Showing 3 results for Doctor
Sodabeh Vatankhah, Nader Khalesi, Farbod Ebadi Fard Azar, Masoud Ferdosi, Ali Ayoobian,
Volume 11, Issue 2 (8-2012)
Abstract
Background: Payment method is one of the most important control knobs in the health system. All organizations that mobilize funds for health sector must be decided: who should be paid? Why this money should be paid to them? And how much should be paid? So the main purpose of this study is to identify different methods of paying to the doctors in referral system of selected countries, and ultimately providing some suggestions for Iranian social security organizations- direct medical service provision.
Materials & Methods: This was a comparative study designed in 2008. First we studied theoretical issues and analyzed them within the framework of the current situation. Then we conducted a comparative study to find some solutions for it. Then we validated selected suggestions using by Delphi technique.
Results: Most selected countries use a combination of methods to pay to the physicians. Usually for employed physicians in insurance organizations, salary makes a large part of doctor`s income. In countries where GPs play the role of gatekeeper, the per capita payment method has a special room. In American Health Maintenance Organizations (HMOs), based on employment or contractual relationship, they pay physicians by one of three methods: "Per Capita", "Salary Monthly" or "Prepayment". In addition to Salaries (if any employment relationship), specialists usually receive some fees for their Services widely.
Conclusion: Bonus payment in exchange for quality indicators is considered as a recently developed payment method for both GPs and specialists, but due to wide infrastructures, it needs accurate designing and plenty of arrangements.
J Saeidpour, M Ghazi Asgar, H Rahmani, M Khoshkho,
Volume 13, Issue 1 (6-2014)
Abstract
Background: Educating patients and improving their self-care skills are main factors to achieve maintaining and improving health as health care organizations prime priorities all over the world. This study is aimed to assess nurses and doctors viewpoints on obstacles and facilitators of educating patients.
Materials and Methods :This quasi experimental research were undertaken in Kermanshah Razi hospital.85 nurses and doctors were selected by Simple Random Sampling method. The data were collected by a questionnaire based on Likert scale consisted 32 questions in 3 parts. Validity and reliability of the questionnaire were confirmed by Content validity and Test-Retest methods respectively.
Results : Shortage of nurses and lack of sufficient financial resources among inhibiting factors and holding seminars on teaching and learning strategies and also considering educating patients as a annual evaluation determinant among enhancing factors were the most important ones .
Conclusion: Providing efficient resources and facilities and running personnel`s training courses seems necessary to overcome current obstacles.
Mahsa Mahmoodi, Seyyed Jafar Zonoozi, Seyyed Abolfazl Abolfazli,
Volume 19, Issue 4 (12-2020)
Abstract
Background and Objective: The aim of this study was to investigate the factors affecting the physicians' decisions in prescribing medicine and in using national and foreign brands of medicine with the help of decision-making styles of Sprolls and Kendall models among physicians in Urmia. Given the prevalence of COVID-19 disease worldwide, physicians' decisions and preferences in prescribing medication are considered vital.
Methods: The present study is an applied survey. The study population included 400 general practitioners, specialists and subspecialists in Urmia. The normality of data was measured using Kolmogorov-Smirnov test. Cronbach's alpha was also used for reliability of the questionnaire. Regression analysis was used to measure the strength or degree of linear relationship between two independent variables. SPSS software was also used for data analysis.
Results: The results showed that out of six influential factors, five factors (quality, brand, newness, price, and loyalty) were identified among physicians. In addition to identified factors, a new factor namely "time and energy saving" was also a determining factor.
Conclusion: Considering the 7 factors influencing physicians 'decision-making, the results showed that physicians pay a great amount of attention to prescribing quality medicine in their preferences. On the other hand, the brand has a special place in physicians' decisions; therefore, drug companies and manufacturers should also care about branding their products.
