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Volume 5, Issue 2 (9-2011)
Background and Aim: The disabled people are a part of our society (1%) and a disabled will face incorrect behaviors from childhood that is caused by an incomplete understanding of the society, but family can play a constructive role to increase the disabled abilities.
This study was conducted to determine the views of deaf, blind and physical motor handicaps and their families regarding disability in the family in the Qazvin and Karaj.
Materials and Methods: One hundered and fifty handicaps and their families from handicaps center, welfare office, the disabled school students, the Mostazafan and Janbazan foundation were enrolled in this study. Information was collected by using 2 questionnaires. T test and Analyses Of Variance have been applied for data analysis, using SPSS software.
Results: The results show that among different disabilities, the deaf ones and their families had more positive view than other disabled ones about their disabilities.
Also, increasing the number of family members can cause more negative view about disability (p<0.05). This study shows that there isn't a significant relationship between the disabled view and his / her gender, cause of disability and parents high education
Conclusion: With regard to the similarity of the disables and their families views about disability and also their need to obtain more awareness about disability, the disable's needs and complications, it is necessary to stress on correct training of disabled person, his/ her family and the society.
Volume 7, Issue 4 (11-2013)
Background and Aim: Accreditation is one of the evaluating health care organization tools especially in hospitals and is also one of the priorities of Ministry of Health in Iran. The aim of this study was to examine the impact of accreditation on health service delivery in hospitals from perspective views of experts.
Materials and Methods: This qualitative study was conducted by semi-structured interviews and opinions of 12 experts at Isfahan University of Medical Science in the field of hospital accreditation in 2012. After transcription of each interview, content analyses was used to minimize and structuring qualitative data.
Results: According to this study, 10 main theme and 72 sub- themes were identified. Main themes included: Necessity, implementations priorities and mechanisms of Accreditation effect, accreditation impact on service quality and organizational performance, patient satisfaction, commitment and job satisfaction of staff, reducing factors the impact of accreditation, confounder factors the effect of accreditation and the executive proposals in order to implement accreditation program in Iran.
Conclusion : Accreditation could be properly implemented through setting Conditions, selecting the appropriate accreditation model, justify stakeholders about the necessity of accreditation, monitoring, establishment of appropriate information systems, information transparency and changing the general attitude of the organization. It would take positive effects to achieve hospital goals and improve the quality of services.
Volume 9, Issue 2 (7-2015)
Background and Aim: Online submission and peer review systems are formal channels of communication among authors, journal editorial boards, and reviewers. The review process starts after authors submit their manuscripts. The aim of this study is to examine the online article submission and peer review systems in terms of the capability in medical journals of Iranian Ministry of Health, and Medical Education. Materials and Methods: In this descriptive survey study, 199 approved Iranian medical journals were examined so that the characteristics of online submission and peer review systems could be investigated. To study author role features, a checklist was developed by the researcher. The data were analyzed by SPSS 18 and Microsoft Excel 2007. Results: The online submission and peer review systems considered in this study had most (84%) of the features of the author role. Among the systems reviewed, Kowsar system had the highest number of features. Conclusion: The results show that the studied systems consider some, but not all, of the required features. To meet the maximum required features of the author role, it seems necessary to take all standard research criteria into account
Volume 9, Issue 3 (9-2015)
Background and Aim: Nearly a decade has passed since the use of computers to record patients' medical records in Iran. Despite the advantages of computer systems, healthcare providers are reluctant to use them therefore, parts of computerized records will be incomplete, which lead to information gaps. The purpose of the present study is to investigate the completion of electronic reports and its reasons from employees' viewpoint.
Materials and Methods: In this descriptive study, 2499998 electronic reports were evaluated using a checklist that examined types of identity and clinical data meanwhile, staff’s attitudes were investigated by a researcher-made questionnaire. The validity of the questionnaire was confirmed by experts and its reliability was estimated through test-retest method.
Results: The results showed that 100% of some clinical and identity data were not recorded. Some 58.7% of staff members reported the absence of clear regulations and 54.7% reported inappropriate electronic forms as the reasons. Some 24.1% of staff members suggested the codification of clear guidelines and 15.6% offered surveillance programs as solutions to completing electronic reports.
Conclusion: The staff reported human and organizational factors as the most important elements influencing the quality of electronic reports. It seems that the following are among the solutions which can remove many defects of electronic reports: investment in education, management support for the codification of relevant policies, health information technology professionals' participation in designing electronic forms, and the use of high technologies to record data for busy employees.
Volume 9, Issue 4 (11-2015)
Background and Aim: Given the increasing growth of new technologies in health care and their rising cost, the necessity of concentration on assessing new technologies and their potential role in quality of health care is more crucial. The aim of this study was to investigate the role of health technology assessment (HTA) in improving healthcare quality and offer the best evidence for decision makers.
Materials and Methods: The study was based on systematic review of papers in health technology assessment via searching in databases such as Pubmed, Cochrane and other HTA related databases. The search has covered the period between years 2000 to 2013. Studies analyzed by narrative synthesis method.
Results: Related studies show that assessing new technologies has potential role in quality improvement of healthcare. HTA can boost the competition among companies which this in turn increases the quality of technologies and ultimately enhances the quality of health services and stakeholders satisfaction.
Conclusion: HTA may increase quality of healthcare services through facilitating a move towards evidence-based decision-making, providing safe health care and increasing patients’ trust and satisfaction to clinical procedures and team members.
Volume 10, Issue 6 (3-2017)
Background and Aim: In attention to pressing need to cost containment and service efficiency, laboratory services serve as a central locus for controlling health care expenditure. This study intents to investigate proportion of laboratory utilization in Iran to pave the way for future interventions.
Materials and Methods: A cross-sectional study was conducted to investigate the proportion for laboratory utilization through the retrospective analysis of 384 medical records at the tertiary care Kashan University Hospital Shahid Beheshti. To pave the way for future intervention, over utilization tests were classified into two categories, inappropriate and resulted in laboratory errors.
Results: Nine thousand five hundred forty one laboratory tests were ordered, 2522 (26.40%) of the tests were inappropriate and 143 (1.5%) of the over utilization tests have occurred due to laboratory testing cycle errors. According to reviewers’ judegment relevancy to medical intervention was considered as the most accepted appropriateness criteria 5012 (52.53%) for laboratory tests
Conclusion: Since, the laboratory tests over utilization is multifactorial, forming a multidisciplinary team including physicians, nurses, laboratory staff, medical education experts, health care management and health information technology staffs in terms of Utilization Committee to develop more targeted strategy based on root cause analysis of over utilization behavior seems necessary.
Volume 11, Issue 3 (9-2017)
Materials and Methods: This study was conducted using a systematic review and meta-analysis approach to find empirical research papers published on hospital efficiency in Iran between 1997 and 2016. Seven electronic databases and two search engines were searched using appropriate key words. Bibliography section of the retrieved papers and related journals were also searched for papers that were not yet indexed in the data bases. 1563 publications were identified. All retrieved papers were assessed using a checklist before analysis. Finally 91 empirical studies were reviewed.
Results: Data Envelopment Analysis, Pabon Lasso and Stochastic Frontier Analysis methods were mostly used for measuring hospital efficiency respectively. The average efficiency of Iran hospitals varied between 0.584 and 0.998. Hospitals affiliated to Social security organisation were more efficient. In contrast, non teaching public hospitals and charity and private hospitals were less efficient. Number of hospital beds and manpower were the most used input variables and number of outpatients and inpatients patient and surgical procedures were the most used output variables in Data Envelopment Analysis. Stochastic Frontier Analysis method has more advantage in measuring hospital efficiency compared to Data Envelopment Analysis.
Conclusion: Iran hospitals suffer from inefficiency. Thus, managers should identify the reasons for hospitals’ ineffeiciency and apply measures for increasing their efficiency and reducing wastage of limited resources.
Volume 12, Issue 5 (1-2019)
Materials and Methods: This is a quantitative research that is based on literature review. The population of the study consists of 55 articles published in valid national scientific journals on the review of medical scientific products of Iran in Web of Science.
Results: The findings show that during 2006-2016, about 35 articles reviewed the scientific outputs of medical universities and the others examined the scientific outputs of a particular subject area, among which pharmaceutical and surgical fields had the most studies. Some 60.6% of the studies were published by specialists in the field of knowledge and information science, and 39.4% by medical specialists. Among universities, Iran University of Medical Sciences, and among individuals, Hafez Mohammad Hassanzadeh Asfijani were recognized as the most prolific. Most researches have been published using Scientometric Approach, and among scientific software, Pajek has been used more. Among the published articles, those with two and three authors were the most.
Conclusion: The articles have been quantitative, and mentioning various methods indicates a kind of confusion in the choice of vocabulary and terminology.
Volume 14, Issue 4 (10-2020)
Materials and Methods: The present study is applied in terms of purpose, and is descriptive scientometrics in terms of type, which has been done with the all-citation method. In this study, all scientific publications on coronavirus(6980 documents) in the period 1985-2019 AD were studied on April 10, 2020 in the Web of Science database. For analysis and drawing all citation maps, VOSviewer and Excel software were used.
Results: In the field of coronavirus, 6815 documents, 10246 journals, and 40298 authors were identified. Ksiazek(2003) with the acute respiratory syndrome(SARS) topic received 875 citations and won the first place. The most cited documents in the field of coronavirus have 5 clusters; and the first cluster with 201 documents and with the topic of studying the structure of coronavirus is the largest one. Journal of Virology -- with the thematic range of genome structure and replication, virus identification, etc. -- ranked first with 35,383 citations. The most cited journals in the field of coronavirus are 5 thematic clusters, and the first one is the largest cluster with 121 journals and with the thematic domains of health policy, coronavirus, etc. Also, Woo won PCY first place with his specialization in identifying new microbes and emerging infectious diseases, and receiving 1491 citations. The most cited authors in the field of corona virus are in 6 thematic clusters; the first cluster with 195 authors in specialized field of virology and coronavirus is the largest cluster.
Conclusion: By identifying the highly cited scientific products in the field of coronavirus, efforts have been made to provide a comprehensive view of top documents, top journals, and top authors so that it can be a decision-making tool in the shortest possible time.
Volume 15, Issue 6 (3-2022)
Materials and Methods: The study used a descriptive survey. The sample size was calculated using the Cochran’s formula of 150 people out of a total of 246 faculty members of Alborz University of Medical Sciences. The research tool was a questionnaire designed based on the existing literature. Data were analyzed by SPSS software using descriptive statistics and paired t-test.
Results: The results showed that the participants’ views on “approaches and processes of open peer review” with 3.48 mean score and “benefits of open peer review” with mean score of 3.70 were relatively desirable. Among the open peer review styles, participants preferred the “open reporting” and “data peer review” styles, respectively. Participants’ views on the “advantages and disadvantages of open peer review” also indicated that participants agreed with most of the components presented in this area. There was also a statistically significant difference between the mean score of participants’ views on the traditional peer review process and open peer review (P<0.05).
Conclusion: Open peer review is relatively accepted among the faculty members of Alborz University of Medical Sciences. As the acceptance of this type of peer review increases among the scientific community, paying attention to the attitudes and views related to the open peer review process can improve the quality of articles and research published in scientific journals.
Volume 17, Issue 1 (3-2023)
Materials and Methods: In this scoping review, by searching Scopus, PubMed, Embase, Cochrane, and Web of Science, the articles reporting the costs of CRC were reviewed. The search was limited to those published in the past years leading up to 2020. In addition to categorizing different aspects of the reviewed paper, per capita costs were adjusted with the purchasing power parity in order to make some comparisons possible. In this study, the calculated costs of retrieved studies were categorized based on the perspective of each study.
Results: Out of 29 studies, only two have reported indirect costs of CRC, and 4 studies have reported both direct and indirect costs. In other studies, only direct costs of CRC have been reported. Nearly 40% of studies calculated CRC costs from the provider’s perspective. The highest reported annual per-patient cost was $175020(PPP-adjusted) which is related to the average annual costs of patients with CRC at the fourth stage in the United States from a provider perspective. The lowest reported amount was $ 954(PPP-adjusted) which was related to average annual inpatient costs in Brazil from a provider perspective.
Conclusion: Due to variations in study characteristics in terms of perspective, type of costs, type of patient included, etc. any comparison between the economic burden of CRC should be made with caution. However, reviewing various aspects of the economic burden of CRC reported in included studies, will provide researchers and policymakers with a better insight into the CRC burden while designing intervention programs will reduce the budget impact of the those programs.
Volume 17, Issue 4 (10-2023)
Background and Aim: With the increase of the covid-19 epidemic, wearable devices have received a lot of attention in the field of managing this disease. The present systematic review study was conducted with the aim of investigating the role of wearable devices in the management of the covid-19 disease.
Materials and Methods: The present study was conducted according to the guidelines of PRISMA. For this purpose, Web of Science, PubMed, and Scopus databases were searched to retrieve English articles without time limit, until August 16, 2022. The search strategy included the terms “Wearable Device” and “COVID-19”. The inclusion criteria for the study were original and English-language articles that have been carried out to design and implement wearable tools in managing Covid-19. All short articles, letters to the editor, conference abstracts, observational studies, review articles, as well as articles whose full version was not available and in a language other than English, as well as unimplemented items, were excluded from the study process. In order to evaluate the quality of articles, the AXIS evaluation tool was used to evaluate the quality of cross-sectional studies. After selecting the studies, data was collected based on the data extraction form. Then the data was analyzed through the content analysis method.
Results: Finally, 10 articles were included in the present review and the wearable devices introduced in them were examined. Seventy percent of wearable devices are used for symptom monitoring, health status, and quarantine, and 30% for diagnosis. The primary users of these tools were patients, the general public, doctors, and Authorities of statistics and information. The types of wearable devices used were bracelets and smart watches (60%), sensors (30%), pulse oximeters, and chest patches (10%).The most important capability and feature of wearable devices include transferring data and activities to mobile phones and low energy consumption. Using the AXIS quality assessment tool, four studies were rated as very good, five as good, and one as poor.
Conclusion: The review of studies showed that wearable devices provide many capabilities for disease monitoring and patient empowerment, disease diagnosis, and remote monitoring of vital signs of Covid-19 patients. These tools are presented in different forms. It is suggested to develop new tools with the aim of monitoring the covid-19 disease with an emphasis on the use of patients in the form of bracelets and smartwatches, and also the necessary attention should be paid to privacy and confidentiality issues.
Volume 17, Issue 5 (12-2023)
Background and Aim: Futures studies are constantly evolving and help organizations and individuals for better identification of future events, opportunities, and threats. In the field of health, futures studies are also applied for better prediction of health issues in future, control of unpleasant condition and preparing for pleasant future in health system. The purpose of this study is to conduct a scoping review of the futures studies accomplished in the field of health in Iran,
Materials and Methods: This study is a scoping review, conducted based on the Arksey and O’Malley framework with 6 steps including research question identification, related study identification, study selection / screening, data segmentation, summarizing and reporting results and providing guidance and recommendations n. National and international databases and search engines including PubMed, Web Of Science (WOS), Scopus, ProQuest, SID, Magiran, IranDoc and Google Scholar were searched using related keywords. After removing duplicate articles, the remaining articles were screened according to inclusion and exclusion criteria. The results of the selected articles were finally categorized, summarized and reported based on the mentioned steps.
Results: Among of 6691 articles identified, 30 articles reached the final synthesis stage. The articles were classified into forecasting, foresighting, and mixed categories, with the scenario writing method being the most widely used and applied in 20 studies. Also, studies were classified in scope of nature based on quantitative or qualitative and time horizon. Types of futures studies methods in Iran, in the fields of public health, medicine, science and technology, financing, prescription, health tourism, diet, human resources, aging, Covid-19 epidemic, health policy, hospital and macro level of health system were used.
Conclusion: The use of futures studies methods in a targeted manner and on the issues of Iran’s health system can play an effective role in knowing the future for more informed decision-making and planning in order to build a desirable future. The results of this review showed that scattered studies have been conducted with futures studies methods in the field of health, among which the scenario writing method has received more attention.
Volume 17, Issue 6 (2-2024)
Background and Aim: Systematic reviews and meta-analyses are the most reliable sources of evidence in evidence-based practice. Analyzing the scientometric and authorship features of these articles at the national level can provide useful information for various decision-makers. This study aimed to investigate the scientometric and authorship characteristics of Iran’s systematic review and meta-analysis articles indexed in Scopus.
Materials and Methods: The current research was conducted using a scientometric approach. The research population includes 9579 systematic review and meta-analysis articles published between 2011 and 2021, and Iran is the affiliated country of at least one of the authors. The quantitative and qualitative growth process of articles as well as the authorship characteristics are examined in this research, among other things.
Results: Review of 9579 articles indicate an increasing trend in the publication, with the highest number of articles (2565) being published in 2021. The thematic analysis shows that the majority of articles are related to the field of Medicine, with 7112 articles, followed by Biochemistry, Genetics, and Molecular Biology with 1433 articles. The highest H-index, 68, refers to the year 2018 and the highest percentage of articles included in the Hirsch Index horizon refers to the year 2011. The highest average number of citations per article is 146.44, observed in 2012, while the lowest is 4.62, reported in 2021. The highest average number of citations in relation to the age of the articles was 9735/34 in 2020, whereas the minimum was 279 in 2011.Calculating the percentage of articles above the H-index horizontal line based on total articles of each year, along with the average citation per article, shows a decreasing trend with slight fluctuations. On the other hand, there is a growing trend when considering the number of citations in relation to the age of the articles. The lowest average author count (5.48) is linked to 2011, whereas the highest count (12) is related to 2012. The first and the corresponding author of more than 91% of the articles was from Iran. In conducting the examined articles, researchers from the United States collaborated the most (12.05%) with researchers from Iran. University of Tehran, as the authors' affiliated organization, has contributed the most to the examined articles (27.81%). The Iranian Journal of Public Health has published the most of the examined articles (36/1%).
Conclusion: The articles under investigation show an increasing trend of growth, yet further research is needed to assess their qualitative trend. Given the rising significance of evidence-based practice, the stakeholders need to ensure the maintenance of the quantitative growth trend and the enhancement of the qualitative growth of these articles.
Volume 18, Issue 5 (11-2024)
Materials and Methods: A scoping review of the English-language literature published from 2000 to 2021 was performed. The search strategy involved relevant keywords, including MeSH modifications, as well as common terms associated with the topic, such as patient collaboration, patient participation, patient engagement, patient involvement, patient education, and patient safety. Literature was sourced from the Scopus, PubMed, Web of Science, and ProQuest databases. The research design adhered to the framework proposed by Arksey and O’Malley, and data analysis was conducted using a content analysis approach.
Results: The search strategy yielded a total of 2,951 articles, of which 38 articles met the inclusion criteria. The majority of studies originated from the United States (14), the United Kingdom (8), and Australia (6). The publication years with the highest output were 2015 (5 articles) and 2017 (4 articles). Five key areas of patient participation were identified: fall prevention, prevention of drug interactions, medical error prevention and awareness, participation in infection control and staff hand hygiene, and educational initiatives. The articles identified focused on various areas, including participation in fall prevention (26.3%), education and awareness promotion, participation in infection control and hand hygiene (23.6%), prevention and awareness of medical errors (18.4%), and prevention of drug interactions (7.9%).The main findings of the reviewed studies were categorized into four areas: patient participation, methods of patient participation, examples and outcomes of patient participation, and challenges associated with patient participation in safety-related measures.
Conclusion: Promoting patient involvement in safety-related practices within healthcare is essential for bolstering patient safety. Such participation is contingent upon empowering patients by improving their health literacy and knowledge while simultaneously fostering a shift in the attitudes of healthcare providers. The involvement of policymakers, particularly at the levels of the Ministry of Health and Medical Education, is critical in advancing patient and family participation in national hospital accreditation standards and facilitating broader initiatives aimed at transitioning the health system towards a model of participatory care.
Volume 19, Issue 2 (7-2025)
Materials and Methods: This study was conducted as a systematic review using the Kitchenham and Charters framework. Relevant articles were retrieved from three major citation databases—PubMed, Scopus, and Web of Science—covering the period from 2010 to 2024. Relevant keywords were used for searches, and reference lists and citations of the retrieved documents were examined to ensure comprehensive coverage. Inclusion criteria consisted of research articles related to the health information needs of the elderly in public libraries. Ultimately, 40 English-language articles were selected and analyzed. The extracted data were coded and categorized qualitatively.
Results: The findings indicated that the health information needs of the elderly in public libraries could be classified into four main categories: (1) Information Needs, including access to diverse health information resources, primary health information, public health and prevention information, and self-care and personal empowerment resources; (2) Educational Needs, encompassing information literacy, health information literacy, and educational events; (3) Social and Cultural Needs, including cultural and recreational activities, social and communication needs, social participation, and reducing social exclusion; and (4) Library Services and Facilities, comprising appropriate physical spaces, assistive reading technologies, and mobile and remote library services.
Conclusion: With the growing elderly population, public libraries face a critical responsibility in promoting the health and well-being of this demographic. The findings of this study reveal that the health information needs of the elderly extend beyond mere access to resources; they encompass educational, social-cultural, and library service dimensions. Therefore, it is essential to move beyond traditional information dissemination approaches and adopt a comprehensive, multilayered, and participatory framework—one that positions libraries as active institutions in enhancing public health among the elderly.
Volume 19, Issue 3 (9-2025)
Materials and Methods: To investigate research studies conducted in the field of cardiovascular diseases utilizing artificial intelligence, the Persian language databases SID, Google Scholar, and Magiran were searched. This search was conducted without time limitations on April 3, 2024 and included all research studies that, up to this date, had used various artificial intelligence methods in the field of cardiovascular diseases in the present systematic review.
Results: The results of the search in the aforementioned three databases led to the retrieval of 17,819 research studies, of which 46 research studies met the inclusion and exclusion criteria of the study. These research studies had used artificial intelligence in three areas: prediction, treatment, and diagnosis. Neural networks (n=22), support vector machines (n=20), and decision trees (n=16) were the algorithms that were used more than other techniques. The data sources of the included research studies were mainly patient medical records and the UCI database. Additionally, MATLAB software was used more than other software. The most frequently mentioned limitations in the research studies included not considering all factors, limited access to data, insufficient data, the presence of noise in signals or images, and the presence of outliers, missing values, and non-normality of data.
Conclusion: The systematic review of research studies conducted in the field of cardiovascular diseases utilizing artificial intelligence showed that this technology has been used in a wide range of cardiovascular diseases, and most of the conducted research studies confirmed its effectiveness and successful performance.
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