The Sociocultural Contexts of Attempting Suicide Among Women in Iran

In this study, we investigated the sociocultural contexts of suicide attempts among women in Iran. Fifty women who attempted suicide and were admitted to the two main hospitals in Isfahan in 2006 were interviewed. The main themes identified were family problems, marriage and love, social stigma, pressure of high expectations, and poverty. We observed significant sociocultural influence on attempting suicide among the Iranian women in this study. Based on our findings we conclude that the women in the study were affected by social changes and the interplay between traditional and modern values and attitudes. Understanding sociocultural aspects of suicide in Iran is critical in providing effective and culturally sensitive suicide prevention and care programs

Health Managers\\\' Perspective On The Challenges And Injuries Caused By Incorrect Medical Service Tariff, A Qualitative Study

Background & aim: Tariff is effective on equity, efficiency, quality and accountability in the provision of services and it can affect the availability and use of services. In our country, for several years, the tariff of health care is due to an increasing base and has not clear and defensible base. This matter creates different challenges in our health system. This study aimed to identify challenges and damages resulting from incorrect medical services. Method: This study was a qualitative study .Sampling was Purposeful and continued until data saturation was obtained. Research Society were 12 people of Health Managers of cities including Tehran, Isfahan and Tabriz, that in the purpose of the study, these people were investigated with deep interview. Analysis of the data in the present study was based on a thematic analysis. Criteria such as "reliable information", "trustworthy", "reliability" and "ability tocon solidation" of data were considered. Results: according to the findings, inefficiency of tariffs for medical services have caused challenges in the current situation that this damages were divided to three general categories and challenges, dissatisfaction, economic, and behavioral of Ministry of Health, doctors, patients and insurers. Conclusion: Dissatisfaction with stakeholders, especially health providers, the first factor is that a real so following other challenges including; economic and behavioral challenges. Challenges of incorrect tariffs and their Bad effects on the health system stakeholders are a warning to administrators and policy makers of this system, finding causes and attempting to fix the challenges. Although incorrect medical tariff is introduced as one of the challenges causes, but it is necessary in addition to that are note other structural and Rooty problems in the health system, as noted tariff reforms to fully be able to solve the created challenges

Astudy of the happiness level among the staff of the faculties in Isfahan University of Medical Sciences in 2009

Background and aimsToday for access to effective organizations, notice to the work quality factors is very important. The aim of this study is investigating the happiness level among the staff of the faculties in Isfahan University of Medical Sciences.MethodsFor achieving this descriptive, survey research, with random sampling, we selected 144 persons among 401 persons of the staff of the faculties in Isfahan University of Medical Sciences. Data gathered with two researcher-made questionnaires are happiness, internal andexternal happiness factors. Validity of the questionnaires calculated with validity of the content and their reliability calculated with Kranbakh Alpha coefficients method. Analysis of the results accomplished in two levels of descriptive and inferential Statistics.ResultsThe mean of happiness scores and external happiness factors were less than the average level, but the mean of internal happiness factors were the average level. So, there are not meaningful difference between the mean of happiness scores and internal and external happinessfactors scores depend on education, experience, and work department, but men happiness scores are more than women happiness scores. On the other hand the mean of internal and external  happiness factors scores in married people are more than single.ConclusionNecessity of happiness investigating and their factors are both important for community and its institutions

Insurance companies� point of view toward moral hazard incentives

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 moral hazards resulted from patients� roles. Each of these themes has some sub-themes. False expectations from insurance companies are rooted in the moral and cultural values of individuals. People with the insurance coverage make no sense if using another person insurance identification or requesting physicians for prescribing the medicines. These expectations will lead them to moral hazards. Individuals with any insurance coverage should consider the rights of insurance agencies as third party payers and supportive organizations which disburden them from economical loads in the time of sickness. © 2016 Medical Ethics and History of Medicine Research Center, Tehran University of Medical Sciences. All rights reserved

Title: A study of the relationship between managers\' decision making styles and organizational health in Isfahan University of Medical Sciences

  Background and Aims: Managers decision making style can function effectively correct departments in universities and its positive impact on organizational health group will increase efficiency. The present study aims to examine the relationship between the decision-making styles and organizational health departments in Isfahan University of Medical Sciences.   Methods: A descriptive and survey research method was utilized. The statistical population included all 594 members of Isfahan Medical Science University Colleges from which a sample of 201 was selected though a classified random sampling   The data gathering instruments included, a researcher – made decision making questionnaire and the Ho & Feldmn (1990), organizational health questionnaire. The reliability of the instruments was estimated 0.86 and 0.92 respectively, though Cronbach Alpha coefficient. Utilizing SPSS (15) statistical software, both descriptive and inferential statistics were applied to analyze the data.   Results: Consultative decision making scored the highest average among the chairpersons, while the authoritative style scored the lowest average. The departments' organizational health was more than mean level in all dimensions except chairperson's influence. Moreover, a significant relationship was observed between decision making style and organizational health indices. Also a direct relationship was not observed between authoritarian decision makings and institutional integration, chairperson influence, consideration, initiating structure, and academic emphasis. A direct relationship was observed between Consultative decision making and chairperson influence, consideration, initiating structure, resource support, morale, and academic emphasis. A direct relationship was observed between Participative decision making and chairperson Influence, consideration, initiating structure.   Conclusion: Consultative and participative decision making can lead to enhancement and maintenance of organizational health. High morale and institutional integration are among important organizational health dimensions and they enhance teaching and research processes in departments.