Pub Date : 2021-12-28DOI: 10.18502/jebhpme.v5i4.8158
Hossein Bahrami Moghadam, Reza Khedri, A. Forouzan, M. Maniati, Payam Amini, Ali Delirrooyfard, Hossein Eisvand, Mehdi Sayyah Bargard, Mina Jaberi
Background: COVID-19, which began in December 2019 in China, can have a broader impact on individuals' mental dimensions. Meanwhile, the medical staff battling this epidemic are more at risk of mental and emotional problems. This study aimed to examine the level of stress, anxiety, and depression and their relationship with the level of knowledge of medical staff battling in COVID-19 pandemic treatment. Methods: This descriptive-analytical study was conducted on 641 medical staff using an online platform to design the questionnaire, and its link was placed in different groups of social networks all over the country in which the medical staff battling COVID 19 were members. Statistical analysis was performed by SPSS 25 and Kolmogorov-Smirnov test, independent samples t-test, independent one-way analysis of variance, and chi-square. Results: Higher knowledge about COVID-19 was associated with younger age, clinicians, and nurses. Moreover, females were more knowledgeable in terms of support; while males were more reliable in washing hands and disinfecting wet places. Based on the categorical version of psychological factors, the majority of cases had severe stress ( 39.80 % ), normal depression ( 48.50 % ), and normal anxiety ( 57.30 % ). Finally, it was found that married participants had more knowledge about COVID-19, but knew less about its fatality. Conclusion: Studies have shown negative psychological experiences caused by COVID-19 in nurses, including negative emotions, such as fatigue, discomfort, helplessness due to high-intensity work, anxiety, and worry about family members.
{"title":"The Deadly Nature of the Virus Depression: Iranian Medical Staff Battling COVID-19","authors":"Hossein Bahrami Moghadam, Reza Khedri, A. Forouzan, M. Maniati, Payam Amini, Ali Delirrooyfard, Hossein Eisvand, Mehdi Sayyah Bargard, Mina Jaberi","doi":"10.18502/jebhpme.v5i4.8158","DOIUrl":"https://doi.org/10.18502/jebhpme.v5i4.8158","url":null,"abstract":"Background: COVID-19, which began in December 2019 in China, can have a broader impact on individuals' mental dimensions. Meanwhile, the medical staff battling this epidemic are more at risk of mental and emotional problems. This study aimed to examine the level of stress, anxiety, and depression and their relationship with the level of knowledge of medical staff battling in COVID-19 pandemic treatment. \u0000Methods: This descriptive-analytical study was conducted on 641 medical staff using an online platform to design the questionnaire, and its link was placed in different groups of social networks all over the country in which the medical staff battling COVID 19 were members. Statistical analysis was performed by SPSS 25 and Kolmogorov-Smirnov test, independent samples t-test, independent one-way analysis of variance, and chi-square. \u0000Results: Higher knowledge about COVID-19 was associated with younger age, clinicians, and nurses. Moreover, females were more knowledgeable in terms of support; while males were more reliable in washing hands and disinfecting wet places. Based on the categorical version of psychological factors, the majority of cases had severe stress ( 39.80 % ), normal depression ( 48.50 % ), and normal anxiety ( 57.30 % ). Finally, it was found that married participants had more knowledge about COVID-19, but knew less about its fatality. \u0000Conclusion: Studies have shown negative psychological experiences caused by COVID-19 in nurses, including negative emotions, such as fatigue, discomfort, helplessness due to high-intensity work, anxiety, and worry about family members.","PeriodicalId":198049,"journal":{"name":"Evidence Based Health Policy, Management and Economics","volume":"3 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":"128277356","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 : 2021-12-28DOI: 10.18502/jebhpme.v5i4.8159
E. Amiri, Negin Zargar, M. Zahiri, F. Faraji-Khiavi
Background: Enhancing health literacy may improve health-related quality of life. Given the more educational programs in nursing homes, this study aimed to determine the relationship between health literacy and the quality of life among the elderly living in nursing homes and those living with their families in Ahvaz, Iran. Methods: This descriptive-analytical cross-sectional study was conducted in 2017. The research population was the elderly in Ahvaz city, Iran. This population consisted of two groups, those living in nursing homes and those who do not. There were 62 samples. Random cluster sampling was used to select the participants. The data collection tools included a demographic questionnaire as well as Test of Functional Health Literacy in Adults (TOFHLA) and LEIPAD questionnaires. The data were analyzed by independent t-test, Mann-Whitney test, Spearman correlation, and Chi-square test using SPSS 19. Results: The mean health literacy of the elderly living in nursing homes estimated to be relatively desirable (3.60 ± 0.77) and the mean health literacy of the elderly not living in nursing homes was estimated to be relatively undesirable (2.30 ± 0.83). The quality of life was estimated to be moderate for both groups, the mean score for nursing homes was 2.65 ± 0.37 and for the community was 2.98 ± 0.52. Simple regression indicated that appraisal and decision, among the subscales of health literacy, are predicting factors for quality of life in the elderly. Conclusion: Using self-help groups and the participation of the elderly in decision making as well as designing educational programs for identifying the accuracy of health information of the media and encouraging them to share health knowledge with others can ultimately improve quality of life in the elderly.
{"title":"Correlation Between Health Literacy and Quality of Life Among the Elderly: The Community Versa Nursing Home","authors":"E. Amiri, Negin Zargar, M. Zahiri, F. Faraji-Khiavi","doi":"10.18502/jebhpme.v5i4.8159","DOIUrl":"https://doi.org/10.18502/jebhpme.v5i4.8159","url":null,"abstract":"Background: Enhancing health literacy may improve health-related quality of life. Given the more educational programs in nursing homes, this study aimed to determine the relationship between health literacy and the quality of life among the elderly living in nursing homes and those living with their families in Ahvaz, Iran. \u0000Methods: This descriptive-analytical cross-sectional study was conducted in 2017. The research population was the elderly in Ahvaz city, Iran. This population consisted of two groups, those living in nursing homes and those who do not. There were 62 samples. Random cluster sampling was used to select the participants. The data collection tools included a demographic questionnaire as well as Test of Functional Health Literacy in Adults (TOFHLA) and LEIPAD questionnaires. The data were analyzed by independent t-test, Mann-Whitney test, Spearman correlation, and Chi-square test using SPSS 19. \u0000Results: The mean health literacy of the elderly living in nursing homes estimated to be relatively desirable (3.60 ± 0.77) and the mean health literacy of the elderly not living in nursing homes was estimated to be relatively undesirable (2.30 ± 0.83). The quality of life was estimated to be moderate for both groups, the mean score for nursing homes was 2.65 ± 0.37 and for the community was 2.98 ± 0.52. Simple regression indicated that appraisal and decision, among the subscales of health literacy, are predicting factors for quality of life in the elderly. \u0000Conclusion: Using self-help groups and the participation of the elderly in decision making as well as designing educational programs for identifying the accuracy of health information of the media and encouraging them to share health knowledge with others can ultimately improve quality of life in the elderly.","PeriodicalId":198049,"journal":{"name":"Evidence Based Health Policy, Management and Economics","volume":"42 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":"130582418","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 : 2021-12-28DOI: 10.18502/jebhpme.v5i4.8160
Shaghayegh Farhadi, A. Fazaeli, Y. Mohammadi
Background: Out-of-Pocket (OOP) payment is categorized among the critical indicators of health system financing. Given the high hospitalization costs of the hospitals, the ministry of health has attempted to implement Health Transformation Plan (HTP) in Iran to reduce OOP. The purpose of this paper is to show the effects of HTP on OOP payments of the hospitalized patients in Hamedan, Iran. Methods: This descriptive-analytical study was carried out on 587 patients in the educational hospitals of Hamedan. The data obtained before and after implementing the HTP was from 2013 to 2015. Data analysis was performed using SPSS16. Results: In this study, each patient's expenditures increased by 32.2 % in 2015, compared to before the implementation of the HTP. Therefore, the health insurance organization's coverage of OOP payments decreased to 8.3 % of the total costs by a 20.2 % reduction in 2015, compared to before the implementation of the plan. Conclusion: According to the study, HTP and government health subsidies were adequate, but the total hospitalization costs had an upward trend in all funds.
{"title":"The Effect of Health Transformation Plan on Out-of-Pocket Payments of the Hospitalized Patients in Hamedan, Iran","authors":"Shaghayegh Farhadi, A. Fazaeli, Y. Mohammadi","doi":"10.18502/jebhpme.v5i4.8160","DOIUrl":"https://doi.org/10.18502/jebhpme.v5i4.8160","url":null,"abstract":"Background: Out-of-Pocket (OOP) payment is categorized among the critical indicators of health system financing. Given the high hospitalization costs of the hospitals, the ministry of health has attempted to implement Health Transformation Plan (HTP) in Iran to reduce OOP. The purpose of this paper is to show the effects of HTP on OOP payments of the hospitalized patients in Hamedan, Iran. \u0000Methods: This descriptive-analytical study was carried out on 587 patients in the educational hospitals of Hamedan. The data obtained before and after implementing the HTP was from 2013 to 2015. Data analysis was performed using SPSS16. \u0000Results: In this study, each patient's expenditures increased by 32.2 % in 2015, compared to before the implementation of the HTP. Therefore, the health insurance organization's coverage of OOP payments decreased to 8.3 % of the total costs by a 20.2 % reduction in 2015, compared to before the implementation of the plan. \u0000Conclusion: According to the study, HTP and government health subsidies were adequate, but the total hospitalization costs had an upward trend in all funds.","PeriodicalId":198049,"journal":{"name":"Evidence Based Health Policy, Management and Economics","volume":"1 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":"129065045","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 : 2021-09-29DOI: 10.18502/jebhpme.v5i3.7289
R. Khodayari-zarnaq, L. Torkzadeh, S. Heydari, H. Rahmani, Nazanin Mir, H. Jalilian
Background: Schools play a crucial role in developing a healthy lifestyle and community participation, especially family participation, which is essential to schools’ success in achieving this role. This study aimed to examine the family/community involvement in schools’ health planning and policymaking from the principal and lead health education teacher in Tabriz, Iran. Methods: This cross-sectional study was conducted in 2016. The statistical population included all school principals and lead health education teachers in Tabriz, Iran. A total of 93 schools were included. A systematic random sampling method was used for data collection. Data were collected using the School Health Profiles. The content validity of the profile was revised by an expert involved in school health. The questionnaire’s reliability was calculated by internal consistency and Cronbach’s alpha coefficient. Data were analyzed using SPSS22. Mann-Whitney and Kruskal–Wallis tests were applied to examine the difference between the type of school (in terms of ownership, gender, and grade) and the school’s percentage that attracts family/community participation. Results: According to the results, only 53.80 % of schools actively collaborated with students’ families in developing and implementing policies and programs related to health school. The majority of schools (83.30 %) provided parents with educational content on nutrition and healthy eating, while only 40 % of them provided parents with educational content on HIV prevention, STD prevention, teen pregnancy prevention, and asthma. Moreover, more than 50 % of schools worked with other staff groups about health education activities. In most schools (73.30 %), health education teachers worked with physical education staff, while in 53.30 % of them, health education teachers worked with nutrition or service staff on health education activities Conclusion: Given a low percentage of school and family/community partnerships in school health-promotion programs in most dimensions, comprehensive and integrative planning must be implemented to create engagement and collaboration with other community sectors.
{"title":"The Survey of Family /Community involvement in Schools’ Health Planning and Policymaking","authors":"R. Khodayari-zarnaq, L. Torkzadeh, S. Heydari, H. Rahmani, Nazanin Mir, H. Jalilian","doi":"10.18502/jebhpme.v5i3.7289","DOIUrl":"https://doi.org/10.18502/jebhpme.v5i3.7289","url":null,"abstract":"Background: Schools play a crucial role in developing a healthy lifestyle and community participation, especially family participation, which is essential to schools’ success in achieving this role. This study aimed to examine the family/community involvement in schools’ health planning and policymaking from the principal and lead health education teacher in Tabriz, Iran. \u0000Methods: This cross-sectional study was conducted in 2016. The statistical population included all school principals and lead health education teachers in Tabriz, Iran. A total of 93 schools were included. A systematic random sampling method was used for data collection. Data were collected using the School Health Profiles. The content validity of the profile was revised by an expert involved in school health. The questionnaire’s reliability was calculated by internal consistency and Cronbach’s alpha coefficient. Data were analyzed using SPSS22. Mann-Whitney and Kruskal–Wallis tests were applied to examine the difference between the type of school (in terms of ownership, gender, and grade) and the school’s percentage that attracts family/community participation. \u0000Results: According to the results, only 53.80 % of schools actively collaborated with students’ families in developing and implementing policies and programs related to health school. The majority of schools (83.30 %) provided parents with educational content on nutrition and healthy eating, while only 40 % of them provided parents with educational content on HIV prevention, STD prevention, teen pregnancy prevention, and asthma. Moreover, more than 50 % of schools worked with other staff groups about health education activities. In most schools (73.30 %), health education teachers worked with physical education staff, while in 53.30 % of them, health education teachers worked with nutrition or service staff on health education activities \u0000Conclusion: Given a low percentage of school and family/community partnerships in school health-promotion programs in most dimensions, comprehensive and integrative planning must be implemented to create engagement and collaboration with other community sectors.","PeriodicalId":198049,"journal":{"name":"Evidence Based Health Policy, Management and Economics","volume":"64 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132418643","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 : 2021-09-29DOI: 10.18502/jebhpme.v5i3.7293
Omid Khosravizadeh, M. Kiaei, S. Shahsavari, Nasibeh Mansouran Tazekand
Background: Identifying the key factors effective on outsourcing can play a significant role in helping healthcare decision makers to present solutions to improve the outsourcing situation. This study was conducted in order to systematically review the factors influencing the decision making to outsource the services of Iranian medical centers. Methods: Data was collected through searching for keywords in Google Scholar, PubMed, Scopus, Web of Science, Science direct, Magiran, SID and Irandoc databases from January 2010 to December 2020. Also, the quality of the studies was measured and verified by three experts utilizing the Strobe checklist. Researchers classified results achieved by the study. Results: 10 articles were selected that responded to the study's questions. 44 components in seven dimensions including (economic and financial components, components of laws and regulations (legal), components of supervision and control, components of service type, components of executive capability of the organization, components of the external environment of the organization and components human resources) were recognized on the decision to outsource services in medical centers in Iran. Conclusion: olicy makers at the decision-making level and managers at the executive level should consider the efficient components and dimensions before deciding to execute outsourcing in units according to the wanted structure, process and consequences, and then make the needed decision regarding the implementation.
背景:确定对外包有效的关键因素可以在帮助医疗保健决策者提出解决方案以改善外包状况方面发挥重要作用。进行这项研究是为了系统地审查影响伊朗医疗中心外包服务决策的因素。方法:2010年1月- 2020年12月在Google Scholar、PubMed、Scopus、Web of Science、Science direct、Magiran、SID和Irandoc数据库中检索关键词收集数据。此外，研究的质量由三位专家使用Strobe检查表进行测量和验证。研究人员对研究结果进行了分类。结果:选择了10篇文章，回答了研究的问题。在决定将伊朗医疗中心的服务外包时，确认了七个方面的44个组成部分，包括(经济和金融组成部分、法律和条例组成部分(法律)、监督和控制组成部分、服务类型组成部分、组织执行能力组成部分、组织外部环境组成部分和人力资源组成部分)。结论:决策层的决策者和执行层的管理者在决定在单位内执行外包之前，应该考虑有效的组成部分和维度，根据需要的结构、过程和后果，然后做出实施的必要决策。
{"title":"Factors Influencing Outsourcing Services in Iranian Medical Centers: A Systematic Review","authors":"Omid Khosravizadeh, M. Kiaei, S. Shahsavari, Nasibeh Mansouran Tazekand","doi":"10.18502/jebhpme.v5i3.7293","DOIUrl":"https://doi.org/10.18502/jebhpme.v5i3.7293","url":null,"abstract":"Background: Identifying the key factors effective on outsourcing can play a significant role in helping healthcare decision makers to present solutions to improve the outsourcing situation. This study was conducted in order to systematically review the factors influencing the decision making to outsource the services of Iranian medical centers. \u0000Methods: Data was collected through searching for keywords in Google Scholar, PubMed, Scopus, Web of Science, Science direct, Magiran, SID and Irandoc databases from January 2010 to December 2020. Also, the quality of the studies was measured and verified by three experts utilizing the Strobe checklist. Researchers classified results achieved by the study. \u0000Results: 10 articles were selected that responded to the study's questions. 44 components in seven dimensions including (economic and financial components, components of laws and regulations (legal), components of supervision and control, components of service type, components of executive capability of the organization, components of the external environment of the organization and components human resources) were recognized on the decision to outsource services in medical centers in Iran. \u0000Conclusion: olicy makers at the decision-making level and managers at the executive level should consider the efficient components and dimensions before deciding to execute outsourcing in units according to the wanted structure, process and consequences, and then make the needed decision regarding the implementation. \u0000 ","PeriodicalId":198049,"journal":{"name":"Evidence Based Health Policy, Management and Economics","volume":"25 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115073524","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 : 2021-09-29DOI: 10.18502/jebhpme.v5i3.7286
M. Peyvand, S. Kargar
The article's abstract is not available.
这篇文章的摘要没有。
{"title":"The Role of Health Literacy Promotion in Decreasing Vaginal Infection: A Message to Health Policy Makers","authors":"M. Peyvand, S. Kargar","doi":"10.18502/jebhpme.v5i3.7286","DOIUrl":"https://doi.org/10.18502/jebhpme.v5i3.7286","url":null,"abstract":"The article's abstract is not available.","PeriodicalId":198049,"journal":{"name":"Evidence Based Health Policy, Management and Economics","volume":"114 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134250549","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 : 2021-09-29DOI: 10.18502/jebhpme.v5i3.7291
M. Jafari, S. Tofighi, J. Sadeghifar, Shabnam Ghasemyani, M. Roshani, Zahra Toulideh
Background: One of the most important requirements for developing a strategic plan is the effective participation of various stakeholders in plan formulation. The aim of present study was the evaluation of stakeholder participation in the strategic plan developing process in selected hospitals in Tehran. Methods: This is a cross-sectional study. This study was conducted in selected hospitals at Tehran in 2015. The data collection tool was a researcher made questionnaire consisting of 3 parts: demographic data, stakeholder participation, and attention to the strategic plan's components. The validity of questionnaire was confirmed by experts, and its reliability was confirmed by Cronbach's Alpha test (α = 0.8). The SPSS18 software was used for data analysis. Descriptive statistics (means, standard deviations, and percentages) were calculated. Results: The findings showed that the highest (42.9) and lowest (34.7) mean score of stakeholder participation in the strategic planning formulation was related to "provision required information for planning" and" presentation of gathering and documentation of the plan, "respectively. Hospital managers (91 percent) had the highest involvement, and external stakeholders had the least participation (1.7 percent) in the strategic planning formulation. The least attention is devoted to evaluating the proposed strategies' feasibility, identifying competitive and strategic differentiation, and identifying stakeholders' concerns and needs, respectively. Conclusion: Stakeholders' involvement in the formulation of the hospitals' strategic plan was not favorable, and hospitals were unable or unwilling to benefit from their participation in the program.
{"title":"Stakeholder Participation in the Strategic Plan Developing Process: A Survey from the Hospital Setting","authors":"M. Jafari, S. Tofighi, J. Sadeghifar, Shabnam Ghasemyani, M. Roshani, Zahra Toulideh","doi":"10.18502/jebhpme.v5i3.7291","DOIUrl":"https://doi.org/10.18502/jebhpme.v5i3.7291","url":null,"abstract":"Background: One of the most important requirements for developing a strategic plan is the effective participation of various stakeholders in plan formulation. The aim of present study was the evaluation of stakeholder participation in the strategic plan developing process in selected hospitals in Tehran. \u0000Methods: This is a cross-sectional study. This study was conducted in selected hospitals at Tehran in 2015. The data collection tool was a researcher made questionnaire consisting of 3 parts: demographic data, stakeholder participation, and attention to the strategic plan's components. The validity of questionnaire was confirmed by experts, and its reliability was confirmed by Cronbach's Alpha test (α = 0.8). The SPSS18 software was used for data analysis. Descriptive statistics (means, standard deviations, and percentages) were calculated. \u0000Results: The findings showed that the highest (42.9) and lowest (34.7) mean score of stakeholder participation in the strategic planning formulation was related to \"provision required information for planning\" and\" presentation of gathering and documentation of the plan, \"respectively. Hospital managers (91 percent) had the highest involvement, and external stakeholders had the least participation (1.7 percent) in the strategic planning formulation. The least attention is devoted to evaluating the proposed strategies' feasibility, identifying competitive and strategic differentiation, and identifying stakeholders' concerns and needs, respectively. \u0000Conclusion: Stakeholders' involvement in the formulation of the hospitals' strategic plan was not favorable, and hospitals were unable or unwilling to benefit from their participation in the program.","PeriodicalId":198049,"journal":{"name":"Evidence Based Health Policy, Management and Economics","volume":"2 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129038812","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 : 2021-09-29DOI: 10.18502/jebhpme.v5i3.7288
Reza Jabarbeigi, R. Kalhor, S. Rafiei, F. Hashemi
Background: Cost of Quality is an approach that helps organizations evaluate the extent to which their resources are used to prevent poor quality activities, assess the quality of provided services, or evaluate the number of resources that are wasted due to the internal and external failures occurring in a system. The research objective was to measure the Cost of Quality(CoQ) in a medical device division of a hospital in Qazvin, Iran. Methods: We performed a qualitative study in the medical device division in a public hospital affiliated with Qazvin University of Medical Sciences, Iran in 2020. To measure and report the (CoQ) in the division, the Prevention-Appraisal-Failure (PAF) model was used. Data were collected through document review, semi-structured interview, and group discussion, which were entered into the Excel software to calculate their distribution and frequencies using the descriptive statistics method. Results: Among different cost categories, the highest amount of expenditures belonged to internal and external failure costs. Results also revealed that several factors were responsible for the failures, including lack of knowledge of personnel about the proper use of medical devices; failure to periodically perform calibration on due dates; lack of adequate supervision; stress and work pressure among employees; and lack of managerial commitment toward the importance of preventive maintenance. Conclusion: In order to decrease the number of failures occurring in a working system, it is required to increase personnel's knowledge about the proper use of medical devices, perform calibration of devices on due dates, increase managerial commitment toward preventive and quality appraisal activities and apply systematic supervision.
{"title":"Assessing Cost of Quality in a Medical Device Division of a Training Hospital: A Case Study in Iran","authors":"Reza Jabarbeigi, R. Kalhor, S. Rafiei, F. Hashemi","doi":"10.18502/jebhpme.v5i3.7288","DOIUrl":"https://doi.org/10.18502/jebhpme.v5i3.7288","url":null,"abstract":"Background: Cost of Quality is an approach that helps organizations evaluate the extent to which their resources are used to prevent poor quality activities, assess the quality of provided services, or evaluate the number of resources that are wasted due to the internal and external failures occurring in a system. The research objective was to measure the Cost of Quality(CoQ) in a medical device division of a hospital in Qazvin, Iran. \u0000Methods: We performed a qualitative study in the medical device division in a public hospital affiliated with Qazvin University of Medical Sciences, Iran in 2020. To measure and report the (CoQ) in the division, the Prevention-Appraisal-Failure (PAF) model was used. Data were collected through document review, semi-structured interview, and group discussion, which were entered into the Excel software to calculate their distribution and frequencies using the descriptive statistics method. \u0000Results: Among different cost categories, the highest amount of expenditures belonged to internal and external failure costs. Results also revealed that several factors were responsible for the failures, including lack of knowledge of personnel about the proper use of medical devices; failure to periodically perform calibration on due dates; lack of adequate supervision; stress and work pressure among employees; and lack of managerial commitment toward the importance of preventive maintenance. \u0000Conclusion: In order to decrease the number of failures occurring in a working system, it is required to increase personnel's knowledge about the proper use of medical devices, perform calibration of devices on due dates, increase managerial commitment toward preventive and quality appraisal activities and apply systematic supervision.","PeriodicalId":198049,"journal":{"name":"Evidence Based Health Policy, Management and Economics","volume":"32 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114757248","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 : 2021-09-29DOI: 10.18502/jebhpme.v5i3.7292
Naeimeh Poortaheri, K. Alimohammadzadeh, S. M. Hosseini, A. Maher, M. Bahadori
Background: Due to the increasing growth of informal and marginal settlements in Iran, the present study was conducted to analyze the contents of upstream national documents regarding city slum in Iran. Methods: This qualitative study with content analysis approach was done in 2020. MAXQDA version 12 software and conventional content analysis method was used to analyze the data. Results: The findings of this study could be classified in two main categories and 11 subcategories. The main categories included the policies related to preventing the creation of slum areas, and policies related to providing service and rehabilitation of slum areas. The 11 subcategories included preventing migration from inner cities to slum areas, poverty alleviation, preserving the rural fabric through the village guide plan, balanced distribution of population with landscaping and land development approach, creating green belts around cities, forced confrontation with illegal constructions in slum areas, impulsive phenomenon of social harms, allocation of state financial facilities to organize informal settlements, renovation of informal settlements, creating satellite towns, and providing primary health care services in the form of health care network system. Conclusion: Although providing service and rehabilitation of slum areas can play an important role in reducing harm in these areas, policymakers in Iran should be aware of a moral dilemma; since these policies can also encourage the phenomenon of city slum.
{"title":"Analysis of Policies for Organizing and Managing Informal Settlements in Iran: A Content Analysis Method","authors":"Naeimeh Poortaheri, K. Alimohammadzadeh, S. M. Hosseini, A. Maher, M. Bahadori","doi":"10.18502/jebhpme.v5i3.7292","DOIUrl":"https://doi.org/10.18502/jebhpme.v5i3.7292","url":null,"abstract":"Background: Due to the increasing growth of informal and marginal settlements in Iran, the present study was conducted to analyze the contents of upstream national documents regarding city slum in Iran. \u0000Methods: This qualitative study with content analysis approach was done in 2020. MAXQDA version 12 software and conventional content analysis method was used to analyze the data. \u0000Results: The findings of this study could be classified in two main categories and 11 subcategories. The main categories included the policies related to preventing the creation of slum areas, and policies related to providing service and rehabilitation of slum areas. The 11 subcategories included preventing migration from inner cities to slum areas, poverty alleviation, preserving the rural fabric through the village guide plan, balanced distribution of population with landscaping and land development approach, creating green belts around cities, forced confrontation with illegal constructions in slum areas, impulsive phenomenon of social harms, allocation of state financial facilities to organize informal settlements, renovation of informal settlements, creating satellite towns, and providing primary health care services in the form of health care network system. \u0000Conclusion: Although providing service and rehabilitation of slum areas can play an important role in reducing harm in these areas, policymakers in Iran should be aware of a moral dilemma; since these policies can also encourage the phenomenon of city slum.","PeriodicalId":198049,"journal":{"name":"Evidence Based Health Policy, Management and Economics","volume":"31 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"117096055","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 : 2021-09-29DOI: 10.18502/jebhpme.v5i3.7287
V. Alipour, Hadi Hamidi, A Souresrafil, S. B. Faradonbeh, M. Sheikhy-Chaman
During the COVID-19 pandemic, patients with better general conditions are sent to their own homes for self-quarantine due to a lack of resources in the health system, especially the lack of beds and human resources. Improving patient care may force households to inevitably use home care services, which can be examined from the health equity perspective. In the first step, home care services should be expanded by medical universities in all regions of the country, including less developed areas. In the second step, the financial protection of the recipients of these services should be provided through interventions, such as health insurance coverage. In addition, after the COVID-19 pandemic (post-corona period), it is necessary to organize home care services as soon as possible due to the population aging trend. Finally, despite the problems caused by the COVID-19 pandemic in the country, it is better to use the challenges, actions, and lessons learned from this crisis to complete the infrastructure of the health system in various ways.
{"title":"Home Care Services during the COVID-19 Pandemic: Justice-Oriented Perspective","authors":"V. Alipour, Hadi Hamidi, A Souresrafil, S. B. Faradonbeh, M. Sheikhy-Chaman","doi":"10.18502/jebhpme.v5i3.7287","DOIUrl":"https://doi.org/10.18502/jebhpme.v5i3.7287","url":null,"abstract":"During the COVID-19 pandemic, patients with better general conditions are sent to their own homes for self-quarantine due to a lack of resources in the health system, especially the lack of beds and human resources. Improving patient care may force households to inevitably use home care services, which can be examined from the health equity perspective. In the first step, home care services should be expanded by medical universities in all regions of the country, including less developed areas. In the second step, the financial protection of the recipients of these services should be provided through interventions, such as health insurance coverage. In addition, after the COVID-19 pandemic (post-corona period), it is necessary to organize home care services as soon as possible due to the population aging trend. Finally, despite the problems caused by the COVID-19 pandemic in the country, it is better to use the challenges, actions, and lessons learned from this crisis to complete the infrastructure of the health system in various ways.","PeriodicalId":198049,"journal":{"name":"Evidence Based Health Policy, Management and Economics","volume":"168 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121133496","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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