conclusions because there was no significant difference in the effectiveness between hospitals with and without board of trustees, decision-makers must monitor how the commands are carried out to make board of trustees for hospitals and make sure its success in achieving its objectives. results among the five variables related to the effectiveness, safety showed to have the highest weight and m...

background: effective leadership that rises from managerial training courses is highly constructive in managing hospitals more effectively. this study aims at investigating the relationship between leadership effectiveness with providing management training courses for hospital managers.    methods: this was a cross-sectional study carried out on top and middle managers of 16 hospitals of iran ...

Despite regular disinfection and decontamination of the hospital floors and surfaces, resistant pathogens from the hospital surfaces and their transmission to humans have been reported recently. The resistance of pathogens to the disinfectant agents or failed disinfection techniques have put the routine floor and non-critical surface disinfection done in hospitals into question with regard to t...

The prognosis of leptospirosis depends of severity, early diagnosis and prompt intensive treatment. Only few studies estimate the costs in outbreak of leptospirosis. We aimed to assess the cost effectiveness of predicting severity in leptospirosis by retrospective cohort study of 100 consecutive hospitalized patients with leptospirosis (1976-2015). The prices of service, investigations, drugs a...

background and objectives: the healthcare organization are often fail to realize their strategic goals due to the lack of effective leadership. to address this efficiency, factors can possibly influence the management performance should be identified. thus, the purpose of this study was to evaluate hospital managers’ leadership style and explore the relationship between leadership style in hosp...

OBJECTIVE To examine the effectiveness of Integrated Care and Discharge Support for elderly patients in reducing accident and emergency department attendance, acute hospital admissions, and hospital bed days after discharge. Factors that compromise its effectiveness were investigated and cost analysis was performed. DESIGN Cohort prospective study. SETTING Integrated Care and Discharge Supp...

BACKGROUND Patients with cervical disc herniations resulting in radiculopathy or myelopathy from single level disease have traditionally been treated with Anterior Cervical Discectomy and Fusion (ACDF), yet Cervical Disc Arthroplasty (CDA) is a new alternative. Expert suggestion of reduced adjacent segment degeneration is a promising future result of CDA. A cost-utility analysis of these proced...

BACKGROUND Clinicians, hospital managers, policy makers, and researchers are concerned about high costs, increased demand, and variation in priorities in the intensive care unit (ICU). The objectives of this modelling study are to describe the extra costs and expected health gains associated with admission to the ICU versus the general ward for 30,712 patients and the variation in cost-effectiv...