---

Introduction: Lifestyle is one of the determinants of individuals' health status and one of the main strategies to maintain healthy lifestyle. Body mass index in work environment can be used as an indicator of individual's lifestyle. The purpose of this study was to determine the correlation of body mass index and health promotion lifestyle among healthcare workers of Saqqez city. Materials & Methods: In this descriptive- correlational study, 180 staff of health care and hospital of Imam Khomeini hospital of Saqqez in Kurdistan participated by convince sampling. Demographic questionnaire and “Health Promotion Life Style II” (HPLP-II) was used to collect data. The validity of the instrument was determined by content validity and the reliability was obtained by alpha Cronbach coefficient. Data were analyzed by SPSS/21. Findings: The mean BMI and HPLP score of staffs were 25.38±3.70, 2.68 ± 0.48 respectively. The highest score was in participants who had a normal body mass index. Analysis showed that nutrition and physical activity were the highest and the lowest score dimensions respectively. Conclusion: The mean score of health promotion lifestyle staff was desirable. However the mean of staff body mass index was not at the desirable level. Thus, physical activity as one of the health promoting behaviors is suggested.

---

Introduction: Improving the quality of medical services in hospitals and health centers requires planning and understanding of environmental opportunities and threats. The aim of the present study was to determine the correlation between the strategic thinking and the quality of health services. Materials & Methods: In this descriptive-correlational study, 92 staff members of Takht Jamshid hospital in 1394 were chosen based on the Morgan table with Stratified - random method. Data were collected through “Servqual Scale" and “Strategic Thinking Questionnaire". The reliability of the questionnaires were confirmed using Cranach's alpha coefficient. Data was analyzed using SPSS/19. Findings: The results showed a significant positive correlation between the strategic thinking and the quality of health services (r=0.546). In addition, the strategic thinking and the quality of services in the target hospital was more than the medium. Conclusion: It is believed that increase in the strategic thinking will enhance the quality of services. Therefore, it is suggested that managers of hospitals and medical centers uses strategic thinking.

---

Introduction: Hospital is the largest and the most important operating unit in the health care system. Therefore, it is important to investigate how the quality of hospitals is evaluated. In this respect, the aim of the present study is to determine the correlation of patients' satisfaction with service quality using Structural Equation Modeling.

Methods: This research is a descriptive-correlational study conducted in Kowsar hospital-Astaneh Ashrafieh in 2014. Due to unlimited number of study population, 102 patients were selected by simple randomly sampling method. Through review of the literature, the components of measuring service quality were identified. Data was collected using “Servqual Questionnaire”. The reliability of the questionnaire was measured by Cronbach's alpha. The collected data were analyzed by LISREL software 8.

Results: Results showed a statistically significant correlation between the “guarantee” and the “clients' satisfaction”. Moreover, the "guarantee" had a statistically significant correlation with the "level of accountability", "credibility" and "tangible assets", which in turn through "the quality of service" had an indirect correlation with the clients' satisfaction.

Conclusions: The findings indicated that in addition to quality of service, the components of "satisfaction" has significant correlation with the elements of the "guarantee". In this respect, in order to improve the quality of hospitals’ service it is recommended that hospitals should take suitable actions to enhance the patients’ satisfaction.

---

Introduction: The health care industry and its sensitive environment, improving nurse's perception of internal marketing and its emphasis on employees empowerment and their jobs, can enhance the internal environment of the hospitals and the patient satisfaction. The purpose of this study was to determine the perception of internal marketing by surgical nurses and its role in service-centered encounter and patient satisfaction in hospitals.
Methods: The present study was a descriptive study that its statistical population consisted of the nurses of the surgical department of hospitals in Fars province. This research began in October 2017, which was distributed by purposive sampling method in a total of 684 questionnaires distributed and after deleting the questionnaires with incomplete answers, the number of questionnaires was 546. To collect data, “Internal Marketing Perception Questionnaire”, “Service-Centered Encounter Questionnaire" and" Patient Satisfaction Questionnaire” were used. The validity of the instruments were measured by Content Validity Index (CVI) and reliability by Cronbach's alpha method. Data was analyzed by SPSS 18.0.
Results: The value of F was equal to 44.692 which was significant at 1% level. As a result, service-oriented exposure is positively correlated with patient satisfaction. Also, understanding the internal marketing among nurses in the surgical unit has a significant positive moderating effect on the service- centered encounter and patient satisfaction (F = 31. 074, P < 0.001) and (F = 37.256, P < 0.001).
Conclusions: Service-centered encounter has a positive correlation with patient satisfaction, and internal marketing perception has a positive moderating effect on service-oriented encounter and patient satisfaction. It is suggested that by implementation of performance-based encounter assessment, emphasize on the patient needs by nurses.

---

Introduction: Facilitating people's access to healthcare services is one of the main goals of policy makers in the healthcare sector of every country. In this regard, evaluating healthcare services supply chain performance is a necessary step towards achieving this crucial goal. This study was conducted with the aim of developing model for healthcare services supply chain performance evaluation in Tehran’s governmental, private and social security hospitals based on Grounded Theory.
Methods: The present study is a qualitative study that was performed by Grounded Theory method. The data collection method was in-depth semi-structured interviews with 16 experts from Tehran’s governmental, private and social security hospitals familiar with performance evaluation concepts. The purposeful sampling method was the snowball method. To measure the validity of the findings, four criteria including credibility, generalizability, reliability and verifiability were applied. The test-retest reliability method was used to evaluate the stability of the researcher's identification. Open, axial and selective coding methods were employed for data analysis.
Results: In this research, 58 open codes and 21 axial codes were identified for healthcare services supply chain performance evaluation in Tehran’s governmental, private and social security hospitals categorized in form of 6 selective codes consist of causal conditions, context, intervening conditions, phenomena, strategies and consequences.
Conclusions: The final pattern shows that the causal conditions include 2 axial codes, the context includes 3 axial codes, the intervening conditions include 2 axial codes, the phenomenon includes 6 axial codes, the strategies include 5 axial codes and the consequences include 3 axial codes. It is suggested to use the results of the provided model to improve healthcare services.