scholarly journals Changes in the Rate of Some Rare Neonatal Outcomes After the Implementation of the Health System Reform Plan in Iran: A 70-Month Case Study of an Educational Hospital Research

2020 ◽  
Vol In Press (In Press) ◽  
Author(s):  
Parvaneh Sadeghi-Moghaddam ◽  
Azadeh Asgarian ◽  
Mohammad Aghaali
Keyword(s):  
Health System ◽  
Vaginal Delivery ◽  
Apgar Score ◽  
Clavicle Fracture ◽  
Neonatal Outcomes ◽  
Hypoxic Ischemic Encephalopathy ◽  
System Reform ◽  
Health System Reform ◽  
Reform Plan ◽  
Ischemic Encephalopathy

Background: The health system reform plan (HSRP) was launched in Iran on 15 May 2014, with three approaches to protect people from the financial system, create equity in access to health services, and improve the quality of services. Objectives: The present study aimed at investigating the changes in the rate of some rare neonatal outcomes after the implementation of HSRP in Iran. Methods: The present cross-sectional study was conducted in Izadi Hospital in Qom Province, in which 52,817 vaginal delivery and cesarean sections were evaluated for the incidence of complications from 15 June 2011 to 15 April 2017. The complications included hypoxic-ischemic encephalopathy, low Apgar score, cephalohematoma, clavicle fracture, the Erb palsy, and intracerebral hemorrhage. Complications were compared per 10,000 births before and after the implementation of the plan. Data were analyzed with SPSS software using t- and chi-squared tests. Results: There was a significant increase after the implementation of HSRP compared to before that in the rate of complications per 10,000 vaginal deliveries for stage 2 hypoxic-ischemic encephalopathy (P = 0.001), birth with a low Apgar score (P < 0.001), cephalohematoma (P < 0.001), and clavicle fracture (P = 0.002). In the case of cesarean section, there was a significant increase in the 2 (P = 0.001) and 3 (P = 0.034) stages of hypoxic-ischemic encephalopathy and birth with a low Apgar score (P < 0.001). Conclusions: It can be concluded that HSRP could somewhat achieve its goals on the promotion of vaginal delivery. However, the implementation of the plan was associated with an increase in some minor neonatal complications.

scholarly journals The Effect of Health System Reform Plan on Neonatal Outcomes: A Case Study in an Educational Hospital, 2011-2016, (Iran)

2018 ◽  
Vol 12 (6) ◽  
pp. 48-54 ◽  
Author(s):  
Parvaneh Sadeghi-moghadam ◽  
Azadeh Asgarian ◽  
Monireh Tondari ◽  
Hora Toosi ◽  
Mohammad Aghaali ◽  
...  
Keyword(s):  
Health System ◽  
Neonatal Outcomes ◽  
System Reform ◽  
Health System Reform ◽  
Reform Plan

scholarly journals Inputs of Iranian health system reform plan from health sector managers and policy-makers' points of view

2018 ◽  
Vol 7 (1) ◽  
pp. 126 ◽  
Author(s):  
Mahan Mohammadi ◽  
MohammadHossein Yarmohammadian ◽  
Elahe Khorasani ◽  
MohsenGhaffari Darab ◽  
Manal Etemadi
Keyword(s):  
Health System ◽  
Health Sector ◽  
System Reform ◽  
Policy Makers ◽  
Health System Reform ◽  
Reform Plan ◽  
Points Of View ◽  
Iranian Health System

scholarly journals Study of the Effect of Health System Reform Plan Administration on the Satisfaction Level among Medical Doctors and Nurses in Tabriz State Hospitals, East Azerbaijan, Iran

2021 ◽  
Vol 9 (3) ◽  
pp. 21
Author(s):  
Saeed Jodi ◽  
Hossein Mahmoudi ◽  
Vahid Majidi
Keyword(s):  
Health Services ◽  
Health System ◽  
System Reform ◽  
Satisfaction Level ◽  
Medical Doctors ◽  
Health System Reform ◽  
State Hospitals ◽  
Reform Plan ◽  
East Azerbaijan ◽  
Doctors And Nurses

Having three orientations, the Health System Reform Plan (HSRP) has been administered to financially support and protect people, provide fair health services and promote the quality of health services. To be unsatisfied about health and medical services brings undesirable outcomes. The present investigation aimed to study the effect of Health System Reform Plan (HSRP) on the satisfaction level among medical doctors and nurses of Tabriz state hospitals, East Azerbaijan province, Iran in a period from 21th February; 2015 to 22th June; 2015. Statistical population included those patients who referred to Tabriz state hospitals. We used stratified sampling method. To collect data we used questionnaire being presented to the samples after assessing its validity and reliability. We also utilized descriptive and inferential statistics in a way that we used descriptive method to classify, summarize and interpret of obtained data. Then after demonstrating the abnormality of data by Kolmogorov-Smirnov test we used linear and multiple regressions to test research hypothesis and effect from the perspective of inferential method. Obtained results confirmed the research hypothesis and explained that the administration of HSRP affected medical doctors’ level of satisfaction. Also, according to the results of multiple regression tests, doctors and nurses’ satisfaction level was placed at the top of most affected issues from HSRP.

scholarly journals A critical analysis of Iran health system reform plan

2020 ◽  
Vol 9 (1) ◽  
pp. 364
Author(s):  
Nooredin Mohammadi ◽  
Fatemeh Kalroozi ◽  
MansourehAshghali Farahani ◽  
BehzadHaghighi Aski ◽  
AliManafi Anari
Keyword(s):  
Health System ◽  
Critical Analysis ◽  
System Reform ◽  
Health System Reform ◽  
Reform Plan

scholarly journals Challenges of Health System Reform Plan in Bushehr: A Qualitative Study

2020 ◽  
Vol 22 (6) ◽  
pp. 415-431
Author(s):  
Maryam Ravanipour ◽  
Afshin Ostovar ◽  
Hossein Darabi ◽  
Shahnaz Pouladi ◽  
◽  
...  
Keyword(s):  
Qualitative Study ◽  
Health System ◽  
System Reform ◽  
Health System Reform ◽  
Reform Plan

scholarly journals Prioritization of Hospital Information System’s Executive Barriers to Patient Payment Reduction and Visitation Quality Improvement Packages of Health System Reform Plan from the Perspectives of Users and Experts in Hospitals of Yazd

2021 ◽  
Author(s):  
Mohammadhossein Dehghani ◽  
Hojjat Rahmani ◽  
Farhad Habibi ◽  
Ghasem Rajabi Vasokolaei ◽  
Somayeh Abedini ◽  
...  
Keyword(s):  
Quality Improvement ◽  
Health System ◽  
High Volume ◽  
Practical Training ◽  
System Reform ◽  
University Hospitals ◽  
Healthcare Provision ◽  
Health System Reform ◽  
Healthcare Facilities ◽  
Reform Plan

Background: Healthcare facilities are dependent on hospital information systems due to the high volume and variation of information in different fields. These systems are a prerequisite for effective and high-quality healthcare provision in hospitals. Objectives: The present study intended to prioritize the executive barriers to these systems in patient payment reduction and visitation quality improvement packages of the health system reform plan (HSRP) from the perspectives of users and experts in selected university hospitals of Yazd, Iran, in 2019. Methods: The population of this descriptive-analytical study included 110 participants, including experts of information technology (IT) unit, hospital managers, and personnel of the administrative and medical units dealing with the hospital information system. The data collection tool was a researcher-made questionnaire based on similar studies, the validity of which was evaluated by a committee of experts. Also, the reliability of the questionnaire was investigated and confirmed before the study using the Cronbach’s alpha method and a sample of 30 participants. Data analysis was performed using SPSS software version 21. Results: Among the six barrier dimensions, the highest mean score belonged to the professional factors (3.46 ± 1.03), followed by human barriers (3.44 ± 0.83). Among professional barriers, the lack of motivation of the personnel in IT learning and get training on the IT-related skills had the highest mean score of 3.67. Conclusions: According to the results, outsourcing such services and special budget allocation for hardware and software update and support, holding conferences, and provision of practical training in this field are suitable strategies for better implementation of such systems.

scholarly journals Designing a Comprehensive Evaluation Model for Health Reform Plan in Iran

2021 ◽  
Author(s):  
Mohammadreza Rabiee Mandejin ◽  
Shahriar Janbazi
Keyword(s):  
Social Responsibility ◽  
Health System ◽  
Health Reform ◽  
Delphi Technique ◽  
Comprehensive Evaluation ◽  
System Reform ◽  
Statistical Population ◽  
Health System Reform ◽  
Internal Process ◽  
Reform Plan

Background: The present study aimed to design a comprehensive model to evaluate the health system reform plan so the indicators of this model can lead to the health reform plan's effectiveness. Hence, this plan's effective factors, including policymakers and managers, suppliers, and clients, were identified and explained. Methods:According to the practical purpose and nature of the research, the combined/mixed research method was used, in 2018-2019. For the qualitative phase, the Delphi technique was used in exploratory interviews, and quantitative methods were used to collect data through a questionnaire. In the quantitative phase, 400 employees of 10 hospitals were selected by stratified random sampling; and in the second section, 300 clients were randomly selected in two hospitals with the highest and lowest evaluation scores in the previous phase. Content analysis method and Delphi technique were used for classification and analysis of qualitative data, and SPSS Ver.22, AMOS Ver.24 and Expert Choicev24 were used for data description and dimensions and indices' weight extraction. Dimensions under consideration include the financial, social responsibility, growth and learning, citizens and client, and internal process fields. Results: The components with the highest and lowest weight and impact on the effectiveness of the plan were identified in the following dimensions: financial field, Social responsibility field, growth and learning field, citizens and client field, internal process field, including weights 0.266, 0.244, 0.202, 0.164, 0.124, respectively. Conclusion: Given the results, the components, indicators, dimensions, and levels of the model designed, the comprehensive evaluation of the Health System Reform Plan in Iran (CEHSRP-IR) with the normal mean was confirmed by the statistical population, and this model can be used in all organizations implementing this plan.

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