Showing 11 results for Quality
Meisam Dastani, Mojtaba Azghandi, Ali Ekrami,
Volume 1, Issue 2 (10-2015)
Abstract
Introduction: Quality assessment of web pages from users’ perspective has a fundamental role in its designing and development especially in research centers. In this study, the degree of desirability and quality of web pages of Gonabad University of Medical Sciences from the users’ perspective has been evaluated.
Methods: This survey study conducted using the new edition of web Qual i.e. E-Qual in 2012-2013 academic year. The study population included 202 comprising 7 faculty members,56 staff and 189 students of Gonabad University of Medical Sciences, they were selected based on random sampling. Data were collected using E-qual questionnaire. SPSS20, was also used for analysis.
Results: The findings showed a significant difference between the existing and excepted conditions of the current website of Gonabad University of Medical Sciences. In existing condition the average of the Quality of Content, the Transaction Quality & Safety, the Usability and the Service Interaction Quality were 4.39 (SD=1.344), 4.33 (SD=1.403), 4.64 (SD=1.384) and 3.96 (SD=1.242), respectively. In excepted condition the average of the Quality of Content, the Transaction Quality and Safety, the Usability and the Service Interaction Quality were 6.09 (SD=0.996), 6.04 (SD=1.028), 5.99 (SD=0.928) and 5.99 (SD=1.100), respectively.
Conclusion: The results showed that the desirability of Gonabad University of Medical Sciences website is good regarding the four aspects of of usability, quality of content, interaction and transactional safety. But users expected better and higher conditions for this website. Therefore managers of the website must improve various aspects of the website.
Azar Bangoli, Reza Ahmadikahnali, Seyed Kamal Hoseinian Nodushan ,
Volume 2, Issue 2 (10-2016)
Abstract
Introduction: Hospitals play an important role in providing the health care services. Therefore, evaluation of service quality is worthy of considerable attention. Based on the models in the existing literature, this paper presents a framework for measuring the hospital service quality. It also employs AHP to prioritize the patients’ expectations of service quality.
Methods: The present study is descriptive and applied. The data was collected through pairwise comparisons questionnaire that was distributed among patients family in a Children hospital in Bandar Abbas. The obtained data were analyzed by the use of FAHP and excel software.
Results: The results show that among the different dimensions of hospital service quality investigated in the present study, the patients listed 6 main dimensions in order of priority: overall services (0.270), accessibility (0.203), medical services (0.172), environment (0.152), administration (0.118), and relation (0.085). Among different criteria, accurate diagnosis of illness (0.115) and availability of round-the-clock services (0.066), as the most important criteria, while visiting time (0.0010) and the quality and variety of food (0.0020) was the least important criteria.
Conclusion: The framework provided in the present study might be employed by the hospitals to evaluate the quality of their services to the patients and their family from different aspects in order to improve the quality of their services and also to prioritize the service quality practices and thus satisfy their patients.
Morteza Hemmat, Jahanpour Alipour, Niloufar Jahani,
Volume 4, Issue 2 (10-2018)
Abstract
Aim: paying attention to quality and performance of medical record departments is critical because of its multiple beneficiaries and its important role in health and treatment of patients. This study aims to evaluate the performance of medical record department based on European Foundation for Quality Management (EFQM) model.
Methods: This descriptive cross-sectional study was conducted in 2018. The population consisted of all managers (five managers) and employees of medical record departments (54 staffs) in teaching hospitals of Zahedan University of Medical Sciences. Due to the limited research population, sampling was not done and the sample size was considered equal to the size of the population. Data were collected by a questionnaire consisting of 50 questions. Data were analyzed with the SPSS software using descriptive statistics.
Results: The medical record departments acquired score of 411.9 of 1000 (58.81%), of which empowerments and results factor achieved 232.37 and 179.57, respectively. Among enabler factors, the highest score (51.76%) belonged to partnership and resources, and the lowest belonged to processes (18.08%). Among results factors, the highest score related to employee’s (47.93%) and the lowest (43.16%) related to customer results.
Conclusion: The performance of the medical records departments was lower than the average. Therefore, designing and managing the department processes, identifying and prioritizing improvement opportunities in the department, improving relationships with stakeholders, adapting services and facilities to meet the needs of stakeholders, and paying attention to continuous improvement to improve the performance of medical record departments seems necessary.
Jahanpour Alipour, Yousef Mehdipour, Pezhman Sheibani-Nasab,
Volume 5, Issue 1 (9-2019)
Abstract
Aim: High quality data are prerequisite of high-quality health care. Present study aimed to evaluate hospital information system data quality in educational hospitals of Zahedan University of Medical Sciences.
Methods: The applied cross-sectional study was conducted in 2018. Research population comprises HIS’ users of five public hospitals affiliated to Zahedan University of Medical Sciences. The convenient sampling technique was used for the selection of 300 samples. Data were collected using a researcher-conducted questionnaire and analyzed with SPSS software using descriptive and analytic statistics.
Results: The mean score of accessibility included (7/35±1/61), relevancy (7/01±1/18), security (7/07±1/39), understandability (7/16±1/23), concise representation (7/12±1/32), ease of operation (7/12±1/20), and interpretability (7/21±1/09) out of a total 10 achieved from users’ perspective. The mean score of objectivity comprised (6/86±1/32), reputation (6/65±1/33), appropriate amount (6/93±1/43), believability (6/88±1/36), timeliness (6/80±1/49), completeness (6/74±1/29), consistent representation (6/87±1/29), and accuracy (6/69±1/15) out of a total of 10. A significant and positive correlation exists between all of evaluated factors (p-value < 0/05).
Conclusion: The evaluated hospital information systems data quality was considered an optimal level in terms of accessibility, relevancy, security, understandability, concise representation, ease of operation, and interpretability factors and were relatively optimal in terms of objectivity, reputation, appropriate amount, believability, timeliness, completeness, consistent representation, and accuracy factors. Thus, consideration and improvement of data, quality of HIS seem necessary.
Somayeh Fazaeli, Mehdi Yousei, Nafiseh Arfa Shahidi, Atefeh Behboudifar,
Volume 6, Issue 2 (8-2020)
Abstract
Aim: In late 2019, the world was encountered with Covid 19 pandemic.. Since maintaining the quality of care is one of the priorities of the healthcare system, the aim of this study was to investigate the status of public care provided to patients before and after allocating the wards to Covid 19 patients
Methods: This cross-sectional descriptive study was performed in the emergency room and infectious and non-infectious wards of Imam Reza Hospital. The research tool was a checklist that was compiled based on national accreditation measures. Its validity was confirmed quantitatively by ten experts. The data related to the evaluations were collected two months before and two months after allocating these wards to Covid 19 patients , entered into spss21 software, and analyzed by chi-square test.
Results: In general, the quality score of public care in the emergency and non-infectious wards was significantly lower than before. In the emergency department, the installation of etiquette and in the non-infectious ward, compliance with the standard related to the pressure ulcer prevention and physical restraint had a significant reduction compared to prior the Coronavirus pandemic. The standards related to patient delivery and transformation in infectious and non-infectious wards has decreased compared to before the pandemic. For other standards, there was no significant difference between before and after Coronavirus pandemic. Conclusion: It is recommended to identify the factors affecting the reduction of compliance with healthcare standards in the wards allocated to Coronavirus and to consider appropriate solutions in the pandemic crisis.
Ardalan Feili, Omid Jabari, Mahdi Safaei, Abass Sabet,
Volume 7, Issue 1 (5-2021)
Abstract
Aim: Education and technology are the key indicators that should be taken into account during the infectious pandemic of human society with Covid-19. Preventing scientific and educational gaps requires recognition of the present problems, modifying necessary conditions and improving the quality of education, which lead to the durability and consistency of the country's scientific strength.
Methods: The present study was a cross-sectional quantitative research in terms of applied purpose, descriptive method and the nature of the data. The statistical sample consisted of 10 professors familiar with virtual education with at least ten years of experience in Hormozgan University of Medical Sciences. They were selected through purposeful sampling in the form of snowballs. A DANP-based questionnaire was used to collect the data. The incompatibility rate of the questionnaires was 0.03 and their reliability was confirmed. The collected data were analyzed by Excel software.
Results: The results revealed that the most effective factors of improving the quality of virtual education in Hormozgan University of Medical Sciences are activists of electronic knowledge and skills with a weight of 0.12, organizational support with a weight of 0.105, and infrastructure and system quality with a weight of 0.103.
Conclusion: Organizational factors, education and technology are more important than individual factors. Therefore, managers’ and decision-makers’ efforts in this area can play a significant role to achieve the desired goals.
Azam Dehghani, Snjar Salajegheh, Mehdi Mohammad Bagheri, Samaneh Mehdizadeh,
Volume 7, Issue 4 (1-2022)
Abstract
Introduction: Total quality management (TQM) is one of the appropriate tools for structural changes in hospitals and the most important philosophies to increase the effectiveness of a dynamic and purposeful organization in a competitive environment. This study aimed to investigate the barriers to establishing TQM in hospitals.
Methods: This descriptive-correlational study examined the barriers to establishment of TQM in Kerman hospitals, 2019-2020. 377 managers and experts, medical, administrative and financial staff of the hospitals were selected by available sampling. The data was collected by barriers to the implementation of TQM questionnaire and analyzed by descriptive and inferential statistics and SPSS software version 20.
Results: Most of the subjects were women (67.3%). The mean of total barriers to implementation of TQM in hospitals was 3.94±1.38. The highest mean was related to cultural barriers and staff (4.42±1.16). There was a significant relationship between cultural barriers and staff, barriers related to infrastructure and managerial barriers with the realization of TQM with more than 99% confidence. The standardized value of the impact of the organizational dimension on the cultural barriers and staff was 0.19, organizational barriers on the barriers related to infrastructure was 0.51, organizational barriers on the managerial barriers was 0.30. These correlations were significant. There was a significant relationship between cultural and staff barriers, infrastructure barriers and managerial barriers.
Conclusion: This study showed that the most barriers to establishment of TQM in Kerman hospitals were cultural barriers and staff. Therefore, hospital managers should try to identify these management barriers and eliminate them.
Vahideh Alipoor, Hossein Azimi, Yosef Mirzaee Shiri, Nahid Tanha,
Volume 8, Issue 2 (7-2022)
Abstract
Objective During the Covid-19 pandemic, quality of services provided by medical centers are importance. The present study aims to investigate the quality of diagnostic services provided by medical centers in Zanjan, Iran during the Covid-19 pandemic using Parasuraman’s quality model.
Methods This is a descriptive correlational survey. The study population consists of all patients referred to medical centers in Zanjan province in 2020. Of these, 370 were selected using a convenience sampling method. The sample size was determined using Cochran’s formula. The data collection tool was a standard service quality questionnaire whose validity was assessed by experts, and a Cronbach’s reliability coefficient >0.7 showed its acceptable reliability. Its convergent validity was confirmed using the partial least squares (PLS) model with Average variance extracted > 0.5). Data analysis was performed in PLS and SPSS v. 21 Software. Hypotheses and model fitting were evaluated by structural equation modeling, PLS method, and importance-performance map analysis (IPMA).
Results There was a high gap between the perceived and expected status of the quality in terms of empathy. Regarding the dimension of tangibility, the services had good quality compared to other dimensions, since there was a small gap between the perceived and expected status. Based on the results of IPMA, the highest coefficient belonged to the assurance dimension, while the lowest coefficient belonged to the reliability dimension.
Conclusion There is a gap between the current status and desired status in all dimensions of health service quality in Zanjan, Iran. People’ expectations are more than their perceptions; they expect to receive better quality health services during the Covid-19 pandemic.
Zohreh Mohamadzadeh Tabrizi, Narjes Heshmatifar, Fateme Borzoee, Ali Tajabadi, Sedighe Rastaghi, Arezoo Davarinia Motlagh Quchan,
Volume 8, Issue 4 (3-2023)
Abstract
Objective: The coronavirus disease 2019 (COVID-19) pandemic has exposed nurses to many stressful conditions that may affect their quality of life. This study aims to compare the quality of life of nurses working in COVID-19 referral hospitals and other hospitals in Iran.
Methods: This descriptive -comparative study was conducted on 122 nurses working in COVID-19 referral hospitals and other hospitals in Sabzevar, Iran in May 2020, who were selected using a convenience sampling method. The 36-item short form survey (SF-36) was used to collect information online. Data were analyzed using descriptive and analytical statistics in SPSS software, version 16. P<0.05 was statistically significant.
Results: The Mean age of participants in the COVID-19 referral hospital was 32.38±7.158 years and in other hospitals it was 35.08±.6.547 years. Most of nurses (58%) had a moderate quality of life. Marital status (P= 0.008), exposure to COVID-19 (P=0.034) and underlying diseases (P=0.031) had a statistically significant relationship with the quality of life (QoL). There was no significant difference between the two groups in the total score of SF-36.
Conclusion: Due to the prevalence of COVID-19 and its negative effects on the quality of life of nurses, it is recommended to take the necessary measures such as social participation, planning for greater welfare of nurses, and adjusting the working hours in order to improve the QoL of nurses during the pandemic.
Ali Yalfani, Meysam Sahab Gholifar, Zahra Raeisi, Azadeh Asgarpoor Kaji,
Volume 9, Issue 2 (7-2023)
Abstract
Objective Low back pain (LBP) is one of the most common musculoskeletal pains in the elderly, which is associated with an increased risk of falling and reduced quality of life. Using virtual reality is new method for the rehabilitation based on physical activity. This study aims to determine the effect of eight weeks of virtual reality training (VRT) on quality of life (QoL) and risk of falling in older men with nonspecific LBP.
Methods In this quasi-experimental study that was conducted in 2021, 27 older men suffering from chronic LBP in Hamedan City participated based on the inclusion criteria in two groups of VRT (n=13) and control (n=14). The VRT group performed the exercises for eight weeks, 3 sessions per week, each session for 30-45 minutes, while the control group did not receive any therapeutic intervention during this period. The risk of falling and QoL before and after the intervention were assessed by the Biodex balance system and the 36-Item short form survey questionnaire, respectively. One-way analysis of covariance was used to analyze the data in SPSS software, version 24. The significance level was set at 0.05.
Results The VRT reduced the risk of falling (F=35.712, P=0.001) and increased the QoL (F=32.829, P=0.001) of the elderly in the intervention group. There was no significant difference in any of the variables in the control group (P>0.05).
Conclusion The VRT, as a cost-effective, available, and interesting method, can be used to reduce the risk of falling and increase the QoL of older men with nonspecific LBP.
Malikeh Nouranian, Sakineh Saghaeiannejad Isfahani,
Volume 10, Issue 1 (3-2024)
Abstract
Objective Medical consumable supply chain is one of the main supply chains in the health care domain. Accordingly, the present study aims to investigate the factors affecting information sharing and information quality in pharmaceutical and medical consumable supply chain management (SCM) in Iran.
Methods This is analytical survey study. Participants were 78 people involved in pharmaceutical and medical consumable supply SCM from the teaching hospitals affiliated to Isfahan University of Medical Sciences (IUMS), Iran, in 2017. The data were collected using a researcher-made questionnaire whose face and content validity were confirmed by some professors from the Department of Health Information Technology of IUMS and the reliability was confirmed using Cronbach’s α coefficient (α=0.93). Finally, data were analyzed using factor analysis in SmartPLS software, version 23.
Results Environmental uncertainty and inter-organizational facilitators had no significant impact on information sharing and information quality, while the factor of interdepartmental relationships was found to be effective. Among the components of environmental uncertainty, the supplier uncertainty with a weight of 0.905 had the highest impact. Among the components of inter-organizational facilitators, the top management support with a weight of 0.997 had the highest impact. Among the interdepartmental relationships, the commitment of supply chain partners with a weight of 0.865 had the highest impact.
Conclusion For an effective pharmaceutical and medical consumable SCM, there is need to establish proper relationships between different supply chain partners. Honesty, commitment, and common vision between the supply chain partners can improve the information sharing and information quality in pharmaceutical and medical consumable SCM.
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