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Are Health Institutions Involved In Health Care Induced Demand? (A Qualitative Study)
Mahmoud Keyvanara, Saeed Karimi , Elahe Khorasani, Marzie Jafarian Jazi ,
Volume 8, Issue 4 (11-2014)
Abstract

 Background and Aim: The hypothesis of supplier induced demand has attracted a lot of attention over the past three decades. Most studies in this field agree that healthcare providers have the ability to influence the demand for their products. The purpose of this study is to evaluate the role of institutions in the phenomenon of induced demand. This study has been done using experts' experiences in Isfahan University of Medical Sciences.

 Materials and Methods: This is a qualitative study in which the semi-structured interview was used for data generation. The participants were those informed in this regard and considered as experts. For data saturation, purposive sampling was done. In this study, 17 people were interviewed, and criteria such as reliability and stability were considered. The anonymity of the interviewees was guaranteed. The data were transcribed and categorized, and then analyzed using thematic analysis.

 Results: In the present study, thematic analysis was conducted and 30 sub-themes and 2 main themes were extracted. The two main themes were healthcare insurance organizations and other health organizations. Each of the themes had its own sub-themes.

 Conclusion: The findings help health policy-makers have a better picture regarding the role of various institutions in the phenomenon of induced demand.


Occupational Burnout in the Operating Room Staff in Teaching Hospitals: Affiliated Isfahan University of Medical Sciences in 2016
Mahmood Keyvanara, Nasrin Shaarbafchi Zadeh, Mohammad Alimoradnori,
Volume 12, Issue 3 (Aug & Sep 2018)
Abstract
Background and Aim: The personnel's of the operating room due to many contacts with patients are exposed to stress, which ultimately leads to burnout. The aim of this study is determining the extent of burnout in the operating room staff in teaching hospitals affiliated medical university of Isfahan in 2016
Materials & Methods: The present study is a descriptive-analytic study in Isfahan in 2016. The sample  of study was 206 employees of operating room staff in Alzahra, Feyz, Kashani, Khorshid and Amin hospitals that they selected by simple method. Data was collected by “Demographic Data” and “Maslach Burnout Inventory” (MBI) questionnaires. Maslach questionnaire has three dimensions: Emotional exhaustion, depersonalization and personal accomplishment. Data was analyzed using SPSS software/23 and descriptive statistics and inferential statistics such as Anova , T-test and Multiple Linear Regression.
Results: The mean score of emotional exhaustion was (23.16±11.18), depersonalization (6.39±8.30) and the personality depersonalization respectively (63.27±13.86). There was a significant relationship between demographic variables and job burnout variable and its dimensions. There was no significant relationship between job burnout, emotional exhaustion and Personal accomplishment with demographic variables. But, there was a significant relationship between Depersonalization and demographic variables. The highest predictive for depersonalization was observed with education (MSC).
Conclusion: Burnout affects the efficiency and performance of staffs in the operating room. Therefore, managers must provide programs to reduce the level of burnout for providing quality services and reduce costs.

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