Evidence Based Health Policy, Management and Economics最新文献

{"title":"Psychological Status of the Pandemic Covid19 Infections on Healthcare Staff","authors":"R. Jafari Nodoushan, M. Nazari, H. Alimoradi","doi":"10.18502/jebhpme.v6i1.9021","DOIUrl":"https://doi.org/10.18502/jebhpme.v6i1.9021","url":null,"abstract":"The article's abstract is not available.","PeriodicalId":198049,"journal":{"name":"Evidence Based Health Policy, Management and Economics","volume":"1 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":"128655898","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}

{"title":"Evaluation of Self-Care and its Association with Quality of Life in Patients with Type 2 Diabetes","authors":"M. Gholizadeh, S. Heydari, Nazanin Mir, Havjin Taghipour, N. Hatamzadeh, H. Jalilian","doi":"10.18502/jebhpme.v6i1.9025","DOIUrl":"https://doi.org/10.18502/jebhpme.v6i1.9025","url":null,"abstract":"Background: Diabetes is a chronic illness which requires continuous self-care. Appropriate self-care can reduce the risks of developing complications and improve the Quality of Life (QoL). This study aimed to examine self-care and its association with quality of life in patients with type 2 diabetes (T2DM) in East Azerbaijan, Iran, in 2018. \u0000Methods: This was a cross-sectional study. The statistical population included all patients with type 2 diabetes in East Azerbaijan, in 2018. 310 patients were included using consecutive sampling. The summary of Diabetes Self-Care Activities  Questionnaire (SDSCA) and the 12-Item Short Form Health Survey questionnaire (SF-12) were used for data collection. Data were analyzed using SPSS22.  Descriptive statistics such as mean, Standard Deviation (SD), frequency, and percentage were applied to describe the characteristics of the respondents. The Spearman correlation, Mann Whitney U and Kruskal–Wallis tests were applied for statistical analysis. \u0000Results: The mean scores of self-care and QoL were estimated to be 42.14 ± 61.63 and 53.25 ± 51.73, respectively. The highest mean of self-care and QoL was related to medications and social functioning which were 96.03 and 68.34. There was no correlation between the total mean score of self-care and QoL (P-value = 0.65). Moreover, a significant correlation was found between medication (insulin), exercise, blood-glucose testing and the total score of QoL (P-value < 0 .05). \u0000Conclusion: The results indicated that self-care in patients with diabetes is poor, and the patients’ QoL is moderate. Therefore, it is suggested that managers of health centres take appropriate measures such as educational programs and executive interventions to enhance self-care in patients with diabetes. Moreover, to increase QoL, more attention should be paid to promote exercise and diet behaviours.","PeriodicalId":198049,"journal":{"name":"Evidence Based Health Policy, Management and Economics","volume":"131 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":"127029974","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}

{"title":"Assessment of Tools to Diagnose Cancer in Patients with Early Stage Breast Cancer: A Systematic Review","authors":"M. Pakdaman, H. Dehghan, Habibeh Ziadpoor, Firoozeh Abolhasanizade, S. Namayandeh","doi":"10.18502/jebhpme.v6i1.9028","DOIUrl":"https://doi.org/10.18502/jebhpme.v6i1.9028","url":null,"abstract":"Background: Breast cancer is an uncontrolled and unnatural proliferation of cells in different breast tissues. The first measure to diagnose breast cancer is an examination by a surgeon followed by mammography, sonography, sampling, and other diagnosing methods. Given that there are several methods to diagnose breast cancer, and most of them are quite expensive, the present systematic review compares the expenses and effectiveness of different methods to diagnose breast cancer. \u0000Methods: The study was carried out as a systematic review through searching databases, i.e., PubMed, Web of Science, Magiran, Scopus, and Embase for articles published from March 1999 to May 31, 2017. The research articles regarding health technology assessment and economic assessment (n = 8) were examined. \u0000Results: Generally, conducting MRI screening and digital mammography every six months after the age of 30 are proved to be the most efficient and economical methods to screen carriers of BRCA (BReast CAncer) mutated genes. Besides, implementing both the techniques simultaneously was more cost-efficient with BRCA1 compared to BRCA2. Some studies have revealed that genetic tests and Oncotype tests, in particular, were the most cost-efficient methods to diagnose the disease, especially in its early stages. \u0000Conclusion: Consequently, indexing gene expression in individuals with BRCA gene mutation is revealed to more cost-efficient.","PeriodicalId":198049,"journal":{"name":"Evidence Based Health Policy, Management and Economics","volume":"30 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":"114960316","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}

{"title":"Design, Implementation, and Evaluation of Physicians Empowerment Course for Evidence-Based MRI Prescription at Bushehr University of Medical Sciences in 2021","authors":"S. Ahmady, H. Salari, Atefeh Esfandiari, R. Nemati, A. Habibi","doi":"10.18502/jebhpme.v6i1.9022","DOIUrl":"https://doi.org/10.18502/jebhpme.v6i1.9022","url":null,"abstract":"Introduction: Evidence-based medicine is considered as a new and reliable approach which has new discussions on judgment to find the best evidence or qualitative evidence. This study was designed in Bushehr province for designing, implementing, and evaluating physician empowerment courses in evidence-based MRI prescriptions in the training hospitals of Bushehr University of Medical Sciences in 2021. \u0000Methods: The present study was an educational scholarship which was conducted in Bushehr province. This study was performed in two phases in accordance with Glassic criteria. A number of five workshops were designed and conducted by researchers using the ADDIE Model in systemic educational design. The course was designed through the review of texts and interviews with experts and in-depth group discussions (FGD) with the presence of seven experts. After that, this training course was evaluated and the end-of-course test was performed using the Kirkpatrick model. In order to evaluate the reaction of participants during the training course, a questionnaire was designed and its face validity and content validity were approved by experts. In addition, a four-choice test was designed based on the presented scientific content to evaluate the learning level of participants. A number of 40 questions were designed for five workshops. Descriptive statistics (frequency, mean) were used in SPSS22 for data analysis. \u0000Results: In terms of gender, 53.7 % were male and 46.3 % were female. In terms of age, 24.4 % were in the age group of 31-35 years. In terms of improving awareness, 34.1 % of participants were at a very good level after the empowerment course. Learning findings indicated that 85.7 % of participants in the final test received a passing score while 14.3 % failed. \u0000Conclusion: In general, the findings of the study indicated that holding an empowerment course for physicians in Bushehr improved their awareness and knowledge. In fact, such improvement in awareness and knowledge can reduce unnecessary prescriptions and treatment costs but improve the quality of services.","PeriodicalId":198049,"journal":{"name":"Evidence Based Health Policy, Management and Economics","volume":"31 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":"130724888","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}

{"title":"Comparison of Master of Science in Critical Care Nursing Curriculum in Iran and Master of Science in Critical Care in the University of Glasgow: A Comparative Study","authors":"Hamideh Ebrahimi, M. Ebrahimi, M. Hosseini","doi":"10.18502/jebhpme.v6i1.9026","DOIUrl":"https://doi.org/10.18502/jebhpme.v6i1.9026","url":null,"abstract":"Background: The main purpose of a health system is to provide quality care services, and providing orderly, high-quality, safe, and economic services requires skillful and knowledgeable nurses. Critical Care M.Sc. curriculum in Iran was revised in June 2010. Studies show   that, since specialized associations such as the World Health Organization have demanded the improvement of educational standards for the graduates of this major, educational planner have tried to design a successful and efficient curriculum through examining other successful educational systems in the world. By comparing different educational systems, quality of educational programs can be improved. In addition, comparative studies are one of the most dynamic scientific approaches adopted by educational planners in various countries, such that it is considered a prerequisite for designing modern educational systems. In light of this, the present study tried to compare Critical Care M.Sc. curriculum in Iran with that of the university of Glasgow. It is one of the oldest universities in the UK, the fourth oldest and of the top 100 universities in the world. \u0000Methods: This was a comparative and descriptive study conducted in 2020 to compare the Critical Care M.Sc. curriculum in Iran with a corresponding one in the university of Glasgow through Beredy model. \u0000Results: Although Critical Care M.Sc. Curriculum in Iran is in an acceptable position compared to the university of Glasgow's evidence-based education approach, the focus on academic writing skills for improving the graduates’ skill of writing research papers, and the availability of a part time program were of the advantages of Critical Clinical Care curriculum at the university of Glasgow. On the other hand, lack of a specific and strategic programing, and ambiguities about missions of the graduates were the weaknesses. The curriculum in Iran was clear about the philosophy, mission, and perspective, while job opportunities of the graduates in clinical settings were not clear. This was one of the reasons for the reluctance of the graduates to enter clinical environment, which was a disadvantage of the program in Iran. \u0000Conclusion: Although Critical Care M.S Curriculum in Iran is in an acceptable position compared to the one in the University of Glasgow's evidence-based approach, Focus on the academic writing skills for improving the graduates’ skills of writing research papers, and availability of a part time program were of the advantages of the critical clinical care program at the University of Glasgow. On the other hand, lack of a strategic programing and the ambiguities about missions of the graduates were the weaknesses. The curriculum in Iran was clear about the philosophy, mission, and perspective, while the job opportunities of the graduates in clinical setting were not clear. This is one of the reasons for the reluctance of graduates to enter clinical environment, which is a disadvantage of the program in Iran.","PeriodicalId":198049,"journal":{"name":"Evidence Based Health Policy, Management and Economics","volume":"10 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":"117055588","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}

{"title":"Satisfaction Level with the Health Transformation Plan in Iran: A Systematic Review","authors":"Reza Hashempour, H. Bouzarjomehri, Elyas Hadian-Shiva, Dariush Chivaee, Mahdi Mokhtari-Payam, Y. Herandi","doi":"10.18502/jebhpme.v5i4.8163","DOIUrl":"https://doi.org/10.18502/jebhpme.v5i4.8163","url":null,"abstract":"Background: The Health Transformation Plan (HTP) had been one of the most significant recent reforms in the Iranian health system. Notwithstanding, it has strengths and weaknesses that should be assessed. One of the most important aspects of assessing programs is the people and the personnel's satisfaction. Consequently, this study has reviewed studies that have measured satisfaction with HTP. \u0000Methods: In this systematic review, databases of Web of Science, Scopus, PubMed, Google Scholar were searched until May 2019. The Ministry of Health website, and the National Institutes of Health Research website were also searched. All studies that evaluated HTP satisfaction were included. Data were collected and analyzed utilizing a data extraction form and reported by narrative review. \u0000Results: 20 studies were included that were conducted in the period 2014 to 2017. The overall results of the studies indicate that nurses and physicians have not been satisfied with HTP, while retaining physicians in disadvantaged regions and patients have been approximately satisfied with HTP. Only three before and after studies have been conducted, and the rest studies are related to after HTP. Two before and after studies concluded that patients and nurses 'satisfaction is decreased and one study concluded that mothers' satisfaction is increased. Nurses and physicians dissatisfaction was due to the causes such as increasing the number of clients, injustice in payments, unbalanced workload and salary and other working conditions. \u0000Conclusion: Influential, comprehensive, and national studies, including satisfactory before- and after-studies, are still not available to draw definite conclusions about public and employee satisfaction with HTP. It appears that despite the expensive cost of HTP and relative satisfaction of patients, the government did not meet all the demands of nurses and some physicians.","PeriodicalId":198049,"journal":{"name":"Evidence Based Health Policy, Management and Economics","volume":"176 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-12-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133182811","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}

{"title":"Customer Lifetime Value of Supplementary Health Insurance: An Analytical Model","authors":"Roohollah Dehghani Ghale, F. Karimi, Hassan Ghorbani Dinani","doi":"10.18502/jebhpme.v5i4.8162","DOIUrl":"https://doi.org/10.18502/jebhpme.v5i4.8162","url":null,"abstract":"Background: With the number of insurance customers growing, insurance companies are trying new ways to retain customers and streamline communication channels to avoid loss of revenue. The present study set out to develop a model for a reliable analysis of customer lifetime value. \u0000Methods: The present study was exploratory mixed method in design. The study took place in Jundishapur University of Medical Sciences, located in Ahvaz, Iran. A total of 402 insurance experts and university staffers participated in the study. A cross-sectional data collection was done using semi-structured interviews (n = 22) and a questionnaire (n = 380). The latter was validated via a panel of content area experts, criterion-dependent validity (second-order confirmatory factor analysis), and divergent validity (cross-sectional load test and Fornell-Laker). Cronbach's alpha and combined reliability were - 0.8 and 0.8, respectively. A structural equation approach was employed to analyze data using Smart PLS software. \u0000Results: Customer loyalty with an impact factor of 0.60 and T-statistic of 5.79, profitability with an impact factor of 0.55 and T-statistic of 3.75, customer co-creation with an impact factor of 0.28, and T-statistic of 2.7 have been identified as dimensions of customer lifetime value. \u0000Conclusion: Measuring customer lifetime value to implement various strategies requires a deep understanding of such value dimensions as loyalty, profitability, and value creation.","PeriodicalId":198049,"journal":{"name":"Evidence Based Health Policy, Management and Economics","volume":"128 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-12-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123731973","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}

{"title":"Evaluation of Inpatient Surgical Wards' Performance at the Hospitals Affiliated with Tehran University of Medical Sciences in 2018","authors":"H. Dehnavi, M. Rezaee, Mohammad Farough Khosravi, Mahdi Gharasi Manshadi, J. Saeidpour","doi":"10.18502/jebhpme.v5i4.8157","DOIUrl":"https://doi.org/10.18502/jebhpme.v5i4.8157","url":null,"abstract":"Background: Surgery wards account for a significant portion of hospital costs, followed by patient costs. Improving surgery wards' performance plays a major role in enhancing the accountability and efficiency of the hospital. This study aimed to evaluate the performance of inpatient surgical wards at the hospitals affiliated with Tehran University of Medical Sciences(TUMS). \u0000Methods: A descriptive, cross-sectional, retrospective study was performed at all hospitals affiliated with TUMS in 2018. To measure the efficiency of these wards, three indicators have been considered; bed occupancy rate, the average length of stay, and bed turnover. Data have been analyzed using Excel software based on the Pabon Lasso model . \u0000Results: Among the 15 active surgical departments, 5 (33.31 %) were categorized in quadrant three, including ophthalmology, obstetrics and gynecology, vascular and trauma surgery, plastic surgery, and infertility department. The oral and maxillofacial surgery and general surgery departments were the poorest in their performance and located in quadrant one. Ten surgical wards out of 38 (26.33 %) have reported a satisfactory performance. \u0000Conclusion: Understanding and comparing the performance of clinical departments is also useful in making decisions for standardizing the patterns of health services delivery, evidence-based management in health care centers, and enhancing accountability in the health system. It is suggested that managers revise the departments in the inefficient area to reduce the number of inefficient departments or attract more patients by marketing, diversifying services, and increasing the quality of services.","PeriodicalId":198049,"journal":{"name":"Evidence Based Health Policy, Management and Economics","volume":"17 2","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-12-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114029360","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}

{"title":"Social Capital and Educational Performance of Students: The Mediating Role of Entrepreneurial Behavior","authors":"S. Rafiei, R. Kalhor, S. Shahsavari, Zahra Nejatifar","doi":"10.18502/jebhpme.v5i4.8161","DOIUrl":"https://doi.org/10.18502/jebhpme.v5i4.8161","url":null,"abstract":"Background: Nowadays, most organizations, including universities, are subject to significant changes. Thus, in order to adapt themselves successfully with such variations, they need skillful, innovative, self-confident, and entrepreneurial individuals. Accordingly, this study was conducted to predict medical university students' educational performance based on the existing social capital and their entrepreneurial behavior. \u0000Methods: A cross-sectional study was done in 2019 based on Structural Equation Modeling (SEM) among 260 students of Qazvin Medical University. To collect information, three standard questionnaires, including Nahapiet and Ghoshal (1998) social capital questionnaire, the entrepreneurial behavior questionnaire of Leon Dice, and the entrepreneurial performance questionnaire of Zamptakis and Vasilis Mustakis (2007), were used. After entering data in AMOS software, the associations between variables were analyzed by structural equation modeling. \u0000Results: Findings revealed that social capital and entrepreneurial behavior were influencing factors on the educational performance of students. The direct and indirect effects of social capital on educational performance (path coefficients: 0.798 and 0.44 respectively) were affirmed (P-value < 0.05). \u0000Conclusion: Promoting social capital, innovation, and entrepreneurial behavior among university students can improve the educational performance of students. Thus, applying effective strategies to create trust in the education system and designing new approaches to use motivational methods in strengthening students' sense of creativity and innovative capabilities can effectively contribute to the improvement of their educational performance.","PeriodicalId":198049,"journal":{"name":"Evidence Based Health Policy, Management and Economics","volume":"7 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-12-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123732042","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}

{"title":"Social Stigma: A New Challenge for the Health System in the Control and Management of Covid-19","authors":"A. Sadeghi","doi":"10.18502/jebhpme.v5i4.8156","DOIUrl":"https://doi.org/10.18502/jebhpme.v5i4.8156","url":null,"abstract":"The article's abstract is not available.","PeriodicalId":198049,"journal":{"name":"Evidence Based Health Policy, Management and Economics","volume":"21 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-12-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123851797","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}