Showing 4 results for Operation
S.r Majdzadeh, Sh Nedjat, J Gholami, M Ghorbani, S Nejat , M Shokouhi, K Maleki , R Yousefi,
Volume 5, Issue 4 (3-2008)
Abstract
Background and Aim: In the past few years publications in the field of medicine have increased considerably in Iran and knowledge production in this country shows the greatest growth rate in the entire Middle East region. Considering the fact that 12% of all faculty members in the health and medical sector in Iran are employed by Tehran University of Medical Sciences, this university is regarded as the country's leading research institution. This study is focused on the behavior of the researchers in this university in terms of collaboration in research and factors that affect such behavior.
Materials and Methods: Our samples included all research projects in Tehran University of Medical Sciences that had obtained grants from inside and outside the university in 2004, had registered their contracts, had been finished by the time of this study (October 2006- March 2007) and whose final reports had been submitted (315 projects). The data collecting forms were filled for 301 files. The researcher's questionnaire was sent to the principal investigators of the projects and eventually 208 questionnaires were collected. We used the SPSS software package and the usual statistical tests (frequency ratio, chi square, analysis of variance and multiple linear regression with the Enter method) to assess the factors affecting the participation scores of individuals. Based on the data gathered from the forms, we used the UNICET software to analyze the 'cooperation network' between project directors and their principal co-workers and the relationship between different sections of the university.
Results: Only in 2.2 percent of the projects whose contracts were arranged in 1383 there has been some cooperation between the project director/principal coworkers and non-academic organizations. This ratio reaches 2.5% for collaboration with other universities. Among all projects, health system research programs show a better status of collaboration. Linear regression analysis showed that another important factor affecting the participation score is the "method for choosing the research topic". University-affiliated research centers only collaborate with the Schools of Medicine and Public Health, while in the School of Rehabilitation and Physical Medicine all projects are defined within the School's own structure, with virtually no collaboration with any other sections of the university.
Conclusion: The present study showed that research programs in this university include little collaboration with organizations outside the university or with other universities. Part of this is related to the current structure of the research sector in the country, which is largely financed by the government with hardly any participation by the private sector. Current potentials within the University make it possible to embark upon joint research initiatives with other academic institutions. As the possible effect of intervention on health system research has been shown, policies can be implemented to promote effective collaborative research at university and national level.
M Arab , H Zeraati , R Ravangard , A Gholinejad , A Rasooli ,
Volume 6, Issue 2 (7-2008)
Abstract
Backgrounds and Aim: One of the remuneration methods in the hospital system in Iran is per case, based on a classification system termed Global system (GS). The GS, supported by Iran's Ministry of Health and Medical Education (MOHME), was established in 1999 and is now used for cost reimbursement in the second- and third-levels of health care services. In this system, patients are classified into 60 categories, based on the most frequent surgical operations. However, it now appears, that there are many questions about this system. This study aims to compare the global operations reimbursement rates with actual costs in the Cancer Institute, Tehran, in 2003 and 2004.
Materials and Methods: This survey was a retrospective, analytical-descriptive one aiming at comparing the global operations reimbursement rates with actual costs in 646 global operations carried out in the Cancer Institute in 2003 and 2004. The global-operations and actual-costs data were gathered from Hospital Information Systems (HIS) and High Council of Insurance annual regulations, respectively, and analyzed using SPSS 11.5 software and the Wilcoxon non-parametric test.
Results: The differences between the cost reimbursement rates of global operations and their actual costs were lower in 2004 as compared to those in 2003. Also, the actual costs of operations were higher than the global operations reimbursement rates in both years and the difference was significant statistically in either year (P<0/001).
Conclusion: Some of the MOHME and Cancer Institute's authorities and experts believe that the decrease in differences between the cost reimbursement rates of global operations and their actual costs in 2003 compred to 2004 is due to increased awareness of physicians and the accounting and discharge units' personnel of the global operations and related regulations, as well as increasing global operations reimbursement rates. Also, they believe that the differences between the global operations reimbursement rates and their actual costs in either year could be attributed to not considering the actual inflation rate, hospital types, patients' co-morbidities, etc. in calculating the global operations reimbursement rates. It is suggested to make more realistic calculations, taking into account such variables as the actual inflation rate, hospital types, patient co-morbidities, etc.
Mohammad Reza Tavakoli, Saeed Karimi, Marzieh Javadi, Alireza Jabbari,
Volume 14, Issue 1 (6-2016)
Abstract
Background and Aim: In 1995 the new plan (system) of hospital administration plan/scheme (fee for service) was communicated. According to this plan a proportion (percentage) of the hospital income would be allocated to the hospital staff as a fee for service; the remaining would, after deducting other expenditures, be allocated for the autonomy of the hospital. Based on the plan/scheme, the Supervisory Board will consist of two main committees, namely, the High Supervisory Board and the Supervisory Board for the Centers (hospitals). The main objective of this study was to evaluate the performance of the Supervisory Board in the new system of hospital administration plan in selected teaching hospitals of Esfahan, Iran in 2014.
Materials and Methods: This was a qualitative research. Eleven individuals were selected by targeted sampling and interviewed using semi-structured interviews. The thematic analysis method was used to analyze the data.
Result: Based on the thematic analysis results, the main source of weakness in the underlying and structural factors (developing programs and the implementation phase) was the Hospital Administration Supervisory Board in the new system.
Conclusion: It can be concluded that the most notable findings in this study are weaknesses in the underlying and structural factors (developing the program) and weak underlying and structural factors (implementation of the program). The findings will help health policy-makers to develop suitable strategies and a plan of action to minimize weaknesses of the new fee for service scheme/plan.
Afshin Hamdipour, Rasoul Zavareqi, Zahra Mehmannavaz,
Volume 21, Issue 3 (12-2023)
Abstract
Background and Aim: Traditional medicine (TM) or complementary medicine is an old method based on culture, which has been developed in various forms of indigenous therapeutic methods in different societies. This research was conducted with the aim of analyzing the publication trend and visualizing the scientific structure of TM.
Materials and Methods: This study was carried out with a scientometric approach. The statistical population included 29,852 documents indexed in the TM field at the WoS database during the period of 2012 to 2020. The Excel and VOSviewer software were used for data analysis.
Results: The findings showed that the scientific outputs of TM during the period studied had had an upward trend with 343,700 citations. Two universities in South Korea, namely Kyung Hee University and Korea Institute of Oriental Medicine (KIOM), had had the largest number of publications in this field. Further analysis of the data revealed that the highest levels of cooperation occurred between China and the US (565 cooperations), followed by China and Australia (253 cooperations) and China and the UK (134 cooperations). Finally Iran was found globally to have ranked fourth as regards TM publications and to be the most highly specialized country (in terms of RSI) in this field. This would necessitate more attention to appropriate scientific policy-making on the part of the responsible officials.
Conclusion: The cumulative frequency of publications in the field of traditional medicine in 2030 will be twice that in 2020. This trend would require special attention in scientific policy-making.
