Dr Masoumeh Erfani Khanghahi, Dr Farbod Ebadi Fard Azar,
Volume 17, Issue 2 (9-2018)
Abstract
Background: The Pabon Laso Model is one of the most important models of evaluating efficiency. Many studies are implemented with this model in Iranian hospitals. This study aimed to review related articles with systemic review and meta-analysis method.
Materials and Methods: The data was gathered using related keywords in databases such as IranMedex, MagIran, IranDoc, Medlib, SID, PubMed, Google Scholar, Elsevier, and Scopus. The articles were searched during 2001 to 2015. Inclusion criteria were determined as articles published in Persian and English, Pointing at least one of three criteria Pabon Lasso model in Iran and access to full-text articles. Exclusion criteria were articles other than hospital performance assessment, and articles which presented as conferences event, case reports, letters to the editor and educational articles. Meta-analysis method was used for calculating Pabon Lasso indices. CMA: 2(Comprehensive Meta-Analysis) was utilized.
Results: 27 articles out of 396 articles were reviewed. The results of 348 hospitals had shown 79.9(22.9%), 76.8(21.7%), 117.8(33.8%), and 74.6(21.4%) of hospitals were in areas one, two, three, and four, respectively. The average of length of stay, bed occupancy, and bed turnover were 3.4 (3-3.7, 95% CI), 63 (41-95,95% CI), and 78.4 (71.8-85.2, 95% CI) per year, respectively.
Conclusion: Study results revealed that only one-third of hospitals were in area three in Pabon Lasso model. The performance status of three fields were average in the length of stay (approximately standard), bed occupancy (upper than standard), and bed turnover (lower than standard).
Dr Msoomeh Erfani Khanghahi, Soodabeh Tayeri,
Volume 17, Issue 4 (2-2019)
Abstract
Background: Women's health has a broad concept that various biological, social, political, economic and environmental factors affect it. This study aimed to prioritize the factors affecting women's health promotion, provide a model for decision making and choose the best option for decision makers and health system planners to achieve the goal of promoting women's health.
Materials and Methods: In this descriptive-analytical study, the factors affecting women's health were extracted based on theoretical background and Farmehr's conceptual model. Then, the points of view of five women's health experts on the criteria and options of the model were collected and analyzed using paired comparison tables and Likert measure, and analyzed according to the hierarchical decision-making process. After analyzing the experts 'opinion individually, two methods of computing the geometric meanings and the experts' opinions were combined and the priorities were determined based on group views. The Excel software was utilized to perform the calculations.
Results: Among the four main factors, priorities included the individual factors (subcategory of lifestyle), family factors (family relationships) and underlying factors (attitudes and beliefs). In the first level of decision making related to intervention methods in women's health promotion, the multidisciplinary approach was determined; and in the second level of decision-making related to health management, the partnership of governmental and nongovernmental organizations established in the first priority.
Conclusion: Based on study results, designing and planning interventions with the prioritization of individual, family and infrastructure factors using multi-disciplinary approach and participation of governmental and nongovernmental organizations for promoting women's health are recommended.
