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Estimating The Cost Of Healthcare Services Delivered To Cutaneous Leishmaniasis Patients In Qom Province
Abedin Saghafipour , Ahmad Rahbar , Hadi Hamidi Parsa , Sayed Mohammad Hoseini ,
Volume 7, Issue 3 (9-2013)
Abstract

Background and Aim: Cutaneous leishmaniasis (CL) is prevalent in most tropical and subtropical countries of the world and leads to adverse economic consequences. This study was performed to estimate the cost of healthcare services delivered to CL patients in Qom Province.

Materials and Methods: Based on the data from 638 CL patients, this cross-sectional study was performed in Qom during 2009-2011. First, using researcher-made forms and based on the accounting documents, the direct and overhead costs of health services in the studied areas were calculated. Then, the out-of-pocket costs per patient were obtained. Finally, the gathered data were calculated using the excel software.

Results: In total, more than 1,600 million rials was spent on providing health services to 638 patients with cutaneous leishmaniasis in endemic foci of Qom. The direct healthcare cost was estimated to be about a thousand million and the overhead cost about 600 million rials. Besides, the state cost per patient was estimated to be over 2,520 thousand and the out-of-pocket cost per patient about 240 thousand rials. Moreover, the average total cost per patient was calculated to be 2,760,772 in the studied period.

Conclusion : Based on results, considerable costs are spent for CL diagnosis and treatment in Qom. Therefore, health planners should give priority to the prevention of this disease in their programs.


Evaluation Of Healthcare Services Of Medical Universities' Websites In Line With E-Government
Mehrdad Farzandipour, Zahra Meidani, Hamidreza Gilasi ,
Volume 8, Issue 2 (7-2014)
Abstract

 Background and Aim: Due to the role of websites in delivering e-services, this study aims to benchmark rendering healthcare services at medical universities' websites based on Chandler and Emanuel’s four-stage e-government maturity model.

 Materials and Methods: This is a descriptive, cross-sectional study which was conducted using content analysis and benchmarking to evaluate the delivery of healthcare services through medical universities websites towards e-government maturity including Information, Interaction, Transaction and Integration services in 1390.

 Results: The results of the study revealed that type I universities were moderate in giving information, and type II and III universities were poor in this regard. Websites of type I, II and III universities were poor in interaction with scores 1.4±0.73, 1.3±0.75 and 1.2±0.62, respectively. The score of all universities was weak in transaction and integration of healthcare services (mean 1 ±0). 

 Conclusion: Medical universities' websites have lagged behind to render e-services. Due to the challenges of health services and information, realization of e-government in healthcare arena requires special consideration. Adopting e-government in other settings, detecting barriers, and formulating related laws and policies can pave the way to achieve e-government in healthcare arena

 


Challenges and Obstacles in Providing Healthcare Services to the Nomadic Populations, with a Focus on Strengthening the Network System in Khouzestan Province, Iran: A Qualitative Approach Addressing Internal and External Factors
Hojjat Rahmani, Sadegh Moradi, Nayeb Fadaei Dehcheshmeh,
Volume 18, Issue 4 (10-2024)
Abstract
Background and Aim: The fundamental right and most valuable asset for all strata of society is the enjoyment of health. Individuals residing in nomadic settings face geographical, social, cultural, and linguistic barriers when seeking access to essential services. The provision of healthcare services to nomads has become a complex issue due to the nature of the lifestyle. The aim of this study was to assess the challenges in the provision of healthcare services among the nomads in the Khuzestan province.
Materials and Methods: This study uses a qualitative approach, involving seventeen managers and staff from health centers affiliated with Ahvaz University of Medical Sciences. The data collection approach was inductive. Data were gathered through individual interviews, and participants’ opinions were recorded. The data were analyzed using the conventional content analysis method with a mixed approach (deductive and inductive). The credibility and quality of the data were assessed using the Guba and Lincoln method.
Results: The challenges in providing healthcare services in nomads were identified in nine categories and three overarching themes. The themes encompassed the nature and characteristics of the non-sedentary populations, the healthcare system, and the responsibilities of other sectors. The nature and characteristics of the nomads were categorized into five categories: demographic, cultural, climatic-geographic, socio-ethnic-tribal, and lifestyle. The healthcare delivery comprises of two aspects: structural and procedural. Additionally, the duties of other development sectors were categorized into two categories: infrastructures and inter-sectoral collaborations. The results showed that nomads face barriers to receiving healthcare due to the inherent characteristics of them, the healthcare system, and the performance of other organizations. The unstable population, cultural diversity, scattered distribution of the population, and their ethnic and migration-based lifestyle are among the inherent characteristics of nomads that impact the provision of services.
Conclusion: The provision of health services to nomads is influenced by recipients’ and providers’ characteristics. Decision-makers and managers, considering the unique conditions of life in the design and implementation of health programs, decision-makers and managers should prioritize strengthening healthcare networks in hard-to-reach areas. Given the limited resources and infrastructure weaknesses in settlements, inter-sectoral collaboration and the development of resources and infrastructure (applying the One Health approach) are important.

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