Showing 6 results for Diabetes
A Tol, A Pourreza, E Tavasoli, A Rahimi Foroshani,
Volume 11, Issue 3 (10-2012)
Abstract
Background: Health literacy is the degree to which individuals have the capacity to obtain, process, and understanding basic health information and services needed to make appropriate health decisions. The aim of this study was to assess relationship between health literacy and knowledge of women with type 2 diabetes.
Materials & Methods: In this cross sectional survey, 160 women with type 2 diabetes were selected by convenience sampling method. Data collected by using a STOHFLA standard questionnaire and knowledge was measured by self-administrated questionnaire. Obtained data analyzed by SPSS16 software in two categories of descriptive and inferential statistics (Chi-square and Pearson coefficient).
Results: The mean age of studied population was 52.73±8.56 years old. The means of health literacy and knowledge was 40.57±15.87 and 21.52±2.94, respectively. There was a relation between occupation, education and family history with knowledge and health literacy score, and also between incomes with knowledge. There was reverse significant relation between age and disease duration with knowledge and health literacy.
Conclusion: Results indicated that patients did not have the appropriate knowledge in type 2 diabetes, as well as health literacy which was also moderate. These results confirmed the need to develop of education for improving and increasing the appropriate knowledge and health literacy among studied women.
A Tol, F Majlessi, B Mohebbi, A Rahimi Froshani,
Volume 12, Issue 1 (5-2013)
Abstract
Background: Establishing an effective communication between health team professionals and diabetic patients is an important issue in living with type 2 diabetes. This study was conducted to assess communication between health workers as an obstacle in living with diabetes among type 2 diabetic patients referring to affiliated hospitals of Tehran University of Medical Sciences.
Materials and Methods: This survey was a descriptive, analytic cross-sectional with 600 patients selected by a simple random method. Data were collected using a two part questionnaire including demographic information, health and disease related variables and HbA1C index (containing 10 questions) and communication of health workers with diabetic patients (containing 18 questions) which was measured by a five-level Likert scale [absolutely agree (5) to absolutely disagree (1)]. Validity and reliability of the questionnaire was verified. Questionnaires was filled by interview. SPSS software version 11.5 and descriptive statistical tests (mean and standard deviation) and inferential tests (chisquared, logistic regression model) were used for data analysis. Level of significance was assumed to be less than 0.05.
Results: Mean and standard deviation of communication between health workers and patients as an obstacle were 56.78± 7.17. Study results indicated that there were statistically significant relationships between sex(p<0.001), disease duration (p<0.001) , level of education (p<0.001) , type of treatment (p<0.001), occupation status (p<0.001), age categories (p<0.001), income status (p<0.001), marital status (p<0.001) and HbA1C index (p<0.001) and communication with health care as an obstacle. In addition results of the logistic regression model showed that the ratio of intensity of health worker communication as an obstacle was 0.38 times in 5-10 years and 1.32 times in more than 10 years diabetic patients compared to patients with less than 5 years disease duration. This ratio was significant in the group of diabetic patients with 5-10 years disease duration (p=0.004) and was effectively significant in intensity of health worker communication as an obstacle.
Conclusion: Study results indicated that several factors affect communication between health workers and patients and the factor of years diabetic duration is related to ratio of the intensity of communication as an obstacle which can be helpful due to the planning health improvement interventions.
N Hassan Nejad,
Volume 12, Issue 3 (12-2013)
Abstract
Abstract:
Background: Today one of the main problems low or middle income families face is financing healthcare costs. This article studies the methods of of financing health care costs among hospitalized diabetic patients in different types of insurances.
Materials & Methods: This is a causal-comparative study. The variables consist of comparative (health care costs) and categorical(different insurance types including: Iran health insurance , social security and others) variables. A researcher-made questionnaire was used to collect needed data . The data were analyzed by one-way ANOVA , Duncan`s statistical test test of Danken and T-test.
Results: The results indicated a significant statistical differences between all types of insurance assessed by cost variables. Also the significant differences between patient`s out of pocket expenses ratio of direct costs (p<0.01،F=19.37) and their ratio of total costs (F=25.36, p<0.01) were detected in three types of insurances . Patient`s out of pocket of total cost was 59.55%, 50.34% and 32% in Iran health insurance, social security and other types respectively.
Conclusion: In spite of all invested deal of efforts to improve health indices and health care services availability ,health care system is still faces main challenges of providing financial resources and protecting against financial burden on families . Developing a public health insurance and improving health insurance coverage would be helpful for providing financial resources of health care system.
Jafar Sadegh Tabrizi, Saeide Alidoost, Amir Bahrami, Mohamad Asghari Jafarabadi,
Volume 13, Issue 4 (3-2015)
Abstract
Background: Given the importance of quality in health care and meeting the needs of patients, it seems important to measure the quality of services and identify the weaknesses from the patients' perspective. The purpose of this study is to assess the service quality (SQ) of care as perceived by people with Type 2 Diabetes (T2D).
Materials & Methods: A cross-sectional study was conducted among 180 people with Type 2 diabetes in diabetes clinic using convenience sampling method in Tabriz, Iran in 2012. Service quality was calculated using: SQ=10 – (Importance ×Performance) based on importance and performance of non-health aspects from the patients' perspective. Validity and reliability of questionnaire was reviewed and confirmed. Independent sample T-test and ANOVA were used
to investigate relationship between service quality and categorical variables. Data analyzed bySPSS13 software.
Results: The average service quality score was 8.17 of 10. From the participants' perspective, of 12 aspects of service quality, communication and prevention had the highest score for importance. Dignity had the highest score for performance. However, the highest service quality values were for continuity of care, dignity and confidentiality.
Conclusion: overall service quality achieved inadequate quality and there is an opportunity to improve quality of care.
Jafar Sadegh Tabrizi, Yeganeh Partovi, Amir Bahrami, Mohammad Asghari,
Volume 14, Issue 4 (1-2016)
Abstract
Background: Type 2 diabetes is a chronic disease which has incremental prevalence regarding to unhealthy lifestyle. Based on the significant gap between received and standard care in patients with type 2 diabetes, this condition occurred high costs to health system. In order to eliminate this gap, this study aimed at measuring the technical quality of perceived care among patients with type 2 diabetes.
Materials and method: A cross-sectional study was carried out among 180 people with two type of diabetes in diabetes clinic using convenience sampling method. A three part questionnaire includes demographic information, disease statue and the technical quality questions was that the validity and reliability of it was approved. The data were analyzed using SPSS13software.
Results: Total technical quality score was 2.9 which was lower than bench mark 5. The main indices related to diabetic control (HbA1c, blood pressure, LDL) were acceptable regarding Iranian diabetic guideline and they were controlled well.
Conclusion: According to notable gap between existing standards and perceived care in type 2 diabetic patients, there is a good opportunity to promote quality of services.
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.
