scholarly journals Out of Pocket Payment by Inpatients After Health Sector Evolution Plan and Its Effecting Factors: A Report of Iran

2020 ◽  
Vol 21 (8) ◽  
Author(s):  
Hesam Seyedin ◽  
Mahnaz Afshari ◽  
Parvaneh Isfahani ◽  
Kobra Sharifkazemi ◽  
Malihe Morshedi ◽  
...  
Keyword(s):  
Medical Science ◽  
Health Sector ◽  
Science Methods ◽  
Equitable Access ◽  
Medical Sciences ◽  
University Hospitals ◽  
Cross Sectional ◽  
Out Of Pocket Payments ◽  
Random Approach

Background: The health transformation plan (HTP) was implemented in April 2014 in university hospitals to provide equitable access to healthcare, improve the quality of care, and protect patients against high costs of hospitals. Objectives: The present study aimed to investigate out of pocket (OOP) payment by inpatients after the health sector evolution plan (HSEP) and its effective factors in hospitals affiliated with Iran University of Medical Science. Methods: In this study, descriptive and cross-sectional research design was utilized. 277 patients at 5 hospitals affiliated with Iran University of Medical Sciences were selected via simple random approach. Checklists and hospital bills were used to collect data. Then the data were analyzed by SPSS 19.0. Results: The results indicated that OOP was 18.71% of the total hospitals expenditure. There was a significant relationship among insurance status, location, and OOP (P < 0.05). Conclusions: The OOP rate of hospitalized patients was not in accordance with the goal set in the HSEP. Thus, policymakers and managers should take serious measures to decrease out-of-pocket payments.

scholarly journals The Importance-Performance Analysis of the Quality of Services Provided for Patients in Hospitals Affiliated to Ahvaz Jundishapur University of Medical Science

2021 ◽  
Author(s):  
Zahra Ghorbani ◽  
Farzad Faraji-Khiavi ◽  
Effat Jahanbani ◽  
Behnaz Dindamal
Keyword(s):  
Performance Analysis ◽  
Physical Environment ◽  
Medical Science ◽  
Cross Sectional Study ◽  
Quality Of Services ◽  
Sustainable Competitive Advantage ◽  
Quality Factors ◽  
Medical Sciences ◽  
Cross Sectional

Background: Quality is a key factor in the distinction of services, and it is a potential source of sustainable competitive advantage to increase productiveness and patient satisfaction. The identification of strengths and weaknesses in quality of provided services can help to recognize priorities and develop improvement strategies. Objectives: Using importance-performance analysis (IPA) method, this study aimed to evaluate the quality of services provided in hospitals affiliated to Ahvaz Jundishapur University of Medical Sciences, Iran. Methods: Using stratified random sampling, this descriptive-analytical and cross-sectional study included 307 patients admitted to five Educational Hospitals affiliated to Ahvaz Jundishapur University of Medical Sciences in 2016. Data collection tool was a standard questionnaire proposed by Tomes & Chee Peng Ng (1995), which included demographic information and questions regarding the quality of services provided in seven factors. In addition to IPA, data were analyzed using descriptive statistics, analysis of variance (ANOVA), Pearson’s correlation, and chi squared test in SPSS software version 21. Results: Total scores of quality factors were estimated as “important” in our research. In quality performance, “food”, “physical environment” and “dignity” factors were estimated as “relatively inappropriate” by mean scores of 2.50 ± 0.95, 2.90 ± 0.97 and 2.94 ± 1.05, respectively. These three factors were located in the second region of the IPA matrix. While the other four factors, including “empathy”, “relationship of mutual respect”, “understanding of illness” and “religious needs,” with mean scores higher than 3 were estimated as “appropriate” and located in the first region of this matrix. In all quality factors, scores of performance were lower than importance, and the gap between importance and performance in these seven factors ranged from 0.82 to 1.52. There was a significant relationship between age and education of respondents with the quality of services. Conclusions: Given that the largest gap was related to the tangible dimensions of quality (including food and physical environment) and in order to improve the quality of services and competitive position, hospital managers must consider tangible dimension as a priority. Keywords: Quality of Services; Importance-Performance Analysis; Hospital; Hospital Services.

Depression frequency in Urmia University of medical sciences, Iran

2011 ◽  
Vol 26 (S2) ◽  
pp. 596-596
Author(s):  
N. Aghakhani ◽  
S. Eghtedar
Keyword(s):  
Medical Science ◽  
Data Gathering ◽  
Cross Sectional Study ◽  
The Body ◽  
Medical Sciences ◽  
Cross Sectional ◽  
Prevalence Of Depression ◽  
Depression Level ◽  
West Azerbaijan

BackgroundA depressive disorder is an illness that involves the body, mood, thoughts, and behaviors. It affects the way a person eats, feels, sleeps and thinks about things. A research about depression in Urmia University of medical sciences was done to propose some methods for solving of problems of the students. This study aimed to identify the presence of depression among medical studentsMethodsThis study designed to determine prevalence of depression in student of Urmia, Iran. A descriptive cross-sectional study was conducted on 700 undergraduate medical and basic students in Urmia University of medical science, west Azerbaijan Province, Iran. BDI questionnaire has been used for data gathering.ResultsMean score of students was 10.4 ± 0.8 and 52.6% of students scored under the threshold of Beck depression inventory questionnaire indicating depressed. 2% of them have a major depression. Results didn’t observe any significant relationship between ages, education, sex, rank of birth, duration of education. Depression level in Urmia medical science university was very high that can affect on the quality of education and social behavior of the students.ConclusionIt is important to research the causes of depression and plan to omit them. Establishment of consulting and recreation and problem solving centers that they will have in the future can be helpful.

Current Progress in Biomedical Applications of Chitosan-Carbon Nanotube Nanocomposites: A Review

2020 ◽  
Vol 20 (16) ◽  
pp. 1619-1632
Author(s):  
Katarzyna Pieklarz ◽  
Michał Tylman ◽  
Zofia Modrzejewska
Keyword(s):  
Carbon Nanotube ◽  
Medical Science ◽  
Antimicrobial Properties ◽  
Polymer Materials ◽  
Biological Macromolecules ◽  
Medical Sciences ◽  
New Generation ◽  
High Degree ◽  
Dressing Materials

The currently observed development of medical science results from the constant search for innovative solutions to improve the health and quality of life of patients. Particular attention is focused on the design of a new generation of materials with a high degree of biocompatibility and tolerance towards the immune system. In addition, apart from biotolerance, it is important to ensure appropriate mechanical and technological properties of materials intended for intra-body applications. Knowledge of the above parameters becomes the basis for considerations related to the possibilities of choosing the appropriate polymer materials. The researchers' interest, as evidenced by the number of available publications, is attracted by nanobiocomposites based on chitosan and carbon nanotubes, which, due to their properties, enable integration with the tissues of the human body. Nanosystems can be used in many areas of medicine. They constitute an excellent base for use as dressing materials, as they exhibit antimicrobial properties. In addition, they can be carriers of drugs and biological macromolecules and can be used in gene therapy, tissue engineering, and construction of biosensors. For this reason, potential application areas of chitosan-carbon nanotube nanocomposites in medical sciences are presented in this publication, considering the characteristics of the system components.

scholarly journals Comparison of Quality and Lifestyle in Women with and Without Uterine Leiomyoma Referred to Gynecology Clinics of Shiraz University of Medical Sciences in 2018

2020 ◽  
Vol In Press (In Press) ◽  
Author(s):  
Mahnaz Zarshenas ◽  
Mozhgan Sorkhenezhad ◽  
Marzieh Akbarzadeh
Keyword(s):  
Quality Of Life ◽  
Uterine Leiomyoma ◽  
Healthy Lifestyle ◽  
World Health ◽  
Medical Sciences ◽  
Cross Sectional ◽  
World Health Organization Quality ◽  
Significant Difference ◽  
The Mean

Background: Uterine leiomyomas are considered as a major source of complications and the most common cause of hysterectomy. Objectives: The aim of this study was to compare the quality of life in women with and without uterine leiomyoma referred to gynecology clinics of Shiraz University of Medical Sciences in 2018. Methods: In this cross-sectional study, a total of 126 patients who referred to the clinics of Shiraz University of Medical Sciences were selected and divided into equal groups according to uterine leiomyoma, 1 - 7 cm uterine leiomyoma group and non-uterine leiomyoma group by convenience sampling. The World Health Organization Quality of Life and Healthy Lifestyle questionnaires were used for data collection. Independent t-test was used to analyze the data. Results: The mean quality of life of women with uterine leiomyoma was 47.20 ± 12.41 and women without uterine leiomyoma had a significant difference (51.11 ± 11.23, t = 3.93, P = 0.041). The mean lifestyle of women with uterine leiomyoma was 114.18 ± 25.48 and women without uterine leiomyoma had 149.11 ± 23.81 (t = 4.01, P = 0.029). Conclusions: The mean score of quality of life and lifestyle were significantly different in women with and without uterine leiomyoma. Therefore, it is necessary to improve the quality of life of women by improving their lifestyle and providing psychological counseling.

scholarly journals Imagination of Glass Government Based on the Level of Transparency, Corruption, Public Awareness, and Trust in Mazandaran University of Medical Sciences

2020 ◽  
Author(s):  
Atefeh Ya'aqoubi ◽  
Masoud Ahmadi ◽  
Rahman Qaffari
Keyword(s):  
Public Awareness ◽  
Medical Science ◽  
Trust In Government ◽  
Medical Sciences ◽  
Cross Sectional ◽  
Descriptive Research ◽  
Kolmogorov Smirnov ◽  
The Government ◽  
The Relationship ◽  
Evolution Committee

Background and Purpose: In order to have an imagination of glass government, it is a priority to consider corruption, transparency, trust, and awareness. The present research aimed to model the relationship between the mentioned variables in the hospitals of Mazandaran Medical Science University. Materials and Methods: This was a cross-sectional descriptive research. The population included all medical and administrative staff of selected hospitals from east of Mazandaran in 2019, consisting of 4251 persons (1774 male and 2477 females), and the research was carried out on the basis of data from 353 subjects according to Cochran formula by classified sampling fitted to the size of each class. The required data were collected by using standard questionnaire and analyzed by SPSS and AMOS Software. In descriptive statistics, descriptive indicators, such as mean, variance, minimum and maximum and frequency tables, were used and in inferential statistics, the collected data were analyzed by using Kolmogorov-Smirnov tests to check the normality of the data, and path analysis. Results: The findings from confirmative factor analysis showed that transparency had a significant effect on perceived corruption (with standard deviation of 0.32 and T value of 4.814), public awareness (0.22 and 3.284), trust in government (0.23 and 3.303), trust in administrative evolution committee (0.48 and 7.109), perceived corruption on trust in government (0.28 and 4.436), trust in administrative evolution committee (0.33 and 5.483), public awareness on perceived knowledge (0.20 and 3.052), and trust in administrative evolution committee (0.16 and 2.878) and trust in administrative evolution committee had effect on trust in government (0.29  and 3.453), but public awareness had no significant effect on trust in government (0.10  and 1.715). Conclusion: Glass government should pursue reducing corruption at the level of subordinate organizations with more transparency and awareness and by doing so, trust in the government and administrative evolution committees will be achieved.

scholarly journals Assessing the Quality of Life in Medical Students in Ardabil University of Medical Sciences

2021 ◽  
Author(s):  
Raana Jafarizadeh ◽  
Somayeh Zeynizadeh-Jeddi ◽  
Akbar Pirzadeh ◽  
Mahzad Yousefian ◽  
Firouz Amani
Keyword(s):  
Quality Of Life ◽  
University Students ◽  
Demographic Data ◽  
Physical And Mental Health ◽  
Validity And Reliability ◽  
Medical Sciences ◽  
Cross Sectional ◽  
The Mean ◽  
Medical University

Introduction: Quality of life (QOL) is an important index in society that need for evaluation in all age groups people especially in medical university students as a people that their physical and mental health is related with community health. This study aims to investigate the quality of life (QOL) of Ardabil University of Medical Sciences. Methods: This is a cross-sectional study that has been conducted on 200 students who selected by random sampling method from Ardabil medical university students. The QOL was measured by WHOQOL-BREF which its validity and Reliability were investigated and approved. This questionnaire include 26 questions in four dimensions (physical, mental, social and environmental health). Collected data we analyzed by statistical test such as t-test for compare the mean of QOL score among demographic data. Results: Of all students, 57% were male and 91.5% were single. Of all students, 56% had desired quality of life. The relationships between QOL and variables such as gender, educational level, marital status and age of students wasn’t significant. The mean difference of four dimension scores among two sexes was statistically significant. The mean of Physical health dimension score was 11.6±2.1, Psychological was 12.3±2.4, Social relationships was 13.1±3.4 and environment was 12.7±3.2. The mean of total score of QOL in all students was 12.4±2.3. Conclusion: Results showed that the QOL of all students were in high level and in four dimension of QOL the female students had significant higher score than male students.

scholarly journals Comparative Analysis of Research Performance of Medical Universities Based on Qualitative and Quantitative Scientometric Indicators

2020 ◽  
Author(s):  
Zoleikha Ranjbar-Pirmousa ◽  
Narges Borji-Zemeidani ◽  
Mirsaeed Attarch ◽  
Shadman Nemati ◽  
Farzaneh Aminpour
Keyword(s):  
Research Performance ◽  
Citation Impact ◽  
Medical Sciences ◽  
Northern Iran ◽  
Cross Sectional ◽  
Scientometric Indicators ◽  
Scientific Outputs ◽  
Number Of Publications ◽  
Number Of Citations

Evaluation of the research status of the academic institution provides it with the possibility of accurate research policymaking. Scientometric indicators are important tools for evaluating scientific activities of individuals, groups, and institutions. The current research aims to analysis the research performance of medical universities in Northern Iran based on quantitative and qualitative scientometric indicators. In this cross-sectional descriptive study, the Scopus-indexed scientific documents provided by medical universities in the Northern Iran have been studied in terms of number of publications, number of citations, average number of Citations per Publication (C/P), Field-Weighted Citation Impact (FWCI), scientific collaborations, the number of in top 10% citation percentile, and the number of publications in top 10% journal percentile according to CiteScore, Source Normalized Impact per Paper (SNIP), and SCImagoJournal Rank (SJR) indicators during a five years period. According to the findings, Mazandaran University of Medical Sciences has gained the highest position in terms of the number of publications and citations, number of publications with international and national collaborations, and  academic-industrial collaborations., while Golestan University of Medical Sciences has gained a higher position in terms of scientific outputs in top 10% citation percentile and journal percentile, CiteScore, SNIP, SJR and C/P. In terms of the FWCI indicator, Golestan University of Medical Sciences has achieved the highest value. Considering academic status and research capabilities of medical universities in the Northern Iran, increasing academic-industrial collaboration, expanding academic collaboration with superior universities and institutions around the world can be effective in increasing the quality of research and upgrading academic ranks of universities at national, regional and international levels. © 2019Tehran University of Medical Sciences. All rights reserved. Acta MedIran 2019;57(7):448-455.

scholarly journals Association between Hospital Accreditation and Patient Satisfaction: A Survey in the Western Province of Iran

2017 ◽  
Vol 16 (1) ◽  
pp. 77-84 ◽  
Author(s):  
Rafat Mohebbifar ◽  
Sima Rafiei ◽  
Asghar Mohammadpoor Asl ◽  
Mohammad Ranjbar ◽  
Mona Khodayvandi
Keyword(s):  
Patient Satisfaction ◽  
Medical Science ◽  
Cross Sectional Study ◽  
Physical Structure ◽  
Information Communication ◽  
Medical Sciences ◽  
Hospital Accreditation ◽  
Cross Sectional ◽  
Strong Relation ◽  
Education Medical

Background: In recent years accreditation programs have been developed to assess the quality of care and patient safety in hospitals. Quality is a multidimensional concept with patient satisfaction as one of the important facets. This study aimed to test any relationship between patient satisfaction and hospital accreditation.Material and Methods: A cross-sectional study of seven hospitals in Hamadan, Iran, was conducted in 2013. Patient satisfaction was analyzed through a self-made questionnaire and data on hospitals’ accreditation scores were obtained from the Curative Deputy of Hamadan University of Medical Sciences. Statistical analysis was done using SPSS 20.Results: Our research found out a strong relation between satisfaction scores and length of stay, hospital type, human resources condition, information, communication and education, medical equipment and physical structure, accessibility to clinical services, emotional support, management and coordination of care. Findings also revealed a significant negative association between hospital accreditation and patient satisfaction except for the domain of emotional support.Conclusion: Findings support healthcare managers with helpful information about the variables that are related to patient satisfaction. This understanding will make them capable to meet needs and preferences of patients more effectively. Study also confirmed the importance of developing an accreditation system based on outcome parameters and providing responsive services to patients which can positively impact their satisfaction.Bangladesh Journal of Medical Science Vol.16(1) 2017 p.77-84

Self-medication Pattern and Prevalence Among Iranian Medical Sciences Students

2020 ◽  
Vol 15 (1) ◽  
pp. 45-52 ◽  
Author(s):  
Nastaran Niroomand ◽  
Mohsen Bayati ◽  
Mozhgan Seif ◽  
Somayeh Delavari ◽  
Sajad Delavari
Keyword(s):  
Medical Science ◽  
Cross Sectional Study ◽  
Medical Sciences ◽  
Negative Effects ◽  
Self Medication ◽  
Medication Usage ◽  
Chi Square ◽  
Cross Sectional ◽  
Over The Counter ◽  
Negative Results

Background: Self-medication could be risky behavior and has negative effects. While Over the Counter (OTC) drugs are available at drugstores, the behavior has become prevalent among the general population. Objective: This study aimed at surveying self-medication behavior among medical sciences students of Shiraz, Iran. Methods: A sample of 396 students from medical, paramedical, and health sciences disciplines were included in this cross-sectional study. They were asked to fill a questionnaire about their demographics and socioeconomic status, medication usage and self-medication in the last six months, information about the correct use of medication, and information about negative results of selfmedication. Data were analyzed using chi-square, t-test and logistic regression model using R statistical software. Results: Almost 72% of participants reported self-medication in the past sixth months. The main reasons included trust in their own diagnosis (59.9%), mildness of the disease (56.6%), and having previous experience about the disease (56%). Cough or cold (84.5%), headache (66.3%), and body pain (60.2%) were the most frequent diseases that led to self-medication. The majority of the participants (77.7%) reported they select their medicine on their own decision. Furthermore, self-medication was highly related to having medicine stock at home (OR=2.692), having less information about negative results of self-medication (OR=0.835), and more non-syllabus study time (OR=1.041). Conclusions: Although, medical science students have information about the treatment of illnesses, they should be more informed about negative results and side-effects of self-medication. They should also share their knowledge with society to decrease self-medication.

scholarly journals Patients’ satisfaction with quality of care in general hospitals in Ebonyi State, Nigeria, using SERVQUAL theory

2020 ◽  
Vol 8 ◽  
pp. 205031212094512
Author(s):  
MaryJoy Umoke ◽  
Prince Christian Ifeanachor Umoke ◽  
Ignatius O Nwimo ◽  
Chioma Adaora Nwalieji ◽  
Rosemary N Onwe ◽  
...  
Keyword(s):  
Quality Of Care ◽  
Health Workers ◽  
Health Sector ◽  
Sampling Technique ◽  
Healthcare Facility ◽  
Cluster Sampling ◽  
Cross Sectional ◽  
General Hospitals ◽  
Patients Satisfaction

Background: Patient satisfaction is an essential parameter in the assessment of quality of care and healthcare facility performance. Objective: To investigate patients’ satisfaction with quality of care in general hospitals in Ebonyi State, South East, Nigeria, using the SERVQUAL. Methods: A cross-sectional descriptive study design was employed on a sample of 400 patients using a 27-item structured open-ended patients’ satisfaction questionnaire with a multi-stage cluster sampling technique. Patients included in the study were those who must have come for an outpatient clinic within the period, be 18 years and above, and those who gave consent to participate. Of 400 questionnaires administered, 396 (99%) were retrieved. SPSS version 20 was used for data analysis. Descriptive statistics, such as frequencies, percentages, mean score ( x), and standard deviation, were employed for interpretation. Results: Out of 396 patients, 156 (39.4%) were male and 240 (60.6%) were females. Most patients were 18–39 years (233 (58.8%)), had secondary education (139 (35.1%)), married (221 (55.8%)), earned <18,000 (170(42.9%)), and were traders (136 (34.3%)). Patients were satisfied with tangibility (2.57 ± 0.99) and reliability (2.84 ± 0.95) and very satisfied with responsiveness (3.06 ± 0.63), assurance (3.07 ± 0.63), and empathy (3.12 ± 0.57). Conclusions: Patients were satisfied with the quality of care. However, satisfaction was highest with empathy and lowest with tangibility. Thus, managers should focus their quality improvement efforts on areas of the neat appearance of health workers, waiting facilities for attendants and patients, and hygienic conditions at the hospital. Also, biannual assessment of patients’ satisfaction should be done and the results generated use judiciously to provide a platform for health sector reform.

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