Elderly Health Research Center, Department of Elderly Health, School of Public Health, Shahid Sadoughi University of Medical Sciences, Yazd, Iran Background: Stool sampling for cholera diagnosis of clients to health homes has significant effects on provision and maintenance of rural people health if it is done properly and regularly. However, the status of doing this behavior have not addressed in the studies. Therefore, this study aimed to examine determinates of stool sampling behavior for cholera diagnosis of clients to health homes among health workers in Taft city based on the Health Belief Model (HBM). Methods: This cross-sectional study was carried out on 90 health workers of Taft city which entered the study by census in 2016. Date collection tool was a researcher made questionnaire including the subscales of knowledge, susceptibility, severity, perceived benefits and barriers as well as cues to action, self-efficacy, and stool sampling behavior for cholera diagnosis. Its validity was approved by a panel of expert and its reliability was approved by accounting Cronbach alpha in a pilot study (n = 20). Data were analyzed by SPSS 22 and using mean and standard deviation and the relationship between constructs and demographic variables were analyzed by correlation coefficient and regression tests. Results: In this study, 20 % of the participants reported that they always do stool sampling for cholera diagnosis correctly and only 13.3 % reported that they always do sampling for the suspected cases to the disease. The mean score of knowledge, susceptibility, severity, benefits, barriers, cues to action, self-efficacy were 55.71 ± 9.37 (22-66 possible range), 28.88 ± 3.24 (10-50 possible range), 12.01 ± 1.44 (3-15 possible range), 22.59 ± 5.26 (7-35 possible range), 42.34 ± 9.87 (11-55 possible range), 11.62 ± 2.81 (3-15 possible range) and 45.03 ± 7.54 (10-50 possible range), respectively. The HBM constructs accounted for 14 % of variance in stool sampling behavior which amongst perceived susceptibility (β = 0.271) and cues to action (β = 0.377) were the significant predictors. Conclusion: The knowledge level of health workers in health homes regarding stool sampling for cholera diagnosis was at desirable level; however, the behavior was not so adequate. The Health Belief Model is a relatively suitable framework for promoting the behavior. Continuing and reinforcement of the HBM based programs with emphasizing on cues to action and perceived susceptibility are recommended.  

Shahid Sadoughi University of Medical Sciences Management Strategies in Health System 2476-6879 3 1 2018 6 1 The Relationship between Organizational Culture and Employees’ Creativity in Qazvin City Hospitals 56 68 FA Ali Mohammad Mosadeghrad Associate Professor, Department of Health Management and Economics, School of Public Health, Health Information Management Research Centre, Tehran University of Medical Sciences, Tehran, Iran Maryam Saadati MSc in Healthcare Management, School of Management and Medical Informatics, Iran University of Medical Sciences, Tehran, Iran Background: Employee’s creativity has a critical role in hospitals productivity. Numerous individual and organizational factors influence employee’s creativity. This study aimed to examine the relationship between organizational culture and employees’ creativity in Qazvin city hospitals, Iran. Methods: 2 questionnaires (i.e., organizational culture and employees’ creativity) were used for conducting this descriptive, correlational and cross-sectional study. The questionnaire was distributed among 687 hospital employees using stratified random sampling method. Descriptive and inferential methods were used for data analysis using SPSS 16 software. Results: The mean score of hospital employees’ creativity was 2.37 out of 3.00 (moderate level). The mean score of hospitals organizational culture was 2.95 out of 5.00 score (moderate level). There was a meaningful statistical relationship between organizational culture dimensions and employees’ creativity. Risk taking, attention to details and power distance dimensions of organizational culture explained 4 % of variation in employees’ creativity. Conclusion: Hospital managers should promote teamwork, risk-taking and innovation and stimulate a conductive organizational culture that encourages employees’ creativity.  

Shahid Sadoughi University of Medical Sciences Management Strategies in Health System 2476-6879 3 1 2018 6 1 The Relationship between Affective-collective Investment with Psychological Wellbeing due to the Role of Affective Capital among Nurses 69 79 FA Mahnaz Enayati MSc in Industrial and Organizational Psychology, Department of Industrial and Organizational Psychology, School of Psychology and Educational Sciences, Islamic Azad University, Isfahan (Khorasgan) Branch, Isfahan, Iran Mohsen Golparvar Associate Professor, Department of Industrial and Organizational, School of Psychology and Educational Sciences, Islamic Azad University, Isfahan (Khorasgan) Branch, Isfahan, Iran Background: Affective-collective investment and affective capital are 2 innovative positive constructs that can bring positive outcomes for the psychological and physical health of nurses. This study aimed to investigate the relationship between affective-collective investments with psychological wellbeing among nurses due to the mediating the role of affective capital. Methods: The present study was a correlational study conducted in Amin hospital in Isfahan city. 218 nurses from the hospital entered the study. Data were collected by affective-collective investment and affective capital questionnaires and psychological well-being scale. The data were analyzed using Pearson correlation coefficient and structural equation modeling. Results: The results revealed that there is a positive significant relationship between affective-collective investment with affective capital and psychological wellbeing (p < 0.01), and there is a positive significant relationship between affective capital and psychological wellbeing (p < 0.01). Results of structural equation modeling and mediation analysis indicated that affective capital is a complete mediator on the relationship between affective-collective investments with psychological wellbeing. Conclusion: The results of this study showed that by focusing on affective-collective investment in hospital settings, 2 worthwhile goals can be achieved; the promotion of affective capital, and then the promotion of psychological well-being of nurses

Shahid Sadoughi University of Medical Sciences Management Strategies in Health System 2476-6879 3 1 2018 6 1 Investigating the Challenges Affecting the Health System Development Plan from the Viewpoint of the Managers and Employees of Tehran Province Hospitals 80 89 FA Akbar Bahmani Assistant Professor, Department of Public Administration, Payame Noor University, Tehran, Iran Ali Farhanian MSc of Public Administration, Payame Noor University,Shiraz, Iran Background: Today, the health system in Iran is struggling with many challenges. Therefore, this study aimed to analyze the challenges affecting the health system development plan from the perspective of hospital managers and employees in Tehran province. Methods: The present study was applied in terms of the purpose, and in terms of data collection method, was survey. The statistical population in this study included Tehran province hospital employees and managers. The sample size according to community sampling formula was 384, using cluster sampling. The data collection tool was a researcher-made questionnaire. The reliability of the questionnaire was confirmed by Cronbach's alpha coefficient. The validity of the questionnaire was confirmed using convergent validity. In analyzing data, single-sample t-test for checking the status of variables, confirmatory factor analysis, and also structural equation modeling method for measuring the fit of the research model and examining hypotheses using SPSS 22 and Amos 22 software. Results: The findings of the study indicate that educational factors with a regression coefficient of 5.18, service quality with a regression coefficient of 6.93, financial support with a regression coefficient of 3.35 and communication clarity with a 1.49 regression coefficient on health promotion plan, at 95 % confidence level, have a significant effect. Conclusion: The results show that training, The quality of services, financial support, and clarity of communication are the key factors in solving the challenges in the development of the health system in hospitals and treatment centers.