Showing 23 results for Mohammad Reza
Mohammad Reza Zarbakhsh Bhari, Simin Hoseinian, Gholamali Afrooz, Heidarali Hooman,
Volume 5, Issue 5 (7 2012)
Abstract
Background and Aim: Low weight at birth is one of the main health indexes in evaluating pregnancy period care, and recognizing its related factors is very important. The aim of this study was a comparison of pregnancy age, height, the distance between two pregnancies, gaining weight during pregnancy, economical condition, nutrition, general health of the mothers with low and normal birth weight.
Materials and Methods: The research method was casual-comparative conducted as field-work. From all newborns born since (Jan 2008 to Nov 2009) 168 low birth weight babies with their mother and 157 newborns with normal weight from 20 maternity center at Guilan province were randomly selected. Mothers filled general health questionnaire with the reliability of 0.82. The data were analyzed using SPSS Software.
Results: There was a significant difference among mothers (case and control ) in terms of pregnancy age, height ,distance between two pregnancies, increasing weight during pregnancy, economical condition, nutrition condition and general health (mental), (p0.01).
Conclusion: Various factors affected newborns' weight at birth. Therefore, decreasing the rate of low weight will be one of the main social health indexes requiring cooperation of counter- groups and different organizations such as the Ministry of Health and treatment, psychotherapy, counseling centers and radio/television.
Mohammad Reza Meigounpoory, Pedram Yazdani, Hamid Reza Rezaeian Zadeh,
Volume 5, Issue 5 (7 2012)
Abstract
Background and Aim: Identification of entrepreneurial opportunities in the field of nutrition counseling is a central issue in employing nutrition consultants and meeting the needs of patients with chronic diseases better. To this end, the present survey has been conducted in order to analyze the supply and demand trends of diabetes nutrition counseling as a basic step toward identifying the entrepreneurial opportunities for nutrition consultants in Tehran.
Materials and Methods: To implement this descriptive-survey study, a questionnaire based on Likert scale was sent by email to 80 active professionals in the field of nutrition counseling services in Tehran, of whom 48 responded to its questions. Then, using SPSS11.5, the mean values of participants' responses were calculated and compared with one another.
Results: The findings obtained based on participants' responses revealed that the need for "nutritional counseling in the form of a treatment team" was mostly not met in different age, education and income groups of diabetic patients
Conclusion: "Nutrition counseling in the form of a treatment team" can be considered as a suitable field for entrepreneurial activities.
Seyed Javad Ghazi Mirsaeid, Mohammad Reza Ghane, Nadia Motamedi, Fereydoon Azadeh, Bagher Pahlavanzadeh,
Volume 6, Issue 6 (17 2013)
Abstract
Background and Aim: Citation is one of the journals ranking factors. Self-Citation rates regarding journals `performance, especially in international databases, is important. The aim of this study is to examine the effect of Journal self-Citation on Impact Factor of Iranian English medical journals indexed in the Web of Science and Islamic World Science Citation Center.
Materials and Methods: The Impact Factor of 12 journals in WoS and 26 in ISC were studied during years 2006-2009 using citation analysis and Journal self-Citation. Self-Citation rate were calculated using cited journals and citing journals tables in ISC. Wilcoxon test and Mann-whiteny test were used for comparison of self-citation rate between two databases. In order to determine any correlation between journal self-citation and IF in WoS, Pearson test was used. In ISC, Spearman test was performed. For comparison of two correlations test, Covariance test was used.
Results: No significant difference between Journal self-citation rates in two databases was noted(p>0.05).There was a significant correlation between Journal self-citation and Impact Factor in WoS(p=0.007, r=0.64). The correlation was not statistically significant in ISC(p>0.05, rsp =0.23). There was not any significant difference between the relations of Journal self-citation and impact factor in two databases(p=0.526).
Conclusion: Attention to the Journal self-citation rates for comparison of Journal Impact Factor in WoS is more important than attention to the comparison of these journals between two Databases.
Hossein Barzekar , Reza Safdari , Mohammad Reza Eshraghiyan, Hossein Dargahi,
Volume 7, Issue 2 (7-2013)
Abstract
Background and Aim: One of the most important reasons why organizations are distinguished from each other is the extent to which each applies information technology. Among the most important factors playing a role in the application of information technology are organizational factors such as organizational resources, organizational knowledge, processes, management structure, values and goals all these elements affect the level of information technology acceptance and application. Therefore, this study aims to determine the degree to which the above-mentioned elements can affect the application of information technology by middle managers of Tehran University of Medical Sciences (TUMS) teaching hospitals.
Materials and Methods: This is a cross-sectional, descriptive-analytic study conducted in 2010. The subjects comprised 110 middle managers of TUMS teaching hospitals. The data-collection instrument was a questionnaire structured by the researchers, and its validity and reliability were confirmed prior to the study. The response rate was 80%.
Results: The participants consisted of 56 (62.9%) males and 33 (37.1%) females. The findings of the study showed that there was a statistically significant relationship between organizational resources, organizational knowledge, processes, management structure, values and goals on the one hand and the application of information technology in TUMS hospitals on the other (p<0.01).
Conclusion: The results show that organizational factors have a considerable impact on the application of information technology. Besides, managers and experts should consider the important aspects and effects of these organizational factors.
Ladan Hosseini Gohari , Zahra Bangale, Mohammad Reza Fayazi , Farzaneh Moghaddam , Kamran Jamshidi ,
Volume 8, Issue 1 (5-2014)
Abstract
Background
and Aim: Isoflurane is one of
the selective and mostly-used respiratory anesthetic materials in the field of
neurosurgery. Studies have shown that temporary rise in the level of liver
enzymes may occur after anesthesia by halogenic ethers and hence cause liver
lesions. The aim of this study was to investigate the effects of isoflurane on
the activity of ALT-AST-ALP-GGT enzymes as an indicator of liver function.
Materials
and Methods: This study was
performed on a sample of 40 patients who were under neurosurgery without any
liver disease in Milad Hospital of Tehran. The patients' blood samples were
collected before, 24, and 72 hours after anesthesia. The enzymes activities was
assessed by spectrophotometric method.
Results:
Insignificant
changes before and after anesthesia were seen in the activity of ALP, and AST
enzymes. The level of ALT enzyme has a significant rise, 72 (P=0/022) and 24
(P=0/014) hours after anesthesia in comparison with before anesthesia. The
level of GGT enzyme in comparison to its past has significant rise 72 hours
after anesthesia (P=0/002). The level of this enzyme showed a significant
difference 24, and 72 hours after anesthesia (P=0/041).
Conclusion: The significant changes
seen in the levels of ALT, GGT enzymes in three different periods of time might
be as a result of possible liver parenchymal and cholestatic damage caused by
using Isoflurane or other drugs such as Midazolam which effects liver function.
It seems the assessment of the levels of these enzymes can provide useful
information for probable subsequent actions.
Mohammad Reza Zabihi, Seyed Saeed Tabatabaee, Mohammad Reza Ghamari , Mohammad Hanif Asadi,
Volume 9, Issue 1 (5-2015)
Abstract
Background and Aim: Due to the changing environment of hospitals and the necessity of providing services for patients in the shortest possible time and at an acceptable quality and cost, it seems to be necessary to utilize the maximum intellectual capacity of the organization to enhance agility in hospitals. The aim of this study is, in fact, to investigate the relationship between organizational intelligence (and its components according to the Albrecht model) and organizational agility in hospitals of Mashhad University of Medical Sciences.
Materials and Methods: This descriptive study was conducted in 2013 on 408 hospital employees seleced through stratified sampling method. To collect data on organizational intelligence, the Albrekht standardized questionnaire was used and to gather data on organizational agility, a questionnaire designed based on Goldman model was employed. For data analysis and hypothesis testing, the SPSS software version16, Pearson correlation, t-test, Anova, and regression techniques were applied.
Results: The results of the study showed that there was a significant relationship between agility in hospitals and organizational intelligence ( components : Appetite for change, heart, knowledge deployment, performance pressure, strategic vision, shared fate, and alignment and congruence). The determinants of agility were mainly strategic vision, performance pressure, and a lignment and congruence.
Conclusion: The results of the study showed that dynamic strategic planning in hospitals and developing educational programs of organizational intelligence aiming at employees' and managers' awareness could lead to an increase in the agility level of hospitals and provision of effective services for patients.
Mohammad Reza Alibeik, Zeinab Bagheri, Niloofar Mohaghegh, Hamid Haghani,
Volume 9, Issue 2 (7-2015)
Abstract
Background and Aim: Materials and methods, as one of the most important
parts of a paper, introduces its scientific value. This study aims to investigate the
methodological quality of publications of Tehran University of Medical Sciences
(TUMS) indexed in PubMed.
Materials and Methods: In this descriptive, cross-sectional study, 400
articles affiliated to Tehran University of Medical Sciences and indexed in
PubMed until the end of 2012 were investigated. The type, purpose and subject
matter of all these articles were recorded in a checklist.
Results: The most frequently published reports were cross-sectional studies
(41.3%), followed by case-control studies (14.5%), case reports (14.3%), clinical
trials (13%), narrative reviews (4.8%), animal studies (3.3%), quantitative studies
(2.8%), quasi-experimental studies (2%), cohort studies (1.8%), case series (1%),
meta-analysis (1%), and systematic reviews (0.5%). When the articles were
classified according to National Library of Medicine (NLM) classification, most
papers were about musculoskeletal system (8.5%). Over half of the articles were
therapeutic (52.8%), followed by diagnostic (24.8%), prevention (12.3%),
prognostic (7.8%), and etiologic (2.5%). School of Medicine, Hazrate Rasoule
Akram hospital, and Endocrinology & Metabolism Research Institutes had the
highest number of articles among TUMS faculties, hospitals, and research centers.
Conclusion: Primary studies were the most common types observed in the
articles affiliated to Tehran University of Medical Sciences. Systematic reviews
and meta-analyses form only a small proportion of articles in the current research.
It seems that there should be a revision in the researchers' priorities to publish
papers with prevention purposes
Hossein Rahanjam, Hossein Qeraati, Mohammad Reza Kardan,
Volume 10, Issue 4 (9-2016)
Abstract
Background and Aim: One of the main steps of optimization process in diagnostic imaging is quality control of X-ray devices. If the control quality process and the quality of X-ray equipment are not ensured through a systematic procedure, it can increase the risk of unnecessary exposures among the population. Therefore, this study can reduce the risk of unnecessary exposures in the entire population.
Materials and Methods: In this study, six quality control tests including voltage measurement accuracy test, time accuracy test, output repeatability test, output to time linearity test, output to milliamp linearity test, and radiation quality measurement test were evaluated in all centers of Ilam in accordance with what the international Atomic Energy Agency and the Atomic Energy Organization of Iran has presented.
Results: The result showed that diagnostic X-ray devices available in Ilam had a relatively good quality in all quality control tests that were done except the associated with the radiance quality of (HVL). However, almost all these devices need to add additional filters to the X-ray tubes to resolve error in their HVL.
Conclusion: Adding additional filters to radiology devices in Ilam Province and modifying the thickness of filters seem to be necessary and desirable which will prevent the unnecessary increase in patients' dose. The accurate and regular implementation of quality control tests in imaging wards should change into a culture. On the other hand, the relevant organizations which have the great responsibility to protect people against radiation are recommended to monitor and supervise radiology centers more accurately and responsibly to repair diagnostic radiation devices.
Ahmad Fayazbakhsh, Mohammad Reza Tavakoli, Soheila Hosseinzadeh , Mohammad Ali Abbasi Moghadam,
Volume 10, Issue 6 (3-2017)
Abstract
Background and Aim: Job Burnout syndrome consists of emotional exhaustion, depersonalization, and reduced personal accomplishment. The health system personnel to deal with stress because of physical, mental, and emotional intensity are at risk of burnout.
The aim of this study was to determine the relationship between burnout and general health of the financial staff hospitals of Tehran.
Materials and Methods: In this cross-sectional study, the sample size consisted of 150 financial administrative personnel employed by university hospitals of Tehran University of Medical Sciences which were selected by random sampling.
The instrument was included demographic information, general health questionnaire and the Maslach Burnout questionnaire, which was already confirmed for its validity and reliability.
Results: The results showed a significant correlation (p<0.001) between burnout and general health therefore public health was reduced with increased burnout.
There was also a significant relationship (p<0.05) between burnout and satisfaction with work and partners. But there was no significant relationship between age, gender, work experience, marital status and income.
Conclusion: Regarding the significant relationship between burnout and public health in this study, the use of improved working conditions and the promotion of mental health personnel is recommended.
Maryam Zarghani, Niloofar Mohaqqeq, Mohammad Reza Alibeik, Tahereh Sadeqi, Somayye Mohebbi, Ra’na Kosari ,
Volume 11, Issue 2 (7-2017)
Abstract
Background and Aim: The application of information technology for the delivery of library services through websites has removed many temporal and spatial limitations. This study aimed to identify the available services and resources on the websites of central libraries at universities of medical sciences in Iran.
Materials & Methods: The population of this descriptive study comprised 36 central-library websites of medical universities in Iran. A researcher-made checklist was used to collect data, which were then analyzed through descriptive statistics using SPSS 18.
Results: According to the findings, “electronic mail”, “access to services via mobile” and “how-to-use-a-library instructions” were mentioned as modern technologies in 83.3%, 2.8% and 77.8% of websites, respectively. However, nothing was found on “e-learning copyright”. Concerning librarianship and library publications, 69.4% of websites included “new library sources and references”.
Conclusion: Considering the daily development of information technology, it is essential to regularly revise library websites and employ new technologies to enhance them.
Zahra Jalali, Hasan Ashrafi-Rizi, Mohammad Reza Soleymani, Mina Afshar,
Volume 11, Issue 4 (12-2017)
Abstract
Background and Aim: Functions and services of academic libraries have been affected very much by the entrance and the development of information technology (IT) in university libraries. Since the main mission of academic libraries is advance of educational and research programs of university, the authorities should deploy expertise with technical skills to be able to fulfill their most important job. The aim of this study was to identify factors influencing the adoption of information technology by librarians of governmental academic libraries based on the Technology Acceptance Model (TAM).
Materials and Methods: This was a survey research and the tool was a questionnaire based on TAM. The study population consisted of 151 librarians and census method was used. The validity was confirmed by experts in library and information sciences and also IT. Reliability obtained 0.89 using Cronbach's alpha. Statistical method was descriptive, inferential and data analysis was done via software SPSS20.
Results: Determination coefficient 0.282 shows that TAM is applicable in research population. This means that the applicability of the TAM was relatively appropriate for study about librarians of university libraries. Priorities effects of TAMs variables on the actual use of IT shows the most effective variable are intent to use (0.39), perceived ease of use (0.21), perceived usefulness (0.15) and attitude to use of IT (0.12).
Conclusion: Provision of required IT infrastructure and training for effective use should be considered for librarians. In addition to that, courses of introduction to library information technology should be included in the library and information science curriculum.
Behdad Tondpa Khaghani, Mohammad Reza Dehkhoda, Sadegh Amani Shalamzari,
Volume 13, Issue 1 (Apr & May 2019)
Abstract
Background and aim: This study aimed to investigate the effect of six weeks high intensity interval training (HIIT) and moderate intensity continuous training on health status in over weight males with nonalcoholic fatty liver disease (NAFLD).
Materials and Methods: Thirty overweight males with NAFLD were randomly divided into three groups included control (n=10), HIIT group (n=10), continuous training (CT) group (n=10). The HIIT included four sets of two minutes running with a 90-95% heart rate reserve and 3 minutes of active rest between each set; every week, a repeat was added to the workout. Continuous aerobic training included 20 minutes of running with an intensity of 70-85% heart rate reserve, which every week was added five minutes to the workout. Aerobic power, liver enzymes and lipid profiles were measured in serum by valid tools and data analyzed by co-variancetest.
Results: After six weeks of training program, the serum levels of ALT, AST, ALP, lipid profiles and degree of fatty liver sonography improved significantly in the experimental groups compared to the control group (P< 0/05). Increased HDL and decreased LDL, total Cholesterol, AST and ALT levels in HIIT group were significantly than the CT group (P<0/05). The improvement in maximum oxygen uptake was only significant in HIIT group than other groups (P<0/05).
Conclusion: Base on finding, HIIT compare with continuous training by better effects on aerobic power, lipid profiles and reduction of liver enzymes can be a good choice for patients with nonalcoholic fatty liver.
Mohammad Reza Shahraki , Mahboubeh Mesgar,
Volume 13, Issue 1 (Apr & May 2019)
Abstract
Background and Aim: The liver, as one of the largest internal organs in the body, is responsible for many vital functions including purifying and purifying blood, regulating the body's hormones, preserving glucose, and the body. Therefore, disruptions in the functioning of these problems will sometimes be irreparable. Early prediction of these diseases will help their early and effective treatment. Regarding the importance of liver diseases and increasing number of patients, the present study, using data mining algorithms, aimed to predict liver disease.
Materials and Methods: This descriptive study was performed using 721 data from liver patient in zahedan. In this study, after preprocessing data, data mining techniques such as SVM: Support Vector Machine, CHAID, Exhaustive CHAID and boosting C5.0, data were analyzed using IBM SPSS Modeler 18 data mining software.
Result: The validity obtained for boosting C5.0 94/09, for Exhaustive CHAID algorithm 88/71, for SVM 87/09, for CHAID algorithm 85/47 prediction of liver disease. the boosting C5.0 algorithm showed a better performance of this algorithm among other algorithms.
Conclusion: According to the rules created by boosting C5.0 algorithm, for a new sample, one can predict the likelihood of a person for developing liver disease with high precision.
Vahid Changizi, Mohammad Reza Zare, Sahel Kasiri,
Volume 13, Issue 5 (Dec & Jan 2020)
Abstract
Background and Aim: Due to the presence of ionizing radiation sources in the environment and their potential to enter the food chain, the natural radiation in the rice product of Mahmoud Abadu residents of this area should be evaluated.
Materials and Methods: Using standard sampling methods, the number of sampling points and locations (about 10 points) was determined. After recording the geographical location of the sites, 2 kg of soil and 2 kg of rice were removed and 20 samples were coded. 950 g of soil and rice were milled and transferred to standard Marinelli dishes with 50 mesh. The samples were completely sealed and after about one month, they were visualized with ultra-pure germanium detectors (HPGe). Subsequently, specific radionuclide radiosensitivity in soil and rice soil samples, radionuclide transfer factors from soil to rice, annual effective dose and risk of cancer due to rice consumption were measured.
Results: Effective total dose of nuclei studied in #value, lifetime cancer risk of U238 from #value to 0.00019, Ra226 from #value to 0.00008, U235 # value, Th232 from #value to 0.00027, K40 From 0.00014 to 0.00082 and finally for zero cesium.
Conclusion: There is no harmful effect on the people of the region regarding the radionuclides of rice.
Mohammad Reza Haji Ghasemi, Mehdieh Azhdari,
Volume 14, Issue 2 (Jun & Jul 2020)
Abstract
Background and Aim: Neurological disorders occur under the conditions when there is perturbation in one part of the brain or the nervous system. The increasing outbreak of neurological disorders and its high expenses imposed on society have made the necessity to modify the policies of health care. This study calculated the cost of services for pediatric neurology patients to reduce costs.
Materials and Methods: This quantitative cross-sectional descriptive-analytic case study implemented a Fuzzy Time-Driven Activity-Based Costing(FTDABC) model in treating pediatric neurology patients in 2016. The Wilcoxon nonparametric test was used to test the hypothesis of the research and investigate the significant difference in the cost of services provided to patients in the FTDABC and the traditional costing model.
Results: The results confirmed a meaningful patient services costs in both methods; the cost of patient care using FTDABC model was estimated to be 5,736,843,432 Rials, 41.61% of which goes to overhead and 5.94% goes to idle capacity. Visiting and counseling activities, controlling vital signs, and patient displacement were identified as the most time-consuming activities in the treatment process, respectively.
Conclusion: According to the research findings, it seems necessary to reform human resource management and reduce idle capacity to increase the effectiveness of hospital resources and improve the therapeutic processes. If management can reduce patient displacement activity by 20%, it will result in 2.89% reduction of time and 1.86% of the cost of the treatment process.
Ebrahim Hassanzadeh, Edris Hassanpoor, Seyed Sajjad Razavi, Mohammad Reza Sheikhy-Chaman,
Volume 14, Issue 3 (Aug & Sep 2020)
Abstract
Background and Aim: Human resources are one of the most important assets of any organization and the creation of a safe working environment enhances the quality of services in addition to satisfying this valuable capital. The purpose of this study was to evaluate the safety of diagnostic laboratories of hospitals affiliated to Iran University of Medical Sciences (IUMS).
Materials and Methods: This cross-sectional descriptive study was conducted in 7 IUMS hospitals in 2019. Data collection was performed using a checklist that was validated after being translated (by qualitative face validity method); Then, the safety status of the studied laboratories was classified into four categories: Excellent, good, average and poor. Finally, data were analyzed using descriptive statistics and SPSS software.
Results: In determining the validity of the checklist using qualitative face validity, experts' opinions were applied as changes in the tool. In the descriptive part of the study and among the safety dimensions of diagnostic laboratories, the highest mean score was related to the dimensions of "communication hazards" and "safety information" and the lowest to the dimension of "fire safety".
Conclusion: According to the results of the study, the overall safety status of the diagnostic laboratories of the hospitals under investigation is at a good level; however, the "fire safety" component as one the most important safety components was considered poor, and necessary steps must be taken to improve it.
Mohammad Reza Mehregan, Shahrokh Yousefzadeh, Ali Reza Hatam Siahkal Mahalle,
Volume 15, Issue 2 (Jun & Jul 2021)
Abstract
Background and Aim: The overall goal of the medical department is to develop and manage an efficient and effective supply chain. Intrinsic instability and unpredictability of treatment needs to require a flexible supply chain. Agility reflects the hospital's response to environmental changes, and agile hospitals are able to provide appropriate services to the patients. Hospital supply chain management agility needs to find the main aspects affecting the relationship and communication between them and to analyze the dimensions together. The purpose of this study was interpretive-structural modeling and analysis of dimensions of agile hospital supply chain management.
Materials and Methods: The research design combined descriptive - survey exploratory approach to the future. The population study were doctors, nurses and staff at the University of Medical Sciences. The Delphi technique was used to determine the dimensions of agility and the interpretive-structural modeling approach was used for analysis and modeling. Mick Mac software was used to analyze the dimensions of agility.
Results: The final model of agile hospital supply chain management with 16 dimensions had 8 levels, which was at the highest level of cost reduction and at the lowest level of organizational leadership commitment. The results indicate that leadership commitment is the foundation of supply chain agility in the hospital. Knowledge management variable had low impact and effectiveness and was known as a secondary leverage variable. The results showed that most agile supply chain management aspects of the main causes of complex communication and interaction, and the importance of agility in the hospital of the show.
Conclusion: The analysis and interpretation of functional from the aspect of Impact and Influence of agility dimensions in hospital environment Showed that, Dimensions of strategic planning, human resource development and staff skills training, human resource management and employee satisfaction, process management, process integration and organizational transformation, flexibility, organizational communication development and information management integration, service quality management and continuous improvement, acceptance of new technology and new ideas, speed of service, patient understand and satisfaction, monitor, find best responds demand and market sensitivity in the strategic area are located and They cause model instability and With high impact and high influence, They play an important role in the agility of hospital supply chain management.
Mohammad Reza Shahraki, Motahare Fallah,
Volume 16, Issue 1 (3-2022)
Abstract
Background and Aim: The healthcare sector plays an important role in the development of communities by ensuring the health of individuals in each community and can have many social and economic effects on the lives of individuals in the community. The purpose of this study was to determine the development of the country’s provinces based on health facilities and the level of access to these facilities, to find solutions to reduce differences between different parts of the country.
Materials and Methods: This study was an applied study with a descriptive-analytical approach. In this study, 31 provinces of the country have been studied in terms of 10 indicators. Data and information of this study were extracted from the national statistical yearbook and ranked using Center-weighted index method by using Excel software. Then, using taxonomy method, the degree of development of the provinces has been determined.
Results: The results of the study show that South Khorasan province with a centrality index of 45,692 is in the first place, Yazd province with a centrality index of 43,933 is in the second place and Ilam province with a centrality index of 40,668 is in the third place. East Azerbaijan province with a centrality index of 27,375 is ranked 29th, Qom province with a centrality index of 25,417 is ranked 30th and Hormozgan province with a centrality index of 24,286 is ranked 31st. The degree of development of the provinces is between 0.507 to 0.98, which in terms of development of Yazd province is in the first rank and Hormozgan province is in the last rank.
Conclusion: The results show that there is a deep gap between the provinces in terms of development and access to health indicators; Therefore, it needs more attention and adopt the necessary policies and plans to reduce this gap.
Mohammad Javad Kabir, Alireza Heidari, Nahid Jafari, Honarvar Mohammad Reza, Sajad Moeini, Zahra Khatirnamani,
Volume 16, Issue 6 (Feb 2023)
Abstract
Background and Aim: Many health policies are not implemented or incompletely implemented after approval. This issue significantly reduces the popularity and responsiveness of the top managers of the health system and leads to service disruption in the target community. Therefore, this study was conducted to explain the existing challenges in the implementation of health policies.
Materials and Methods: A qualitative study was conducted in 2021. The participants in the study were 20 scientific and executive experts. The data was collected using an interview guide and the in-depth individual interview method and was analyzed using the content analysis method using thematic analysis with Graneheim and Lundman's approach.
Results: The challenges include the policies formulation (lack of evidence-informed decision-making, lack of attention to the details of the implementation, the change of the initial text of the policy, conflict of interests, unclarity the executives, the lack of proper integration between the political and technical components of the policies, the weak participation of the main stakeholders, the lack of the same understanding of policies concept between policy makers and executives and lack of budget forecasting), challenges of policies implementation (uncertainty about roles of executive organizations, lack of executive attachment, conflict of interest, lack of project management, change of formulated policies with change of executives, little belief among executives, lack of executive guarantee, lack of operational plan) and challenges of policies evaluation (Inadequate supervision and the absence of an informational and supervisory dashboard).
Conclusion: Using effective solutions to solve the challenges extracted in the stages of formulation, implementation and evaluation of health policies can lead to achieving the goals of the formulated policies and improving the health of the society.
Azra Daei, Mohammad Reza Soleymani, Hasan Ashrafi-Rizi,
Volume 17, Issue 6 (2-2024)
Abstract
Background and Aim: The role of information in improving the health of society and reducing healthcare costs is undeniable. However, in practice, there exists insufficient and incomplete information among healthcare providers. This lack of comprehensive information among market players leads to inefficiencies and failure in market performance. The main goal of the current research was to investigate health information asymmetry and inadequacy within the health information market.
Materials and Methods: This article is a narrative and unsystematic review. Studies were retrieved from the Scopus, PubMed, Web of Knowledge, Magiran, Sid and Google Scholar databases by using the keywords of information inadequacy, Asymmetry of health information done in the fields of article title, abstract and keywords. Subsequently, according to the purpose of the study, the researchers selected relevant resources and summarized their findings.
Results: 18 paper were selected for this research. In this research, we specifically address health information inadequacies across three key sections: patients, doctors, and insurance. At the end of each section, ways to solve these deficiencies were mentioned. Results Showed patients faced with the phenomenon of injustice in accessing health information, and the continuation of this injustice leads to the poverty of health information, and due to the lack of proper access to health information, the asymmetry of information between the doctor and the patient was created. Doctors, on the other hand, faced challenges in accessing up-to-date and evidence-based information for patient care. Asymmetric information could be exploited, resulting in induced demand. Insurances face the problems of inappropriate selection, moral hazard and demand induction by the supplier or consumer.
Conclusion: Information asymmetry has seriously penetrated the health field and there is a high level of unconfident and uncertainty in it. One of the ways to overcome the health information asymmetry and insufficiency of the health information market is the access of all stakeholders to the information.
