Pub Date : 2022-06-29DOI: 10.18502/jebhpme.v6i2.9944
B. Ahadinezhad, Omid Khosravizadeh, F. Vahdati, M. Mohammadkhani, Rana Soheylirad, Sogol Sarikhani
Background: Hospital management style can affect various aspects of hospital performance. One of these aspects is the level of market orientation of the hospital. Therefore, the present study attempts to answer whether management style makes a difference in the degree market orientation of hospitals or not. Methods: This research is a descriptive-analytical and cross-sectional study conducted in 2020. About 420 people were selected by stratified sampling out of the six medical centers' staff in Qazvin, Iran. A total of 411 people (97.86 %) completed the questionnaires. The collected data were analyzed using STATA15 and SPSS16 software. Robust regression analysis was used to estimate the role of management style in the level of market orientation of hospitals. Mean variables were analyzed using one-way analysis of variance and post hoc test. Results: The score range of the variables was from 1 to 5. Autocratic and delegating styles obtained the highest average (3.22 ± 0.54) and the lowest average (2.87 ± 0.70), respectively. Among the dimensions of market orientation, customer orientation had the highest average (3.32 ± 0.84), while competitor orientation obtained the lowest average (2.80 ± 0.86). The average score of market orientation was 2.88 ± 0.65. A statistically significant difference between hospitals was observed in terms of participative and delegating styles (P-value < 0.05). In addition to market orientation, there was a statistically significant difference between hospitals (P-value < 0.05). The regression coefficient between the level of the hospital market orientation and the participative and delegating styles was 0.10 and 0.09, respectively (P-value < 0.05). In contrast, the regression coefficient between autocratic style and level of market orientation was estimated to be -0.76. Conclusion: It can be concluded that managers should use more participatory and delegating styles to increase the market orientation of the studied hospitals.
{"title":"Investigating the Relationship Between Management Style and Market Orientation in Qazvin University of Medical Sciences","authors":"B. Ahadinezhad, Omid Khosravizadeh, F. Vahdati, M. Mohammadkhani, Rana Soheylirad, Sogol Sarikhani","doi":"10.18502/jebhpme.v6i2.9944","DOIUrl":"https://doi.org/10.18502/jebhpme.v6i2.9944","url":null,"abstract":"Background: Hospital management style can affect various aspects of hospital performance. One of these aspects is the level of market orientation of the hospital. Therefore, the present study attempts to answer whether management style makes a difference in the degree market orientation of hospitals or not. \u0000Methods: This research is a descriptive-analytical and cross-sectional study conducted in 2020. About 420 people were selected by stratified sampling out of the six medical centers' staff in Qazvin, Iran. A total of 411 people (97.86 %) completed the questionnaires. The collected data were analyzed using STATA15 and SPSS16 software. Robust regression analysis was used to estimate the role of management style in the level of market orientation of hospitals. Mean variables were analyzed using one-way analysis of variance and post hoc test. \u0000Results: The score range of the variables was from 1 to 5. Autocratic and delegating styles obtained the highest average (3.22 ± 0.54) and the lowest average (2.87 ± 0.70), respectively. Among the dimensions of market orientation, customer orientation had the highest average (3.32 ± 0.84), while competitor orientation obtained the lowest average (2.80 ± 0.86). The average score of market orientation was 2.88 ± 0.65. A statistically significant difference between hospitals was observed in terms of participative and delegating styles (P-value < 0.05). In addition to market orientation, there was a statistically significant difference between hospitals (P-value < 0.05). The regression coefficient between the level of the hospital market orientation and the participative and delegating styles was 0.10 and 0.09, respectively (P-value < 0.05). In contrast, the regression coefficient between autocratic style and level of market orientation was estimated to be -0.76. \u0000Conclusion: It can be concluded that managers should use more participatory and delegating styles to increase the market orientation of the studied hospitals.","PeriodicalId":198049,"journal":{"name":"Evidence Based Health Policy, Management and Economics","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-06-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130351818","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 : 2022-06-29DOI: 10.18502/jebhpme.v6i2.9941
A. Mokhtari, B. Nabilou, S. Aghlmand, H. Yusefzadeh
Background: The importance of paying attention to improving productivity in different health system departments has become increasingly evident. This is due to increased costs of health care goods and services, limited resources and production facilities. This study aims to measure the productivity of hospitals' Medical Records Departments (MRD) affiliated with Urmia University of Medical Sciences to provide a comprehensive analysis of their performance. Methods: In this study, total productivity and total factor productivity changes of medical record departments in hospitals affiliated with Urmia University of Medical Sciences were calculated. This was conducted through Kendrick-Creamer and Malmquist indexes in 2016-2020, and has examined the trend of each one of them. Input variables included the number of personnel and equipment. Output variables encompassed the number of outpatient and inpatient medical records prepared for patients, responses to letters, and patients referred to the studied MRD. After estimating the production function, the elasticity of production factors and the return to the scale of medical record departments were calculated.Total productivity changes and production function were estimated via Deap2,1 and Frontier4,1 softwares by applying input minimization and variable returns to scale assumptions. Results: The results of the Malmquist index indicated that the average total productivity changes of medical records departments of hospitals during the study period were equal to 1,096. This is greater than one; therefore, it can be concluded that productivity has decreased by about 9.600 % during the study period. Changes in technological efficiency have had the greatest impact on reducing productivity, to other factors. In addition, the results of Kendrick-Creamer index during the years under review demonstrated that the average total productivity of production factors obtained, was equal to 18725.530 services. Conclusion: There is decreased productivity due to technological changes in the studied departments. This is because of the lack of sufficient knowledge of the medical records department staff in the use of technology and equipment for providing efficient services . Holding training courses for the appropriate use of technology by personnel can be useful in this regard.
{"title":"Productivity Analysis of Medical Record Department in Hospitals Affiliated with Urmia University of Medical Sciences","authors":"A. Mokhtari, B. Nabilou, S. Aghlmand, H. Yusefzadeh","doi":"10.18502/jebhpme.v6i2.9941","DOIUrl":"https://doi.org/10.18502/jebhpme.v6i2.9941","url":null,"abstract":"Background: The importance of paying attention to improving productivity in different health system departments has become increasingly evident. This is due to increased costs of health care goods and services, limited resources and production facilities. This study aims to measure the productivity of hospitals' Medical Records Departments (MRD) affiliated with Urmia University of Medical Sciences to provide a comprehensive analysis of their performance. \u0000Methods: In this study, total productivity and total factor productivity changes of medical record departments in hospitals affiliated with Urmia University of Medical Sciences were calculated. This was conducted through Kendrick-Creamer and Malmquist indexes in 2016-2020, and has examined the trend of each one of them. Input variables included the number of personnel and equipment. Output variables encompassed the number of outpatient and inpatient medical records prepared for patients, responses to letters, and patients referred to the studied MRD. After estimating the production function, the elasticity of production factors and the return to the scale of medical record departments were calculated.Total productivity changes and production function were estimated via Deap2,1 and Frontier4,1 softwares by applying input minimization and variable returns to scale assumptions. \u0000Results: The results of the Malmquist index indicated that the average total productivity changes of medical records departments of hospitals during the study period were equal to 1,096. This is greater than one; therefore, it can be concluded that productivity has decreased by about 9.600 % during the study period. Changes in technological efficiency have had the greatest impact on reducing productivity, to other factors. In addition, the results of Kendrick-Creamer index during the years under review demonstrated that the average total productivity of production factors obtained, was equal to 18725.530 services. \u0000Conclusion: There is decreased productivity due to technological changes in the studied departments. This is because of the lack of sufficient knowledge of the medical records department staff in the use of technology and equipment for providing efficient services . Holding training courses for the appropriate use of technology by personnel can be useful in this regard.","PeriodicalId":198049,"journal":{"name":"Evidence Based Health Policy, Management and Economics","volume":"38 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-06-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132137996","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 : 2022-06-29DOI: 10.18502/jebhpme.v6i2.9939
Mohammadreza Kalantarhormozi, A. Yazdanpanah, M. Yazdankhahfard, Batool Amiri, R. Nemati, Milad Sohrabi Shekafti, H. Salari, Atefeh Esfandiari
Background: The use of advanced and expensive technologies requires financial, human and capital resources. Brain Magnetic Resonance Imaging (MRI) has high contrast sensitivity for visualizing differences among the tissues. Unnecessary diagnostic imaging imposes excessive cost on health systems. This study aimed to determine the appropriateness of brain MRI prescriptions in 2021. Methods: This cross-sectional study recruited 274 patients who referred to Bushehr teaching hospital. They had been prescribed MRI of the brain due to headache and dizziness. We used the data collection form developed in the previous study. The appropriateness of the brain MRI prescription was determined based on the appropriate indications during 2021. Results: About 61 % of the referrals were due to headache and 39 % were because of dizziness. Overall, MRI was evaluated as inappropriate for about 38 % of the patients. The appropriateness of prescriptions had a significant relationship with age, gender, education, job status, complaint, prescribing physician, and MRI applicant with P-value < 0.050. Conclusion: Findings revealed more than one-third of brain MRI services were not clinically appropriate. Due to the high cost of MRI, it is necessary to make prescriptions in accordance with indications to prevent unnecessary diagnostic procedures and to prevent induced demand. Health system policymakers and healthcare providers should develop clinical guidelines and implement them to reduce the costs of health systems.
{"title":"Appropriateness of Brain Magnetic Resonance Imaging (MRI) Prescriptions and Imposed Financial Burden: Evidence from Iran","authors":"Mohammadreza Kalantarhormozi, A. Yazdanpanah, M. Yazdankhahfard, Batool Amiri, R. Nemati, Milad Sohrabi Shekafti, H. Salari, Atefeh Esfandiari","doi":"10.18502/jebhpme.v6i2.9939","DOIUrl":"https://doi.org/10.18502/jebhpme.v6i2.9939","url":null,"abstract":"Background: The use of advanced and expensive technologies requires financial, human and capital resources. Brain Magnetic Resonance Imaging (MRI) has high contrast sensitivity for visualizing differences among the tissues. Unnecessary diagnostic imaging imposes excessive cost on health systems. This study aimed to determine the appropriateness of brain MRI prescriptions in 2021. \u0000Methods: This cross-sectional study recruited 274 patients who referred to Bushehr teaching hospital. They had been prescribed MRI of the brain due to headache and dizziness. We used the data collection form developed in the previous study. The appropriateness of the brain MRI prescription was determined based on the appropriate indications during 2021. \u0000Results: About 61 % of the referrals were due to headache and 39 % were because of dizziness. Overall, MRI was evaluated as inappropriate for about 38 % of the patients. The appropriateness of prescriptions had a significant relationship with age, gender, education, job status, complaint, prescribing physician, and MRI applicant with P-value < 0.050. \u0000Conclusion: Findings revealed more than one-third of brain MRI services were not clinically appropriate. Due to the high cost of MRI, it is necessary to make prescriptions in accordance with indications to prevent unnecessary diagnostic procedures and to prevent induced demand. Health system policymakers and healthcare providers should develop clinical guidelines and implement them to reduce the costs of health systems.","PeriodicalId":198049,"journal":{"name":"Evidence Based Health Policy, Management and Economics","volume":"52 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-06-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122101377","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 : 2022-06-29DOI: 10.18502/jebhpme.v6i2.9938
Sajjad Bahariniya, Mohammad Ezati Asar, F. Madadizadeh
The Article Abstract is not available.
文章摘要不可用。
{"title":"Caring of Health Care Team in COVID-19 Crisis","authors":"Sajjad Bahariniya, Mohammad Ezati Asar, F. Madadizadeh","doi":"10.18502/jebhpme.v6i2.9938","DOIUrl":"https://doi.org/10.18502/jebhpme.v6i2.9938","url":null,"abstract":"The Article Abstract is not available.","PeriodicalId":198049,"journal":{"name":"Evidence Based Health Policy, Management and Economics","volume":"10 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-06-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131044005","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 : 2022-06-29DOI: 10.18502/jebhpme.v6i2.9940
Fatemeh Najafipour Moghadam, N. Tavakoli, Khadijeh Nemati, Narges Pak
Background: Medical tourism provides Effective economic, political and social profits to the countries active in the field, which should be taken into account in a competitive market. This study aimed to evaluate the relationship between foreign patients' satisfaction and other aspects of health tourism in educational and medical centers of the Iran University of Medical Sciences (IUMS). Methods: This was a descriptive correlational study with a researcher-made questionnaire. The first part of the questionnaire contained the demographic characteristics of the participants, and the second part included 30 questions about the components that affect receiving medical services by foreign nations. The reliability coefficient of the questionnaire was determined by using Cronbach's alpha (0.980). Expert judgment was used to assess the validity of the questionnaire. Out of 70 hospitals affiliated with the University of Iran in 2019, 10 hospitals from 35 licensed centers in the field of international health were randomly selected, and 300 questionnaires were delivered to foreign patients who were willing to complete the questionnaire. The received information was from Random sampling recorded in SPSS25 software. Descriptive Statistics was used to determine the effective factors. Results: The largest numbers of foreign patients in this study were from Iraq (64 %) and Kuwait (24 %), respectively. In correlation review, there was a significant relationship between satisfaction of foreign patients and financial dimension (0.785), quality of treatment dimension (0.914), medical facilities dimension (0.799) and tourism facilities dimension (0.918) in hospitals. Conclusion: This study demonstrates that there is a significant relationship between satisfaction of foreign patients and other aspects of health tourism (such as financial dimension, treatment quality, treatment and tourism facilities) in hospitals, Which needs to be given special attention by health tourism managers for short-term and long-term planning for its development.
{"title":"Evaluation of the Relationship Between Foreign Patients' Satisfaction and Financial Dimension, Treatment Quality, and Treatment and Tourism Facilities in Hospitals of Iran University of Medical Sciences","authors":"Fatemeh Najafipour Moghadam, N. Tavakoli, Khadijeh Nemati, Narges Pak","doi":"10.18502/jebhpme.v6i2.9940","DOIUrl":"https://doi.org/10.18502/jebhpme.v6i2.9940","url":null,"abstract":"Background: Medical tourism provides Effective economic, political and social profits to the countries active in the field, which should be taken into account in a competitive market. This study aimed to evaluate the relationship between foreign patients' satisfaction and other aspects of health tourism in educational and medical centers of the Iran University of Medical Sciences (IUMS). \u0000Methods: This was a descriptive correlational study with a researcher-made questionnaire. The first part of the questionnaire contained the demographic characteristics of the participants, and the second part included 30 questions about the components that affect receiving medical services by foreign nations. The reliability coefficient of the questionnaire was determined by using Cronbach's alpha (0.980). Expert judgment was used to assess the validity of the questionnaire. Out of 70 hospitals affiliated with the University of Iran in 2019, 10 hospitals from 35 licensed centers in the field of international health were randomly selected, and 300 questionnaires were delivered to foreign patients who were willing to complete the questionnaire. The received information was from Random sampling recorded in SPSS25 software. Descriptive Statistics was used to determine the effective factors. \u0000Results: The largest numbers of foreign patients in this study were from Iraq (64 %) and Kuwait (24 %), respectively. In correlation review, there was a significant relationship between satisfaction of foreign patients and financial dimension (0.785), quality of treatment dimension (0.914), medical facilities dimension (0.799) and tourism facilities dimension (0.918) in hospitals. \u0000Conclusion: This study demonstrates that there is a significant relationship between satisfaction of foreign patients and other aspects of health tourism (such as financial dimension, treatment quality, treatment and tourism facilities) in hospitals, Which needs to be given special attention by health tourism managers for short-term and long-term planning for its development.","PeriodicalId":198049,"journal":{"name":"Evidence Based Health Policy, Management and Economics","volume":"69 6","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-06-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"113975778","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 : 2022-06-29DOI: 10.18502/jebhpme.v6i2.9942
Fatemeh Zare Qala Seyyedi, Boshra Havasi, Nayeb Fadaei Dehcheshmeh
Background: Today, the success of organizations depends on creativity, innovation and entrepreneurship. One of the appropriate tools for the growth of organizational entrepreneurship is an appropriate leadership style tailored to the concepts of entrepreneurship in the organization. This study aimed to examine the relationship between leadership style and organizational entrepreneurship in the staff managers of Ahvaz University of Medical Sciences in 2019. Methods: This was a descriptive-analytic cross-sectional study conducted in 2019. All the staff managers (n= 85) of Ahvaz University of Medical Sciences were approached to participate in the study. Sampling was conducted using the census method. Sixty participants completed the questionnaire. Data were collected using two questionnaires: 1) the leadership style questionnaire, Clark and 2) the organizational entrepreneurship questionnaire. Data were analyzed using SPSS16 descriptive statistics (e.g. frequency, percent, mean ± Standard Deviation (SD)), and statistical tests including t-test, ANOVA and Pearson Correlation Coefficient. Results: The mean ± SD of organizational entrepreneurship in staff managers was estimated at 3.18 ± 0.66. The highest type of leadership among managers was related to participative leadership with 3.90 ± 0.51. There was a direction and significant association between autocratic leadership style and organizational entrepreneurship (r = 0.30, P-value = 0.01). In contrast, no significant association was found between participative leadership and organizational entrepreneurship (P-value = 0.05) and between laissez-faire leadership style and organizational entrepreneurship (P-value = 0.62). Conclusion: Having a leadership style tailored to the business environment makes the organization an entrepreneurial organization. In order to have an entrepreneurial organization, some measures must be taken so that managers can adopt appropriate leadership styles to provide the necessary environment for creating a successful organization and the presence of creative and entrepreneurial people in the organization.
{"title":"The Relationship Between Leadership Style and Organizational Entrepreneurship in the Staff Managers of Ahvaz Jundishapur University of Medical Sciences","authors":"Fatemeh Zare Qala Seyyedi, Boshra Havasi, Nayeb Fadaei Dehcheshmeh","doi":"10.18502/jebhpme.v6i2.9942","DOIUrl":"https://doi.org/10.18502/jebhpme.v6i2.9942","url":null,"abstract":"Background: Today, the success of organizations depends on creativity, innovation and entrepreneurship. One of the appropriate tools for the growth of organizational entrepreneurship is an appropriate leadership style tailored to the concepts of entrepreneurship in the organization. This study aimed to examine the relationship between leadership style and organizational entrepreneurship in the staff managers of Ahvaz University of Medical Sciences in 2019. \u0000Methods: This was a descriptive-analytic cross-sectional study conducted in 2019. All the staff managers (n= 85) of Ahvaz University of Medical Sciences were approached to participate in the study. Sampling was conducted using the census method. Sixty participants completed the questionnaire. Data were collected using two questionnaires: 1) the leadership style questionnaire, Clark and 2) the organizational entrepreneurship questionnaire. Data were analyzed using SPSS16 descriptive statistics (e.g. frequency, percent, mean ± Standard Deviation (SD)), and statistical tests including t-test, ANOVA and Pearson Correlation Coefficient. \u0000Results: The mean ± SD of organizational entrepreneurship in staff managers was estimated at 3.18 ± 0.66. The highest type of leadership among managers was related to participative leadership with 3.90 ± 0.51. There was a direction and significant association between autocratic leadership style and organizational entrepreneurship (r = 0.30, P-value = 0.01). In contrast, no significant association was found between participative leadership and organizational entrepreneurship (P-value = 0.05) and between laissez-faire leadership style and organizational entrepreneurship (P-value = 0.62). \u0000Conclusion: Having a leadership style tailored to the business environment makes the organization an entrepreneurial organization. In order to have an entrepreneurial organization, some measures must be taken so that managers can adopt appropriate leadership styles to provide the necessary environment for creating a successful organization and the presence of creative and entrepreneurial people in the organization.","PeriodicalId":198049,"journal":{"name":"Evidence Based Health Policy, Management and Economics","volume":"37 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-06-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124923146","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 : 2022-06-29DOI: 10.18502/jebhpme.v6i2.9945
P. Isfahani, R. Bahador, Saeid Peirovy, M. Afshari, S. Samani
Background: Depression is one of the most common and serious disorders which threatens the mental and physical health of the nurses. This article investigated prevalence of depression among the nurses of Iran using meta-analysis. Methods: This meta-analysis study was done in 2021 using a random-effects model. Data were collected from January 2000 to June 21, 2021, from PubMed, Web of Science, Scopus, Magiran, SID databases and Google Scholar search engine. The data were analyzed using CMA software (Version 2.2.064, the US, Biostate Company). Results: 18 articles were retrieved. The total prevalence rate of depression in Iranian nurses was 12 % [95 % CI= 8.03-17.10]. The highest prevalence rate of depression among nurses was 40.90 % [95 % CI= 32.60-49.70] in Razavi Khorasan, in 2020, and the lowest prevalence rate was 1.70 % [95 % CI= 0.06-4.40] in Lorestan, in 2017. A significant statistical correlation was observed between the prevalence of depression, the sample size, and the work experience (P-value< 0.05). Moreover, we found that the highest rate of depression was based on BDI (Beck's Depression Inventory) questionnaire, and the eastern region of Iran. Conclusion: According to the results, depression has prevailed among one tenth of the Iranian nurses. The finding of this study can help improve the decision- making process for treating depression in Iranian nurses.
{"title":"Prevalence of Depression Among Nurses of Iran: A Meta-analysis","authors":"P. Isfahani, R. Bahador, Saeid Peirovy, M. Afshari, S. Samani","doi":"10.18502/jebhpme.v6i2.9945","DOIUrl":"https://doi.org/10.18502/jebhpme.v6i2.9945","url":null,"abstract":"Background: Depression is one of the most common and serious disorders which threatens the mental and physical health of the nurses. This article investigated prevalence of depression among the nurses of Iran using meta-analysis. \u0000Methods: This meta-analysis study was done in 2021 using a random-effects model. Data were collected from January 2000 to June 21, 2021, from PubMed, Web of Science, Scopus, Magiran, SID databases and Google Scholar search engine. The data were analyzed using CMA software (Version 2.2.064, the US, Biostate Company). \u0000Results: 18 articles were retrieved. The total prevalence rate of depression in Iranian nurses was 12 % [95 % CI= 8.03-17.10]. The highest prevalence rate of depression among nurses was 40.90 % [95 % CI= 32.60-49.70] in Razavi Khorasan, in 2020, and the lowest prevalence rate was 1.70 % [95 % CI= 0.06-4.40] in Lorestan, in 2017. A significant statistical correlation was observed between the prevalence of depression, the sample size, and the work experience (P-value< 0.05). Moreover, we found that the highest rate of depression was based on BDI (Beck's Depression Inventory) questionnaire, and the eastern region of Iran. \u0000Conclusion: According to the results, depression has prevailed among one tenth of the Iranian nurses. The finding of this study can help improve the decision- making process for treating depression in Iranian nurses.","PeriodicalId":198049,"journal":{"name":"Evidence Based Health Policy, Management and Economics","volume":"2015 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-06-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127260545","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 : 2022-03-28DOI: 10.18502/jebhpme.v6i1.9024
Somayeh Noori Hekmat, R. Rahimisadegh, M. H. Mehrolhasani, Mohammad Jafari Sirizi
Background: The health insurance ecosystem involves all the organizations and institutions which act as ecosystem actors in accordance with the objectives, values and functions of the ecosystem as its elements. Comprehensive understanding of the elements and actors of this ecosystem can be effective in improving its current status and in the future. Thus, the present study aimed to discuss the key elements (objectives, values and functions), as well as the actors of the health insurance ecosystem by a systematic review method. Methods: This systematic review study was conducted in January 2021 using the six-step Walsh and Downe technique in the form of meta-synthesis. The question proposed a search strategy using the SPIDER framework, and the search was done in PubMed, Scopus, Web of Science ,Cochrane and Persian database of Magiran without considering a specific time and place. Content analysis method and MAXQDA 2020 were used to combine the findings. the Mixed Methods Appraisal Tool (MMAT) evaluation checklist version 2018 was used to evaluate quality of studies. Results: 1410 articles were found in major databases, and 10 papers were found by manual searching using the search strategy. In addition, 612 duplicate records were removed from the search results after entering the results in EndNote X7 software. Ultimately, 9 studies reached the stage of quality evaluation and meta-synthesis. The selected studies were reviewed one by one, and their key concepts and themes were identified using content analysis method. Finally, the list of actors and key elements of the health insurance ecosystem was made. Conclusion: Establishing fair participation and financial protection were identified as the most important key elements in the health insurance ecosystem, achieved through governance functions, resource supply, and service delivery in the context of an integrated and transparent structure. Applying governance is the most important role of ecosystem, forming the necessary participation and coordination between the actors in different roles, and regulating the interactions between them through mechanisms such as tariffs and the payment system. The role played by many actors with different roles or different roles by one actor in the ecosystem results in complexity and conflict of interest.
背景:健康保险生态系统包括所有组织和机构，这些组织和机构按照生态系统的目标、价值观和功能作为其要素，作为生态系统的行动者。全面了解这一生态系统的要素和行为者可以有效地改善其现状和未来。因此，本研究旨在通过系统回顾的方法来讨论健康保险生态系统的关键要素(目标、价值和功能)以及参与者。方法:本系统综述研究于2021年1月以综合的形式采用Walsh和Downe六步技术进行。该问题提出了一个使用SPIDER框架的搜索策略，在PubMed、Scopus、Web of Science、Cochrane和Magiran的波斯数据库中进行搜索，不考虑具体的时间和地点。采用内容分析法和MAXQDA 2020对研究结果进行综合分析。采用混合方法评估工具(MMAT)评估清单2018版评估研究质量。结果:在各大数据库共检索到1410篇论文，使用检索策略人工检索到10篇论文。此外，在EndNote X7软件中输入结果后，从搜索结果中删除了612条重复记录。最终有9项研究进入质量评价和综合阶段。对所选的研究进行逐一回顾，并利用内容分析法确定其关键概念和主题。最后，列出了健康保险生态系统的行为者和关键要素。结论:建立公平参与和财务保护被确定为健康保险生态系统中最重要的关键要素，通过在综合透明结构背景下的治理功能、资源供应和服务提供来实现。应用治理是生态系统最重要的作用，在不同角色的行动者之间形成必要的参与和协调，并通过关税、支付系统等机制调节他们之间的互动。生态系统中许多不同角色的参与者所扮演的角色或一个参与者所扮演的角色导致了复杂性和利益冲突。
{"title":"Understanding Health Insurance from the Perspective of an Ecosystem: A Systematic Review and Meta-Synthesis","authors":"Somayeh Noori Hekmat, R. Rahimisadegh, M. H. Mehrolhasani, Mohammad Jafari Sirizi","doi":"10.18502/jebhpme.v6i1.9024","DOIUrl":"https://doi.org/10.18502/jebhpme.v6i1.9024","url":null,"abstract":"Background: The health insurance ecosystem involves all the organizations and institutions which act as ecosystem actors in accordance with the objectives, values and functions of the ecosystem as its elements. Comprehensive understanding of the elements and actors of this ecosystem can be effective in improving its current status and in the future. Thus, the present study aimed to discuss the key elements (objectives, values and functions), as well as the actors of the health insurance ecosystem by a systematic review method. \u0000Methods: This systematic review study was conducted in January 2021 using the six-step Walsh and Downe technique in the form of meta-synthesis. The question proposed a search strategy using the SPIDER framework, and the search was done in PubMed, Scopus, Web of Science ,Cochrane and Persian database of Magiran without considering a specific time and place. Content analysis method and MAXQDA 2020 were used to combine the findings. the Mixed Methods Appraisal Tool (MMAT) evaluation checklist version 2018 was used to evaluate quality of studies. \u0000Results: 1410 articles were found in major databases, and 10 papers were found by manual searching using the search strategy. In addition, 612 duplicate records were removed from the search results after entering the results in EndNote X7 software. Ultimately, 9 studies reached the stage of quality evaluation and meta-synthesis. The selected studies were reviewed one by one, and their key concepts and themes were identified using content analysis method. Finally, the list of actors and key elements of the health insurance ecosystem was made. \u0000Conclusion: Establishing fair participation and financial protection were identified as the most important key elements in the health insurance ecosystem, achieved through governance functions, resource supply, and service delivery in the context of an integrated and transparent structure. Applying governance is the most important role of ecosystem, forming the necessary participation and coordination between the actors in different roles, and regulating the interactions between them through mechanisms such as tariffs and the payment system. The role played by many actors with different roles or different roles by one actor in the ecosystem results in complexity and conflict of interest.","PeriodicalId":198049,"journal":{"name":"Evidence Based Health Policy, Management and Economics","volume":"45 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124512095","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 : 2022-03-28DOI: 10.18502/jebhpme.v6i1.9027
Sana Shaaban, Mohammadreza Mohammad Khani, Ahad Alizade, Zahra Mirhajian, Zeinab Momeni, S. Rafiei
Background: Organizational culture can affect the levels of entrepreneurship and innovation through identifying the social capital dimensions and enhance the ability of staff to accept challenges. This study aimed to examine the impact of organizational culture on entrepreneurial behavior with the mediating role of social capital among the staff working in Qazvin University of Medical Sciences. Methods: This was an cross-sectional analytical study conducted among the staff of Qazvin University of Medical Sciences in 2020. Sample size was calculated by Cochran formula considering type I error and the accuracy of 5 % and was equal to 122 individuals. Addressing sample attrition, the final size considered to be 143 people by calculating 15 % increase. The standard questionnaires of entrepreneurial behavior were applied to collect the data. Descriptive statistical tests were used in order to analyze the data; moreover, correlation coefficients were applied to examine the relationship between the main variables of the study. Furthermore, the Structural Equation Analysis (SEM) test was used by LISREL and SPSS software to test the research hypotheses. Results: The estimated coefficient reported for the relationship between organizational culture and entrepreneurial behavior was 23 %; while it was reported to be 12 % for the relationship between social capital and behavior. Furthermore, the hypothesis that social capital mediates the relationship between organizational culture and entrepreneurial behavior was confirmed (T statistic = 3.310, Std. Error = 0.110, P-value < 0.001 ). Conclusion: The results of the present study necessitate further attention to university environments and higher education institutions for creating an entrepreneurship culture by establishing a flexible structure with participatory and supportive management in order to empower human resources and encourage them to promote social capital. Holding discussion sessions with staff and using their pure ideas and avoiding the implementation of strict regulations in addition to creating a participatory atmosphere can play important role in this regard.
{"title":"Impact of Organizational Culture on Entrepreneurial Behavior with the Mediating Role of Social Capital: Path Analysis","authors":"Sana Shaaban, Mohammadreza Mohammad Khani, Ahad Alizade, Zahra Mirhajian, Zeinab Momeni, S. Rafiei","doi":"10.18502/jebhpme.v6i1.9027","DOIUrl":"https://doi.org/10.18502/jebhpme.v6i1.9027","url":null,"abstract":"Background: Organizational culture can affect the levels of entrepreneurship and innovation through identifying the social capital dimensions and enhance the ability of staff to accept challenges. This study aimed to examine the impact of organizational culture on entrepreneurial behavior with the mediating role of social capital among the staff working in Qazvin University of Medical Sciences. \u0000Methods: This was an cross-sectional analytical study conducted among the staff of Qazvin University of Medical Sciences in 2020. Sample size was calculated by Cochran formula considering type I error and the accuracy of 5 % and was equal to 122 individuals. Addressing sample attrition, the final size considered to be 143 people by calculating 15 % increase. The standard questionnaires of entrepreneurial behavior were applied to collect the data. Descriptive statistical tests were used in order to analyze the data; moreover, correlation coefficients were applied to examine the relationship between the main variables of the study. Furthermore, the Structural Equation Analysis (SEM) test was used by LISREL and SPSS software to test the research hypotheses. \u0000Results: The estimated coefficient reported for the relationship between organizational culture and entrepreneurial behavior was 23 %; while it was reported to be 12 % for the relationship between social capital and behavior. Furthermore, the hypothesis that social capital mediates the relationship between organizational culture and entrepreneurial behavior was confirmed (T statistic = 3.310, Std. Error = 0.110, P-value < 0.001 ). \u0000Conclusion: The results of the present study necessitate further attention to university environments and higher education institutions for creating an entrepreneurship culture by establishing a flexible structure with participatory and supportive management in order to empower human resources and encourage them to promote social capital. Holding discussion sessions with staff and using their pure ideas and avoiding the implementation of strict regulations in addition to creating a participatory atmosphere can play important role in this regard.","PeriodicalId":198049,"journal":{"name":"Evidence Based Health Policy, Management and Economics","volume":"112 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126020200","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 : 2022-03-28DOI: 10.18502/jebhpme.v6i1.9023
A. Gilavand, Y. Mehralizadeh
Introduction: Given the role of job involvement in job satisfaction and improving the organizational performance of the staff, the present study was conducted to evaluate the effect of Iran's Health Transformation Plan (HTP) on job involvement of the clinical faculty members. Methods: This descriptive study was conducted in the academic year of 2018-2019 and in educational hospitals affiliated with Ahvaz Jundishapur University of Medical Sciences in Iran, and finally, 90 clinical faculty members participated in this study by using a convenience sampling method. To collect data, a researcher-made questionnaire was based on the standard Lodahl and Kejner's job involvement questionnaire. The data were analyzed using descriptive statistics (mean, standard deviation, percentage), inferential statistics (independent t-test and analysis of variance), and SPSS22 software. Results: The results revealed that the level of Iran's Health Transformation Plan on job involvement of the clinical faculty members was moderate (48.73 ± 14.40).Variables such as gender, age, education, academic rank, employment history, and having a private clinic and hospital where faculty members work, did not have a significant effect on their job involvement.(P-value > 0.05) Conclusion: The HTP is currently one of the most important and costly health care reforms in Iran, and for better success and the staff's satisfaction, it is recommended to pay more attention to effective and influential factors in improving and increasing job involvement of service providers, especially clinical faculty members in their periodic evaluation.
{"title":"The Effect of Iran's Health Transformation Plan on Job Involvement of the Clinical Faculty Members in Ahvaz Jundishapur University of Medical Sciences","authors":"A. Gilavand, Y. Mehralizadeh","doi":"10.18502/jebhpme.v6i1.9023","DOIUrl":"https://doi.org/10.18502/jebhpme.v6i1.9023","url":null,"abstract":"Introduction: Given the role of job involvement in job satisfaction and improving the organizational performance of the staff, the present study was conducted to evaluate the effect of Iran's Health Transformation Plan (HTP) on job involvement of the clinical faculty members. \u0000Methods: This descriptive study was conducted in the academic year of 2018-2019 and in educational hospitals affiliated with Ahvaz Jundishapur University of Medical Sciences in Iran, and finally, 90 clinical faculty members participated in this study by using a convenience sampling method. To collect data, a researcher-made questionnaire was based on the standard Lodahl and Kejner's job involvement questionnaire. The data were analyzed using descriptive statistics (mean, standard deviation, percentage), inferential statistics (independent t-test and analysis of variance), and SPSS22 software. \u0000Results: The results revealed that the level of Iran's Health Transformation Plan on job involvement of the clinical faculty members was moderate (48.73 ± 14.40).Variables such as gender, age, education, academic rank, employment history, and having a private clinic and hospital where faculty members work, did not have a significant effect on their job involvement.(P-value > 0.05) \u0000Conclusion: The HTP is currently one of the most important and costly health care reforms in Iran, and for better success and the staff's satisfaction, it is recommended to pay more attention to effective and influential factors in improving and increasing job involvement of service providers, especially clinical faculty members in their periodic evaluation.","PeriodicalId":198049,"journal":{"name":"Evidence Based Health Policy, Management and Economics","volume":"13 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127936416","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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