Pub Date : 2022-09-18DOI: 10.18502/mshsj.v7i2.10676
S. Najafi, Z. Meshkani, Abdollah Poursmad, M. Barouni
Background: Hospitals are the most important executive part of healthcare systems. During COVID-19 crisis, they faced a sudden demand, and spent the hospital resources and equipment in order to provide treatment services to COVID-19 patients. Considering that the provision of services was focused on these patients, the efficiency of hospitals during this crisis was not clear. The purpose of the current research is to investigate the efficiency of hospitals affiliated with Kohgiluyeh and Boyer Ahmad University of medical sciences, as well as the imaging units as the most important diagnostic department in the time of this pandemic. Methods: This was a quantitative and retrospective study which examining technical efficiency of 6 hospitals affiliated with Kohgiluyeh and Boyer Ahmad University of medical sciences. In addition, the technical efficiency of the imaging units (CT scan, radiology and ultrasound) in these hospitals was evaluated. Technical efficiency was calculated and compared through different scenarios based on different inputs and outputs during the pandemic. The model used in this research was multi-stage DEA. To analyze the data, the output maximization model and variable returns to scale were used. Relevant data were collected for a one-year period, from October 2020 to October 2021. Technical efficiency was calculated using Deap 2.1. Results: The average technical efficiency of the hospitals affiliated with Kohgiluyeh and Boyer Ahmad University of medical sciences during COVID-19 pandemic was 0.80 which was satisfactory. The average efficiency of CT scan, ultrasound and radiology units in the studied hospitals and based on the defined scenarios was 0.67, 0.44 and 0.40, respectively. This shows that the ultrasound and radiology units are far from efficient. Conclusion: The hospitals under study as well as CT scan units were efficient during COVID-19 crisis. Examining the efficiency of the returns compared to the scale showed that increasing the number of beds as well as the equipment would not increase efficiency. Paying attention to the needs of population under study and financing them accordingly, would lead to the financial efficiency of the hospitals.
{"title":"Evaluation of Technical Efficiency of Hospitals during COVID-19 Crisis: A Case Study of Kohgiloyeh and Boyer-Ahmad Hospitals","authors":"S. Najafi, Z. Meshkani, Abdollah Poursmad, M. Barouni","doi":"10.18502/mshsj.v7i2.10676","DOIUrl":"https://doi.org/10.18502/mshsj.v7i2.10676","url":null,"abstract":"Background: Hospitals are the most important executive part of healthcare systems. During COVID-19 crisis, they faced a sudden demand, and spent the hospital resources and equipment in order to provide treatment services to COVID-19 patients. Considering that the provision of services was focused on these patients, the efficiency of hospitals during this crisis was not clear. The purpose of the current research is to investigate the efficiency of hospitals affiliated with Kohgiluyeh and Boyer Ahmad University of medical sciences, as well as the imaging units as the most important diagnostic department in the time of this pandemic. \u0000Methods: This was a quantitative and retrospective study which examining technical efficiency of 6 hospitals affiliated with Kohgiluyeh and Boyer Ahmad University of medical sciences. In addition, the technical efficiency of the imaging units (CT scan, radiology and ultrasound) in these hospitals was evaluated. Technical efficiency was calculated and compared through different scenarios based on different inputs and outputs during the pandemic. The model used in this research was multi-stage DEA. To analyze the data, the output maximization model and variable returns to scale were used. Relevant data were collected for a one-year period, from October 2020 to October 2021. Technical efficiency was calculated using Deap 2.1. \u0000Results: The average technical efficiency of the hospitals affiliated with Kohgiluyeh and Boyer Ahmad University of medical sciences during COVID-19 pandemic was 0.80 which was satisfactory. The average efficiency of CT scan, ultrasound and radiology units in the studied hospitals and based on the defined scenarios was 0.67, 0.44 and 0.40, respectively. This shows that the ultrasound and radiology units are far from efficient. \u0000Conclusion: The hospitals under study as well as CT scan units were efficient during COVID-19 crisis. Examining the efficiency of the returns compared to the scale showed that increasing the number of beds as well as the equipment would not increase efficiency. Paying attention to the needs of population under study and financing them accordingly, would lead to the financial efficiency of the hospitals.","PeriodicalId":324632,"journal":{"name":"Quarterly Journal of Management Strategies in Health System","volume":"17 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130674902","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 : 2022-09-18DOI: 10.18502/mshsj.v7i2.10683
Sayed Aliakbar Mousavinezhad-Naini, M. Tamimi, A. Salehi
Background: Measuring the hospitals financial performance in the health care system is of great importance. This is because hospitals with good financial performance can maintain reliable systems and provide necessary resources to improve quality. The aim of this study was to measure, compare and rank the financial performance of social security hospitals based on their size using a dynamic network data envelopment analysis model. Methods: This descriptive-analytical study was conducted using information sources in social security hospitals. Data were collected from financial statements from 2016 to 2019. The network efficiency analysis of the units was performed by GAMS 28 software. Results: According to the findings from 50 hospitals, among the hospitals with less than 100 active beds, the highest financial performance score belonged to Aras Ardabil hospital (0.79) and the lowest to Shabikhani Kashan hospital (0.24). Among the hospitals with 100 to 200 active beds, the highest financial performance score was obtained by Gharzi Malayer hospital (0.78) and the lowest by Imam Reza Islamshahr hospital (0.27). Imam Reza Urmia hospital with a score of 0.87 and Beheshti Shiraz hospital with a score of 0.39, achieved the highest and lowest financial performance in the dynamic network usage, among the hospitals with more than 200 active beds. Conclusion: Using the dynamic network data envelopment analysis model, the researchers measured the input and output of each decision-making unit over time. They also provided information about the system and internal structure in order to achieve overall efficiency. It is suggested that policymakers and hospital managers abandon the idea that a higher input rate determines a higher level of efficiency. They need to consider the compatibility of hospital size and internal structure in order to improve efficiency.
{"title":"Dynamic Network Data Envelopment Analysis Model Usage in Measuring and Ranking the Financial Performance of Social Security Hospitals Based on their Size","authors":"Sayed Aliakbar Mousavinezhad-Naini, M. Tamimi, A. Salehi","doi":"10.18502/mshsj.v7i2.10683","DOIUrl":"https://doi.org/10.18502/mshsj.v7i2.10683","url":null,"abstract":"Background: Measuring the hospitals financial performance in the health care system is of great importance. This is because hospitals with good financial performance can maintain reliable systems and provide necessary resources to improve quality. The aim of this study was to measure, compare and rank the financial performance of social security hospitals based on their size using a dynamic network data envelopment analysis model. \u0000Methods: This descriptive-analytical study was conducted using information sources in social security hospitals. Data were collected from financial statements from 2016 to 2019. The network efficiency analysis of the units was performed by GAMS 28 software. \u0000Results: According to the findings from 50 hospitals, among the hospitals with less than 100 active beds, the highest financial performance score belonged to Aras Ardabil hospital (0.79) and the lowest to Shabikhani Kashan hospital (0.24). Among the hospitals with 100 to 200 active beds, the highest financial performance score was obtained by Gharzi Malayer hospital (0.78) and the lowest by Imam Reza Islamshahr hospital (0.27). Imam Reza Urmia hospital with a score of 0.87 and Beheshti Shiraz hospital with a score of 0.39, achieved the highest and lowest financial performance in the dynamic network usage, among the hospitals with more than 200 active beds. \u0000Conclusion: Using the dynamic network data envelopment analysis model, the researchers measured the input and output of each decision-making unit over time. They also provided information about the system and internal structure in order to achieve overall efficiency. It is suggested that policymakers and hospital managers abandon the idea that a higher input rate determines a higher level of efficiency. They need to consider the compatibility of hospital size and internal structure in order to improve efficiency.","PeriodicalId":324632,"journal":{"name":"Quarterly Journal of Management Strategies in Health System","volume":"125 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125097289","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 : 2022-09-18DOI: 10.18502/mshsj.v7i2.10678
sahebeh mohammadian mansoor, A. Golkhandan
Background: Social capital has an effective role in promoting the mental health of people in the community by providing emotional and psychological support. Accordingly, the main purpose of this study is to investigate the effect of social capital on mental health in provinces of Iran. Methods: This was a descriptive-analytical and applied study. It investigated the long-term relationship between mental health index, social capital, per capita income, unemployment, education and urbanization from 2006 to 2019 using the panel data of Iran's provinces. The data used were collected from Central Bank and Statistics Center of Iran. For this purpose, based on Putnam and Colman's approach to measuring social capital, 3 levels of participation, trust and unity have been considered. In order to combine the indicators used in these levels, factor analysis method has been used. Model estimation was also conducted using the Generalized Method of Moment (GMM) and data analysis was performed using Eviews 9 and Stata 12 software. Results: Based on the results obtained from the model estimation, increasing social capital will improve the mental health index in the provinces of the country in the long term. 1 percent increase in social capital in the long run, reduces the suicide rate in the provinces of the country by 0.27 percent. Based on other results, in the long term, per capita income and education have a positive and significant effect and the unemployment rate has a negative and significant effect on mental health in the provinces of the country. Conclusion: Based on the findings of this study, authors can conclude that the greater amount of social capital in the provinces of the country leads to higher mental health.
背景:社会资本通过提供情感和心理支持，在促进社区人群心理健康方面具有有效的作用。因此，本研究的主要目的是探讨社会资本对伊朗各省心理健康的影响。方法:采用描述性分析与应用研究相结合的方法。利用伊朗各省的面板数据，调查了2006年至2019年心理健康指数、社会资本、人均收入、失业率、教育和城市化之间的长期关系。所使用的数据来自伊朗中央银行和统计中心。为此，基于Putnam和Colman衡量社会资本的方法，考虑了参与、信任和团结三个层面。为了对各层次指标进行综合，采用因子分析法。模型估计采用广义矩法(Generalized Method of Moment, GMM)，数据分析采用Eviews 9和Stata 12软件。结果:从模型估计结果来看，社会资本的增加将在长期内改善全国各省的心理健康指数。从长远来看，社会资本每增加1%，全国各省的自杀率就会降低0.27%。根据其他结果，从长期来看，人均收入和教育对全国各省的心理健康有积极和显著的影响，失业率对心理健康有消极和显著的影响。结论:根据本研究的结果，作者可以得出结论，全国各省的社会资本量越大，心理健康水平越高。
{"title":"Investigating the Relationship between Social Capital and Mental Health in the Provinces of Iran","authors":"sahebeh mohammadian mansoor, A. Golkhandan","doi":"10.18502/mshsj.v7i2.10678","DOIUrl":"https://doi.org/10.18502/mshsj.v7i2.10678","url":null,"abstract":"Background: Social capital has an effective role in promoting the mental health of people in the community by providing emotional and psychological support. Accordingly, the main purpose of this study is to investigate the effect of social capital on mental health in provinces of Iran. \u0000Methods: This was a descriptive-analytical and applied study. It investigated the long-term relationship between mental health index, social capital, per capita income, unemployment, education and urbanization from 2006 to 2019 using the panel data of Iran's provinces. The data used were collected from Central Bank and Statistics Center of Iran. For this purpose, based on Putnam and Colman's approach to measuring social capital, 3 levels of participation, trust and unity have been considered. In order to combine the indicators used in these levels, factor analysis method has been used. Model estimation was also conducted using the Generalized Method of Moment (GMM) and data analysis was performed using Eviews 9 and Stata 12 software. \u0000Results: Based on the results obtained from the model estimation, increasing social capital will improve the mental health index in the provinces of the country in the long term. 1 percent increase in social capital in the long run, reduces the suicide rate in the provinces of the country by 0.27 percent. Based on other results, in the long term, per capita income and education have a positive and significant effect and the unemployment rate has a negative and significant effect on mental health in the provinces of the country. \u0000Conclusion: Based on the findings of this study, authors can conclude that the greater amount of social capital in the provinces of the country leads to higher mental health.","PeriodicalId":324632,"journal":{"name":"Quarterly Journal of Management Strategies in Health System","volume":"17 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130655852","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 : 2022-09-18DOI: 10.18502/mshsj.v7i2.10679
A. Mahani, Vahid Yazdi-Feyzabadi, Salman Bashzar
Background: Despite significant expansion, indigenous research regarding health system still faces challenges in the field of research application. They include lack of reliable evidence, late arrival of evidence by policymakers or inappropriate language of evidence related to the field of knowledge exchange and translation. The aim of this study is to investigate the status of knowledge translation in research centers of Kerman University of Medical Sciences. Methods: This was a cross-sectional study conducted in 2020 in research centers affiliated with Kerman University of Medical Sciences. Centers entered the study through census and a standard questionnaire of self-assessment regarding knowledge-producing organizations was used. It contained 50 questions in 4 areas of research question, knowledge production, knowledge transfer and promotion of using evidence. After collecting and coding, the data were entered into SPSS 25 software and analyzed using descriptive statistics and non-parametric Mann-Whitney U test. Results: 20 clinical research centers and 6 non-clinical centers participated in this study. Only 3.85 % of the centers scored more than 80 % in total. Regarding the research question, knowledge production, knowledge transfer and promotion of using evidence, the mean standard deviation of scores were 35/85 ± 9/93, 31/50 ± 7/54, 76/65 ± 16/35 and 9/31 ± 3/27, respectively. The best situation was related to knowledge production with 70 % of the score. Findings of the Mann-Whitney U test showed that the mean of all domains in the two groups were not different. Conclusion: This study demonstrated a moderate level of knowledge translation. But, factors such as creating a structure for knowledge translation committee, considering the process of exchange, translation and transfer of knowledge in the process of approving student dissertations and research projects, reviewing research policies and creation of motivational mechanisms to promote the status of researchers can play an important facilitating role in achieving the appropriate level of knowledge exchange and translation.
{"title":"Knowledge Translation in Research Centers of Iranian Universities of Medical Sciences: Experience of Kerman University of Medical Sciences","authors":"A. Mahani, Vahid Yazdi-Feyzabadi, Salman Bashzar","doi":"10.18502/mshsj.v7i2.10679","DOIUrl":"https://doi.org/10.18502/mshsj.v7i2.10679","url":null,"abstract":"Background: Despite significant expansion, indigenous research regarding health system still faces challenges in the field of research application. They include lack of reliable evidence, late arrival of evidence by policymakers or inappropriate language of evidence related to the field of knowledge exchange and translation. The aim of this study is to investigate the status of knowledge translation in research centers of Kerman University of Medical Sciences. \u0000Methods: This was a cross-sectional study conducted in 2020 in research centers affiliated with Kerman University of Medical Sciences. Centers entered the study through census and a standard questionnaire of self-assessment regarding knowledge-producing organizations was used. It contained 50 questions in 4 areas of research question, knowledge production, knowledge transfer and promotion of using evidence. After collecting and coding, the data were entered into SPSS 25 software and analyzed using descriptive statistics and non-parametric Mann-Whitney U test. \u0000Results: 20 clinical research centers and 6 non-clinical centers participated in this study. Only 3.85 % of the centers scored more than 80 % in total. Regarding the research question, knowledge production, knowledge transfer and promotion of using evidence, the mean standard deviation of scores were 35/85 ± 9/93, 31/50 ± 7/54, 76/65 ± 16/35 and 9/31 ± 3/27, respectively. The best situation was related to knowledge production with 70 % of the score. Findings of the Mann-Whitney U test showed that the mean of all domains in the two groups were not different. \u0000Conclusion: This study demonstrated a moderate level of knowledge translation. But, factors such as creating a structure for knowledge translation committee, considering the process of exchange, translation and transfer of knowledge in the process of approving student dissertations and research projects, reviewing research policies and creation of motivational mechanisms to promote the status of researchers can play an important facilitating role in achieving the appropriate level of knowledge exchange and translation. \u0000 ","PeriodicalId":324632,"journal":{"name":"Quarterly Journal of Management Strategies in Health System","volume":"93 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124253237","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 : 2022-09-18DOI: 10.18502/mshsj.v7i2.10681
Khalil Kalavani, Zohre Eskandarizadeh, R. Dehnavieh
Background: Community's health depends on the primary healthcare sector of a country. In recent years, health systems have sought to assess the quality of services provided. Therefore, this study was conducted to evaluate the primary health care system with the Primary Care Assessment Tool (PCAT) in areas covered by the family physician in southeastern Iran. Methods: This was a descriptive-analytical study conducted cross-sectionally. It was performed on 330 recipients of services in health centers implementing the family physician project at Kerman, Bam, Jiroft and Rafsanjan Universities of Medical Sciences. The sampling method in this study was multistage. The instrument used in this study (PCAT) was based on the principles of primary care and is used as a tool to evaluate primary care. Data were analyzed using Kruskal-Wallis test in the SPSS 19 software. Results: The findings of this study were in 2 groups of adults and children according to the categorization of the questionnaire. Regarding adults, the highest average score of the questionnaire was related to first encounter - utilization in Jiroft University of Medical Sciences, first encounter - access in Bam University, continuity of care in Rafsanjan University, coordination in Jiroft University, coordination of information systems in Kerman, comprehensiveness of services available in Bam, comprehensiveness of services provided in Rafsanjan's family-oriented care in Kerman, community-oriented care in Kerman, and cultural aspects of care in Rafsanjan University of Medical Sciences. The difference between the average score in the dimension of the first encounter - utilization and the dimension of comprehensiveness of the services available in universities was significant (p < 0.05). In children, the highest average score was in the questionnaire is in the dimension of first encounter - utilization in Jiroft University of Medical Sciences, first encounter - access in Jiroft University, continuity of care in Rafsanjan University, coordination in Rafsanjan University, coordination of information systems in Kerman, comprehensiveness of services available in Rafsanjan. The comprehensiveness of services provided in Kerman, family-oriented care in Kerman, community-oriented care in Kerman, and cultural aspects of care in Jiroft University of Medical Sciences. The difference between the average score in the dimensions of the first encounter - utilization, coordination, coordination of information systems, comprehensiveness of available services, comprehensiveness of provided services, family-oriented care among universities was significant (p < 0.05). Conclusion: The present study demonstrated that various aspects of primary care in the areas covered by the family physician project in southeastern Iran had a relatively satisfactory status. The difference in the mean score of primary care in the studied universities shows that although the basic physical structures and hardware of the family phys
{"title":"Assessment of Primary Healthcare System in Areas Covered by Family Physician Project in Southeastern Iran","authors":"Khalil Kalavani, Zohre Eskandarizadeh, R. Dehnavieh","doi":"10.18502/mshsj.v7i2.10681","DOIUrl":"https://doi.org/10.18502/mshsj.v7i2.10681","url":null,"abstract":"Background: Community's health depends on the primary healthcare sector of a country. In recent years, health systems have sought to assess the quality of services provided. Therefore, this study was conducted to evaluate the primary health care system with the Primary Care Assessment Tool (PCAT) in areas covered by the family physician in southeastern Iran. \u0000Methods: This was a descriptive-analytical study conducted cross-sectionally. It was performed on 330 recipients of services in health centers implementing the family physician project at Kerman, Bam, Jiroft and Rafsanjan Universities of Medical Sciences. The sampling method in this study was multistage. The instrument used in this study (PCAT) was based on the principles of primary care and is used as a tool to evaluate primary care. Data were analyzed using Kruskal-Wallis test in the SPSS 19 software. \u0000Results: The findings of this study were in 2 groups of adults and children according to the categorization of the questionnaire. Regarding adults, the highest average score of the questionnaire was related to first encounter - utilization in Jiroft University of Medical Sciences, first encounter - access in Bam University, continuity of care in Rafsanjan University, coordination in Jiroft University, coordination of information systems in Kerman, comprehensiveness of services available in Bam, comprehensiveness of services provided in Rafsanjan's family-oriented care in Kerman, community-oriented care in Kerman, and cultural aspects of care in Rafsanjan University of Medical Sciences. The difference between the average score in the dimension of the first encounter - utilization and the dimension of comprehensiveness of the services available in universities was significant (p < 0.05). In children, the highest average score was in the questionnaire is in the dimension of first encounter - utilization in Jiroft University of Medical Sciences, first encounter - access in Jiroft University, continuity of care in Rafsanjan University, coordination in Rafsanjan University, coordination of information systems in Kerman, comprehensiveness of services available in Rafsanjan. The comprehensiveness of services provided in Kerman, family-oriented care in Kerman, community-oriented care in Kerman, and cultural aspects of care in Jiroft University of Medical Sciences. The difference between the average score in the dimensions of the first encounter - utilization, coordination, coordination of information systems, comprehensiveness of available services, comprehensiveness of provided services, family-oriented care among universities was significant (p < 0.05). \u0000Conclusion: The present study demonstrated that various aspects of primary care in the areas covered by the family physician project in southeastern Iran had a relatively satisfactory status. The difference in the mean score of primary care in the studied universities shows that although the basic physical structures and hardware of the family phys","PeriodicalId":324632,"journal":{"name":"Quarterly Journal of Management Strategies in Health System","volume":"44 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115597432","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 : 2022-09-18DOI: 10.18502/mshsj.v7i2.10677
S. M. Hosseini Sarkhosh, M. Taghvaei, Seyyed Farshad Allameh
Background: When an epidemic occurs, resources, including hospital beds, are severely limited and not all patients can be treated; so, hospital bed rationing is inevitable. Therefore, the aim of this study is to provide a method for evaluating and prioritizing patients with COVID-19 for admission to the intensive care unit. Methods: This was a descriptive-survey study in terms of data collection method conducted in the summer of 2021. Following the formation of an expert panel with 4 specialists, a three-stage approach to evaluating and prioritizing COVID-19 patients was adopted by combining multi-criteria decision analysis methods. In the first stage, effective criteria and sub-criteria for patients’ prioritization were identified by a panel of experts and related studies, and the hierarchy of criteria was drawn. In the second stage, the Fuzzy best-worst method was used to determine the weight of criteria and sub-criteria. Finally, in the third stage, a combined compromise solution method was performed to prioritize 10 patients in need of COVID-19 and the most critical patient was selected. Results: According to the experts, among the 15 criteria studied, respiratory rate, PaO2/FiO2, impaired consciousness, mean arterial pressure and age were identified as 5 of the most important criteria in prioritizing COVID-19 patients for intensive care unit admission. In addition, 10 COVID-19 patients referred to Shohadaye Pakdasht Hospital were evaluated and prioritized with the proposed approach. Conclusion: The proposed method can be used as a useful tool in the evaluation of COVID-19 patients for admission to the intensive care unit and to support the vital decisions of physicians.
{"title":"Prioritization of COVID-19 Patients for Admission in the Intensive Care Unit in the Context of Hospital Bed Shortages: An Integrated Multi-criteria Decision Making Approach","authors":"S. M. Hosseini Sarkhosh, M. Taghvaei, Seyyed Farshad Allameh","doi":"10.18502/mshsj.v7i2.10677","DOIUrl":"https://doi.org/10.18502/mshsj.v7i2.10677","url":null,"abstract":"Background: When an epidemic occurs, resources, including hospital beds, are severely limited and not all patients can be treated; so, hospital bed rationing is inevitable. Therefore, the aim of this study is to provide a method for evaluating and prioritizing patients with COVID-19 for admission to the intensive care unit. \u0000Methods: This was a descriptive-survey study in terms of data collection method conducted in the summer of 2021. Following the formation of an expert panel with 4 specialists, a three-stage approach to evaluating and prioritizing COVID-19 patients was adopted by combining multi-criteria decision analysis methods. In the first stage, effective criteria and sub-criteria for patients’ prioritization were identified by a panel of experts and related studies, and the hierarchy of criteria was drawn. In the second stage, the Fuzzy best-worst method was used to determine the weight of criteria and sub-criteria. Finally, in the third stage, a combined compromise solution method was performed to prioritize 10 patients in need of COVID-19 and the most critical patient was selected. \u0000Results: According to the experts, among the 15 criteria studied, respiratory rate, PaO2/FiO2, impaired consciousness, mean arterial pressure and age were identified as 5 of the most important criteria in prioritizing COVID-19 patients for intensive care unit admission. In addition, 10 COVID-19 patients referred to Shohadaye Pakdasht Hospital were evaluated and prioritized with the proposed approach. \u0000Conclusion: The proposed method can be used as a useful tool in the evaluation of COVID-19 patients for admission to the intensive care unit and to support the vital decisions of physicians.","PeriodicalId":324632,"journal":{"name":"Quarterly Journal of Management Strategies in Health System","volume":"42 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122686804","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 : 2022-09-18DOI: 10.18502/mshsj.v7i2.10682
Maryam Motakeffar, Maryam Bahrami Hidaji, S. Sodagar, Najmeh Rahimi
Background: Generally, patients with type 2 diabetes experience low level of psychological well-being, which may exacerbate their symptoms .Accordingly, the purpose of this study is the effectiveness of mindfulness-based cognitive therapy and emotion-oriented therapy on psychological well-being on type 2 diabetic patients. Methods: This experimental study was of the post-test, pre-test and follow-up type with a control group. The statistical population was all the people with type 2 diabetes who referred to Sabzevar Diabetes Clinic in 2019. 45 patients with type 2 diabetes were selected based on Kuhn table and through convenience sampling method. They were randomly placed in 3 groups of mindfulness-based cognitive therapy, emotion-oriented therapy and control. Data gathering tool was Reef psychological well-being questionnaire (2002). SPSS 24 software and descriptive and analytical statistics (covariance analysis) were used to analyze data. Results: The analysis of covariance showed that mindfulness-based cognitive therapy and emotion-oriented therapy were affective regarding the psychological well-being of type 2 diabetic patients (p < 0.05). The post hoc scores demonstrated that there was no significant relationship (p > 0.05) between mindfulness-based cognitive therapy and emotion-oriented therapy regarding their efficacy. Conclusion: With respect to the wide variety of factors related to psychological well-being, authors can conclude that mindfulness-based cognitive therapy and emotion-oriented therapy can improve the psychological well-being of type 2 diabetic patients.
{"title":"Comparison of the Effectiveness of Mindfulness-based Cognitive Therapy and Emotion-oriented Therapy on Psychological Well-being in Type 2 Diabetic Patients","authors":"Maryam Motakeffar, Maryam Bahrami Hidaji, S. Sodagar, Najmeh Rahimi","doi":"10.18502/mshsj.v7i2.10682","DOIUrl":"https://doi.org/10.18502/mshsj.v7i2.10682","url":null,"abstract":"Background: Generally, patients with type 2 diabetes experience low level of psychological well-being, which may exacerbate their symptoms .Accordingly, the purpose of this study is the effectiveness of mindfulness-based cognitive therapy and emotion-oriented therapy on psychological well-being on type 2 diabetic patients. \u0000Methods: This experimental study was of the post-test, pre-test and follow-up type with a control group. The statistical population was all the people with type 2 diabetes who referred to Sabzevar Diabetes Clinic in 2019. 45 patients with type 2 diabetes were selected based on Kuhn table and through convenience sampling method. They were randomly placed in 3 groups of mindfulness-based cognitive therapy, emotion-oriented therapy and control. Data gathering tool was Reef psychological well-being questionnaire (2002). SPSS 24 software and descriptive and analytical statistics (covariance analysis) were used to analyze data. \u0000Results: The analysis of covariance showed that mindfulness-based cognitive therapy and emotion-oriented therapy were affective regarding the psychological well-being of type 2 diabetic patients (p < 0.05). The post hoc scores demonstrated that there was no significant relationship (p > 0.05) between mindfulness-based cognitive therapy and emotion-oriented therapy regarding their efficacy. \u0000Conclusion: With respect to the wide variety of factors related to psychological well-being, authors can conclude that mindfulness-based cognitive therapy and emotion-oriented therapy can improve the psychological well-being of type 2 diabetic patients.","PeriodicalId":324632,"journal":{"name":"Quarterly Journal of Management Strategies in Health System","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130118868","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 : 2022-06-19DOI: 10.18502/mshsj.v7i1.9717
H. Jafari, Mahdieh Sheikhzadeh Tezenji, M. Rahimi, Fatemehalsadat Hoseini Baghdadabad
Background: The importance of timing lies on providing services, identifying the current status of service delivery, and determining the workload to improve productivity of the organization and the level of satisfaction of service providers and recipients. The aim of this study is to investigate the timing of patient's workflow, in order to identify the current state of service delivery, and determine the workload in the imaging ward of Shahid Rahnemoun hospital in Yazd. Methods: The present study was descriptive-analytical and cross-sectional-observational, which was conducted in 2021. The sample included 1287 images or graphs from the imaging ward of Shahid Rahnemoun Hospital, during a period of 3 months and during different shifts (morning, evening and night). They were selected using the Krejcie-Morgan method. Frequency, percentage, means, and standard deviation were used to evaluate descriptive statistics. Results: Results of the study showed that the maximum and minimum mean time calculated for each service was related to the service of hospitalized patients in the radiology unit (22:50 minutes) and operating room patients (2:16 minutes), respectively. Also, the maximum and minimum working hours spent for all services obtained were related to the inpatients in the radiology unit (67747 minutes) and outpatients in the ultrasound unit (243 minutes), respectively. Conclusion: The timing and workmetry of the activities performed in the hospital's imaging ward, gave the authors a view of the current situation of the workforce and the amount of work done by the imaging ward.
{"title":"Evaluation of Timing and Workmetry of Service Delivery in the Imaging Ward of Shahid Rahnemoun Hospital, in Yazd, in 2021","authors":"H. Jafari, Mahdieh Sheikhzadeh Tezenji, M. Rahimi, Fatemehalsadat Hoseini Baghdadabad","doi":"10.18502/mshsj.v7i1.9717","DOIUrl":"https://doi.org/10.18502/mshsj.v7i1.9717","url":null,"abstract":"Background: The importance of timing lies on providing services, identifying the current status of service delivery, and determining the workload to improve productivity of the organization and the level of satisfaction of service providers and recipients. The aim of this study is to investigate the timing of patient's workflow, in order to identify the current state of service delivery, and determine the workload in the imaging ward of Shahid Rahnemoun hospital in Yazd. \u0000Methods: The present study was descriptive-analytical and cross-sectional-observational, which was conducted in 2021. The sample included 1287 images or graphs from the imaging ward of Shahid Rahnemoun Hospital, during a period of 3 months and during different shifts (morning, evening and night). They were selected using the Krejcie-Morgan method. Frequency, percentage, means, and standard deviation were used to evaluate descriptive statistics. \u0000Results: Results of the study showed that the maximum and minimum mean time calculated for each service was related to the service of hospitalized patients in the radiology unit (22:50 minutes) and operating room patients (2:16 minutes), respectively. Also, the maximum and minimum working hours spent for all services obtained were related to the inpatients in the radiology unit (67747 minutes) and outpatients in the ultrasound unit (243 minutes), respectively. \u0000Conclusion: The timing and workmetry of the activities performed in the hospital's imaging ward, gave the authors a view of the current situation of the workforce and the amount of work done by the imaging ward.","PeriodicalId":324632,"journal":{"name":"Quarterly Journal of Management Strategies in Health System","volume":"38 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114842678","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 : 2022-06-19DOI: 10.18502/mshsj.v7i1.9720
Yasaman Fatahi Abarghoo, A. Sadri Esfahani
Background: Locations, by creating a sense of comfort and peace or sorrow and distress have a great effect on self-confidence, personality, and personal health. Paying attention to the perceptual indicators of environmental quality can lead to sustainable changes in architectural designs. The aim of this study is to identify perceptual indicators of the environmental quality in medical centers and use these indicators to evaluate the physical-spatial qualities of those centers. The study environment was one the private hospitals in Yazd. Methods: This was a cross-sectional study conducted in 2022 in a private hospital in Yazd. The statistical population includes patients, visitors, carers and staff. 73 users from the pediatric care and hospitalization ward and 47 users from the outpatient ward were selected as the statistical sample through convenience sampling. The data collection tool was a researcher-made questionnaire consisting of 27 questions with 5 Likert scale options and 5 demographic questions, the validity of which was approved by 10 experts in the field of architecture and psychology. The reliability of the questionnaire was also confirmed by Cronbach's alpha test with a value of 0.75. Questions included 3 dimensions of perceptual indicators regarding the quality of hospital environment. 2 dimensions evaluated the physical aspects of the hospital exterior and interior space of the wards and 1 dimension evaluated social aspects. For statistical analysis, descriptive methods (frequency, mean, etc.) and SPSS 26 software were employed. Results: The outcome of the percentages obtained regarding the dimension of physical-spatial aspects of the hospital's external spaces, pediatric care and hospitalization ward, the outpatient ward and the socio-functional aspects of hospital spaces, were obtained as + 25, + 38.38, + 44.73, and +36 % respectively. Conclusion: Based on the results, the outcome of the percentages obtained for the dimensions of the physical-spatial aspects of the hospital's external spaces, pediatric care and hospitalization ward, the outpatient ward and the socio-functional aspects of hospital spaces indicated the favorable status of the dimension from the users' point of view.
{"title":"Evaluation of Perceptual Indicators Regarding Environmental Quality of Medical Centers (Case Study: Selected Wards of One of Yazd's Private Hospitals)","authors":"Yasaman Fatahi Abarghoo, A. Sadri Esfahani","doi":"10.18502/mshsj.v7i1.9720","DOIUrl":"https://doi.org/10.18502/mshsj.v7i1.9720","url":null,"abstract":"Background: Locations, by creating a sense of comfort and peace or sorrow and distress have a great effect on self-confidence, personality, and personal health. Paying attention to the perceptual indicators of environmental quality can lead to sustainable changes in architectural designs. The aim of this study is to identify perceptual indicators of the environmental quality in medical centers and use these indicators to evaluate the physical-spatial qualities of those centers. The study environment was one the private hospitals in Yazd. \u0000Methods: This was a cross-sectional study conducted in 2022 in a private hospital in Yazd. The statistical population includes patients, visitors, carers and staff. 73 users from the pediatric care and hospitalization ward and 47 users from the outpatient ward were selected as the statistical sample through convenience sampling. The data collection tool was a researcher-made questionnaire consisting of 27 questions with 5 Likert scale options and 5 demographic questions, the validity of which was approved by 10 experts in the field of architecture and psychology. The reliability of the questionnaire was also confirmed by Cronbach's alpha test with a value of 0.75. Questions included 3 dimensions of perceptual indicators regarding the quality of hospital environment. 2 dimensions evaluated the physical aspects of the hospital exterior and interior space of the wards and 1 dimension evaluated social aspects. For statistical analysis, descriptive methods (frequency, mean, etc.) and SPSS 26 software were employed. \u0000Results: The outcome of the percentages obtained regarding the dimension of physical-spatial aspects of the hospital's external spaces, pediatric care and hospitalization ward, the outpatient ward and the socio-functional aspects of hospital spaces, were obtained as + 25, + 38.38, + 44.73, and +36 % respectively. \u0000Conclusion: Based on the results, the outcome of the percentages obtained for the dimensions of the physical-spatial aspects of the hospital's external spaces, pediatric care and hospitalization ward, the outpatient ward and the socio-functional aspects of hospital spaces indicated the favorable status of the dimension from the users' point of view.","PeriodicalId":324632,"journal":{"name":"Quarterly Journal of Management Strategies in Health System","volume":"22 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125052485","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 : 2022-06-19DOI: 10.18502/mshsj.v7i1.9718
Zakariya Ahmadiyan, H. Ghalavandi, M. Hassani
Background: The use of anticipatory behaviors in the organization can cause negative behaviors such as conflict and reduce the positive behaviors in the organization. Therefore, the purpose of this study was to analyze the relationship between perception management and social undermining, and the mediating role of organizational trust and social capital in West Azerbaijan University of Medical Sciences. Methods: This was a descriptive-correlation study. The statistical population was all 23,000 medical staff of West Azerbaijan University of Medical Sciences. Considering Cochran's formula, 384 people were selected through convenience sampling method. Data collection instruments were questionnaires regarding perception management, social undermining, social capital, and organizational trust. The validity of the instruments was assessed using convergent and divergent validity. The reliability was evaluated using Cronbach's alpha and the combined foot coefficient. Structural equation model and SPSS 24 and LISREL 8 software were used to analyze the data. Results: There was a positive and significant correlation between perception management and social undermining (path coefficient 0.58). The correlation between perception management and organizational trust (- 0.63) and social capital (- 0.84) was negative and significant. The relationship between organizational trust (- 0.48) and social capital (- 0.41) with social undermining of employees is negative and significant. Finally, there was a significant correlation between perception management and social undermining mediated by organizational trust (0.29) and social capital (0.35). Conclusion: Impression management, by reducing the level of organizational trust and social capital, increases social undermining in West Azerbaijan University of Medical Sciences. The authors suggest that, by identifying and reducing perception management tactics, authorities increase organizational trust and social capital, and consequently, reduce social undermining.
{"title":"Modeling the Relationship between Perception Management and Social Undermining with the Mediating Role of Organizational Trust and Social Capital in West Azerbaijan University of Medical Sciences","authors":"Zakariya Ahmadiyan, H. Ghalavandi, M. Hassani","doi":"10.18502/mshsj.v7i1.9718","DOIUrl":"https://doi.org/10.18502/mshsj.v7i1.9718","url":null,"abstract":"Background: The use of anticipatory behaviors in the organization can cause negative behaviors such as conflict and reduce the positive behaviors in the organization. Therefore, the purpose of this study was to analyze the relationship between perception management and social undermining, and the mediating role of organizational trust and social capital in West Azerbaijan University of Medical Sciences. \u0000Methods: This was a descriptive-correlation study. The statistical population was all 23,000 medical staff of West Azerbaijan University of Medical Sciences. Considering Cochran's formula, 384 people were selected through convenience sampling method. Data collection instruments were questionnaires regarding perception management, social undermining, social capital, and organizational trust. The validity of the instruments was assessed using convergent and divergent validity. The reliability was evaluated using Cronbach's alpha and the combined foot coefficient. Structural equation model and SPSS 24 and LISREL 8 software were used to analyze the data. \u0000Results: There was a positive and significant correlation between perception management and social undermining (path coefficient 0.58). The correlation between perception management and organizational trust (- 0.63) and social capital (- 0.84) was negative and significant. The relationship between organizational trust (- 0.48) and social capital (- 0.41) with social undermining of employees is negative and significant. Finally, there was a significant correlation between perception management and social undermining mediated by organizational trust (0.29) and social capital (0.35). \u0000Conclusion: Impression management, by reducing the level of organizational trust and social capital, increases social undermining in West Azerbaijan University of Medical Sciences. The authors suggest that, by identifying and reducing perception management tactics, authorities increase organizational trust and social capital, and consequently, reduce social undermining.","PeriodicalId":324632,"journal":{"name":"Quarterly Journal of Management Strategies in Health System","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131203736","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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