Showing 6 results for Family
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Volume 5, Issue 8 (3-2013)
Abstract
Hannan Hajimahmoudi, Farzaneh Zahedi,
Volume 6, Issue 3 (8-2013)
Abstract
Justice is one of the main principles of ethics in the healthcare system, and its establishment at macro level depends on formulation of appropriate policies by policy-makers and healthcare providers. Health care policies and payment and reimbursement systems have a significant impact on health systems’ efficiency and cost control. In this paper, payment and reimbursement policies and their impact on financial incentives will be reviewed moreover, financial policies in the national health care in Iran and related challenges will be mentioned in brief.
There is no doubt that none of the payment and reimbursement policies is perfect and each of them has the potential to put caregivers or health care providers financially at risk. Therefore, policy-makers should select a combination of the best approaches, considering socioeconomic factors, in order to provide a maximum coverage of health services and ensure fairness in the health system. Efficient payment and reimbursement approaches should undoubtedly preserve the rights of all parties in a fair and logical manner. Current national policy shows that a high percent of health care expenditures are financed through out-of-pocket payments, and therefore appropriate policies should be adopted to lighten this burden. Considering the accelerated trend toward the Family Doctor Plan in big cities in Iran, the present paper would be helpful for many health care providers, physicians and other health care professionals.
Malihe Kadivar, Marjan Mardani Hamooleh, Nasrin Nejadsarvari, Mohammad Gharagozlou,
Volume 8, Issue 4 (11-2015)
Abstract
Severe combined immunodeficiency (SCID) is an inherited primary immunodeficiency syndrome characterized by a profound deficiency in T-lymphocytes and variable defects in the B-lymphocyte number. The present study aimed to evaluate the ethical aspects of the clinical management of children with SCID. This report is based on the case of a 6-month-old male infant with SCID diagnosis presented during the Medical Ethics Grand Rounds in the Children's Medical Center in Tehran, Iran.
The patient had a positive history of recurrent infections and frequent hospitalization. His parents were consanguineous and came from a low socioeconomic level of the community. He was the fourth child of the family. The first and second children were healthy girls, while the third child was a boy with a history of numerous problems post vaccination who had eventually died of widespread infections. The physician had recommended bone marrow transplant, but the parents had been directed by a neighbor to visit a religious healer.
Timely management of severe combined immunodeficiency can reduce complications and improve the patients’ quality of life. The need for early screening tests is therefore ethically justified, although ethical issues surrounding the subject should not be overlooked. Instances of these issues include: neglecting the scientific criteria necessary to conduct the tests the economic burden imposed on the family of the child failure to provide sufficient information to parents and ignoring their consent to conduct testing and treatment lack of equitable access to diagnostic and treatment facilities and lack of attention to the child’s autonomy. It should, however, be noted that in certain cases, healthcare providers could perform their management activities with an ethical and supportive approach, taking into account all physical and psychological needs of infants with severe combined immunodeficiency, as well as those of their families
Masoomeh Gharedaghi, Golamreza Dustzadeh,
Volume 11, Issue 0 (3-2018)
Abstract
Gandhi Shapur was one of the largest medical centers in the late Sassanid and early Islamic schools in Baghdad. The doctors, who often had a field teaching at Gandhi Shapur, moved to the city during their transfer to Baghdad, and accordingly they gave a kind of scientific center to the capital of the new Islamic government. Among the doctors of this scientific center was the Bakhtiyad dynasty, which in this study we explored the role of this family in medicine. The study shows that Jundishapur University hosted a large number of Greek, Indian, Nestorian scholars and scholars working at the center, and the head of the Faculty of Medicine was led by the Bakhtiyad family. The desire of the Abbasid caliphs to boost the city of Baghdad such as the Sassanid Centers of Science and Technology, and their success in that area, were the factors that invited the scientists from Jindi Shapur and the caliphate support from them. The transfer of scientific activities of Ajar George Bin Bakhtih from Jindi Shapur to Baghdad was an introduction to the decline of the scientific star of this center and the influence of Iranian culture on Islam. Several factors such as the scientific need, attention and support of caliphs from scientists and conversion of the city of Baghdad to the center of the sciences were the causes for invitation of the Bakhtiyad family to Baghdad. In this study, we assess the activities of the Bakhtiyad family in the government of Abbasid caliphs.
Shahriar Dargahi, Behrouz Barati Moghadam, Soliman Ahmadboukani, Nader Ayadi,
Volume 12, Issue 0 (3-2019)
Abstract
According to the important role of family factors in people quality of work and the importance of correct emotional relationship of medical staff in patients' satisfaction and spirits, the aim of the present study was to investigate the relationship between perceived intimacy from the main family and work-family conflict with empathy and addiction to work in the medical staff. This study was a description of correlation type. The statistical population of this study included all the medical staff of medical centers in Bojnourd city in the 2018-19 year. Among them 250 person were selected by available sampling method. For data collection we used main family health Questionnaire, work-family conflict questionnaire, Lamonica empathy scale, and work addiction questionnaire. To analyze the data of this study, Pearson correlation coefficient and regression analysis were used. In order to analyze the data, SPSS software (version 25) was used. The results of Pearson correlation showed that perceived intimacy from the main family had a positive and significant correlation with empathy and negative correlation with addiction to work. Also, the results indicated that there is a significant correlation between work-family conflicts with empathy, but there was not a significant correlation between work-family conflicts and addiction to work. The results of the present study indicate the role of family system and its internal conflicts on empathy with patients and work addiction in hospital staff, which emphasizes the need to pay more attention to the improvement of quality of family life of health care staff.
Mohsen Rezaei Adaryani,
Volume 17, Issue 0 (12-2024)
Abstract
The relationship between healthcare providers and patients is often marred by financial issues, which present significant ethical challenges. These financial interactions can be categorized into direct and indirect communications, both of which give rise to various ethical dilemmas. In direct financial communication, issues such as under-the-table payments, fee splitting, self-referral, inappropriate referrals, induced demand, and unnecessary surgeries or hospitalizations are prevalent. These practices compromise the ethical standards of medical care. On the other hand, indirect financial communication occurs when a small portion of the healthcare cost is paid by the patient, while the majority is covered by intermediary institutions like insurance companies or the Ministry of Health. The family physician system, with accurate patient referrals and cost management, supports this model. Under such a system, service tariffs align with actual costs, creating "real" tariffs, and reducing opportunities for many ethical challenges to arise. The current health system provides practical examples of the disconnection of financial relationships, notably through policies such as the Accident Insurance Law (Article 92 of the Fourth Development Plan) and the family physician system within the Imam’s Relief Committee. Health centers involved in treating injured patients and staffed with experienced personnel have observed and reported significant improvements following the implementation of the Accident Insurance Law, highlighting the positive impact of financial disconnection on healthcare ethics. This study demonstrates that cutting financial ties between doctors and patients, through indirect financial communication models and accurate referral systems, is an effective solution to addressing a wide range of ethical challenges in healthcare.
