Aziz Rezapour, Farbod Ebadifard Azar, Negar Yusef Zadeh, Fatemeh Hasanpour, Hossein Bagheri Faradonbeh, Saeideh Ansari Nosrati, Zahra Asemaneh , Mohammad Hossein Ghafoori,
Volume 9, Issue 2 (7-2015)
Abstract
Background and Aim: Receiving and using health care services is called
health services uitilization. There are many socio-economic factors including
income, culture, age and education affecting the utilization of the services. This
survey aimed to study socio-economic determinants of health utilization in Tehran.
Materials and Methods: This was a cross-sectional, population based health
survey done in year 2013. The sample was 792 households living in Tehran. Data
was collected by WHO (households) questionnaire, and analyzed using logistic
model and stata12.
Results: Among the study variables, households' income, presence of a person
with chronic disease, education of the head of the household, and presence of
person older than 60 and younger than 14 in households, had a significant
statistical relationship with utilization. Insurance coverage had a vague and weak
effect on the utilization of health services. Moreover about 23 percent of the
households were not under insurance coverage.
Conclusion: According to the announced policies by the supreme leader of the
Islamic Republic of Iran to the Ministry of Health and Medical Education and by
cconsidering the main focus of these policies on the universal insurance coverage,
households financial security and reform of the payment system identifying
households that utilize more health care services than any others because of any
socio-economic reasons is a considerable step for providing financial security for
vulnerable households and reforming health care system at the national level.
Fereshteh Farzianpour, Saeadeh Ansari Nosrati, Abbas Rahimi Foroushani ,
Volume 10, Issue 5 (1-2017)
Abstract
Background and Aim: Due to social development, population growth, industrialization of countries and require some work, most of the employees are working with program shift. The purpose of this study was determination of relationship between nurses shift rotation and personality characteristics and coping strategies in selected private hospitals in Tehran, Iran.
Materials and Methods: In this descriptive and cross-sectional study standard shift work questionnaire and Eysenck personality questionnaire was used. After confirming the validity and reliability (Cronbach's alpha 0.73), the questionnaire was distributed among 305 nurses and 6 non-governmental hospitals in Tehran on the cluster random sampling method. Descriptive and analytical methods were used for data analysis using SPSSv.22 software.
Results: 43.6 percent of nurses participating in the study were introverted and 56.4 percent were extroverted. The results showed that there was a meaningful statistical relationship between age and health (p=0.008), gender and physical health (p=0.015), education level and physical health (p=0.014), gender and physical-cognitive anxiety (p=0.006), age and family- socioeconomic status (p=0.001), marital status and family-socioeconomic status (p=0.001), second occupation and family-socioeconomic status (p=0.001).
Conclusion: Planning according to nurses working hours standard and to avoid overtime, especially nurses who have more experience can prevent severe complications of shift work and improve health and the quality of care.
