Niusha Shahidi Sadeghi; Mohammadreza Maleki; Hasan Abolghasem Gorji; Soudabeh Vatankhah; Bahram Mohaghegh; Mahnaz Raouf; Leila Abdollahi; Fatemeh Samie; Hasan Askari
Volume 24, Issue 7 , 2022
Abstract
Background: Hospitals, similar to other organizations, are complex social systems influenced by elements, such as staff, resources, and structures, that work to achieve specific goals. In terms of goals and missions, hospitals are divided into teaching and non-teaching categories. There are many differences ...
Read More
Background: Hospitals, similar to other organizations, are complex social systems influenced by elements, such as staff, resources, and structures, that work to achieve specific goals. In terms of goals and missions, hospitals are divided into teaching and non-teaching categories. There are many differences in the nature and needs of these two types of hospitals that must be considered for proper operation by policymakers and managers.
Objectives: The present study compared issues between non-teaching and teaching hospitals in Iran.
Methods: A qualitative study was conducted using semi-structured interviews according to an interview guide with 40 Iranian hospital managers and policymakers selected through purposive sampling in 2021. Data were analyzed through thematic analysis with an inductive approach using the MAXQDA software (version 10).
Results: According to the results, the main categories of differences between non-teaching and teaching hospitals in Iran were as follows: legal and social responsibility, cost-effectiveness and efficiency, supply of resources, empowerment of human capital, goals and missions, external and internal communications, revenue-cost management, organizational structure, customer satisfaction, organizational behavior, clinical and support departments, hospital processes, type and level of services, manpower, performance evaluation, and the organization of the teaching mission.
Conclusion: Practical findings of this study include understanding the complexity and instability of command unity in teaching hospitals, understanding the differences in organizational hierarchy, developing a mechanism to cover costs for clients, increasing the legal and social responsibility of the management team, prioritizing organizational goals, coordinating policy demands with providing resources, funding the teaching mission, organizing multiple supervisory organizations, establishing transparent communication between hospitals and colleges, understanding the complexity of processes, considering the change of individual and group communication, changing the performance appraisal system, and paying for performance. It is suggested that policymakers consider these issues in providing the resources and facilities needed for hospitals based on their function.
Leila Abdollahi; Mojgan Mirghafourvand; Jalil Babapour Kheyradin; Mozhdeh Mohammadi
Volume 20, Issue 3 , 2018, Pages 1-8
Abstract
Background: Polycystic ovarian syndrome (PCOS) is a common endocrine disorder that can cause mental and psychological man- ifestations such as depression in addition to medical aspects like obesity. Objectives: The aim of this study was to evaluate the effect of cognitive-behavioral therapy on body mass ...
Read More
Background: Polycystic ovarian syndrome (PCOS) is a common endocrine disorder that can cause mental and psychological man- ifestations such as depression in addition to medical aspects like obesity. Objectives: The aim of this study was to evaluate the effect of cognitive-behavioral therapy on body mass index (BMI) and depression in women with PCOS. Methods: This randomized controlled trial was conducted on 74 women in Saqez-Iran, 2017. Participants were assigned into two groups of intervention and control through blocked randomization. The intervention group received cognitive-behavioral therapy in 8 sessions of 45 to 60 minutes. Beck’s depression questionnaire was completed, and body mass index (BMI) was calculated before and four weeks after the end of the intervention. ANCOVA test was used to analyze the data. Results: There was no significant difference between the two groups in terms of socio-demographic characteristics (P > 0.05). After the intervention, the mean (SD) of depression score in the intervention group was 4.5 (3.9) and in the control group 16.5 (8.6). Based on the ANCOVA test and with adjusting the baseline values, the mean depression score of the intervention group significantly was lower than the control group (adjusted mean difference: -13.8; confidence interval 95% = -10.9 to -16.7; P < 0.001). In addition, after the intervention, the mean (SD) of BMI in the intervention group was 27.3 (5.4), and in the control group it was 29.4 (5.5). The intervention group was significantly lower than the control group, based on the ANCOVA test with adjusting the baseline values (-0.6; -0.2 to -0.9; P < 0.001). Conclusions: Cognitive-behavioral therapy is effective in improving depression and decreasing BMI in women with PCOS. There- fore, it is recommended to use this therapeutic approach to improve the physical and psychological health of these women.
