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Analysis Of Supply And Demand Ttrends In The Field Of Diabetes Nutrition Counseling: A Basic Step Toward Identifying The Entrepreneurial Opportunities For Nutrition Consultants
Mohammad Reza Meigounpoory, Pedram Yazdani, Hamid Reza Rezaeian Zadeh,
Volume 5, Issue 5 (3-2012)
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.


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.


Forecasting of Physicians Supply and Demand in Medical Sciences Universities of Iran
Mahdi Shahraki, Simin Ghaderi,
Volume 14, Issue 4 (10-2020)
Abstract
Background & Aim: Physicians as human capital and resources are one of the main components of health production. The imbalance of physician supply and demand affects the health and economics. Therefore, this study aimed to estimate and forecast the supply and demand of physician working in Iranian medical universities.
Materials and Methods: This a descriptive-analytical and applied study was conducted at national level for Iran during 1991-2017. The statistical population was physicians working in Iranian medical universities. ARIMA method was used to estimate and forecast physician supply and Vector Error Correction Models was used for physician demand. The data is annual time series that was extracted from the statistical yearbooks of the Statistical Center of Iran and the World Bank database. Eviews 10 software was used to estimate the models.
Results: The results showed that physician demand in Iran was affected by Gross Domestic Product, age structure and hospital beds, and according to the forecast of supply and demand of physicians, we will be faced to the physician shortage in the years 2018-2030.
Conclusion: In the coming years, Iran is facing with physician shortage. Therefore, it is recommended to adopt policies to increase physician capacity in medical universities and to increase strong incentives to retain physicians and prevent their migration.

Reasons for Induced Demand in the Health System: A Scoping Review
Ali Mohammad Mosadeghrad, Parvaneh Isfahani,
Volume 17, Issue 3 (8-2023)
Abstract
Background and Aim: Induced demand is the provision of healthcare services to patients by the influence of healthcare providers. Induced demand causes excessive use of health services, increases the waiting time for receiving health services, increases the price of health services, increases the costs and reduces the efficiency of the health system. Policymakers and health managers should take measures to reduce induced demand. Hence, they should understand the reasons for induced demand in the health system. Therefore, this research aimed to identify the reasons for induced demand in the health system.
Materials and Methods: This research was carried out using the scoping review method. All published articles and documents about the reasons for induced demand in the health system until June 21, 2023 were searched in nine databases and Google Scholar search engine. Finally, 38 articles were selected and reviewed. The data were analyzed by thematic analysis method and using MAXQDA10 software.
Results: Thirty-eight studies about the reasons of induced demand in the health system were published between 1974 and 2021. The number of researches in this area has been growing since 2011. Overall, 32 reasons for induced demand in the health system were identified and grouped into three categories: macro (health system), meso (health care organization) and micro (provider and receiver of health services). The most frequent reasons for healthcare induced demand in the literature include inappropriate policies, insufficient monitoring, inappropriate payment system, large number of physicians, lack of attention to clinical guidelines, financial motivation of healthcare providers, patient insurance coverage, unreasonable patients’ expectations, inappropriate price of health services, the complexity of the health service and patients’ inadequate medical knowledge.
Conclusion: Induced demand has negative effects on the health system and will lead to an increase in health costs, waste of health resources, a decrease in the efficiency of the health system, and finally, a decrease in people’s access to essential health services. Several factors at different levels of the health system lead to induced demand for health services. Therefore, interventions should be systematically applied at three levels of the health system, healthcare organizations, and providers and recipients of health services to prevent and reduce healthcare induced demand.
 

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