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Performance Indicators of Hospitals Affiliated to Isfahan University of Medical Sciences before and after COVID-19 Using Pabon Lasso Model
Majid Jangi, Azade Shayan Babokan, Nasim Ghalili Najafabadi, Sedigheh Torki Harchegani,
Volume 18, Issue 3 (7-2024)
Abstract
Background and Aim: Considering the limitation of resourses, improvement of the hospital efficiency is an absolute necessity. The Covid19 pandemic had a considerable effect on performance indicators of hospitals. This study aimed to investigate changes of indicators of hospitals affiliated to Isfahan University of Medical Sciences before and after Covid19.
Materials and Methods: This study was descriptive-cross sectional. The statistical population included all hospitals under the coverage of Isfahan University of Medical Sciences (38). The input data were related to the three years 2019 to 2021 (the year 2019 as the year before outbreak of Covid-19, the year 2020 as the first year of outbreak and the year 2021 as the second year of outbreak), which were collected using the researcher’s form based on reports extracted from the statistics and hospital information system available in the statistics and information technology management and finally the data analyzed through the PabonLasso model.
Results: Process of indicators during the years 2019-2021 shows that mean of indicators of bed occupancy rate and bed turnover rate as the first year of outbreak of Covid19 (2020) that was the peak of the disease has decreased as compared to the year 2019 and average length of stay has increased. In years 2019, 2020 and 2021, 24.32, 23.68 and 24.32 percent of hospitals were in the third area (efficient area). From 2019 to 2020, efficiency change was observed in 27 percent of the hospitals where 6 hospitals had positive trend and 4 hospitals had negative trend and from 2020 to 2021, efficiency change was observed in 16 percent of hospitals where 2 hospitals had positive and 4 had negative trend.
Conclusion: Considering the low efficiency of hospitals, it is suggested to carry out continuous and annual assessment of efficiency changes in hospitals in order to identify the causes of inefficiency early and preventing its drop and it is necessary for health managers and policy makers to take appropriate measures in the conditions of the outbreak of unexpected disease such as the outbreak of Covid-19 in order to use hospital resources more optimally.

Mobile-Based Women’s Sexual Health Education Application: Providing a Content Model
Maryam Jahanbakhsh, Mahnaz Noroozi, Majid Jangi, Fateme Ghadiri Kofrani,
Volume 18, Issue 5 (11-2024)
Abstract
Background and Aim: Education on sexually transmitted diseases and functional disorders in Iranian women’s society are two important issues that should be addressed as aspects of sexual health. The evidence suggests that mobile phone-based applications can be a suitable tool to improve education in the field of sexual health. Therefore, in the current research, the design of the content model of the mobile phone-based application with an emphasis on diseases transmitted through sexual contact and functional disorders of women has been discussed.
Materials and Methods: The present study is applied-descriptive and was conducted in 3 stages as follows: determining the requirements of the application content model, designing it, and evaluating it. First, information needs were identified and extracted through a civilian review and a review of the App Store, Google Play, and Cafe Bazaar application stores. Then, the results were scientifically organized and reviewed and presented in the form of the application content form to a panel of 7 sexual health experts. The content model was reviewed by the experts and designed through UML diagrams and approved by technical specialists.
Results: The findings of the needs assessment phase consisted of compiling the content requirements of the application in the form of 6 areas: 1- sexual attitude and knowledge 2- improving the quality of sexual life 3- sexually transmitted diseases 4- HIV/AIDS 5- genital infections 6- dysfunction disorders and 41 sub-areas were approved by experts. The compiled model was drawn through the diagrams of the application, sequence, business process and state diagrams and was confirmed and developed during the evaluation with activity diagrams and display screens.
Conclusion: Mobile applications, which are not only more accessible than other technologies, but also provide a space for education, free from any shame and worry due to the one-way nature of the communication, are a suitable platform for increasing Iranian women’s attitudes and knowledge about their sexual health. The designed content model can serve as a Persian, scientific, and native prototype for the development and design of an application that can be implemented on mobile phones to educate women’s sexual health.

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