فهرست مطالب هدایت سالاری

Professional commitment is described as a set of attitudes, values, behaviors, and relationships that serve as the foundation of a health professional's contract with society. The present study was conducted with the aim of determining the attitude of medical students of Bushehr University of Medical Sciences towards professional commitment in 2022. The research population of this descriptive study included 254 students of the last 3 years of the Faculty of Medicine of Bushehr University of Medical Sciences who were included in the study by census. The standard questionnaire of attitude towards the professional commitment of doctors was used for data gathering. Data were analyzed using SPSS software version 25. Descriptive tests, Spearman's correlation test, linear regression and Mann-Whitney test were used to analyze the data. The mean and standard deviation of the age of the students participating in the study was 24.69±2.25 years. The mean and standard deviation of the attitude score towards professional commitment were 67.12±12.72 out of 100. There was a statistically significant relationship between the variables of age, academic semester and experience of participating in training courses related to professional ethics with the mean attitude score (p < 0.05), but there was no relationship between gender and the attitude score towards professional commitment. There was no statistical significance (p > 0.05). Educational centers and its professors, as the most influential force on the formation of students' morals, should revise and implement the educational program well in the field of medical professionalism, considering professional needs

Interprofessional education forming interprofessional identity through effective interactions. This study aimed to assess the readiness of students at Bushehr University of Medical Sciences for interprofessional education.

Methods & Materials: 

This was a cross-sectional descriptive study; the sample included 342 students from the Medicine, Nursing, Paramedicine, Dentistry, Health, and Nutrition faculties at Bushehr University of Medical Sciences. Data were gathered through the standard questionnaire developed by Yamani et al. and analyzed using SPSS. Descriptive statistics (mean and standard deviation) and analytical statistics (t-test, one-way ANOVA, and Pearson correlation test) were employed to analyze the data.

The average age of the students was 21.64 ± 2.48; 68% were female and 32% were male. 58.5% held Bachelor's degrees, and 31.9% were pursuing an MD. 85.4% of students lived in student dormitories. The mean overall score of the students' viewpoints was 72.09 ± 7.01. The highest mean score among the surveyed items was related to the item "Collaborative learning among learners from different fields is ultimately beneficial for patients to solve their problems," while the lowest mean score was related to the item "Collaborative learning helps me to know my limits." There was a significant relationship between students' viewpoints and gender (p-value=0.004), with the average being higher among female students. However, there was no relationship between students' viewpoints and their educational level, college, or habitation.

Given the acceptability of students' readiness (higher than the mean score), it is suggested that policy and decision-makers design training programs incorporating interprofessional education and teamwork for effective interactions.

Since the high rate of inappropriate MRI prescription has a significant financial burden on the health system, the specialists’ opinion, as the people engaged in prescribing such orders, would help the policymakers to solve the problem more efficiently. The present study investigates specialists' opinions about the reasons behind the inappropriate prescription of MRI in 2021.

Method and Materials: 

This study was exploratory-descriptive qualitative research. The interviews were semi-structured. They were all recorded. Then the interviews were coded and analyzed using MAXQD2022.

Sixteen specialists participated in the present study. The reasons for inappropriate prescription were classified into 3 subjects: physician-related, patient-related, and health system-related factors. The reason for the prescription part, the negative motivation of physicians, and the pressure of patients were focused on Developing and implementing indication-based guidelines by the insurance system and educating society presented as solutions

It seems the reasons for the inappropriate prescription of MRI are not considering the indications, the patients' pressure and the doctors' motivation to visit more patients and spend less time on physical examination. Induced demand of physicians is another reason. Experts suggested community education, indication-based insurance coverage, and increased MRI costs. Developing appropriate national guidelines for prescribing MRI and monitoring its implementation by the insurance system can be one of the best approaches to preventing inappropriate prescribing of MRI.

Outsourcing as an effective strategy in public management has attracted policy-makers. Awareness of quantity and quality of implementing this strategy can help policy-makers and managers to remove barriers to this policy. This study aimed to investigate outsourced services and the applied models in Bushehr University of Medical Sciences.

This  descriptive cross-sectional study was carried out in Bushehr University of Medical Sciences in 2019 in four separate steps of literature review, shortlisting outsourceable services, data quality assurance and categorization of outsourced services into clinical and non-clinical services. Finally, the collected data were entered into Excel® version 8 to calculate and report descriptive indicators.

Result showed that totally 24 types of services have been outsourced. Half of them were clinical and the other haf were non-clinical. Among the outsourcing models, service purchasing model and management outsourcing model were the most and the least applied models, respectively.

Although various outsourcing models are available, the type and the number of outsourced services are still limited. Given the diversity of services in health sector especially clinical services, it is possible to use the capacity of outsourcing strategy more effectively.

Low back pain (LBP) is currently the most common musculoskeletal disorder and a major cause of disability. A remarkable percentage of diagnostic imaging prescriptions are not necessary,
therefore, this study aimed to determine the necessity of lumbar MRI prescriptions in Bushehr teaching hospitals in 2018.

This cross-sectional descriptive-analytical study recruited a sample size of 273 individuals from a population of all patients presenting to Bushehr teaching hospitals for low back pain and undergoing lumbar MRI. Data were collected using a questionnaire with demographic questions and prescription-related questions. SPSS 24 software was used for data analysis.

Of the 273 patients studied, 54% were female and 46% male. The mean age of patients was 43 years and 72% of all patients were between 21 and 50 years old. MRI was deemed unnecessary for approximately 44% of patients. Furthermore, MRI results were reported absolutely normal in 30% of the patients.

It can be concluded that many MRI services provided are not clinically necessary, and given the high hospital costs, especially for MRI, it is necessary to use valid indications to prevent ordering unnecessary tests, and imposed requests. Such indications will reduce the costs incurrd to healthcare system and patients.

MRI is a new and expensive diagnostic technology which has been increasingly used globally. This aim of study was to determining the administration of MRI for the Lumbar vertebrae using the appropriate RAND Method.

This qualitative study was based on consensus. The population study included 9 professionals involved in prescribing the procedure based on Rand. Two criteria were identified: Valid clinical guidelines and expert opinion. Scoring criteria were the numbers 1 to 9. Numbers in the range of 1 to 3 unfit، 4 to 6، unreliable، and 7 to 9، placed in an appropriate range. An agreement was done when 7 specialists agreed marked the same range.

97 scenarios were selected for the lumbar spine MRI in the extracting phase. 18 other scenarios were added by panel members. Finally، a total of 115 scenarios were identified. After implementing two rounds، the scenarios were categorized into three ranges. Sixty eight (%59. 1) of the scenarios were considered as appropriate، 44 (%38. 2) as uncertain، and 3 (%2. 6) as inappropriate.

A developed scenario in this project for MRI lumbar vertebrae treated with Guide is perfect for specialists. It is recommended that insurance companies and other institutions use this as a benchmark for the payment of MRI lumbar vertebrae fees. RAND appropriateness Method is useful for identifying stakeholder views in settings with limited resources.