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کاربرد نوع شرط:
- جایگاه : پژوهشی
- مجله: Asian Pacific Journal of Cancer Prevention
- نوع مقاله: Journal Article
- کلمات کلیدی: Iran,Hospital,Predicting,Inpatient length of stay
- چکیده:
- چکیده انگلیسی: Objective: The length of stay is an important indicator of hospital performance and efficiency. Regarding the importance of the length of stay, this study aimed to design a structural model of the inpatients’ length of stay in the educational and therapeutic health care facilities of Iran in order to identify the influencing dimensions. Methods: The present study was an analytical and applied study. The face validity of the data gathering tool was investigated by the expert judgment and the construct validity was examined by using the exploratory factor analysis. In order to verify the reliability of the tool, the internal consistency was also trialed by using the Cronbach’s alpha. For ranking the influencing dimensions and factors and also in order to examine the causal relationships between the variables in a coherent manner and presenting the final model, the structural equation modeling technique was used in AMOS software at a significant level of 0.05. Results: The mentioned structural model consists of 4 dimensions and 29 factors influencing the length of stay of hospitalized patients. The independent variables are based on priority and importance as follows: patients’ conditions, the underlying factors, the clinical staff performance, and hospitals’ service delivery, which were examined by second-order factor analysis in order to study the relationship between them and the inpatients’ length of stay. Conclusion: Considering the importance of each one of the proposed dimensions from the point of view of service providers in some therapeutic centers of the country by paying attention to the role of each one of them in preventing prolonged hospitalization can be essential in the effectiveness of the treatment and cost reduction.
- انتشار مقاله: 22-10-1398
- نویسندگان: Omid Khosravizadeh,Soudabeh Vatankhah,Mina Jahanpour,Negar Yousefzadeh,Saeed Shahsavari,Saeed Yari
- مشاهده
- جایگاه : پژوهشی
- مجله: Asian Pacific Journal of Cancer Prevention
- نوع مقاله: Journal Article
- کلمات کلیدی: Teletherapy,Telesurgery,Analytical hierarchy process (AHP)
- چکیده:
- چکیده انگلیسی: Background: Considering the increasing incidence of different cancers, use of modern technologies such
as TTCC can make a dramatic change in treatment of these diseases. So, if the evolution strategy conflicts with
the organizational culture, national culture, and organizational structure of experts in this field, resistance will rise.
Objective: The purpose of this study was to determine the effective factors on the use of TTCC in hospitals affiliated
to Tehran University of Medical Sciences using the AHP model. Materials and Methods: This current descriptive
study was carried out in 2018 on specialist physicians from five hospitals of Tehran University of Medical Sciences.
The data gathering tool was a questionnaire consisting of two sections; demographic items and 27 effective factors
influencing the implementation of TTCC technology, which was evaluated for validity and reliability. Data analysis
was performed using analytical hierarchy process with expert choice and for empirical illustration are used to discuss
the use of covariance-based SEM versus smart PLS software. Results: Based on AHP comparisons in the studied
factors, the highest priority was the Cultural factor. In other words, commitment of senior executives to support
the provision of a new technology with a weight of 0.327. The lowest priority, however, was related to support diverse
approaches, innovation, creativeness, and acceptance of new ideas with a weight of 0.038. In regard with technical
and organizational factors, out-of-hospital access to the intranet network and support provided by the doctors, with the
weight of 0.221 and 0.205 in order, acquired the highest rates. Conclusion: Considering the high prevalence of cancer
in Iran and the necessity of using new technologies in its treatment and by addressing the specialists’ views and opinions
in this field, organizational and national culture in the application of TTCC technology should be promoted. This target
can be hit through acceptance, change in attitude, and successful use of TTCC technology by medical professionals.- انتشار مقاله: 18-11-1396
- نویسندگان: Mohammadreza Maleki,Seyed Masood Mousavi,Omid Khosravizadeh,Mohammad Heidari,Mehdi Raadabadi,Mina Jahanpour
- مشاهده