مجله تصویر سلامت
سال پنجم شماره 1 (بهار 1393)

Family physician program is one of the most important goals of the Fourth Economic and Social Development Program in health Sector in Iran which is designed according to the country’s health policies. Determining on the adaptation of family physician program with predefined policies offers explicit vision from its performance for policy-makers in order to decision-making for support، developing reform and continuity of the program. This study was designed to evaluate the applicability of family physician program with the dimensions of health policy–making from the perspective of health care professionals affiliated in Tabriz. In this cross-sectional survey، the statistical population constituted from health care professionals that involved in family physician program in Tabriz. The sample size of the study was equal to the whole statistical population. A researcher made questionnaire was used for data collection that its reliability and validity of the questionnaire was verified. In the descriptive statistics level، charts and average frequencies were used for data analysis and one sample t-test was used in the inferential statistics level. The result of this study indicated that factors such as effectiveness، relevance and impact in Iran’s family physician program had been in most accordance with dimensions of policy-making in health system، whereas the efficiency، adequacy and monitoring had been in least accordance. Based on the findings of the study، the assessment of causes and factors in the low accordance of Iran’s family physician program with some dimensions of policy-making in health system is needed.

Planning plays an important role in improving children''s health and an evaluation system is necessary to planning. The purpose of this study was comparing and analyzing evaluation system of child care program in primary health care system in the Eastern Azerbaijan province based on Comprehensive Evaluation Model (CIPP). This is a cross sectional study. The process includes a review of current evaluation system، comparison and analysis of the system based on a comprehensive model and to assess and identify the strengths and weaknesses of the current systems. The quantitative methods (such as brainstorming، observation and interview) and consensus of study group about the results of the study were used for analyzing and interpreting results. It showed that not enough attention was paid to the context and performance and the content of evaluation just includes inputs and processes based on the finding. Specific criteria and impact were considered in four areas (context، input، process and outcome) and all levels which were according to the proposal and based on the CIPP model. Evaluation is a control process tool by higher levels and self-assessment by service provider is not considered in the current system. Evaluation includes quantitative aspects and not the quality of process. So، it is recommended that forecasting system that utilizes evaluation will result in improving future planning and a scientific model to be used in designing evaluation program.

Health، being as an important social and individual value، has many influences and consequences all through the social and individual levels. Individual’s health is one of those fundamental issues and a great target regarding countries development. Nowadays، we are witnessing changes in disease patterns from infectious to chronic in one hand and on the other hand، we can see a widening gap between health condition، life expectancy and death rate in the worldwide. Based on global statistics، chronic diseases are rapidly increasing regardless the fact that there have been remarkable achievements in health promotions. There are many kinds of differences between various countries or social levels in terms of health conditions، life expectancy and death rate. In order to determine above mentioned changes، comprehensive perspectives with biomedical orientations should be applied alongside the concentration on health social factors at the same time. The present study is aimed at investigating socio-economical issues on individuals’ health. The present study is a review. UN and WHO databases، English/Persian databases containing ISI، PUBMED، MEDLINE، SID، reports by health organizations، books، thesis، magazines and journals concerning health policies in Iran have been scrutinized. Health is a multi-dimensional structure and can be influenced by several factors. In fact، provision، protecting and promotion of public health can go beyond the abilities of Health Ministry. In order to achieve a healthy society، it is needed to focus on social health factors and intersectional cooperation. Without any comprehensive approach to determine health and disease and replacing health based orientation with treatment based orientations، it is impossible to achieve appropriate level of health and development and will lead in wasting society resources.

Customer Quality is one of the most important dimensions of quality in health care which refers to service receiver''s knowledge، attitude and skills that play effective role in treatment process. This study is aimed at assessing customer quality score in patients with Inflammatory Bowel Disease in Tabriz city in 2012.

This is a cross-sectional study which was conducted with the participation of 94 Inflammatory Bowel Disease patients who referred to Tabriz Imam Reza Hospital and Golgasht clinic. Customer Quality was measured using a questionnaire with 19 items which its validity was confirmed by 10 experts and its reliability was reviewed using Cronbach''s alpha index (α =0. 78). Obtained data were analyzed using SPSS17.

The results illustrated that average score of customer quality among patients with inflammatory bowel disease is 70. 63 (±9. 67). All the participants achieved stage 1 scores of Customer Quality in self-management but only 11. 7% reported highest customer quality score and were able to continue their self-care in high pressure circumstances such as stress and financial problems. Also، there was a significant relation between customer quality score and patient’s education (P-value=0. 05)، so that by having higher education level، the customer quality score was increased as well.

The results of this study indicate that customer quality status in assessed patients with Inflammatory Bowel Disease is partially acceptable، but major problems in some areas are evident and require more attention of health care managers and policy makers.

Social responsibility is one of the most important parts of an organization’s existence. The aim of this study was assessing the social responsibility of Tabriz University educational hospitals from managers’ perspective. This cross-sectional descriptive study was conducted in 2012. 40 managers of educational hospitals have been selected through census sampling method. Data were collected through Ministry of Health and Medical education (MOHME) valid and reliable questionnaire and analyzed by spss software package and descriptive statistics. From the managers’ perspective، patients are the most effective group on hospital activities (48. 5 percent)، international standards are the most important motivation for hospitals (27. 5 percent)، the implementation of the organization’s legal obligations is the most important definition of social responsibility (27. 5 percent). To be ensured a fair and ethical behavior، hospitals have benefited greatly from the workplace and employees (30 percent). Managers (90 percent) emphasized that corporate social responsibility activities have a positive effect on hospital financial performance. The findings indicated that managers have no unique definition of social responsibility and it is difficult for them to understand the concept of social responsibility and there is no special policy or process in hospitals to understand this concept. They have introduced social responsibility as compliance with obligations of the organization.

Evidence suggests that medication errors are among the most common types of medical errors، and over fifty percent of them are preventable. Since a significant proportion of these errors are related to the similarity between drug names، this study was designed to evaluate drugs with similar spelling، spelling and packaging.

This is a qualitative study with phenomenological approach. Participants were selected by purposive sampling. Data were collected through semi-structured interviews and with the help of previously designed guide. Data were analyzed using content analysis.

The central themes of the findings of this study include: the accuracy of drug use، the way of recording and monitoring used medication، the storage، reporting، and notification of similar medications، verbal or telephone orders، medication lists with similar spelling، pronunciation and packaging and recommendations of the participants. The most errors in the Heparin-Atropine pair was the packaging of the drugs، spelling was the highest error in Dopamine- Dobutamine pair drug and spelling was the highest error in Atropine and Atorvastatin pair drug.

The study findings indicate that there is no certain system for recording، monitoring and storage of similar drugs. Therefore، identifying the medication list with similar pronunciation، spelling and packaging is an opportunity to reduce these types of errors with appropriate interventions.