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R Khodayari, S Tourani, A Qaderi, M Salehi, H Jafari,
Volume 9, Issue 3 (7 2011)
Abstract
Background: Medical tourism is an increasing industry that patients travel to abroad for receiving health care services. The countries which are successful in this industry have global accrediting quality. This research is aimed to access capabilities of selected hospitals in Iran University of Medical Sciences in attracting medical tourists according to JCI patient-oriented standards.
Materials & Methods: This research is a descriptive, cross-sectional study that carried out in Hasheminejad, Rajaie and Motahhari hospitals. To collect data patient-oriented checklist of JCI standard used. Data analyzed by using descriptive statistic techniques.
Results: The results showed the high rates of consideration is related to medication management and standards used (84/5%), and anesthesia and surgical care standards (80%) that both of them are related to Hasheminejad hospital and also patient and family rights standards (47/5%) are low rates of considerations that are related to Motahhari hospital. Generally, the mean rates of consideration in Hasheminejad (71/8%) are more than Rajaie hospital (67%) and these hospitals are more than Motahhari hospital (62/3%).
Conclusion: Generally, the selected hospitals had rather readiness and possible and appropriate capabilities in attracting medical tourists. Some standards (access to care and continuity of care, patient and family education, assessment of patients, anesthesia and surgical care) were appropriate and some of them were insufficient (patient and family rights, care of patients and patient and family education). According to identify strengths and weaknesses of the hospitals in medical tourism, they could use SWOT analytical model to increase their capabilities.
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Volume 10, Issue 2 (23 2011)
Abstract
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Volume 10, Issue 2 (23 2011)
Abstract
M Zahiri, I Keliddar,
Volume 11, Issue 3 (20 2012)
Abstract
Background: Performance evaluation could provide information to managers that they need to evaluate and monitor of the current status and activities in hospitals. The PABON LASSO model was applied to evaluate performing of hospitals affiliated with Ahwaz Jundishapour University of Medical Sciences to produce the information that used by policy makers in their attempt to make more productivity health care system.
Materials & Methods: This cross-sectional & descriptive study involved in 26 hospitals, with 3824 available beds. Data for this study extracted from computerized databases within statistical department of vice- chancellor for clinical affairs. This study used the PABON LASSO model combining with three major indicators of hospital performance named as average length of stay, bed occupancy rate, and bed turnover which analyzed in PABON LASSO model. The statistical software SPSS-13 used to derive three basic performance indicators.
Results: Based on 10 hospitals in Zone 3 of the model the satisfactory level of efficiency indicated. Results in 2 hospitals demonstrated the inefficiency and underutilization of resources by falling into Zone 1 and 7 hospitals in zone 2 and 7 hospitals placed in Zone 4. The overall average length of stay, bed occupancy and bed turnover rates were 3.57 days, 63.13% and 79.37 times respectively.
Conclusion: The performance of hospitals affiliated with Ahwaz Jundishapour University of Medical Sciences was in a relatively desirable level. Future research should be focused on why and how this situation could be improved in the hospitals with low efficiency.
Masoud Ali Karami, Hadi Hayati,
Volume 22, Issue 3 (12-2023)
Abstract
Background: The rise in healthcare expenditures, particularly drug costs, has posed a significant challenge to the healthcare system. This issue is particularly critical for chronic diseases such as diabetes, as various factors influence patients' access to these medications and their financial ability to pay for them. Thus, this study aimed to investigate the access and purchasing power for anti-diabetic drugs in pharmacies and hospitals in Khorramabad city in 2022.
Materials and Methods: This descriptive-analytical study included patients and visitors to private pharmacies and hospitals in Khorramabad. The required information was collected through patient prescriptions, pharmacy records, interviews, and checklists based on the World Health Organization protocol. Data analysis was performed using t-test, chi-square, ANOVA, and logistic regression, utilizing SPSS version 21 software.
Results: The findings revealed that among the socio-economic factors affecting the financial ability to pay for diabetes medications, income level is identified as a significant factor, particularly in patients with underlying conditions, where their income is adversely impacted. Additionally, the results indicated that, unlike the free market, in the healthcare and pharmaceutical market, no socio-economic factor from the demand side (i.e., patients) influences pharmacies as drug suppliers in terms of the accessibility index.
Conclusion: Despite the good availability of medications in pharmacies, the financial constraints faced by patients in covering medication costs suggest that government intervention through measures such as enhanced insurance coverage and medication subsidies could support economically disadvantaged groups.
Ahmad Tahmasebi Ghorrabi, Asgar Aghaei, Efat Jahanbani, Mohammad Kaidkhordeh, Mansour Zahiri, Mahmoud Latifi,
Volume 22, Issue 4 (1-2024)
Abstract
Background and purpose: Assessing job satisfaction within any organization is essential due to its impact on productivity and overall effectiveness. This study aimed to evaluate the validity and reliability of the Persian version of Spector's Job Satisfaction Questionnaire among employees of emergency medical centers.
Methods: This descriptive-analytical study was conducted among 270 employees of emergency medical centers in Ahvaz between February 2021 and June 2021. Data collection was performed using a census method and Spector's Job Satisfaction Questionnaire. Face validity, content validity, and translation accuracy of the questionnaire were reviewed by experts. Convergent and divergent validity and reliability were assessed using factor loadings, average variance extracted (AVE), reciprocal factor loadings, Cronbach's alpha, and composite reliability in SMART-PLS 3 software.
Results: The face validity, content validity, and translation accuracy of the questionnaire were confirmed by experts to suit the Iranian context. All item factor loadings and the AVE index for all constructs exceeded 0.4. The AVE index for the entire questionnaire was 0.523. Examination of reciprocal factor loadings confirmed divergent validity. Cronbach's alpha and composite reliability indices for all constructs were above 0.7. The Cronbach's alpha coefficient and composite reliability for the entire questionnaire were 0.83 and 0.88, respectively.
Conclusion: The validity and reliability of this questionnaire, as adjusted for the Iranian population, were confirmed to be high. Therefore, this questionnaire can be effectively used to evaluate job satisfaction among employees in various organizations, particularly in healthcare organizations and centers.
Ali Modabber, Habib Jalilian, Behnam Gholizadeh, Esmaeil Mousavi Asl, Farzad Faraji-Khiavi,
Volume 24, Issue 2 (9-2025)
Abstract
Background and purpose: Ensuring continuous access to healthcare services is critical for patients with hypertension, particularly during pandemics and public health crises. This study aimed to evaluate the resilience of service delivery by Primary Healthcare Centers (PHCs) to hypertensive patients during such emergencies.
Methods: This descriptive cross-sectional study was conducted in 2023 across 10 PHCs in Markazi Province, Iran. A total of 250 patients with hypertension were recruited using a systematic random sampling method. Data were collected using a researcher-designed questionnaire assessing four dimensions of resilience: quality, accessibility, continuity, and coordination. Data were analyzed using descriptive statistics and multiple linear regression in SPSS software (version 24).
Results: The overall service resilience score was 2.95 (±0.32), indicating a "relatively weak" level of resilience. The mean scores for the dimensions were: Accessibility 3.08 (±0.28), Coordination 3.03 (±0.76), Quality 2.93 (±0.41), and Continuity 2.88 (±0.35). Multiple regression analysis revealed that these four dimensions collectively explained 96.1% of the variance in service resilience. Accessibility (β = 0.478) was the strongest predictor, followed by Quality (β = 0.379), Continuity (β = 0.352), and Coordination (β = 0.178).
Conclusion: The resilience of services provided by PHCs to hypertensive patients during pandemics was assessed as suboptimal. These findings highlight an urgent need for strategic operational planning by health policymakers. Developing protocols to ensure service continuity and expanding infrastructure for remote care (telemedicine) are recommended as key priorities to enhance system resilience.
