Induced demand: A challenge on the way of Iran Health Revolution Program

By comparing indefinite demand and definite resources during the time, induced demand leads to an increase in the share of people in health costs. This may turn into a critical challenge in health system if not managed appropriately. The aim of the current study is to explain the different dimensions of influential factors in induced demand. In addition, changes in induced demand from the beginning of its implementation in the health program are studies as well. This study was carried out through semi-structured interviews with the managers of health care system in Isfahan Province, Iran, which offer health service in three levels: first, second, and third. After the implementation of seven packages of Health Revolution Program, four fundamental concepts of influential fundamental and social factors in induced demand, the organizational structure, and interested parties were studied in 2015. Our findings show that the health Revolution Program has caused an increase in induced demand through social factors (incremental demand, physician-centered system), fundamental factors (lost influence of Referral and Family Physician Programs),the organizational structure(weakness in the educational system, ignoring medicine ethics, lack of regulatory programs), and interested parties (suppliers and receivers). Induced demand increases the affordable costs index. This, in turn, influences the positive acquired results of the program and decreases effective allocation of national resources. This can be managed using such strategies as improving managers' insight about supporting induced demand control, appropriate planning in health care system, correcting the educational system in the field of health care, correcting the payment and referral systems

Knowledge and attitude of dormitory students of Shahid Beheshti University of medical sciences about substance abuse in 2013

The increase in substance abuse among youths and its complications form one of the most pressing health problems among students as an important and vulnerable group in society. The purpose of this study is to assess the knowledge and attitude of dormitory students of Shahid Beheshti University of medical sciences  regarding substance abuse in 2013. This is a descriptive-analytic cross sectional study carried out on dormitory students of Shahid Beheshti University of medical sciences   regarding substance abuse in 2013. 604 male and female students living in the dormitories were selected via random sampling. Data were collected using a questionnaire developed by the researcher based on the questionnaire used by Dehghan, and on a review of relevant literature and expert opinion obtained from professors of the field. Data were analyzed by SPSS16 using descriptive and analytical tests (Pearson correlation, T-test and chi-square). The mean score of knowledge of dormitory students at Shahid Beheshti University of Medical Sciences was 9.86±2.13. Most students (65.6%) had moderate knowledge about drugs. The subjects' mean score on attitude was 61.99±10.10. Most students (58.3%) had moderate positive attitudes towards drugs. Students are considered as major assets of a country. Therefore, planning and developing intervention strategies to prevent and reduce substance abuse among university students is essential and plays a major role in improving their health.

Spiritual health status in students of Shahid Beheshti University and Shahid Beheshti University of Medical Sciences

For downloading the full-text of this article please click hereBackground and Objectives: Spiritual health is one of the aspects of human health, in addition to physical, mental and social health and causes the integrated relationship among internal forces. The aim of this study is determination of the spiritual health status in Students of Shahid Beheshti University and Shahid­ Beheshti University.Materials and Methods: This study was a cross-sectional and descriptive - analytic that conducted on 367 students in 2015. The sampling method was quota sampling. Data were collected using valid and reliable measure of spiritual health questionnaire with 48 questions, in the form of two components of cognitive-emotional (insight and orientation) and behavior; and three concept of relationship with God, with oneself and around. The data were analyzed with software SPSS21.Results: From 367 participants in the study, 59.1 percent were tempfemale and 12.3 percent were married and 66.4 percent of them lived in Tehran. 47.2% of participants were studying for BS and the rest in graduate and PhD. The mean age (standard deviation) ) was reported 22.64 (3.88). The mean (SD) of insight and spiritual orientation, behavior and spiritual health were 79.94 (15.34) 71.96 (14.28) and 76.62 (13.89), respectively.Conclusion: The mean scores of students were relatively high in the field of vision and spiritual orientation, moral behavior and spiritual health. The average of spiritual health indicators and its performance was more in girls and married students than boys and unmarried. As well as there was a significant relationship between spiritual insight  and orientation with behavior.Keywords: Spiritual Health, Religious, StudentsFor downloading the full-text of this article please click here

Proactive risk assessment of the laboratory management process inGhaem Hospital, Mashhad (2013)

Laboratory errors may occur in every stage of laboratory management process and lead to a considerable harm to inpatients. This study was aim to investigate the Proactive risk assessment of the laboratory management process in Ghaem Hospital, Mashhad (2013). This was a descriptive research that quantitatively and qualitatively analyzed some failure modes and effects. In order to classify the modes of failure and effective causes of them and also determining the improvement strategies, we have used "nursing error management association", "Eindhoven" and "theory of inventive problem solving" models respectively. In 5 steps of laboratory management process which is conducted on17 listed sub-processes, on average 59 error modes in each ward was identified. 18.7% of error modes were identified as high risk errors (hazard score ≥ 8). Most of error causes were related to human factors (42.7%).In addition, 31.6% of preventive measures were assigned in human resources management strategy group and 16.9% in team work group. The Healthcare Failure Mode and Effect Analysis method was very efficient in identifying failure modes, determining causes which impact each failure mode, and proposing improvement strategies for laboratory management processes of Ghaem Department.

Spiritual health in cancer patients at OMID hospital affiliated with Mashhad University of Medical Sciences -2012

For downloading the full-text of this article please click here.Background and Objectives: Due to high prevalence of cancer and its destructive impact on spiritual health of patients, this study aim to investigate Spiritual health in cancer patients at OMID hospital affiliated with Mashhad University of Medical Sciences, 2012. Materials and Methods: In this descriptive cross-sectional study, the study population was 106 cancer patients referred to hospital. Paloutzian-Ellison questionnaire (1982) and convenience sampling were used to collect data which were analyzed using SPSS 16.Results: The mean scores of spiritual health, religious health and existential health were 97±1.2, 52.1±6.4 and 44.8±8.4 respectively .There was not statistical significant relationship between Spiritual health and  demographic factors. Conclusion: Spiritual health in cancer patients was intermediate. Promotion of spiritual health in diseases such as cancer that it is effective on the body, mind and spirit be taken into consideration specifically, because the Promotion of spiritual health leads to physical and mental health promotion. Keywords: Cancer, Spiritual health, HospitalFor downloading the full-text of this article please click here

The quality assessment of family physician service in rural regions, Northeast of Iran in 2012

Background: Following the implementation of family physician plan in rural areas, the quantity of provided services has been increased, but what leads on the next topic is the improvement in expected quality of service, as well. The present study aims at determining the gap between patients’ expectation and perception from the quality of services provided by family physicians during the spring and summer of 2012. Methods: This was a cross-sectional study in which 480 patients who referred to family physician centers were selected with clustering and simple randomized method. Data were collected through SERVQUAL standard questionnaire and were analyzed with descriptive statistics, using statistical T-test, Kruskal-Wallis, and Wilcoxon signed-rank tests by SPSS 16 at a significance level of 0.05. Results: The difference between the mean scores of expectation and perception was about -0.93, which is considered as statistically significant difference ( P ≤ 0.05). Also, the differences in five dimensions of quality were as follows: tangible -1.10, reliability -0.87, responsiveness -1.06, assurance -0.83, and empathy -0.82. Findings showed that there was a significant difference between expectation and perception in five concepts of the provided services ( P ≤ 0.05 ). Conclusion: There was a gap between the ideal situation and the current situation of family physician quality of services. Our suggestion is maintaining a strong focus on patients, creating a medical practice that would exceed patients’ expectations, providing high-quality healthcare services, and realizing the continuous improvement of all processes. In both tangible and responsive, the gap was greater than the other dimensions. It is recommended that more attention should be paid to the physical appearance of the health center environment and the availability of staff and employee

Awareness of Evidence-Based Medicine among Interns of Mashhad University of Medical Sciences, Iran

Background & Objective: Interns are one of the most important groups among medical student, and thus, must learn to use evidence-based medicine (EBM). The present study was performed with the aim of evaluating the knowledge of medical interns of Mashhad University of Medical Sciences (MUMS), Iran, on evidence-based medicine in 2013 Methods: In this descriptive cross-sectional study, 70 medical interns were selected using convenience sampling method. Data were gathered using a standard questionnaire and analyzed by descriptive statistics and SPSS software. Results: The information source for clinical decision making in 65.7% of interns were their textbooks among which 62.9% used textbooks because of their accessibility. In addition, 95.7% of interns believed EBM to be useful in improving patient care. However, only 37.1% of them knew the meaning of EBM and 95.7% were not familiar with EBM internet sites. Conclusion: Integrated planning is necessary in order to include EBM courses in medical curriculum and to teach the use of internet and correct forms of searching. Keywords Knowledge Medical interns Evidence-based medicin

Health System Responsiveness: A Case Study of General Hospitals in Iran

Background : Considering patients’ needs and expectations in the process of healthcare delivery improves the quality of services. This study aimed to investigate the responsiveness of general public and private hospitals in Mashhad, Iran. Methods : In this cross-sectional and explanatory study, hospitalized patients (with at least 2 days of stay) in general private and public hospitals in Mashhad were investigated. In total 425 patients (259 from private and 166 from public hospitals) were selected using a stratified and simple random sampling. Standard responsiveness questionnaire was used as the data collection tool. Data were analysed using descriptive statistics, independent t-tests and ANOVA by SPSS 16 at a significance level of 0.05. Results : Access to the social support during hospitalization as well as confidentiality of the patient’s information achieved the highest score (3.21±0.73) while the patient participation in decision-making process of treatment received the least score (2.34±1.24). Among the research population 1.6%, 4.1%, 17.6%, 63.3% and 13.2% commented on the responsiveness level as very low, low, moderate, good, and excellent, respectively. There was no significant difference between the overall responsiveness scores of public and private hospitals ( P ≥0.05). Conclusion : The hospitals have enough potential to improve various aspects of their responsiveness. We suggest a number of measures can help improve the non-clinical aspects of care. These include: using educational courses to improve the knowledge and attitudes of medical and nonmedical staff, changing the resource allocation method, and using quality tools such as reengineering to modify the healthcare delivery processes

The effect of emotional intelligence training on general health promotion among nurse

INTRODUCTION: The hospitals are a stressful environment for employees, especially nurses. Stress and other health problems may lead to occupational burnout and reduction of nurses' efficiency. The aim of the current study is to investigate the effect of emotional intelligence training on health promotion of nurses in Sabzevar Hospitals. METHODOLOGY: The current study is a field trial with a random control group. The sample group was 135 nurses of Sabzevar Hospitals. They were then divided randomly into experimental and control groups. First, all of the samples answered the questionnaire of personal information, Bar-On Emotional Intelligence, and General Health Questionnaire. The first group (intervention) was trained by giving the speech, and the second group (control) did not receive any intervention about the subject of the study. The experimental group was then trained for the components of emotional intelligence and answered the questionnaire again. The significance level was considered as P< 0.05. RESULTS: The results showed that the distribution of qualitative variables in the study was similar and also the scores of emotional intelligence and the dependent variables after intervention in the intervention group had a significant and inverse relationship, meaning that the score of emotional intelligence decreased with the score of general health score. This could be significant in comparison to the two groups. Findings showed that emotional intelligence at the beginning of the study in the intervention and control groups were 35.03 ± 32 and 30.89 ± 33, respectively, and after the intervention, it was 29.68 ± 35 and 42.89 ± 34, respectively. Total general health was 19.76 ± 84 and 18.77 ± 77 in the case group before intervention and 14.55 ± 56 in the case group and 17.68 ± 52 in the control group, respectively (P < 0.001). CONCLUSION: Findings indicated the significant mutual effect of emotional intelligence changes and general health variables. It means as the score of emotional intelligence gets more, health score decreases and the rate of general health increases. © 2020 Wolters Kluwer Medknow Publications. All rights reserved