Papers by Mahmoud Keyvanara
Informatics in Medicine Unlocked
BMC Oral Health
Background Complex psychological and physiological changes occur in women’s body during pregnancy... more Background Complex psychological and physiological changes occur in women’s body during pregnancy. These changes affect both oral health status and oral health-related quality of life (OHRQoL). In almost all of the previous cross-sectional design studies on pregnant women, generic OHRQoL instruments have been used to measure OHRQoL. While such instruments may be reliable, they may not be appropriate to evaluate the OHRQoL in special populations like pregnant women. The purpose of this study was to investigate the self-perceived factors affecting the OHRQoL among pregnant women. Methods In this qualitative descriptive study, twenty- seven pregnant women were recruited from four healthcare centers located in Isfahan city, Iran. The interpretative phenomenological analysis was used to collect and analyze the data. Four criteria of credibility, dependability, transferability, and confirmability were implemented through established procedures to confirm the study rigor. Results Three maj...
Archives of Trauma Research
Journal of Education and Health Promotion
Health Scope
Background and Objective: Recently in Iran, the Health Transformation Plan (HTP) was formulated b... more Background and Objective: Recently in Iran, the Health Transformation Plan (HTP) was formulated by policy makers to reduce the amount of the out of pocket expenditures. The HTP caused different effects on medicines and medical supplies. The purpose of this paper was the identification of these effects. Methods: This study was a qualitative research performed in a 14-month interval in Iran during 2014-2015. A total of 17 semistructured interviews were used for data gathering. Participants were health authorities associated with the subject of the research and background in health executive management. They were aware of the HTP. Purposive sampling was done for data saturation. Criteria such as "Credibility", "Conformability", and "Dependability" were considered. Interviewees' anonymity was preserved. The data were transcribed, categorized, and then used the thematic analysis. Results: According to the thematic analysis, 6 themes and 21 sub-themes were found. Two main categories were identified. (I) The overt effects (3 themes) included optimizing the management of medicine and medical supplies, their cost controlling, and improving of supervision on distribution and consumption of them. (II) The covert effects (3 themes) included an increase in demand for hospitalization, a rise in total costs, and waste of hospital resources Conclusions: The HTP, besides positive and overt effects, had covert effects. The HTP increased not only in patients' inclination to stay more in hospitals, but also it increased total health expenditures and wasting resources. It could be suggested that, policy makers use this results to guarantee the success of the HTP.
Asia Pacific Journal of Social Work and Development
Iranian Journal of Medical Informatics
Introduction: Cardiovascular diseases have high morbidity and mortality rate. Disease registry sy... more Introduction: Cardiovascular diseases have high morbidity and mortality rate. Disease registry system is a clinical information system designed and implemented for patient information management and one of the essential steps in its implementation is the analysis of collected data. Since the basis of data collection in each data registry system is data element, this research was conducted to compare data elements and data analysis in myocardial infarction registry system in selected countries and Iran.Material and Methods: This research was applied in a comparative way. The research community included the registry of myocardial infarction in the United States, Switzerland, Malaysia and Iran. The data collection method was to study the documentation and interview with the registry specialists and analyze the findings was done by drawing comparative tables.Results: Of the 26 extracted data elements, there were only 16 cases in Iran's registry system. In all registry systems, data ...
Australian Journal of Psychology
Journal of education and health promotion, 2015
Quality of life (QOL) is one of the health indexes for which many efforts have been made to defin... more Quality of life (QOL) is one of the health indexes for which many efforts have been made to define and measure during the last four decades of the 20(th) century in many countries. This paper is aimed at studying the QOL in relation to socioeconomic status of the general population of Isfahan in 1390. We applied a descriptive-analytical and sectional method. In this research, 385 women and men over 15 years of age from 14 regions of Isfahan's municipality were studied using multi-stage quota sampling. We examined QOL using the SF-36 standard questionnaire, along with two domains of mental and physical health and eight subscales within the validity domain of 65-90%. Social (81%) and economical (70%) status was also measured by the questionnaire instrument in both objective and subjective domains after confirming the validity and reliability of the instruments. The given data were analyzed by SPSS 17 software and using descriptive and statistical tests. The indicators of QOL showe...
Journal of education and health promotion, 2017
As one of the indicators of actual growth and scientific development capacity of countries, the i... more As one of the indicators of actual growth and scientific development capacity of countries, the importance of the research is steadily increasing. Knowing that success depends on the work done by researchers so identified identify these barriers and pave the way for one of the concerned authorities of their research. This qualitative study using analysis of the theme. Semi-structured interviews were used to collect the data. Participants include people who are experienced and knowledgeable in the field. Sampling was purposeful and continued until data saturation. The criteria of "reliability", "trustworthiness", "reliability" and "significant consolidation" of data were considered. Data analysis led to the extraction of code 600, 5, and 35 issues were Zyrmvzv. Five topics including motivation, success factors, barriers and problems, reflections and strategies, respectively. Discussion interest, innovation, the ability to apply research methods...
Journal of education and health promotion, 2017
Disaster patient tracking consists of identifying and registering patients, recording data on the... more Disaster patient tracking consists of identifying and registering patients, recording data on their medical conditions, settings priorities for evacuation of scene, locating the patients from scene to health care centers and then till completion of treatment and discharge. The aim of this study was to design a model of patient tracking system for natural disaster in Iran. This applied study was conducted in two steps in 2016. First, data on disaster patient tracking systems used in selected countries were collected from library-printed and electronic references and then compared. Next, a preliminary model of disaster patient tracking system was provided using these systems and validated by Delphi technique and focus group. The data of the first step were analyzed by content analysis and those of the second step by descriptive statistics. Analysis of the comments of key information persons in three Delphi rounds, consisting of national experts, yielded three themes, i.e., content, fu...
Trauma Monthly
Objectives: The aim of this study was to explore key informants' experiences about challenges and... more Objectives: The aim of this study was to explore key informants' experiences about challenges and recommendations of patient identification and tracking in past earthquakes in Iran. Methods: A qualitative survey of key informants' experiences and views was carried out on emergency physicians and nurses, first responders and managers of red crescent society, and emergency medical services (EMS) from March to September 2015. Semistructured interviews were performed with informants who had experience of response to past earthquakes in Iran by using a purposive sampling method. Interviews were audiotaped, transcribed, and entered into MAXQDA (version 10) for coding and content analysis. A thematic analysis of interview transcripts was undertaken. Results: 5 themes including the crowd's presence, lack of unified command and integrated management, deficiency of planning, shortage of managerial and information infrastructures, and human resources challenges with their subthemes were explored. Also, some solutions were explored as follows: community education, chain of command and integrated management in the disaster scene, and training the emergency medical personnel and first responders. Conclusions: There are many challenges that should be solved for improving patient tracking in future disasters in Iran. Planning for proper and effective communication between agencies that have responsibility for disaster management is very important. Also, community education is a vital measure to familiarize them with disaster and teach them how to save lives.
Iranian Journal of Nursing and Midwifery Research
According to the Agency for Healthcare Research and Quality, 10.8% of the patients believe that h... more According to the Agency for Healthcare Research and Quality, 10.8% of the patients believe that health care providers sometimes or never listen to them, they do not explain things clearly, they do not respect what they say, and they do not spend enough time with them. [6] Basic aspects of care such as the nature of nurse education, low staffing levels,
World journal of emergency medicine, 2017
After a disaster, all victims have to be rapidly and accurately identified for locating, tracking... more After a disaster, all victims have to be rapidly and accurately identified for locating, tracking and regulating them. The purpose of this study was to summarize people's experiences that how the patients were tracked in past earthquake disasters in Iran. A qualitative study was carried out in 2015. This was an interview-based qualitative study using content analysis. The interviewed people included physicians, nurses, emergency medical technicians, disaster managers, Red Crescent Society' first responders and managers. Participants were identified using a snow ball sampling method. Interviews were audiotaped, transcribed, coded, and entered into MAXQDA (version 10) for coding and content analysis. Three main themes and seven categories including content (recoding data), function (identification of victims, identification of the deceased, informing the patients' relatives, patients' evacuation and transfer, and statistical reporting), technology (the state of using t...
Journal of medical ethics and history of medicine, 2016
Moral hazards are the result of an expansive range of factors mostly originating in the patients&... more Moral hazards are the result of an expansive range of factors mostly originating in the patients' roles. The objective of the present study was to investigate patient incentives for moral hazards using the experiences of experts of basic Iranian insurance organizations. This was a qualitative research. Data were collected through semi-structured interviews. The study population included all experts of basic healthcare insurance agencies in the City of Isfahan, Iran, who were familiar with the topic of moral hazards. A total of 18 individuals were selected through purposive sampling and interviewed and some criteria such as data reliability and stability were considered. The anonymity of the interviewees was preserved. The data were transcribed, categorized, and then, analyzed through thematic analysis method. Through thematic analysis, 2 main themes and 11 subthemes were extracted. The main themes included economic causes and moral-cultural causes affecting the phenomenon of mor...
International Journal of Health System and Disaster Management, 2016
International Journal of Educational and Psychological Researches, 2016
Aim: As we know, due to the undesirable structural and functional changes arise from aging, old p... more Aim: As we know, due to the undesirable structural and functional changes arise from aging, old people need more healthcare services than other groups in society. Many factors affect utilization of health services in this age group. Cultural factors can be named as the most important since they play a basic role in determining people's lifestyle and ultimately in the health protection behaviors. Therefore, this paper is aimed at investigation of cultural factors, affecting old people benefit of health services in Isfahan province in 2014. Methods: This study was descriptive analytic, conducted in later 2014. The research population consisted of people aged over 60 years who had been admitted in 12 hospitals affiliated to Isfahan University of Medical Sciences. Two hundred seventy-five people were selected and entered into the research using random sampling method. Data gathering tool was a researcher-made questionnaire in three scopes, and finally the data analyzed at two levels of descriptive level (including frequency, percentage, mean and standard deviation (SD) and inferential level (including statistical tests comparing independent group means, correlation coefficient test, and multivariable regression) in SPSS 22 software. Result: The results showed that the level of utilization for people who had routine exercises and jugging was 0.3 units of SD upper than others. Meanwhile, by increasing exercise frequency, level of religious beliefs and opinions and the having a proper and healthy diet, the utilization of healthcare services decreases by −0.198, −0.150 and −0.196, respectively. In fact, 5.5% of changes in health services utilization variable are explained by the research independent variables. Conclusion: The study showed that doctors' recommendations on physical activities, reasonable increase in exercise frequency, access to rich and healthy food, and religious beliefs can affect old people's utilization of health services; but they cannot explain all variances of it. Therefore, according to complexity of health related issues, other involved variables should be identified and investigated.
Background & Objective: An appropriate relationship between a physician and a patient wil... more Background & Objective: An appropriate relationship between a physician and a patient will lead to earning patients' trust, prevention of frequent referrals to multiple physicians and patients' bewilderment, and lastly, it results in saving time and money. Hence, this study ...
Payavard Salamat, 2014
ABSTRACT Background and Aim: The hypothesis of supplier induced demand has attracted a lot of att... more ABSTRACT Background and Aim: The hypothesis of supplier induced demand has attracted a lot of attention over the past three decades. Most studies in this field agree that healthcare providers have the ability to influence the demand for their products. The purpose of this study is to evaluate the role of institutions in the phenomenon of induced demand. This study has been done using experts' experiences in Isfahan University of Medical Sciences. Materials and Methods: This is a qualitative study in which the semistructured interview was used for data generation. The participants were those informed in this regard and considered as experts. For data saturation, purposive sampling was done. In this study, 17 people were interviewed, and criteria such as reliability and stability were considered. The anonymity of the interviewees was guaranteed. The data were transcribed and categorized, and then analyzed using thematic analysis. Results: In the present study, thematic analysis was conducted and 30 subthemes and 2 main themes were extracted. The two main themes were healthcare insurance organizations and other health organizations. Each of the themes had its own sub-themes. Conclusion: The findings help health policy-makers have a better picture regarding the role of various institutions in the phenomenon of induced demand.
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Papers by Mahmoud Keyvanara