Scientific Journal of Nursing, Midwifery and Paramedical Faculty, Aug 10, 2020
Background & Aim: Identification of the pattern and causes of death and dealing with its etiologi... more Background & Aim: Identification of the pattern and causes of death and dealing with its etiological factors is one of the most fundamental principles of planning, management, evaluation, and accountability in the health sector. This study aimed to study and analyze one of the critical phenomena (i.e., death) in Golestan Province. Materials & Methods: In this study, we used the secondary analysis method and collected data by the census. The statistical population included all cases of death registered at GDR of the deputy of the health of Golestan University of Medical Sciences in 2018. Death indicators were calculated using WinPepi version 11.65, and linear diagrams were drawn in Excel 2016. In addition, the relationship between various causes of death was assessed in SPSS version 23 using Chi-square. Results: In this study, the three leading causes of death were reported to be cardiovascular diseases, cancers, and external factors, respectively. In terms of gender, the death rate was 1.3 higher in men, compared to women. In addition, the highest percentage of death was related to the age range of more than 80 years. Moreover, the highest rate of specific causal damping and proportional damping was for diseases of the cardiovascular system and the lowest was related to mental and behavioral disorders. Furthermore, the highest specific causal and proportional damping rate were related to cardiovascular diseases, whereas the lowest rate was observed in cases with psychological and behavioral disorders. Conclusion: In 2018, less than a quarter of the deceased was aged≤52 years, which may explain the high average age of the dead in the province. Continuous studies in determining the level of mortality, its effective causes, and awareness of epidemiological changes are necessary for more accurate planning, maintenance, and promotion of health in any society.
he World Health Organization considers the implementation of a family physician-based patients re... more he World Health Organization considers the implementation of a family physician-based patients referral system to be a key point and a key step in improving the quality of services, reducing costs, effectiveness, and establishing equity in health care systems. Problems arising from the proper use of this system, especially after the emphasis and regulations in the family physician program, are still a concern of organizations, policymakers, managers, and service providers, and the achievement of any program to predetermined goals requires performance evaluation. It is and the challenges of the program hinder the community from benefiting from the available services. Despite various studies that T Introduction: Referral chain and its efficiency in different levels of health care system leads to optimal use of manpower and equipment. The purpose of this study was to explain the management challenges in establishing an electronic referral system.
Quarterly Journal of Management Strategies in Health System, 2021
Background: Part of the major health costs is related to outpatient care. Since the costs of diag... more Background: Part of the major health costs is related to outpatient care. Since the costs of diagnosis and treatment are increasing rapidly and increasingly, this study was conducted to determine the referral burden and cost of outpatient care of patients covered by the Rural Insurance Fund before and after the implementation of the electronic referral system in Golestan province. Methods: This was a cross-sectional and descriptive study conducted based on the information collected from the specialized clinics of all hospitals and offices of specialized and sub-specialized physicians, imaging centers, laboratories, physiotherapy, radiotherapy, and pharmacies in public and private sectors of Golestan province in the first 6 months of 2017 and 2016 . The study was a census and included the information of all patients covered by the Health Insurance Fund who referred to the second level to receive services. To collect the required data, the existing information systems and documents of...
Quarterly Journal of Management Strategies in Health System, 2021
Background: The public sector of the health care system provides justice and access for all peopl... more Background: The public sector of the health care system provides justice and access for all people who need more specialized services through the referral system. If the challenges of the referral system are not identified and addressed promptly, the system will not be efficient and effective. The purpose of this study was to rank the reasons for non-referral of outpatient level 1 to level 2 in the electronic referral system of Golestan province in 2019. Methods: In this descriptive and cross-sectional study, 431 outpatients participated from the pilot hospitals of the e-referral system in Golestan province, who did not refer to the level 2 specialist despite that an appointment was set by the system. The participants were selected using a stratified random sampling method. Data were collected using a questionnaire and analyzed by descriptive statistics and Friedman test in SPSS 23 software. Results: The most important reasons for patients who were not referred from level 1 to leve...
Background and purpose: Quality of life is a very important concept in health care. This study wa... more Background and purpose: Quality of life is a very important concept in health care. This study was designed in order to translate and validate the Persian version of the Quality of Life Index (QLI) questionnaire. Material and Methods: Permission was asked and a forward-backward translation procedure was followed to develop the Persian version of the questionnaire. Questionnaire was administered to 130 students in Social Welfare and Rehabilitation Sciences University. These students were selected on the basis of systematic random sampling. The QLI and SF-36 quality of life questionnaire and Vaux social support questionnaire were used in pretest. After two weeks interval only QLI questionnaire was used. Reliability of the questionnaire was estimated using internal consistency. Test re test reliability, concomitant validity and construct validity was assessed using coefficient of concordance and spearman's correlation. Results: The internal consistency for the global score was 0.93...
Introduction:Pregnancy makes significant changes that require various psychological adjustments a... more Introduction:Pregnancy makes significant changes that require various psychological adjustments and are often associated with depression and anxiety. Social support is one of the factors that play an important role in anxiety and depression. The aim of this study was to determine the relationship between social support with depression and anxiety during third trimester pregnancy in Turkmen women. Methods:This cross-sectional study was conducted on 320 pregnant women referred to rural health houses and urban health centers in Aq -Qala County in 2016 based on multistage cluster sampling method. Demographic checklist, the Vaux social support questionnaire, the Vandenberg anxiety during pregnancy questionnaire and the Edinburgh Postnatal Depression Scale were filled for all women. Data were analyzed using SPSS software version 18. Descriptive statistics, Spearman correlation coefficient and Generalized linear regression model were used. Results:The mean age of the pregnant women was 25....
Medical Journal of the Islamic Republic of Iran, 2020
Background: The main part of hospitals’ funding comes from insurance organizations. In some cases... more Background: The main part of hospitals’ funding comes from insurance organizations. In some cases, for different reasons such as not filed services or unpaid health insurance bills, a part of these funding cannot be derived from health insurance companies. This study aims to describe different aspects of the hospitals’ revenue deficits in Iranian public hospitals. Methods: This was a mixed-method study consisting of qualitative and quantitative studies. Qualitative data were collected through 17 semi-structured interviews and were analyzed using the analytical framework by MAXQDA.10. Quantitative data were analyzed by the TOPSIS method and Smart TOPSIS Solver.3.2.0. Results: Based on the framework analysis, five sets of the underlying causes of hospital revenue deficits were identified and categorized in 5 themes: bottlenecks, direct causes of revenue deficits, root causes of revenue deficits, revenue deficits management strategies, and challenges and barriers to managing revenue de...
Introduction: Rabies is one of the most important infectious diseases and animal bites are increa... more Introduction: Rabies is one of the most important infectious diseases and animal bites are increasing in Iran. Due to the significance of the subject, the current study was designed and conducted with the aim of determining Animal bite status and its contributors in Aq-Qala district, Golestan province, Iran. Materials and methods: This is a data-based study with descriptive approach carried out in Aq-Qala from Feb/March 2010 to Feb/March 2011. 1025 cases of animal bites registered in rabies treatment center of Aq-Qala city were selected using census method. Data were collected using a reliable and valid Checklist. Data were entered into SPSS18 software and analyzed through descriptive statistics. Results: 74.7% of studied cases were male. Their mean age was 25.7±17.8 years. Most bites occurred among adolescents and students (21.6%). Most bites occurred on foot and mainly in rural areas (81.5%). 40 %of bites occurred from 12 a.m. to 6 p.m. Most cases of animal bite were by dogs (94.4%). The injuries were superficial in 90.1% of cases. The animal bites occurred in 78.2% of cases on clothes. Most bites occurred in spring, in June. The incidence rate of animal bites was 854 cases per 100000 people. Conclusion: Due to the high prevalence of animal bites in males, adolescent, students, rural areas and in spring, we recommended appropriate intervention, especially educational intervention in men, adolescent, students, rural area and in spring to decrease the prevalence of animal bites.
Background & Aim: Identification of the pattern and causes of death and dealing with its etiologi... more Background & Aim: Identification of the pattern and causes of death and dealing with its etiological factors is one of the most fundamental principles of planning, management, evaluation, and accountability in the health sector. This study aimed to study and analyze one of the critical phenomena (i.e., death) in Golestan Province. Materials & Methods: In this study, we used the secondary analysis method and collected data by the census. The statistical population included all cases of death registered at GDR of the deputy of the health of Golestan University of Medical Sciences in 2018. Death indicators were calculated using WinPepi version 11.65, and linear diagrams were drawn in Excel 2016. In addition, the relationship between various causes of death was assessed in SPSS version 23 using Chi-square. Results: In this study, the three leading causes of death were reported to be cardiovascular diseases, cancers, and external factors, respectively. In terms of gender, the death rate ...
Road traffic injuries are the leading cause of death and disability in the world. So, the aim of ... more Road traffic injuries are the leading cause of death and disability in the world. So, the aim of current study was investigated the epidemiologic survey of road traffic injuries in patients admitted in Al-Jalil hospital in Aq-Qala. This study was conducted on 5774 patients during 2007-2012, to evaluate the profile of 2784 injury patients due to road traffic accidents, admitted in AlJalil hospital in Aq-Qala. Data were collected from their personal forms and were analyzed using SPSS18 software. Among 5774 injuries, accident with 2784 cases (48.2%) was the most injury, of the people who have had accident, 81.9% (2280) were male and 18.1% (504) were female. Average age was 25.2±13.3 years. 20-29 years old group and 10-19 years old group have the most accident with 36.4% and 30.1% respectively. The findings from this study showed that accidents involve motorcycle accident 55.7% (1552), car accident 25.4% (708) and 18.8% (524) for pedestrians. Also, most accidents have been occurred in u...
BACKGROUND፡ Recently, one of the challenges in the health system of the country is the need for r... more BACKGROUND፡ Recently, one of the challenges in the health system of the country is the need for research contributing to policy-making. Therefore, it is crucial to develop activities in the field of knowledge Translation (KT). This study aimed to propose KT improvement strategies in universities of medical sciences in Iran.METHODS: In this qualitative study, 18 semi-structured interviews were conducted with key informants from the medical universities in Iran during January-July 2018. The transcribed documents were analyzed using the Gale framework analysis approach. Data organization was carried out using MAXQDA version 10 software.RESULTS: According to framework analysis, six KT improvement strategies were identified including improving the abilities and skills of researchers, improving the processes and quality of knowledge production, revising policies and laws, mproving the prerequisites, culture-building, and promoting the, use of evidence.CONCLUSION: Given the challenges and ...
Health Monitor Journal of the Iranian Institute for Health Sciences Research, 2021
Objective(s): knowledge translation is defined as a dynamic and iterative process that includes t... more Objective(s): knowledge translation is defined as a dynamic and iterative process that includes the synthesis, dissemination, exchange and ethically sound application of knowledge to improve health, provide more effective health services and products, and strengthen the health care system. Research contributing to policy-making in the field of knowledge translation (KT) is one of the needs of the country's health system and activities in this field should be developed. This study aimed to assess the KT status of Iran University of Medical Sciences (IUMS) in 2018. Methods: In this cross-sectional study; nine IUMS schools and 33 research centers with a history of more than three years of establishment were selected by census method. Using the Self-Assessment Tool for Research Institutes (SATORI), the KT status among the IUMS schools and research centers was assessed. Data were entered into SPSS.18 software and described using mean and standard deviation. Results: The mean scores in the domains of "research question", "knowledge production", "knowledge transfer", and "promoting the use of evidence" were 2.31, 2.83, 2.35, and 2.20 (out of five), respectively. Strategies with the lowest score was related to "knowledge transfer" and strategies with the highest score was related to "knowledge production". Conclusion: While the university's research and knowledge production capacity was acceptable, there were significant weaknesses in the domains of "knowledge transfer" and "promoting the use of evidence" especially the interaction between researchers and research users. It is suggested that comprehensive policies be developed at the national and university levels to facilitate the interaction between researchers and knowledge users and to support the activities of knowledge translations.
The International Journal of Health Planning and Management, 2021
BACKGROUND AND AIM Primary care physician (PCP) payment mechanisms can be important tools for add... more BACKGROUND AND AIM Primary care physician (PCP) payment mechanisms can be important tools for addressing issues of access, quality, and equity in health care. The purpose of the present study is to compare the PCP payment mechanisms of Iran, Canada, Australia, New Zealand, England, Sweden, Norway, Denmark, the Netherlands, Turkey, and Thailand. METHODS This is a descriptive-comparative study comparing the PCP payment mechanisms of Iran and selected countries in 2020. Data for each country are collected from reliable databases and are tabulated to compare their payment models. Framework analysis is used for data analysis. RESULTS The results are provided in terms of PCP payment mechanisms, adjusting factor for capitation, reasons for fee-for-service payment, the role of pay-for-performance (PFP) programme, domain and indicators, and reasons for developing PFP in each country. CONCLUSION The majority of the countries with high UHC service coverage index have applied a mix of PCP payment mechanisms, most of which include capitation and PFP. Moreover, adjusting capitation by factors such as age, sex, and health status will lead to provision of better services to high-risk populations. In recent years, PFP has been paid to Iranian PCPs in addition to salary. Given the various existing models for primary health care in Iran and the increasing burden of chronic diseases, a more appropriate combination of payment mechanisms that create more incentives to provide active and high-quality care should be developed. Also, when developing payment mechanisms, the required infrastructure such as electronic health record should be considered.
ranian Journal of Health Education and Health Promotion, 2019
Background and Objective:AIDS is one of the most important infectious diseases in the world and t... more Background and Objective:AIDS is one of the most important infectious diseases in the world and the disease is increasing especially among young people. Since the youth are exposed to high-risk behaviors, the aim of this study was to investigate the effect of education based on the Health Belief Model in creating AIDS preventive beliefs in Turkmen girl students. Materials and Methods: This randomized controlled field trial study was done on 78 female high school students in Aq-Qala, Golestan province. Using multi-stage sampling, two high schools in the interventional group and two high schools in the control group were selected, then two classes selected from each high school, data were collected before and after of intervention by using a questionnaire based on HBM. Data were analyzed using SPSS.17 software and Chi-square, Fisher exact test, T-paired test, Wilcoxon, Independent T-test, and ANCOVA. Results: Before training, there was not a significant difference in the mean scores of the health belief model constructs and in terms of demographic characteristics between two groups except in knowledge construct. After the educational intervention, the T-paired test showed that the mean of knowledge and perceived susceptibility were increased significantly, and the mean of perceived barriers was decreased significantly in the experimental group (P<0.05). ANCOVA also showed that compared with the control group, knowledge and perceived susceptibility were increased significantly after the intervention. According to the present study, education based on the Health Belief Model was effective on the knowledge and perceived susceptibility. It is suggested that educational interventions based on Health Belief Model be designed and implemented to promote AIDS preventive beliefs in high school female students.
مجله ارتقای ایمنی و پیشگیری از مصدومیت هاe Issn 2383 1901 P Issn 2345 2455, Mar 2, 2015
Background and Objective: Injuries are the leading cause of death and disability in the world. Th... more Background and Objective: Injuries are the leading cause of death and disability in the world. Therefore, the aim of the current study was to investigate the epidemiology of injuries in patients admitted in Al-Jalil hospital in Aq-Qala. Materials and Methods: In this study, 5774 persons due to accident referred to the emergency room during the period 2007-2012. They were admitted to accident information form and were examined. Data were collected using accident information form. Data were entered into SPSS18 software and analyzed through descriptive statistics. Results: 24.6% of victims were female and 75.4% male. Average age 24 ± 12.8 years. Most accidents involving: Car accident 48.2%, the violence 15.1%, suicide 14.1%,poisoning 5.9%, falling 4.9%, 4% hit,3.5% Burn. Most accidents had occurred in urban areas (53.4%). 98.6% treated, 1.4% died and one person was disabled. From the 80 deaths occurred, 62.5% were caused by the accident. The majority of incidents occurred in the spring and summer.
Scientific Journal of Nursing, Midwifery and Paramedical Faculty, Aug 10, 2020
Background & Aim: Identification of the pattern and causes of death and dealing with its etiologi... more Background & Aim: Identification of the pattern and causes of death and dealing with its etiological factors is one of the most fundamental principles of planning, management, evaluation, and accountability in the health sector. This study aimed to study and analyze one of the critical phenomena (i.e., death) in Golestan Province. Materials & Methods: In this study, we used the secondary analysis method and collected data by the census. The statistical population included all cases of death registered at GDR of the deputy of the health of Golestan University of Medical Sciences in 2018. Death indicators were calculated using WinPepi version 11.65, and linear diagrams were drawn in Excel 2016. In addition, the relationship between various causes of death was assessed in SPSS version 23 using Chi-square. Results: In this study, the three leading causes of death were reported to be cardiovascular diseases, cancers, and external factors, respectively. In terms of gender, the death rate was 1.3 higher in men, compared to women. In addition, the highest percentage of death was related to the age range of more than 80 years. Moreover, the highest rate of specific causal damping and proportional damping was for diseases of the cardiovascular system and the lowest was related to mental and behavioral disorders. Furthermore, the highest specific causal and proportional damping rate were related to cardiovascular diseases, whereas the lowest rate was observed in cases with psychological and behavioral disorders. Conclusion: In 2018, less than a quarter of the deceased was aged≤52 years, which may explain the high average age of the dead in the province. Continuous studies in determining the level of mortality, its effective causes, and awareness of epidemiological changes are necessary for more accurate planning, maintenance, and promotion of health in any society.
he World Health Organization considers the implementation of a family physician-based patients re... more he World Health Organization considers the implementation of a family physician-based patients referral system to be a key point and a key step in improving the quality of services, reducing costs, effectiveness, and establishing equity in health care systems. Problems arising from the proper use of this system, especially after the emphasis and regulations in the family physician program, are still a concern of organizations, policymakers, managers, and service providers, and the achievement of any program to predetermined goals requires performance evaluation. It is and the challenges of the program hinder the community from benefiting from the available services. Despite various studies that T Introduction: Referral chain and its efficiency in different levels of health care system leads to optimal use of manpower and equipment. The purpose of this study was to explain the management challenges in establishing an electronic referral system.
Quarterly Journal of Management Strategies in Health System, 2021
Background: Part of the major health costs is related to outpatient care. Since the costs of diag... more Background: Part of the major health costs is related to outpatient care. Since the costs of diagnosis and treatment are increasing rapidly and increasingly, this study was conducted to determine the referral burden and cost of outpatient care of patients covered by the Rural Insurance Fund before and after the implementation of the electronic referral system in Golestan province. Methods: This was a cross-sectional and descriptive study conducted based on the information collected from the specialized clinics of all hospitals and offices of specialized and sub-specialized physicians, imaging centers, laboratories, physiotherapy, radiotherapy, and pharmacies in public and private sectors of Golestan province in the first 6 months of 2017 and 2016 . The study was a census and included the information of all patients covered by the Health Insurance Fund who referred to the second level to receive services. To collect the required data, the existing information systems and documents of...
Quarterly Journal of Management Strategies in Health System, 2021
Background: The public sector of the health care system provides justice and access for all peopl... more Background: The public sector of the health care system provides justice and access for all people who need more specialized services through the referral system. If the challenges of the referral system are not identified and addressed promptly, the system will not be efficient and effective. The purpose of this study was to rank the reasons for non-referral of outpatient level 1 to level 2 in the electronic referral system of Golestan province in 2019. Methods: In this descriptive and cross-sectional study, 431 outpatients participated from the pilot hospitals of the e-referral system in Golestan province, who did not refer to the level 2 specialist despite that an appointment was set by the system. The participants were selected using a stratified random sampling method. Data were collected using a questionnaire and analyzed by descriptive statistics and Friedman test in SPSS 23 software. Results: The most important reasons for patients who were not referred from level 1 to leve...
Background and purpose: Quality of life is a very important concept in health care. This study wa... more Background and purpose: Quality of life is a very important concept in health care. This study was designed in order to translate and validate the Persian version of the Quality of Life Index (QLI) questionnaire. Material and Methods: Permission was asked and a forward-backward translation procedure was followed to develop the Persian version of the questionnaire. Questionnaire was administered to 130 students in Social Welfare and Rehabilitation Sciences University. These students were selected on the basis of systematic random sampling. The QLI and SF-36 quality of life questionnaire and Vaux social support questionnaire were used in pretest. After two weeks interval only QLI questionnaire was used. Reliability of the questionnaire was estimated using internal consistency. Test re test reliability, concomitant validity and construct validity was assessed using coefficient of concordance and spearman's correlation. Results: The internal consistency for the global score was 0.93...
Introduction:Pregnancy makes significant changes that require various psychological adjustments a... more Introduction:Pregnancy makes significant changes that require various psychological adjustments and are often associated with depression and anxiety. Social support is one of the factors that play an important role in anxiety and depression. The aim of this study was to determine the relationship between social support with depression and anxiety during third trimester pregnancy in Turkmen women. Methods:This cross-sectional study was conducted on 320 pregnant women referred to rural health houses and urban health centers in Aq -Qala County in 2016 based on multistage cluster sampling method. Demographic checklist, the Vaux social support questionnaire, the Vandenberg anxiety during pregnancy questionnaire and the Edinburgh Postnatal Depression Scale were filled for all women. Data were analyzed using SPSS software version 18. Descriptive statistics, Spearman correlation coefficient and Generalized linear regression model were used. Results:The mean age of the pregnant women was 25....
Medical Journal of the Islamic Republic of Iran, 2020
Background: The main part of hospitals’ funding comes from insurance organizations. In some cases... more Background: The main part of hospitals’ funding comes from insurance organizations. In some cases, for different reasons such as not filed services or unpaid health insurance bills, a part of these funding cannot be derived from health insurance companies. This study aims to describe different aspects of the hospitals’ revenue deficits in Iranian public hospitals. Methods: This was a mixed-method study consisting of qualitative and quantitative studies. Qualitative data were collected through 17 semi-structured interviews and were analyzed using the analytical framework by MAXQDA.10. Quantitative data were analyzed by the TOPSIS method and Smart TOPSIS Solver.3.2.0. Results: Based on the framework analysis, five sets of the underlying causes of hospital revenue deficits were identified and categorized in 5 themes: bottlenecks, direct causes of revenue deficits, root causes of revenue deficits, revenue deficits management strategies, and challenges and barriers to managing revenue de...
Introduction: Rabies is one of the most important infectious diseases and animal bites are increa... more Introduction: Rabies is one of the most important infectious diseases and animal bites are increasing in Iran. Due to the significance of the subject, the current study was designed and conducted with the aim of determining Animal bite status and its contributors in Aq-Qala district, Golestan province, Iran. Materials and methods: This is a data-based study with descriptive approach carried out in Aq-Qala from Feb/March 2010 to Feb/March 2011. 1025 cases of animal bites registered in rabies treatment center of Aq-Qala city were selected using census method. Data were collected using a reliable and valid Checklist. Data were entered into SPSS18 software and analyzed through descriptive statistics. Results: 74.7% of studied cases were male. Their mean age was 25.7±17.8 years. Most bites occurred among adolescents and students (21.6%). Most bites occurred on foot and mainly in rural areas (81.5%). 40 %of bites occurred from 12 a.m. to 6 p.m. Most cases of animal bite were by dogs (94.4%). The injuries were superficial in 90.1% of cases. The animal bites occurred in 78.2% of cases on clothes. Most bites occurred in spring, in June. The incidence rate of animal bites was 854 cases per 100000 people. Conclusion: Due to the high prevalence of animal bites in males, adolescent, students, rural areas and in spring, we recommended appropriate intervention, especially educational intervention in men, adolescent, students, rural area and in spring to decrease the prevalence of animal bites.
Background & Aim: Identification of the pattern and causes of death and dealing with its etiologi... more Background & Aim: Identification of the pattern and causes of death and dealing with its etiological factors is one of the most fundamental principles of planning, management, evaluation, and accountability in the health sector. This study aimed to study and analyze one of the critical phenomena (i.e., death) in Golestan Province. Materials & Methods: In this study, we used the secondary analysis method and collected data by the census. The statistical population included all cases of death registered at GDR of the deputy of the health of Golestan University of Medical Sciences in 2018. Death indicators were calculated using WinPepi version 11.65, and linear diagrams were drawn in Excel 2016. In addition, the relationship between various causes of death was assessed in SPSS version 23 using Chi-square. Results: In this study, the three leading causes of death were reported to be cardiovascular diseases, cancers, and external factors, respectively. In terms of gender, the death rate ...
Road traffic injuries are the leading cause of death and disability in the world. So, the aim of ... more Road traffic injuries are the leading cause of death and disability in the world. So, the aim of current study was investigated the epidemiologic survey of road traffic injuries in patients admitted in Al-Jalil hospital in Aq-Qala. This study was conducted on 5774 patients during 2007-2012, to evaluate the profile of 2784 injury patients due to road traffic accidents, admitted in AlJalil hospital in Aq-Qala. Data were collected from their personal forms and were analyzed using SPSS18 software. Among 5774 injuries, accident with 2784 cases (48.2%) was the most injury, of the people who have had accident, 81.9% (2280) were male and 18.1% (504) were female. Average age was 25.2±13.3 years. 20-29 years old group and 10-19 years old group have the most accident with 36.4% and 30.1% respectively. The findings from this study showed that accidents involve motorcycle accident 55.7% (1552), car accident 25.4% (708) and 18.8% (524) for pedestrians. Also, most accidents have been occurred in u...
BACKGROUND፡ Recently, one of the challenges in the health system of the country is the need for r... more BACKGROUND፡ Recently, one of the challenges in the health system of the country is the need for research contributing to policy-making. Therefore, it is crucial to develop activities in the field of knowledge Translation (KT). This study aimed to propose KT improvement strategies in universities of medical sciences in Iran.METHODS: In this qualitative study, 18 semi-structured interviews were conducted with key informants from the medical universities in Iran during January-July 2018. The transcribed documents were analyzed using the Gale framework analysis approach. Data organization was carried out using MAXQDA version 10 software.RESULTS: According to framework analysis, six KT improvement strategies were identified including improving the abilities and skills of researchers, improving the processes and quality of knowledge production, revising policies and laws, mproving the prerequisites, culture-building, and promoting the, use of evidence.CONCLUSION: Given the challenges and ...
Health Monitor Journal of the Iranian Institute for Health Sciences Research, 2021
Objective(s): knowledge translation is defined as a dynamic and iterative process that includes t... more Objective(s): knowledge translation is defined as a dynamic and iterative process that includes the synthesis, dissemination, exchange and ethically sound application of knowledge to improve health, provide more effective health services and products, and strengthen the health care system. Research contributing to policy-making in the field of knowledge translation (KT) is one of the needs of the country's health system and activities in this field should be developed. This study aimed to assess the KT status of Iran University of Medical Sciences (IUMS) in 2018. Methods: In this cross-sectional study; nine IUMS schools and 33 research centers with a history of more than three years of establishment were selected by census method. Using the Self-Assessment Tool for Research Institutes (SATORI), the KT status among the IUMS schools and research centers was assessed. Data were entered into SPSS.18 software and described using mean and standard deviation. Results: The mean scores in the domains of "research question", "knowledge production", "knowledge transfer", and "promoting the use of evidence" were 2.31, 2.83, 2.35, and 2.20 (out of five), respectively. Strategies with the lowest score was related to "knowledge transfer" and strategies with the highest score was related to "knowledge production". Conclusion: While the university's research and knowledge production capacity was acceptable, there were significant weaknesses in the domains of "knowledge transfer" and "promoting the use of evidence" especially the interaction between researchers and research users. It is suggested that comprehensive policies be developed at the national and university levels to facilitate the interaction between researchers and knowledge users and to support the activities of knowledge translations.
The International Journal of Health Planning and Management, 2021
BACKGROUND AND AIM Primary care physician (PCP) payment mechanisms can be important tools for add... more BACKGROUND AND AIM Primary care physician (PCP) payment mechanisms can be important tools for addressing issues of access, quality, and equity in health care. The purpose of the present study is to compare the PCP payment mechanisms of Iran, Canada, Australia, New Zealand, England, Sweden, Norway, Denmark, the Netherlands, Turkey, and Thailand. METHODS This is a descriptive-comparative study comparing the PCP payment mechanisms of Iran and selected countries in 2020. Data for each country are collected from reliable databases and are tabulated to compare their payment models. Framework analysis is used for data analysis. RESULTS The results are provided in terms of PCP payment mechanisms, adjusting factor for capitation, reasons for fee-for-service payment, the role of pay-for-performance (PFP) programme, domain and indicators, and reasons for developing PFP in each country. CONCLUSION The majority of the countries with high UHC service coverage index have applied a mix of PCP payment mechanisms, most of which include capitation and PFP. Moreover, adjusting capitation by factors such as age, sex, and health status will lead to provision of better services to high-risk populations. In recent years, PFP has been paid to Iranian PCPs in addition to salary. Given the various existing models for primary health care in Iran and the increasing burden of chronic diseases, a more appropriate combination of payment mechanisms that create more incentives to provide active and high-quality care should be developed. Also, when developing payment mechanisms, the required infrastructure such as electronic health record should be considered.
ranian Journal of Health Education and Health Promotion, 2019
Background and Objective:AIDS is one of the most important infectious diseases in the world and t... more Background and Objective:AIDS is one of the most important infectious diseases in the world and the disease is increasing especially among young people. Since the youth are exposed to high-risk behaviors, the aim of this study was to investigate the effect of education based on the Health Belief Model in creating AIDS preventive beliefs in Turkmen girl students. Materials and Methods: This randomized controlled field trial study was done on 78 female high school students in Aq-Qala, Golestan province. Using multi-stage sampling, two high schools in the interventional group and two high schools in the control group were selected, then two classes selected from each high school, data were collected before and after of intervention by using a questionnaire based on HBM. Data were analyzed using SPSS.17 software and Chi-square, Fisher exact test, T-paired test, Wilcoxon, Independent T-test, and ANCOVA. Results: Before training, there was not a significant difference in the mean scores of the health belief model constructs and in terms of demographic characteristics between two groups except in knowledge construct. After the educational intervention, the T-paired test showed that the mean of knowledge and perceived susceptibility were increased significantly, and the mean of perceived barriers was decreased significantly in the experimental group (P<0.05). ANCOVA also showed that compared with the control group, knowledge and perceived susceptibility were increased significantly after the intervention. According to the present study, education based on the Health Belief Model was effective on the knowledge and perceived susceptibility. It is suggested that educational interventions based on Health Belief Model be designed and implemented to promote AIDS preventive beliefs in high school female students.
مجله ارتقای ایمنی و پیشگیری از مصدومیت هاe Issn 2383 1901 P Issn 2345 2455, Mar 2, 2015
Background and Objective: Injuries are the leading cause of death and disability in the world. Th... more Background and Objective: Injuries are the leading cause of death and disability in the world. Therefore, the aim of the current study was to investigate the epidemiology of injuries in patients admitted in Al-Jalil hospital in Aq-Qala. Materials and Methods: In this study, 5774 persons due to accident referred to the emergency room during the period 2007-2012. They were admitted to accident information form and were examined. Data were collected using accident information form. Data were entered into SPSS18 software and analyzed through descriptive statistics. Results: 24.6% of victims were female and 75.4% male. Average age 24 ± 12.8 years. Most accidents involving: Car accident 48.2%, the violence 15.1%, suicide 14.1%,poisoning 5.9%, falling 4.9%, 4% hit,3.5% Burn. Most accidents had occurred in urban areas (53.4%). 98.6% treated, 1.4% died and one person was disabled. From the 80 deaths occurred, 62.5% were caused by the accident. The majority of incidents occurred in the spring and summer.
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