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Maryam Esmaeili, Dr Ali Mosadeghrad, Ali Akbarisari,
Volume 4, Issue 4 (3-2019)
Abstract

Background & Objectives: Organizational health is the physical, mental and social adaptation of the organization to its surrounding environment. Organizational health plays a key role in increasing the productivity of the organization. Hospitals must be healthy to provide quality, safe and effective services to society. This study aimed to measure the organizational health of Isfahan city hospitals in Isfahan, Iran.
Materials & Methods: This survey was conducted using a questionnaire in 14 public, private, charity and social security hospitals in Isfahan city in 2015. A total of 578 hospital managers and employees participated in this study. The organizational health assessment questionnaire included 3 main dimensions, 18 sub-dimensions and 54 questions on a five-point Likert scale. SPSS software, version 21, and descriptive statistics (frequency, percentage, mean and standard deviation) and inferential statistics (regression and analysis of variance) were used for data analysis.
Results: The average score of organizational health in Isfahan hospitals was 3.17±0.61 out of 5 points. Three hospitals had good organizational health, ten hospitals had moderate organizational health, and one hospital had poor organizational health. Hospitals had more social, physical and mental health, respectively. The highest organizational health was observed in the dimensions of planning, formality, ethics and leadership, and the lowest organizational health was observed in the dimensions of organizational justice and decision making. The dimensions of intra-departmental relations, optimal use of resources, leadership, cohesion, control and commitment had the greatest impact on organizational health. Charity hospitals had higher scores in organizational health scale than other hospitals.
Conclusion: Isfahan hospitals had an average level of organizational health. Hospital managers should take necessary measures to improve the health level of their organization.

 


Fatemeh Ehteshami, Dr Ali Mohammad Mosadeghrad, Maryam Tajvar,
Volume 4, Issue 4 (3-2019)
Abstract

Background & Objectives: Philanthropy refers to individual contributions for the common good, relief of pain and suffering, and improvement of people's quality of life. Philanthropists and donors are involved in financing, generating resources and providing health services. This study aimed to explore donors' participation in generating resources in the Iranian health system and identify factors affecting the allocation of donors' resources.
Materials & Methods: This qualitative research was conducted using semi-structured interviews and document analysis in 2018. Semi-structured interviews were conducted with 38 health donors and 26 policy makers, managers and experts in the field of social affairs of the Ministry of Health and medical universities using purposeful and snowball sampling methods. Data were analyzed using thematic content analysis method.
Results: Donors participate in providing the capital, current and human resources. Capital resources include endowment of land, construction, development and operation of healthcare facilities and provision of capital equipment. Current resources include the repair and reconstruction of healthcare facilities and technologies and the provision of medicine and consumables. Human resources include employees working in charity hospitals and clinics and volunteers working in healthcare projects. Economic, managerial, legal, behavioral, ethical, environmental and technological factors affect the participation of donors in generating resources for Iran's health system.
Conclusion: Donors contribute considerably to resources generation in Iran's health system. Several factors inside and outside the health system affect the participation of health donors. Policy makers and health managers should direct donors’ resources towards the priorities of the health system by educating, encouraging and supporting them.

Dr Alireza Darrudi, Dr Ali Mohammad Mosadeghrad, Dr Hamed Dehnavi,
Volume 5, Issue 1 (4-2019)
Abstract

Background & Objectives: Equity in the health sector means the availability of health services and people's fair access to them, using health services based on need, paying for health services based on financial ability and having an acceptable level of health. Fair distribution of hospital beds increases people's access to health services and improves their health. This research aimed to measure equity in the geographical distribution of hospital beds in Mazandaran province, Iran.
Materials & Methods: This cross-sectional study was conducted in 2016. the data related to the population of the cities, the number of hospitals and hospital beds in Mazandaran province were obtained from the ministry of health, and the and the Iranian national statistics center. The equity in the distribution of hospital beds in Mazandaran province was calculated using the Gini coefficient and Lorenz curve.
Results: Mazandaran Province population was 3,283,582 and there were 44 hospitals with 5,149 beds in 2016. There was 1.3 hospital per 100,000 people and 1.6 hospital beds per 1000 people in the Mazandaran Province. About 61% of hospitals in Mazandaran province are over 20 years old and 86% of hospitals have less than 200 beds. Sari, Qaemshahr and Fereidoonkar cities have had the highest hospital beds per population. About 18% of hospitals and 24% of hospital beds in Mazandaran province were in Sari city. The Gini coefficient for hospital bed distribution among Mazandaran counties was 0.28.
Conclusion: The distribution of hospital beds in Mazandaran Province was relatively fair. Equitable allocation of hospital beds particularly in less developed cities is necessary for achieving population health fairness. The distribution of hospital beds in Mazandaran province using the Gini index is almost fair. Fair allocation of health resources, especially in underprivileged cities of the province is necessary.


 


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