title: Evaluation of Effective Factors on the Clinical Performance of General Surgeons in Tehran University of Medical Science, 2015.
abstract: OBJECTIVE
  Existence of doctors with high performance is one of the necessary conditions to provide high quality services. There are different motivations, which could affect their performance. Recognizing Factors which effect the performance of doctors as an effective force in health care centers is necessary. The aim of this article was evaluate the effective factors which influence on clinical performance of general surgery of Tehran University of Medical Sciences in 2015.
  
  
  METHODS
  This is a cross-sectional qualitative-quantitative study. This research conducted in 3 phases-phases I: (use of library studies and databases to collect data), phase II: localization of detected factors in first phase by using the Delphi technique and phase III: prioritizing the affecting factors on performance of doctors by using qualitative interviews.
  
  
  RESULTS
  12 articles were analyzed from 300 abstracts during the evaluation process. The output of assessment identified 23 factors was sent to surgeons and their assistants for obtaining their opinions. Quantitative analysis of the findings showed that "work qualification" (86.1%) and "managers and supervisors style" (50%) have respectively the most and the least impact on the performance of doctors. Finally 18 effective factors were identified and prioritized in the performance of general surgeons.
  
  
  CONCLUSIONS
  The results showed that motivation and performance is not a single operating parameter and it depends on several factors according to cultural background. Therefore it is necessary to design, implementation and monitoring based on key determinants of effective interventions due to cultural background.
authors.affiliation: Department Health management&Economics,School of public Health,Tehran University of Medical Sciences. farzianp@sina.tums.ac.ir.
authors.forename: Fereshteh
authors.initials: F
authors.lastname: Farzianpour
authors.forename: Efat
authors.initials: E
authors.lastname: Mohamadi
authors.forename: Zhila
authors.initials: Z
authors.lastname: Najafpour
authors.forename: Taraneh
authors.initials: T
authors.lastname: Yousefinezhadi
authors.forename: Sara
authors.initials: S
authors.lastname: Forootan
authors.forename: Abbas Rahimi
authors.initials: AR
authors.lastname: Foroushani