Showing 46 results for Dargahi
Seyed Javad Ghazi Mirsaeid , Mahya Mirzaie , Elham Haghshenas , Hossein Dargahi ,
Volume 7, Issue 5 (1-2014)
Abstract
Background and Aim: Today, healthcare system is exposed to inappropriate human resources distribution challenges in all over the world. So far there is not an appropriate policy for human resources distribution in Iran. This deficiency may cause several problems for providing healthcare services. This research was aimed to determine the situation of human resources distribution among Tehran University Of Medical Sciences (TUMS) Hospitals.
Materials and Methods: This is a cross-sectional definitive study induced in four general and special TUMS hospitals. The research tool was a checklist that determine the number of nurses, paraclinic and supportive employees and finally the decrease and increased of the human resources among the departments of the hospitals regarding Iranian Ministry of Health (MOH) issues. The data was collected and analyzed by SPSS software and determined the differences between current situation in accordance to MOH issues.
Results: We observed the deficiency of human resources among all studied hospitals. Also the distribution of human resources among most of the hospitals departments was not coordinated with MOH issues.
Conclusion : It seems the distribution of human resources among Iranian healthcare system is not followed by a special model. Therefore, we suggest the model of health human resources planning should be determined and related by information, providers, services, education and policy as healthcare system factors and overlapping of these factors.
Mahmood Biglar , Yeganeh Hayati , Hojjat Rahmani, Zeynab Rajabnezhad , Hossein Dargahi,
Volume 8, Issue 1 (5-2014)
Abstract
Background and
Aim: One of the most
important factors to present successful managers is general health. If managers
have not highly general health, then they will encounter many problems.
Therefore, this research is aimed to induce the general health among Tehran
University of Medical Sciences hospitals’ administrators.
Materials and
Methods: A
cross-sectional, deceptive and analytical study was conducted among 25 Tehran
University of Medical Sciences hospitals administrators in Tehran, Iran. The
research tool was general health questionnaire developed by Goldberg and
Hillier to assess the administrators general health and its demographic
details. Data was analyzed by SPSS software and using analytic statistical
methods.
Results: The
results of this study showed that the hospitals administrators had normal range
of general health. Also, there was significant correlation between anxiety with
physical dysfunctions, and depression with physical dysfunctions, and anxiety
with social functions.
Conclusion: The
rate of general health among TUMS hospitals administrators is higher than the
other mangers compared with similar studies in Iran and out of Iran. Therefore,
we suggest periodic medical examination, general health training, and
consultant services to develop or maintain the general health among healthcare
managers.
Reza Safdari, Hossein Dargahi, Farzin Halabchi, Kamran Shadanfar, Robab Abdolkhani,
Volume 8, Issue 2 (7-2014)
Abstract
Background
and Aim:
The quality of health record depends on the quality of its content and proper
documentation. Minimum data set makes a standard method for collecting key data
elements that make them easy to understand and enable comparison. The aim of
this study was to determine the minimum data set for Iranian athletes’ health
records.
Materials
and Methods: This study is an applied research of a descriptive - comparative type which was carried out in 2013. By using internal and external forms of documentation, a checklist was
created that included data elements of athletes health record and was subjected
to debate in Delphi method by experts in the field of sports medicine and health information management.
Results: From 97 elements which
were subjected to discussion, 85 elements by more than 75 percent of the
participants (as the main elements) and 12 elements by 50 to 75 percent of the
participants (as the proposed elements) were agreed upon. In about 97
elements of the
case, there was no significant difference between
responses of alumni groups
of sport pathology and sports medicine
specialists with medical record, medical
informatics and information
management professionals.
Conclusion: Minimum
data set of Iranian athletes’ health record with four information categories
including demographic information, health history, assessment and treatment
plan was presented. The proposed model is available for manual and electronic
medical records.
Lida Karbalaie Salmanpour Mamaghani , Golsa Shaham, Hossein Dargahi,
Volume 9, Issue 1 (5-2015)
Abstract
Background and Aim: Personality testing is one of the most factors for selection of the managers. If the managers select by their personality traits and its compatibility with their jobs specifications, organizational productivity will increase. Therefore, this research is aimed to determine the managers` personality traits compatibility with managerial positions in Tehran University of Medical Sciences faculties.
Materials and Methods: This was a cross-sectional, descriptive and analytical research which induced among 34 faculties, deans and vice chancellors of Tehran University of Medical Sciences during 2012-2013. The research society was selected by census technic. For research tool, Bass, Aldrich and Valenzia personality questionnaire that consisted of 27 questions was used. The validity and reliability of the questionnaire was confirmed. The data was collected by SPSS software to prepare the descriptive findings, and for analysis of data, one sample T test and Anova method were used.
Results: All of managers of TUMS faculties presented all personality traits based on Bass questionnaire. Although, introvert specification was the most personality traits among this managers. There was significant correlation between brave personality trait with the type of the faculties managers.
Conclusion: Only half of the faculties managers presented management traits compatible with their jobs. Therefore, we suggest management personality preemployment testing should be examined before the staffing of the selected managers for administration of the faculties.
Edris Kakemam, Afife Irani, Mobin Sokhanvar, Amin Akbari, Hossein Dargahi,
Volume 9, Issue 5 (2-2016)
Abstract
Background and Aim: Scientific and technological developments have promoted the status of organizational learning as a reasonable way to deal with the present changing circumstances. The development of organizational learning improves the performance of employees, and makes them feel satisfied. The aim of this study is to investigate the relationship between job satisfaction and organizational learning capabilities among the employees of Tehran hospitals.
Materials and Methods This descriptive, analytical study was conducted among 290 employees in 2014 in Tehran hospitals. For data collection, a three-part questionnaire (including demographic characteristics, Gomez`s Organizational Learning Capability Questionnaire and Minnesota Job Satisfaction Questionnaire) was given to 290 employees. Data were analyzed using the SPSS-20 software with Spearman test.
Results: Mean scores of organizational learning capability and job satisfaction were (3.03± 0.61) and (2.8± 0.61), respectively. Among the dimensions of organizational learning capability, the highest score pertained to systematic perspective (3.29± 0.78); regarding job satisfaction, the highest score was related to organizational climate (3.23± 0.1). The results showed that there was a significant correlation between the dimensions of organizational learning capability and job satisfaction. Also, a significant correlation was observed between organizational learning capabilities and job satisfaction.
Conclusion: Organizational learning improves the performance of employees and is positively correlated with their satisfaction. Also, employee satisfaction is one of the factors affecting their performance. Therefore, managers can make employees satisfied and develop their organization through improving organizational learning.
Saman Ghasempour, Ramin Rahimniya, Zeynab Rajabnezhad, Hossein Dargahi,
Volume 10, Issue 1 (4-2016)
Abstract
Background and Aim: Today, regarding the role of accurate final information, and decision-making, designing and implementation of a sound costing system that can detect, identify and calculate the exact cost of the delivered services is of great importance. The aim of this study is to estimate the final cost of student education in the School of Allied Medicine, Tehran University of Medical Sciences, through Activity-Based Costing method in 2013.
Materials and Methods: This research was a descriptive and applied study. The study population included School of Allied Medicine. The consumed costs in financial year 2012-2013 was investigated with costs classification, and finalized costs by activity based costing method. After identification of calculated costs and changed to allocation costs, The accumulated costs according to shared basic principle was given to all of delivered services. Finally, the finalized costs for student education based on the number and kind of courses collected and calculated by Excel software 2010.
Results: The results indicated that the final cost for student education in PhD-level was 118,312,679 Rials, which was the highest amount, and was 76,714,824 Rials in MSc. level, and the lowest amount was related to BSc. student as 42,312,537 Rials.
Conclusion: Paying attention to activity-based costing system with complete flexibility reveals the drawbacks of the traditional programs used by universities. The reason for higher costs in higher levels is due to the fewer number of students, particular facilities in these level and their own special expenses
Seyed Mohammad Hadi Mousavi, Hossein Dargahi, Mojgan Asgari, Roya Sharifiyan, Golsa Shaham, Zahra Mokhtari,
Volume 10, Issue 2 (5-2016)
Abstract
Background and Aim: Organizational productivity and efficiency depends on staff members’ job satisfaction and performance. Without the participation of staff members, hospitals cannot play an important role in promoting the society’s health. This study aimed to determine staff’s job satisfaction in a teaching hospital of Tehran university of Medical Sciences (TUMS).
Materials and Methods: This descriptive, analytical cross-sectional research was conducted on 172 staff members of a teaching hospital, who had been selected through random sampling. The data-collection tool was a researcher-made questionnaire. The validity of the questionnaire was confirmed by the clinical governance department members and Cronbach’s alpha reliability estimate turned out to be 0.88.
Results: Para-clinical and service employees getting the mean scores of 72.55 and 70.71 demonstrated desired job satisfaction; nursing and administrative-financial staff members, however, showed a relatively desired job satisfaction with mean scores of 60.04 and 53.52, respectively; and the difference between job groups was significant (p=0.02) regarding job satisfaction. The highest job satisfaction figure was related to job success and the lowest pertained to the nature of the job. There was a meaningful relationship between job satisfaction on the one hand and staff members’ gender, marital status, and type of employment on the other.
Conclusion: Staff’s job satisfaction in the studied hospital has increased due to the establishment of Iran’s Healthcare Reform Plan at the beginning of 2014. However, compared with other job groups, nurses are less satisfied; therefore, it is necessary to improve nursing job satisfaction through timely payments based on job performance and difficulty level.
Hossein Dargahi, Shiva Toloui Rakhshan , Jamil Sadeghifar,
Volume 10, Issue 3 (7-2016)
Abstract
Background & Aim: One of the most important and useful models for assessing hospital performance is the Pabon Lasso Model, a graphical model that determines the relative performance of hospitals using three indicators: 1. Bed Occupancy Rate (BOR); 2. Bed turnover (BTO); 3 Average Length of Stay (ALS). The aim of this research is to investigate the performance of the hospitals affiliated with Tehran University of Medical Sciences in Iran during the year 2011 based on the Pabon Lasso Model.
Materials & Methods: This descriptive and cross-sectional study conducted in 2011. All the 16 hospitals affiliated to Tehran University of Medical Sciences formed the study population. Data was analyzed by Excel software and Pabon lasso model.
Results: The following average results for each performance indicator were obtained: Average Length of Stay (ALS) = 6.55 days. Bed Occupancy Rate (BOR) = 74.151% and Bed Turnover (BTO) = 70.24 times per year18.75% hospitals were located in the Pabon Lasso Model zone 1.25% hospitals in zone 2.25% of hospitals in zone 3, and 31.25% hospitals in zone 4 of the model.
Conclusion: The study showed that 75% of the studied hospitals were inefficient. Applying Pabon Lasso model compared hospital's performance. Thus, using one of the active ways of problem recognition in hospitals and perceiving the relation of performance indicators will be helpful in establishing new policy and reviewing current policy in order to maximize performance capacity.
Delaram Dargahi, Mitra Zare Bavani, Nahid Einollahi, Nasrin Dashti, Mostafa Rezaeian, Sakineh Abbasi,
Volume 10, Issue 5 (1-2017)
Abstract
Background and Aim: Giardiasis is the most common pathogenic gastrointestinal parasite worldwide and transmitted by ingesting parasite cyst, through water and food and person-to-person contact. Therefore in food handlers and child care workers it is of high importance. In this study we surveyed the job of individuals with giardiasis.
Materials and Methods: This study was a pilot descriptive-analytic study. Hundred and nine stool samples were collected from individuals referred to medical centers affiliated to Tehran University of Medical Sciences for health certificate.
Samples were examined with wet mount smear and formol-ether concentration methods. Also a questionnaire was given to each individual.
Results: Sixty nine samples were infected with Giardia lamblia. among positive samples for Giardia lamblia 25 (36.23%) were related to food handlers and occupations which are most frequently associated with food, one (1.44%) nurse, one (1.44%) managing director of the nursery, two (2.89%) housekeepers and one servant (1.44%).
Conclusion: Person-to-person Giardia lamblia transmission is often associated with poor hygiene and sanitation, most commonly by food handlers.
Also, day- care workers have a higher risk of infecting children attending day-care centers. Therefore particular attention should be paid to health of this workers as well as three times stool examination.
Abbasali Ebrahimian , Nader Khalesi , Maedeh Tourdeh , Hossein Dargahi,
Volume 11, Issue 3 (Supplement 1 2017)
Abstract
Background and Aim: Emergency medical services (EMS) staff’s attention level may be affected by various work conditions. This study aims to compare the beginning- and end-of-shift attention levels of Tehran’s pre-hospital emergency staff with those of Semnan Province.
Materials and Methods: This is a descriptive and cross-sectional research study conducted in 2013. In this study, 192 emergency medical technicians (EMT) of Tehran and Semnan Province participated. The research instrument was Bonnardel Attention Level Test. The participants’ attention level was assessed at 10 am and 5 am. The data were analyzed by chi-square test and independent samples t-test.
Results: At 10 am (arrival attention), the average rate of attention level of Tehran’s pre-hospital emergency staff was 0.49±0.25 and that of Semnan Province staff was 0.51±0.23. There was not a significant difference (p=0.58) at that time between the average rate of attention in these two groups. At 5 am (exit attention), however, the average attention level of Tehran’s pre-hospital emergency staff was 0.45±0.25, and of Semnan Province staff was 0.55±0.20. At this time, there was a statistically significant difference (P= 0.044) between the average rate of attention in these two groups.
Conclusion: The means of arrival and exit attention levels in pre-hospital emergency staffs were moderate. Besides, there was no significant difference between the arrival attention levels of the two groups. Therefore, in order to increase the attention level in both groups, it is suggested that the workload and the length of shifts should be reduced for pre-hospital emergency staffs, specially in Tehran.
Zeynab Rajabnezhad, Hossein Dargahi, Hamideh Reshadatjo ,
Volume 11, Issue 3 (9-2017)
Abstract
Background & Aim: Spiritual quotient is an essential factor of managers’ competencies for development of organizations. The managers need high spiritual quotient to impress the staffs’ organizational commitment. This research is aimed to determine the correlation between the managers’ spiritual quotient with the employees organizational commitment in Tehran University of Medical Sciences (TUMS).
Materials and Methods: This research was a descriptive-analytical, and cross-section study that induced in TUMS headquarters among 80 of the managers and 225 of the staffs at 2014-2015. The research tools were two questionnaires, including spiritual quotient and organizational commitment that used after the validity and reliability of these questionnaires was confirmed. The data was analyzed by SPSS software, average and standard deviation, for descriptive results, and used T-Test, One-Way Variance Analysis, and Pearson technique for analytical statistics.
Results: Average of the managers’ spiritual quotient was desired. Although, the average of the staffs organizational commitment was moderate. There was a significant correlation between spiritual quotient of managers with organizational commitment of the staffs (p=0.034).
Conclusion: The managers should emphasize to develop their spiritual quotient in order to promote the organizational commitment of the staffs. Using organizational psychologist to develop this relationship is our suggestion.
Mohammad Khodabakhshi , Hossein Dargahi, Hajar Moammai ,
Volume 11, Issue 4 (12-2017)
Abstract
Background and Aim: Because human health is a strategic priority for all communities, investing in this sector will be very important. The purpose of this research is to evaluate the efficacy of hospitals affiliated to Tehran University of Medical Sciences from 2013 to 2015 and their ranking, and provide a perspective for dynamic managers in this area.
Materials and Methods: This is an applied study, and in terms of nature, it is descriptive. The statistical population of this study was 13 hospitals of this university. In this research, the efficacy of hospitals during the years 2013 to 2015 through the data envelopment analysis and Output-based method was evaluated. By carefully examining global research, input and output indicators were identified. Input indexes were the number of beds and the number of doctors (general, residents and specialists); and output indexes were the total days of hospitalization, the number of outpatients, and the number of bed-days.
Results: According to the study model, university hospitals with high efficiency to low efficiency are as follows: Arash, Bahrami, Zanan, Roozbeh, Amiralam, Ziaeeyan, Baharlou, Razi, Valiasr, Sina, Farabi, Imam Khomeini and Shariati hospitals.
Conclusion: According to output-based method, by calculating the efficiency mean of hospitals during the years 2013 to 2015; Arash hospital, Bahrami hospital and Zanan hospital are determined to be the most efficient; and, Farabi hospital, Imam Khomeini hospital, and Shariati hospital are the ones with the lowest efficiency.
Sadigheh Asadi, Hossein Dargahi, Esmaeil Fallah Mehrabadi , Nahid Heydari Dastjerdi ,
Volume 11, Issue 5 (1-2018)
Abstract
Background and Aim: Creativity and innovation are considered among the most important factors that help an organization survive. Therefore, it seems necessary to examine the status of this important issue in healthcare organizations such as hospitals. The present study was conducted to determine the relationship between organizational innovation and creativity among the staff of teaching hospitals of Tehran University of Medical Sciences (TUMS).
Materials and Methods: This descriptive-analytical and cross-sectional study was conducted on 285 staff members of TUMS selected teaching hospitals in 2015. To collect the required data, demographic data form, organizational creativity
questionnaire and Martin Patchen’s innovation questionnaire were used. Data were analyzed in SPSS software version 21, using descriptive statistics, t-test, ANOVA and Pearson correlation analysis at a less-than-0.05 significance level.
Results: The organizational creativity rate for the studied staff showed an average of 2.99±0.80, assessed at middle and lower middle levels and the organizational innovation rate showed an average of 19.37±3.71, assessed as middle and upper middle. A statistically significant relationship was observed between organizational creativity and organizational innovation (p=0.02, r=0.20).
Conclusion: The results suggest that an increase in creativity leads to an increase in innovation. Therefore, to survive and maintain a competitive advantage to provide more desirable treatment services at a high quality, hospital managers are required to use their best effort and expenditure so that they can enhance innovation within their organizations.
Zohreh Barkand, Mina Jamshidi , Hossein Dargahi , Saeed Sayad Shirkesh ,
Volume 12, Issue 5 (Dec & Jan 2019)
Abstract
Background and Aim: In today's challenging world, the ethical issues of work as a requirement in organizations have always been discussed and its relevance to organizational citizenship behavior as a kind of antitrust behavior has always been raised. The aim of this study was to determine the relationship between organizational citizenship behavior and work ethic among the staffs of the faculties of Tehran university of medical sciences in 2016-2017.
Materials and Methods: The present research was descriptive-analytic and the statistical population of the study was 426 employees of colleges. They were selected according to the Cochran formula as proportional sample and selected by random sampling. Organizational citizenship behavior inventory (1988) and Grigory, et al, Patty (1990) questionnaire, whose validity was assessed by the experts. The cronbach's alpha coefficient, organizational citizenship behavior inventory (0.793), and job ethics (0.764), represent the internal consistency of the questionnaire. For analysis of variables, descriptive statistics and spearman correlation test were used and kolmogorov-smirnov test was used to normalize the data.
Results: Most male respondents, aged between 20-30 years; in terms of graduate degrees, were in a professional contract with a record of 5-10 years. Results showed that there was a positive and significant relationship between organizational citizenship behavior and work ethics (p=0.783).
Conclusions: Higher organizational citizenship behavior leads to higher levels of work ethics. Therefore, by training and strengthening organizational citizenship behavior, the level of work ethics among employees can be improved.
Hossein Dargahi, Farough Nomani , Kamran Irandoost,
Volume 12, Issue 6 (Feb & Mar 2019)
Abstract
Background and Aim: In educational systems, the burnout of faculty members and lecturers is a big problem that affects their interaction with students. Therefore, this research aims to determine the rate of burnout syndrome among the lecturers and faculty members in a school in Tehran University of Medical Sciences (TUMS).
Materials and Methods: This study was a descriptive-analytical and cross-sectional research performed by Maslach′s burnout questionnaire among 40 academic members and lecturers selected by census method. The data were analyzed by SPSS software version 20.
Results: The mean age of respondents was 48±18 years. Some (42.5%) of the subjects had 21-30 years of educational work experience. The emotional burnout of the participants was at a high level in this study. However, in the dimension of depersonalization disorder, it was moderate. Meanwhile, their job performance was below moderate. Also, there was a significant correlation between emotional burnout and gender (P=0.043) and between depersonalization disorder and executive work experience (P=0.043).
Conclusion: Due to the remarkable high frequency of job burnout among faculty members and lecturers, holding in-person meetings, the analysis and pathology of causes of burnout, and application of supportive mechanisms are recommended to improve their job performance.
Sara Emamgholipour, Vahid Saberzadeh, Hossein Dargahi,
Volume 14, Issue 1 (Apr & May 2020)
Abstract
Background and Aim: Given the rising trend of ageing and the vulnerability of the aged group to diseases and health costs, it is important to determine the exposure of elderly households to the burdensome costs of health.
Materials and Methods: The incidence and severity of elderly costs at provincial level and income quintiles were calculated; besides, chi-square test was used to determine the relationship between household socioeconomic variables and exposure levels. The sample included 9103 elderly people aged 65 and over, and the data of their own and their households were extracted from the statistical center in 2016. Data analysis was performed using SPSS16 software.
Results: The exposure rate of households with rural elderly people (9.74%) was higher than urban ones (6.2%), and the intensity of exposure was higher in rural areas than urban. In both groups, the highest exposure was in the second and the lowest in the fifth quintiles. The elderly households in Hormozgan province had the highest and in Kohgiluyeh and Boyer-Ahmad had the lowest exposure. Number of elderly people in family, place of residence, employment status, household dimension, costs of chemotherapy, addiction abandonment, orthopedics, special medications, household spending and out-of-pocket payment for health services were significantly correlated with exposure. However, elderly person's literacy, insurance, marital status and the presence of persons under 12 years in the family did not show a significant relationship with the amount of exposure.
Conclusion: The exposure rate and its intensity is higher among rural elderly people than urban ones, and the exposure of poorer elderly people is higher; these points indicate that the distribution of financial resources in the health system is not fair and requires purposeful policymaking decisions for these groups.
Reza Dehghan, Hamideh Reshadatjoo, Kambeiz Talebi, Hossein Dargahi,
Volume 14, Issue 6 (Feb & Mar 2021)
Abstract
Background and Aim: Health tourism is one of the most important tourism types in Iran. Iran has many strengths in health tourism. Also, there are challenges such as communication and information inconsistency in the health tourism industry and the outbreak of COVID-19 disease. Due to the unknown issues about COVID-19, it is important to determine effective strategies to control the consequences and reduce the economic and social effects of the virus in all industries, especially the health tourism industry.
Materials and Methods: In this systematic review study, 500 published papers from 2018 to 2020 were evaluated. In the group interview section, we used the views of participated health tourism experts in the scientific events in Iran, Turkey, and Oman. Also, the SWOC Analysis model (strengths, weaknesses, opportunities, and challenges) and MAXQDA software were applied.
Results: The results showed that the selected strategies were defensive and competitive. This research showed that the strengths of the health tourism industry overcome the weaknesses and development opportunities outweigh the challenges. Also, the maintenance strategy is the best strategy to support health tourism in the current situation in Iran.
Conclusion: It is necessary to be following issues for the politicians of Iran's health tourism industry to design a comprehensive document of Iran Health Tourism Diplomacy, preparation of a strategic plan for the development of health tourism, establish an independent organization of Iran Health Tourism, develop electronic health in the health tourism industry, design a health tourism insurance system, and…, with the aim of entrance to the current markets and creating new foreign markets.
Hossein Dargahi, Farugh Nomani, Mohammad Rahim Ghohestani,
Volume 15, Issue 2 (Jun & Jul 2021)
Abstract
Background and Aim: Managers’ sufficient awareness about rules and regulations and the legal issues of health system may lead to their optimal performance in organizations. Therefore, this study is conducted to determine senior managers’ level of knowledge about legal rules and regulations related to the health system in Tehran University of Medical Sciences (TUMS).
Materials and Methods: The present descriptive-analytical cross-sectional study was conducted in 2017. The sample consisted of 75 senior managers. The research tool was a researcher-made questionnaire whose face validity was confirmed using the opinions of 7 specialists and experts in the field of medical law, health care and medical services management; besides, regarding its reliability, Cronbach's alpha and test-retest reliability coefficients were 0.89 and 0.79, respectively. With SPSS software, data analysis was performed using descriptive statistics including absolute and relative frequency and inferential statistics including Pearson and Ka-square correlation tests.
Results: The level of knowledge of the studied managers was below average in most legal areas and legal standards related to the health system. There was a significant inverse relationship between the level of knowledge of organizational, financial and transactional areas, and administrative and employment of managers with passing relevant training courses (P=0.01 and P=0.04).
Conclusion: TUMS senior managers' level of knowledge in the three areas of organizational, financial, and rules and regulations is at medium and lower than medium levels. To raise the awareness of managers, necessary arrangements such as holding training courses with new methods such as simulation, screenwriting, case study and experimentation and using new technologies such as hybrid knowledge management and technology integration are suggested. Also, creating managers' strategic competency system at the levels of general and specific skills, along with continuous training and monitoring the accountability and feedback provided in management processes, will ensure future reforms.
- Zeinab Hashemzadeh, Farhad Habibi, Hossein Dargahi, Mohammad Arab,
Volume 17, Issue 1 (3-2023)
Abstract
Background and Aim: Home care is an alternative method of hospitalization, especially for chronic patients and is an innovative approach to improve care and reduce the costs of hospital readmissions. The present study was conducted with the aim of investigating the benefits and challenges of implementing the home care plan after being discharged from the hospital considering the perspective of health service recipients and providers at Tehran University of Medical Sciences in 2021.
Material and Methods: The present study is an applied research that was conducted qualitatively using structured and semi-structured interviews. The research sample was those responsible for the implementation of this project at the ministry and university level, the implementers of this project in 4 hospitals, 5 institutions providing home care services, and family of patients. Twenty-eight people from the research community were included in the study using the purposeful and snowball sampling method. Content analysis method was used to analyze the interview data. MAXQDA2020 software was used for data classification.
Results: The results were classified into two categories: benefits and challenges of the home care plan after discharge. A total of 61 open codes were extracted from the analysis of research interviews, so that 27 codes led to the identification of 5 themes (Including improving service delivery, reducing costs, achieving health goals, cultural and social benefits, providing the necessary infrastructure) in the benefits and 34 codes led to the identification of 7 themes (including policy-making, legal and ethical, economic, manpower, cultural-social-communication, service provision limitations and time and place limitations) in the challenges.
Conclusion: The result of this research showed that home care services after being discharged from the hospital play an important role in completing the provision of healthcare services. Home care services after being discharged from the hospital improves service delivery, reduces costs, and helps in achieving health goals. It also benefits patients, society and the government in various cultural and social fields. On the other hand, it seems that there are challenges in the political, legal, economic and cultural fields in the way of the optimal implementation of this plan. Therefore, planning to evaluate and solve the problems facing these services is essential.
Hojjat Rahmani, Payam Bahadori, Hossein Dargahi, Mohammad Arab, Nasrin Abolhasanbeigi Gallehzan, Mohsen Mardali,
Volume 19, Issue 6 (3-2026)
Abstract
Background and Aim: The occurrence of conflict of interest in the Iranian health system has a negative impact on the provision of efficient and effective health care and services to patients, the training and education of students in medical sciences. Despite the efforts made in the country’s health system to manage conflict of interest, this phenomenon is currently observed through various factors, including the inefficiency of the financial structure, lack of transparency, and the lack of an integrated health information system in Iran.
Materials and Methods: The present scoping review study that aimed to identify and determine conflict of interest management strategies in the Iranian health system in comparison with selected countries and to select appropriate strategies in 2024-2025 using the Arksey and O’Malley guidelines. All relevant articles and resources from 2007 to 2024 were extracted from national and international databases by observing the entry and exit criteria and by selecting Persian and English keywords. After screening steps using Prisma flowchart, 23 studies in English and Persian language from international and national databases, were analyzed.
Results: Findings from 17 international studies—most of which were conducted in the United States—along with 6 domestic articles, showed main strategies of Iranian conflict of interest which included participation, transparency, legal oversight, processes reform, restructuring and reorganization. Although, using collective campaigns for correction of process behaviors and decisions, definition of ethical ethic codes, and standardization may help implementation of these strategies. Also, the most common cause of conflict of interest in the health system is individual rather than organizational, which requires regulation, the use of legislative levers, and the transparency of financial relations in the health system.
Conclusion: Accurate identification of potential examples of conflict of interests among the agents of health care system by implementing information clarification, and using modern procedures may decrease the challenges in formulating and implementing strategies of conflict of interests among Iranian health care system. Although benchmarking from successful countries will be helpful in these countries. The implementation of these recommendations may face challenges within Iranian society, including resistance from certain professional groups, a lack of financial and technical resources, and the complexity and specific conditions of the health system. Therefore, a step-by-step approach to implementing policy recommendations for managing conflicts of interest in the health system should be considered.
