Showing 8 results for Health Services
Mostafa Langarizadeh , Elahe Gozali , Farahnaz Sadoughi ,
Volume 7, Issue 4 (11-2013)
Abstract
Background and Aim: Development of information and communication technology has led to enormous changes in different areas. Electronic medical records system is valuable to access patient data in hospitals. This study aimed to investigate and compare the educational hospitals of Uemia University of Medical Sciences in case of technical, organizational and legal to establish the system.
Materials and Methods: The study was a descriptive cross-sectional study. The study population consisted of 98 senior and central managers. In this study population census was used and the entire population were considered as the sample. A questionnaire was used for data collection, which included two sections in order to determine the level of research community awareness and to analyze the standards related requirements for the implementation of the system. Validity and reliability were assessed and the data was analyzed by SPSS.
Results: Sample awareness in 5 hospitals of this study was moderate. In terms of requirements, there was a significant difference between the means of Electronic Medical Records in terms of three variables between hospitals "D" and the rest of the hospitals. And no significant difference was seen among other hospitals.
Conclusion : Three hospitals, "a", "c" and "b", among five studied hospitals are in preparation for the deployment of electronic medical records. Other two hospitals were not prepared. However, the implementation of electronic medical records, increases health care quality, patient safety and patient care and also decreases health costs. So it is suggested that hospitals do necessary efforts to establish EMR.
Farzad Faraji Khiavi , Mansour Zahiri , Kambiz Ahmadi Angali , Bahareh Mirzaei , Mohammad Veisi, Marjan Arab Rahmatipour ,
Volume 8, Issue 2 (7-2014)
Abstract
Background and Aim: Information literacy is a set of skills
required to identify rightful information resources and access to them. These skills are empowering goal oriented use of information
resources. This study aimed to determine the ability rate of information
literacy among health services administration students in Jundishapur University of Medical
Sciences based on SCONUL seven pillars model.
Materials and
Methods: This cross-sectional
descriptive-analytic study was conducted using a questionnaire developed based
on SCONUL information literacy seven pillars model. Validity of the
questionnaire was confirmed through content analysis and coefficient of
Chronbach’s alpha was 0.93. The study population included students of health services
administration in Ahvaz Jundishapur University of Medical Sciences in 2013. The
sample size included 40 cases collected randomly. Data
analyzed through SPSS descriptive
statistics and non-parametric statistical tests.
Results: The mean score for the
studied components of information literacy abilities among the study population
was 0.5±0.43. Information Literacy score among freshmen was significantly
different from other students (P<0.03). Students who passed Computer Basics
and Research Methodology educational courses showed significant differences
from other students in the information management (P<0.01).
Conclusion: Given the increasing development in information
technology, the need to develop information literacy skills is considerable
especially among those who are going to be engaged in the health sector.
Although studied students’ information literacy estimated relatively well, it
seems necessary to take measures to improve their information literacy in all
components.
Mehdi Yousefi, Abbas Assari Arani , Bahram Sahabi, Anushiravan Kazemnejad, Somayeh Fazaeli,
Volume 8, Issue 6 (3-2015)
Abstract
Background and Aim: The Household financial contribution is one of the most important issues in health system. This study aims to determine and present some indices of h ousehold financial contribution in health system in Iran.
Materials and Methods: In this cross sectional- descriptive study, the methods were introduced by World Health Organization. Fair Financing Contribution Index (FFCI), catastrophic health expenditure and impoverishment in Iran were calculated from a national representative data derived from Iranian Statistics Center, Household Budget Survey, and Consumption Expenditures, at 2011. The indicators have been calculated on the basis of the total cost analysis, health and capacity to pay Iranians households.
Results: Household financial contribution in the health system for households living in rural areas is more than urban areas. In this study, more than 3 percent of the households were facing catastrophic health expenditure . Also 1.5 percent of the households have been impoverished. Fair Financing Contribution Index in rural and urban areas was 59 and 65 percent respectively.
Conclusion: Calculation of the indicators related to households financial contribution in Iranian health system need to predict and implement appropriate plans, as well as monitoring and assessment of health system programs in order to increase the equity in the household financial contribution and effectiveness of Utilization of resources.
Aziz Rezapour, Farbod Ebadifard Azar, Negar Yusef Zadeh, Fatemeh Hasanpour, Hossein Bagheri Faradonbeh, Saeideh Ansari Nosrati, Zahra Asemaneh , Mohammad Hossein Ghafoori,
Volume 9, Issue 2 (7-2015)
Abstract
Background and Aim: Receiving and using health care services is called
health services uitilization. There are many socio-economic factors including
income, culture, age and education affecting the utilization of the services. This
survey aimed to study socio-economic determinants of health utilization in Tehran.
Materials and Methods: This was a cross-sectional, population based health
survey done in year 2013. The sample was 792 households living in Tehran. Data
was collected by WHO (households) questionnaire, and analyzed using logistic
model and stata12.
Results: Among the study variables, households' income, presence of a person
with chronic disease, education of the head of the household, and presence of
person older than 60 and younger than 14 in households, had a significant
statistical relationship with utilization. Insurance coverage had a vague and weak
effect on the utilization of health services. Moreover about 23 percent of the
households were not under insurance coverage.
Conclusion: According to the announced policies by the supreme leader of the
Islamic Republic of Iran to the Ministry of Health and Medical Education and by
cconsidering the main focus of these policies on the universal insurance coverage,
households financial security and reform of the payment system identifying
households that utilize more health care services than any others because of any
socio-economic reasons is a considerable step for providing financial security for
vulnerable households and reforming health care system at the national level.
Pardis Rahmatpour, Sara Emamgholipour, Mohammad Taghi Moghadamnia , Maryam Tavakkoli ,
Volume 11, Issue 3 (9-2017)
Abstract
Background and Aim: Health and equal access to quality care regardless of age, gender, race and location is health systems' goal in all countries. This study aimed to determine inequality in healthcare services distribution and development level of cities in Guilan province.
Materials and Methods: This descriptive, cross-sectional study assessed the distribution state of 13 healthcare indicators in all cities of Guilan (n=16) in year 2011 and 2013. In order to collect data, the database of Statistical Center of Iran (SCI) was used as reference. The taxonomy technique was employed to determine the degree of development of different cities. In addition, indicators were weighed by Shannon’s entropy. Finally, TOPSIS was used to rank the cities in term of access to health sector resources.
Results: Taxonomy technique in 2 years showed that Rudbar, Rudsar and Lahidjan were of most developed cities and Talesh, Rezvanshahr and Amlash were the most under-developed cities respectively. After weighting indicators and according to Shannon entropy, the number of specialists and paramedics gained the most and the least weight, respectively.
Conclusion: Due to the inequality in distribution of health resources in Guilan province, attention to underdeveloped cities in this province should be a priority. To achieve equitable health resources in Guilan, it is recommended that the plannings be based on state of development of cities.
Mohammad Reza Haji Ghasemi, Mehdieh Azhdari,
Volume 14, Issue 2 (5-2020)
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.
Masoomeh Abdi Talarposhti, Ghahraman Mahmoudi Alemi, Mohammad Ali Jahani,
Volume 15, Issue 4 (10-2021)
Abstract
Background and Aim: One of the reasons that caused healths clients are feeling dissatisfaction with health organizations is expectations that they are creating and not able to meet according to their expectations. Therefore, the present study was conducted with the aim of production a branding model for health services with the of clients’ expectations approach.
Materials and Methods: This compound study was performed in 2021. The statistical population of this study in qualitative phase included 20 academic and institutional experts using snowball sampling and the Delphi technique. For the quantitative phase, 830 people referred to health centers were selected as service recipients. The validity of the questionnaire was confirmed by face, content, and structural validity, and its reliability was confirmed by Cronbach’s alpha of 0.96 Quantitative data were presented by EQS software version 6.1 with confirmatory factor analysis and using structural equations.
Results: The results of factor structure in healthcare branding based on six main themes of competitive position, brand equity, brand accessibility, brand consolidation in the minds of clients and the market, branding strategies, and consumer-brand relationship with 19 sub-themes based on the perspective of health services clients (CFI=0/9, TLI=0/9, SRMR=0/049, RMSEA=0/09) had a good fit and the internal consistency of the items had significant levels (P<0/05).
Conclusion: The results of this study show that 19 sub-main themes confirm the six-factor structure of health services branding and were one of the effective themes in branding from the perspective of clients. Since the branding of health services improves the quantity and quality of services provided in the health system, therefore, it is suggested that by creating innovation in the quantity and quality of services provided, access to health services, creating a competitive advantage and empowering employees and improving communication skills, an effective step can be taken in health services branding planning.
Roya Balaghiinaloo, Alireza Noruzi, Mohammadreza Esmaeili Givi,
Volume 17, Issue 3 (8-2023)
Abstract
Background and Aim: It is not possible to provide health information services in health crises without a comprehensive understanding of these services and how to provide them due to the health crisis. Based on this, the aim of the current research was to obtain comprehensive information about the components of providing health information services in health crises.
Materials and Methods: The current research was conducted with a qualitative approach and a meta-combined method, using the seven-step method of Sandelowski and Barroso. The statistical population consisted of articles and theses published in persian and international databases between 1991 to 2022 AD and 1370 to 1400 solar. Out of a total of 8363 resources identified based on the critical skills assessment program, 40 resources were approved. Extracted information was coded and coding reliability was measured and confirmed using Kappa coefficient.
Results: From the results of the research, 74 codes were extracted in 21 concepts and 6 categories in the field of providing health information services to patients. which categories and codes include health information needs assessment (disease, health, health information sources, patients); accessibility and dissemination of health information (health information, access ways); Awareness and notification of health information (information, tools); Education (patients, managers and staff of hospital libraries, methods); Planning (health crisis, resources, budget, infrastructure, patients, librarians and Medical Information Specialists) and obstacles and limitations (expert force, budget, facilities and infrastructure and resources) were categorized.
Conclusion: Dealing with the issue and components of providing health information services to patients in health Disasters in hospital libraries can cause policymakers in this field to know more about the dimensions, concepts, and consequences of providing these services in order to provide access to health information for everyone, especially patients. According to the identified components, efforts can be made to prepare the necessary infrastructure in order to plan to strengthen the strengths and eliminate the existing weaknesses and make appropriate policies in order to play the role of health counseling and launch the health information service department in hospital libraries.
