Pub Date : 2023-07-05DOI: 10.18502/jebhpme.v7i2.13141
C. Sahanaa, A. Purty, S. Prabakaran, M. Arokiaraj, Manjunatha C H
Background: Myocardial infarction (MI) is a leading cause of morbidity and mortality worldwide. In India, incidence of MI is rapidly increasing due to lifestyle changes, ageing and rising healthcare costs. The out-of-pocket expenditure (OOPE) for MI care in India can be substantial, as majority of healthcare costs are paid by patients or their families. However, little is known about the actual OOPE incurred by MI patients in tertiary care centres in Pondicherry, South India. This study aims at estimating the OPPE by MI patients attending the tertiary care centre in Pondicherry. The findings can inform policymakers and healthcare providers in developing interventions to reduce the financial burden of MI care in patients and their families. Methods: This was a hospital-based, cross–sectional study conducted on patients attending Cardiology's outpatient department OPD, who had myocardial infarction in the past for about 3 months to 3 years at the time of enrolment in the study. A pre-designed and validated questionnaire was used to collect information regarding socio-demographic details and cost of health expenditures (direct medical and non-medical costs and indirect cost for both the participants and caregivers). Data analysis was done using SPSS24 Software. The median and inter-quartile range was used for assessing the cost of health expenditures. Results: Study participants underwent invasive and non-invasive procedure as part of their management. More than 93% underwent invasive, and the cost ranges from 1,694.03 USD to 2470.00 USD (1,20,000 INR to 1,75,000 INR). They spent 10.58 USD to 21.17 USD (750 INR to 1,500 INR) for their monthly medication. The travel expenses for each follow-up visit were between 5.64 USD to 70.57 USD (400 INR and 5000 INR). The majority of participants received health insurance or reimbursement of 1834 USD (1,30,000 INR) from their firm, 12.7% of the participants lost a payment of 162 USD to 776.28 USD (11,500 INR – 55,000 INR). Conclusion: The cost of the invasive procedure for myocardial infarction patients was 1694.03 USD to 2470.00 USD, which was the major share from the out-of-pocket expenditure compared with the other direct and indirect costs.
{"title":"Out-of-Pocket Expenditures of Myocardial Infarction Patients in Pondicherry, South India","authors":"C. Sahanaa, A. Purty, S. Prabakaran, M. Arokiaraj, Manjunatha C H","doi":"10.18502/jebhpme.v7i2.13141","DOIUrl":"https://doi.org/10.18502/jebhpme.v7i2.13141","url":null,"abstract":"Background: Myocardial infarction (MI) is a leading cause of morbidity and mortality worldwide. In India, incidence of MI is rapidly increasing due to lifestyle changes, ageing and rising healthcare costs. The out-of-pocket expenditure (OOPE) for MI care in India can be substantial, as majority of healthcare costs are paid by patients or their families. However, little is known about the actual OOPE incurred by MI patients in tertiary care centres in Pondicherry, South India. This study aims at estimating the OPPE by MI patients attending the tertiary care centre in Pondicherry. The findings can inform policymakers and healthcare providers in developing interventions to reduce the financial burden of MI care in patients and their families. \u0000Methods: This was a hospital-based, cross–sectional study conducted on patients attending Cardiology's outpatient department OPD, who had myocardial infarction in the past for about 3 months to 3 years at the time of enrolment in the study. A pre-designed and validated questionnaire was used to collect information regarding socio-demographic details and cost of health expenditures (direct medical and non-medical costs and indirect cost for both the participants and caregivers). Data analysis was done using SPSS24 Software. The median and inter-quartile range was used for assessing the cost of health expenditures. \u0000Results: Study participants underwent invasive and non-invasive procedure as part of their management. More than 93% underwent invasive, and the cost ranges from 1,694.03 USD to 2470.00 USD (1,20,000 INR to 1,75,000 INR). They spent 10.58 USD to 21.17 USD (750 INR to 1,500 INR) for their monthly medication. The travel expenses for each follow-up visit were between 5.64 USD to 70.57 USD (400 INR and 5000 INR). The majority of participants received health insurance or reimbursement of 1834 USD (1,30,000 INR) from their firm, 12.7% of the participants lost a payment of 162 USD to 776.28 USD (11,500 INR – 55,000 INR). \u0000Conclusion: The cost of the invasive procedure for myocardial infarction patients was 1694.03 USD to 2470.00 USD, which was the major share from the out-of-pocket expenditure compared with the other direct and indirect costs.","PeriodicalId":198049,"journal":{"name":"Evidence Based Health Policy, Management and Economics","volume":"24 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-07-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126513649","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-07-05DOI: 10.18502/jebhpme.v7i2.13143
Roholah Hosseini, Soheila Azami
Introduction: Occupational stress can cause psychological pressure and subsequently affects the work performance of healthcare workers, especially when unexpected events like contagious disease pandemics occur. Because of the stressful nature of unpredictable life events, it increases the hospital admission rate, which results in heavy workload for employers and this add up to their stress. The present study was conducted with the aim of investigating the relationship between occupational factors and also work stress on occupational performance during covid-19 pandemic using the employees of the Saveh Medical Sciences Health Department in covid-19 epidemic. Methods: The present research is a cross-sectional study that 316 employees from the health department of Saveh Faculty of Medical Sciences were given their opinion in 1401. In order to investigate occupational stress management and employee performance, the standard occupational stress assessment questionnaires and Patterson's performance assessment questionnaires were used, respectively. Data analysis was done using SPSS26 software and through frequency report, mean and standard deviation, linear regression test and Stepwise multiple regression model done. Results: the average and standard deviation of the total occupational stress management score of the participants was 3.09 ± 0.46, which was in the average range. The variables of the frequency of workplace change and the amount of stress determine 10% of the changes in job performance. (PES=0/1) Examination of the interaction effect of the frequency of workplace change and the amount of stress on job performance did not show a significant relationship. (P-value =0.4) The main effect of the frequency of workplace change (P-value=0.007 ) and the main effect of stress (P-value =0.001) on job performance showed a significant relationship. Conclusion: The results of this study showed that there was a significant relationship between types of employment and job performance. To be precise, the lowest mean and standard deviation in job performance observed in the contractual employees who had high levels of stress. While, the highest mean and standard deviation regarding job performance were related to the Permanent employeeswho had low levels of stress (P-value <0.001). Since increasing job security among contractual employees and corporate contracts and also changing their status can improve their performance, in order to manage job stress, introducing more policies regarding employment is suggested.
{"title":"The Relationship Between Occupational Factors and Stress and its Effect on Occupational Performance during Covid-19 Pandemic: A Case Study of Saveh University of Medical Sciences","authors":"Roholah Hosseini, Soheila Azami","doi":"10.18502/jebhpme.v7i2.13143","DOIUrl":"https://doi.org/10.18502/jebhpme.v7i2.13143","url":null,"abstract":"Introduction: Occupational stress can cause psychological pressure and subsequently affects the work performance of healthcare workers, especially when unexpected events like contagious disease pandemics occur. Because of the stressful nature of unpredictable life events, it increases the hospital admission rate, which results in heavy workload for employers and this add up to their stress. The present study was conducted with the aim of investigating the relationship between occupational factors and also work stress on occupational performance during covid-19 pandemic using the employees of the Saveh Medical Sciences Health Department in covid-19 epidemic. \u0000Methods: The present research is a cross-sectional study that 316 employees from the health department of Saveh Faculty of Medical Sciences were given their opinion in 1401. In order to investigate occupational stress management and employee performance, the standard occupational stress assessment questionnaires and Patterson's performance assessment questionnaires were used, respectively. Data analysis was done using SPSS26 software and through frequency report, mean and standard deviation, linear regression test and Stepwise multiple regression model done. \u0000Results: the average and standard deviation of the total occupational stress management score of the participants was 3.09 ± 0.46, which was in the average range. The variables of the frequency of workplace change and the amount of stress determine 10% of the changes in job performance. (PES=0/1) Examination of the interaction effect of the frequency of workplace change and the amount of stress on job performance did not show a significant relationship. (P-value =0.4) The main effect of the frequency of workplace change (P-value=0.007 ) and the main effect of stress (P-value =0.001) on job performance showed a significant relationship. \u0000Conclusion: The results of this study showed that there was a significant relationship between types of employment and job performance. To be precise, the lowest mean and standard deviation in job performance observed in the contractual employees who had high levels of stress. While, the highest mean and standard deviation regarding job performance were related to the Permanent employeeswho had low levels of stress (P-value <0.001). Since increasing job security among contractual employees and corporate contracts and also changing their status can improve their performance, in order to manage job stress, introducing more policies regarding employment is suggested.","PeriodicalId":198049,"journal":{"name":"Evidence Based Health Policy, Management and Economics","volume":"122 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-07-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125631862","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-07-05DOI: 10.18502/jebhpme.v7i2.13139
A. Soroush, Vajiheh Ramezani Doroh, Mozhgan Fardid, F. Moradi, Nadya Baharirad, Sajad Vahedi
Background: Individuals with the same needs are eligible to use required healthcare services, which is rarely taken into account in health systems. The present research evaluated this issue by investigating the determinants of the need for outpatient healthcare services and subsequent utilization in Kermanshah, western Iran. Methods: This was a before-after cross-sectional study which used two utilization surveys before (2006) and after (2015) the Health Transformation Plan (HTP) in Iran. The surveys were performed in a multi-stage sampling manner, and the data were obtained through face-to-face interviews with household members. 2626 (before) and 2089 (after) subjects who were ≤15 years old completed the surveys before and after the HTP, respectively, and were included in the analysis. The logistic regression was used to analyze the determinants of the needs and utilization of outpatient healthcare services. Results: The need for outpatient healthcare services increased from 19.73% before the HTP to 27.09% after it. The utilization of such services in this period also increased from 44.78% to 57.95%. The logistic regression analysis showed that most factors caused an inverse relationship between the studied outcomes before and after HTP, except for supplementary insurance, which increased both the need for outpatient services and subsequent use. Conclusion: Despite the increased utilization of outpatient services, it seems that some groups still have insufficient access to required healthcare services. Future healthcare reform in Iran must provide enough healthcare services to vulnerable groups.
{"title":"Analysis of Compatibility between the Need and Utilization of Health Services in West of Iran: Panel of Two Cross-Sectional Studies","authors":"A. Soroush, Vajiheh Ramezani Doroh, Mozhgan Fardid, F. Moradi, Nadya Baharirad, Sajad Vahedi","doi":"10.18502/jebhpme.v7i2.13139","DOIUrl":"https://doi.org/10.18502/jebhpme.v7i2.13139","url":null,"abstract":"Background: Individuals with the same needs are eligible to use required healthcare services, which is rarely taken into account in health systems. The present research evaluated this issue by investigating the determinants of the need for outpatient healthcare services and subsequent utilization in Kermanshah, western Iran. \u0000Methods: This was a before-after cross-sectional study which used two utilization surveys before (2006) and after (2015) the Health Transformation Plan (HTP) in Iran. The surveys were performed in a multi-stage sampling manner, and the data were obtained through face-to-face interviews with household members. 2626 (before) and 2089 (after) subjects who were ≤15 years old completed the surveys before and after the HTP, respectively, and were included in the analysis. The logistic regression was used to analyze the determinants of the needs and utilization of outpatient healthcare services. \u0000Results: The need for outpatient healthcare services increased from 19.73% before the HTP to 27.09% after it. The utilization of such services in this period also increased from 44.78% to 57.95%. The logistic regression analysis showed that most factors caused an inverse relationship between the studied outcomes before and after HTP, except for supplementary insurance, which increased both the need for outpatient services and subsequent use. \u0000Conclusion: Despite the increased utilization of outpatient services, it seems that some groups still have insufficient access to required healthcare services. Future healthcare reform in Iran must provide enough healthcare services to vulnerable groups.","PeriodicalId":198049,"journal":{"name":"Evidence Based Health Policy, Management and Economics","volume":"26 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-07-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128183852","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Background: Breast cancer screening programs are one of the most important methods for the early detection of breast cancer in women. Several studies have been conducted to identify factors affecting breast cancer screening behaviors among Iranian women. This study is conducted to systematically review the factors influencing women’s participation in breast cancer screening programs in Iran. Methods: Papers were collected by using the keywords breast, mammary, screening, early detection, diagnosis*, examination, testing, and Iran from various English-language databases, including PubMed, Scopus, Web of Science, and databases in Persian language including SID and Magiran. The search was limited to the title and abstract of papers published between January 1, 2000, and May 1, 2021. A narrative synthesis was performed to summarize findings of the obtained papers. Results: In this study, 1345 papers were initially found and, after screening the title, abstract, and full-text, 39 papers were selected. Most of them were cross-sectional (n= 28). Results indicated that socioeconomic factors, individual characteristics, recommendation of health workers, knowledge, Islamic beliefs, support by family, and activities of the Iranian government are frequently mentioned as contributing factors and can be applied to increase participation of Iranian women in breast cancer screening. Conclusion: The results demonstrate that lack of knowledge and a positive attitude towards breast cancer screening is a major problem regarding Iranian women's non-participation in the screening programs. Therefore, the need for regular implementation of the national screening program in the country, providing appropriate educational methods to increase women's awareness, removing barriers and improving women's access to health care providers should be the priorities of the Iranian health system to prevent breast cancer.
背景:乳腺癌筛查项目是早期发现女性乳腺癌最重要的方法之一。已经进行了几项研究，以确定影响伊朗妇女乳腺癌筛查行为的因素。本研究旨在系统回顾影响伊朗妇女参与乳腺癌筛查项目的因素。方法:采用关键词breast, mammary, screening, early detection, diagnosis*， examination, testing, and Iran从PubMed, Scopus, Web of Science以及SID和Magiran等波斯语数据库中检索论文。检索仅限于2000年1月1日至2021年5月1日之间发表的论文的标题和摘要。叙述综合进行了总结所得论文的发现。结果:本研究初步发现论文1345篇，经过题目、摘要、全文筛选，最终筛选出39篇。多数为横断面(n= 28)。结果表明，社会经济因素、个人特点、卫生工作者的建议、知识、伊斯兰信仰、家庭的支持和伊朗政府的活动经常被认为是促成因素，可用于增加伊朗妇女参与乳腺癌筛查。结论:结果表明，缺乏对乳腺癌筛查的知识和积极态度是伊朗妇女不参与筛查计划的主要问题。因此，需要在国内定期实施国家筛查计划，提供适当的教育方法来提高妇女的意识，消除障碍并改善妇女获得卫生保健提供者的机会，这应该是伊朗卫生系统预防乳腺癌的优先事项。
{"title":"Factors Influencing Iranian Women's Participation in Breast Cancer Screening Programs: A Systematic Review","authors":"A. Hajizadeh, Salar Mohammaddokht, Sajad Dorri Kafrani, Elham Monaghesh, Jafar Amanzadeh","doi":"10.18502/jebhpme.v7i2.13144","DOIUrl":"https://doi.org/10.18502/jebhpme.v7i2.13144","url":null,"abstract":"Background: Breast cancer screening programs are one of the most important methods for the early detection of breast cancer in women. Several studies have been conducted to identify factors affecting breast cancer screening behaviors among Iranian women. This study is conducted to systematically review the factors influencing women’s participation in breast cancer screening programs in Iran. \u0000Methods: Papers were collected by using the keywords breast, mammary, screening, early detection, diagnosis*, examination, testing, and Iran from various English-language databases, including PubMed, Scopus, Web of Science, and databases in Persian language including SID and Magiran. The search was limited to the title and abstract of papers published between January 1, 2000, and May 1, 2021. A narrative synthesis was performed to summarize findings of the obtained papers. \u0000Results: In this study, 1345 papers were initially found and, after screening the title, abstract, and full-text, 39 papers were selected. Most of them were cross-sectional (n= 28). Results indicated that socioeconomic factors, individual characteristics, recommendation of health workers, knowledge, Islamic beliefs, support by family, and activities of the Iranian government are frequently mentioned as contributing factors and can be applied to increase participation of Iranian women in breast cancer screening. \u0000Conclusion: The results demonstrate that lack of knowledge and a positive attitude towards breast cancer screening is a major problem regarding Iranian women's non-participation in the screening programs. Therefore, the need for regular implementation of the national screening program in the country, providing appropriate educational methods to increase women's awareness, removing barriers and improving women's access to health care providers should be the priorities of the Iranian health system to prevent breast cancer.","PeriodicalId":198049,"journal":{"name":"Evidence Based Health Policy, Management and Economics","volume":"79 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-07-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128154109","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-04-04DOI: 10.18502/jebhpme.v7i1.12353
E. Safi, Mostafa Amirfakhriyan, H. Ameri, H. Zare, M. Ranjbar, Y. Assefa
Background: Primary healthcare facilities are essential to provide healthcare to individuals and the society closer to home. Fast, timely, and affordable access to these centers is important in each society. This is especially crucial to prevent and control the epidemics of non-communicable diseases that are highly affecting populations in urban settings. This study aimed to assess spatial accessibility to primary healthcare facilities in Yazd city (Iran), using a Geographic Information System (GIS). Methods: In this descriptive-analytical study, which was conducted cross-sectionally in 2022, locational information related to primary healthcare centers, population distribution, and urban zoning of Yazd city were collected and recorded in Excel format. Then, distribution maps of each of the studied uses were determined. Then, the existing indicators and standards regarding the uses were determined through documentary studies, and a geographic database was formed through the GIS software collection. Data were analyzed using indicators and models such as hot spot analysis, Thiessen's polygons algorithm, access model based on the two-step floating catchment area, and the average distance model of the nearest neighbor. Results: The results indicated that the comprehensive health centers in Yazd city are located next to each other with a scattered distribution pattern, and are away from each other by an average distance of 1131 meters. Also, the distance of urban health posts from each other is 1045 meters on average, and are randomly located next to each other. The main concentration of the distribution of primary health care facilities is observed in the central and traditional regions of the city, which, according to the hot spot analysis, are among the cold and low population density spots. In addition, the access score of the regions indicates that the distribution of these facilities is not according to the population density, and the highest functional pressure of comprehensive health centers as well as urban health posts is observed in the regions where there is the least access to these facilities. Conclusion: There is a disparity between the distribution of primary healthcare facilities and population density in Yazd city, Iran. This study provides significant evidence to local health policymakers and urban planners to design more efficient actions related to equal development of health infrastructure by using the GIS.
{"title":"Spatial Accessibility to Primary Healthcare Facilities in Iran: A GIS-Based Approach","authors":"E. Safi, Mostafa Amirfakhriyan, H. Ameri, H. Zare, M. Ranjbar, Y. Assefa","doi":"10.18502/jebhpme.v7i1.12353","DOIUrl":"https://doi.org/10.18502/jebhpme.v7i1.12353","url":null,"abstract":"Background: Primary healthcare facilities are essential to provide healthcare to individuals and the society closer to home. Fast, timely, and affordable access to these centers is important in each society. This is especially crucial to prevent and control the epidemics of non-communicable diseases that are highly affecting populations in urban settings. This study aimed to assess spatial accessibility to primary healthcare facilities in Yazd city (Iran), using a Geographic Information System (GIS). \u0000Methods: In this descriptive-analytical study, which was conducted cross-sectionally in 2022, locational information related to primary healthcare centers, population distribution, and urban zoning of Yazd city were collected and recorded in Excel format. Then, distribution maps of each of the studied uses were determined. Then, the existing indicators and standards regarding the uses were determined through documentary studies, and a geographic database was formed through the GIS software collection. Data were analyzed using indicators and models such as hot spot analysis, Thiessen's polygons algorithm, access model based on the two-step floating catchment area, and the average distance model of the nearest neighbor. \u0000Results: The results indicated that the comprehensive health centers in Yazd city are located next to each other with a scattered distribution pattern, and are away from each other by an average distance of 1131 meters. Also, the distance of urban health posts from each other is 1045 meters on average, and are randomly located next to each other. The main concentration of the distribution of primary health care facilities is observed in the central and traditional regions of the city, which, according to the hot spot analysis, are among the cold and low population density spots. In addition, the access score of the regions indicates that the distribution of these facilities is not according to the population density, and the highest functional pressure of comprehensive health centers as well as urban health posts is observed in the regions where there is the least access to these facilities. \u0000Conclusion: There is a disparity between the distribution of primary healthcare facilities and population density in Yazd city, Iran. This study provides significant evidence to local health policymakers and urban planners to design more efficient actions related to equal development of health infrastructure by using the GIS.","PeriodicalId":198049,"journal":{"name":"Evidence Based Health Policy, Management and Economics","volume":"13 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121233949","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-04-04DOI: 10.18502/jebhpme.v7i1.12350
Manochehr Ghaseminejad raeini, P. Lakbala
Background: The only sustainable competitive advantage of organizations is their employees. Capable and efficient manpower are the most important assets of organizations and communities. This will lead to sustainable development. The purpose of this study was to determine the effect of empowerment through four factors of ability (knowledge and skills, trust, motivation and communication) among the staff of Hormozgan University of Medical Sciences. Methods: This was a descriptive study conducted in 2017.The statistical population consisted of 485 staff members of Hormozgan University of Medical Sciences. 215 people were selected by random sampling method. Then, the authors selected samples from each job category through stratified sampling method. To collect information, the authors used a standard empowerment questionnaire based on Melhem's model in addition to the demographic section. After distributing the questionnaire; t-student test and Spearman correlation were used to determine the status of research variables and also the type and extent of the relationship between them. Results: According to the results of t-student test, the average of all variables was more than 3 indicating the appropriate status of employees' capabilities. Moreover, the results of Spearman correlation test showed that the relationship between independent variables and dependent variables in this test was significant. All research hypotheses (main hypothesis and four sub-hypotheses) were confirmed. The results of the correlation coefficient of the relationship between knowledge and skill variables with empowerment showed a moderate intensity, while the correlation coefficient of the relationship between the variables of motivation, trust and communication with empowerment showed a low intensity. Conclusion: Due to the appropriate status of employees' empowerment, long-term empowerment programs are proposed to enhance employees' empowerment further.
{"title":"The Effect of Four Melhem's Empowerment Factors on the Empowerment of Staff in Hormozgan University of Medical Sciences, Iran","authors":"Manochehr Ghaseminejad raeini, P. Lakbala","doi":"10.18502/jebhpme.v7i1.12350","DOIUrl":"https://doi.org/10.18502/jebhpme.v7i1.12350","url":null,"abstract":"Background: The only sustainable competitive advantage of organizations is their employees. Capable and efficient manpower are the most important assets of organizations and communities. This will lead to sustainable development. The purpose of this study was to determine the effect of empowerment through four factors of ability (knowledge and skills, trust, motivation and communication) among the staff of Hormozgan University of Medical Sciences. \u0000Methods: This was a descriptive study conducted in 2017.The statistical population consisted of 485 staff members of Hormozgan University of Medical Sciences. 215 people were selected by random sampling method. Then, the authors selected samples from each job category through stratified sampling method. To collect information, the authors used a standard empowerment questionnaire based on Melhem's model in addition to the demographic section. After distributing the questionnaire; t-student test and Spearman correlation were used to determine the status of research variables and also the type and extent of the relationship between them. \u0000Results: According to the results of t-student test, the average of all variables was more than 3 indicating the appropriate status of employees' capabilities. Moreover, the results of Spearman correlation test showed that the relationship between independent variables and dependent variables in this test was significant. All research hypotheses (main hypothesis and four sub-hypotheses) were confirmed. The results of the correlation coefficient of the relationship between knowledge and skill variables with empowerment showed a moderate intensity, while the correlation coefficient of the relationship between the variables of motivation, trust and communication with empowerment showed a low intensity. \u0000Conclusion: Due to the appropriate status of employees' empowerment, long-term empowerment programs are proposed to enhance employees' empowerment further.","PeriodicalId":198049,"journal":{"name":"Evidence Based Health Policy, Management and Economics","volume":"2 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132926614","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-04-04DOI: 10.18502/jebhpme.v7i1.12357
Nayeb Fadaei Dehcheshmeh
The Article Abstract is not available.
没有文章摘要。
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{"title":"The Relationship Between Leadership Style and Organizational Entrepreneurship in the Staff Managers of Ahvaz Jundishapur University of Medical Sciences","authors":"Nayeb Fadaei Dehcheshmeh","doi":"10.18502/jebhpme.v7i1.12357","DOIUrl":"https://doi.org/10.18502/jebhpme.v7i1.12357","url":null,"abstract":"
 
 
 
 
 
 
 
 
 
 
 The Article Abstract is not available.
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
","PeriodicalId":198049,"journal":{"name":"Evidence Based Health Policy, Management and Economics","volume":"35 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136163323","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-04-04DOI: 10.18502/jebhpme.v7i1.12356
Z. Mastaneh, Ali Mouseli
Background: In the data-rich and data-sensitive environment, health information systems (HIS) have been used for decision-making by providing reliable data. The current study aims to have a holistic view on the logistic role of IS in health sector. Methods: PubMed, Scopus, and Science Direct were searched by keywords including "information system AND health AND data", "health information system AND challenges AND network", health information system OR clinical information system AND quality of services". 547 scientific studies from 2010 onwards were selected. At first, based on papers' relevance to the aim of this study, titles and abstracts of publications were studied. 259 studies were filtered out. Then, through analyzing the full texts based on inclusion criteria, authors selected 106 papers. Finally, contents were extracted and categorized. Results: Due to the impact of IS on quality, effectiveness, and efficiency of services, as well as patients' safety, various types of ISs are used at different levels of the health system. They are classified based on different criteria including generality, level of the health system, managerial level, complexity, and integrity. According to IS components, non-standardized data, weak human resources capacity, incompatibility with work procedures, fragmentation of subsystems, cyber security threats, and insufficient informatics infrastructure were the main challenges. Conclusion: IS in health play a logistic role in systematic data management and circulation of reliable information. A systematic and integrated view is needed to conquer the organizational and systemic challenges.
{"title":"Holistic View on Information Systems as Logistic in Health Sector","authors":"Z. Mastaneh, Ali Mouseli","doi":"10.18502/jebhpme.v7i1.12356","DOIUrl":"https://doi.org/10.18502/jebhpme.v7i1.12356","url":null,"abstract":"Background: In the data-rich and data-sensitive environment, health information systems (HIS) have been used for decision-making by providing reliable data. The current study aims to have a holistic view on the logistic role of IS in health sector. \u0000Methods: PubMed, Scopus, and Science Direct were searched by keywords including \"information system AND health AND data\", \"health information system AND challenges AND network\", health information system OR clinical information system AND quality of services\". 547 scientific studies from 2010 onwards were selected. At first, based on papers' relevance to the aim of this study, titles and abstracts of publications were studied. 259 studies were filtered out. Then, through analyzing the full texts based on inclusion criteria, authors selected 106 papers. Finally, contents were extracted and categorized. \u0000Results: Due to the impact of IS on quality, effectiveness, and efficiency of services, as well as patients' safety, various types of ISs are used at different levels of the health system. They are classified based on different criteria including generality, level of the health system, managerial level, complexity, and integrity. According to IS components, non-standardized data, weak human resources capacity, incompatibility with work procedures, fragmentation of subsystems, cyber security threats, and insufficient informatics infrastructure were the main challenges. \u0000Conclusion: IS in health play a logistic role in systematic data management and circulation of reliable information. A systematic and integrated view is needed to conquer the organizational and systemic challenges.","PeriodicalId":198049,"journal":{"name":"Evidence Based Health Policy, Management and Economics","volume":"36 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124415463","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-04-04DOI: 10.18502/jebhpme.v7i1.12352
A. Lipunga
Background: Sound organizational governance is critical to the health sector. The condition of the legal framework that is in place, plays a key role in institutionalizing sound governance. The present paper examines the condition of the legal framework that facilitates the implementation of robust public hospital governance in Malawi. Methods: The paper employed document analysis utilizing Clarke’s situational thinking to examine the legal framework pertaining to the governance of central and district hospitals. Results: The findings suggest that the current legal framework does not prescribe a specific organizational governance system for central and district hospitals. Governance of the hospitals relies on the governance framework of their parent entities, namely the Ministry of Health and District Councils respectively. This setup presents serious challenges that include undermining the uniqueness of the hospital governance system and obscuring the organizational visibility of public hospitals. Consequently, it has detrimental effects on the implementation of sound organizational governance principles including responsibility, transparency, and accountability. Conclusion: The paper demonstrates the need for policymakers to examine the condition of the specific elements of the legal framework in order to identify those areas that require attention toward reforming the state of organizational governance of the public hospitals under study.
{"title":"A situational Analysis of the Legal Framework of Public Hospital Governance in Malawi","authors":"A. Lipunga","doi":"10.18502/jebhpme.v7i1.12352","DOIUrl":"https://doi.org/10.18502/jebhpme.v7i1.12352","url":null,"abstract":"Background: Sound organizational governance is critical to the health sector. The condition of the legal framework that is in place, plays a key role in institutionalizing sound governance. The present paper examines the condition of the legal framework that facilitates the implementation of robust public hospital governance in Malawi. \u0000Methods: The paper employed document analysis utilizing Clarke’s situational thinking to examine the legal framework pertaining to the governance of central and district hospitals. \u0000Results: The findings suggest that the current legal framework does not prescribe a specific organizational governance system for central and district hospitals. Governance of the hospitals relies on the governance framework of their parent entities, namely the Ministry of Health and District Councils respectively. This setup presents serious challenges that include undermining the uniqueness of the hospital governance system and obscuring the organizational visibility of public hospitals. Consequently, it has detrimental effects on the implementation of sound organizational governance principles including responsibility, transparency, and accountability. \u0000Conclusion: The paper demonstrates the need for policymakers to examine the condition of the specific elements of the legal framework in order to identify those areas that require attention toward reforming the state of organizational governance of the public hospitals under study. \u0000 ","PeriodicalId":198049,"journal":{"name":"Evidence Based Health Policy, Management and Economics","volume":"22 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115149616","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-04-04DOI: 10.18502/jebhpme.v7i1.12349
Atefeh Esfandiari, Batool Amiri, J. Kiani, H. Salari
The Article Abstract is not available.
文章摘要不可用。
{"title":"Establishment of Covid-19 Hospital-Based Registry in a Referral Hospital Through the World Health Organization Platform","authors":"Atefeh Esfandiari, Batool Amiri, J. Kiani, H. Salari","doi":"10.18502/jebhpme.v7i1.12349","DOIUrl":"https://doi.org/10.18502/jebhpme.v7i1.12349","url":null,"abstract":"\u0000 \u0000 \u0000 \u0000 \u0000 \u0000 \u0000 \u0000 \u0000 \u0000 \u0000The Article Abstract is not available. \u0000 \u0000 \u0000 \u0000 \u0000 \u0000 \u0000 \u0000 \u0000 \u0000 \u0000 \u0000 \u0000 \u0000","PeriodicalId":198049,"journal":{"name":"Evidence Based Health Policy, Management and Economics","volume":"148 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134028459","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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