فهرست مطالب ensieh ashrafi

Corruption means abusing the position and power delegated for personal gain, which undermines the performance of the organization and the quality of services provided to patients. The aim of this study was to identify and extract internal and external anti-corruption strategies in healthcare organizations.

Information sources and selected methods for study: 

This scoping review was performed on the published documents (57 items) until September 5, 2020. Search was conducted in English databases including PubMed, Web of Sciences and Scopus and also in Persian ones including SID and Magiran. There was also a manual search for anti-corruption strategies in relevant international organizations. Qualitative data were analyzed thematically using MaxQDA 10 software.

57 studies and reports were selected to find strategies to fight corruption. The three main areas of solutions were identified as executive, legislative and judiciary powers. 16 strategies were extracted in the fields of executive (7 cases), legislative (5 cases) and judiciary (4 cases). Solutions regarding the Ministry of Health were categorized into 6 building blocks of health systems, including leadership / governance, service delivery, financing, health workforce, medical products, vaccines, technology, and the health information system.

Fighting corruption in healthcare organizations requires using a set of intra-sectoral and extra-sectoral solutions, and in this regard, policy-makers need to design and implement practical strategies based on the evidence presented in areas prone to corruption.

This study has been examined in order to examine the studies conducted on disease management in the field of coronavirus caused disease in the type of COVID-19 in the form of area review regarding the development of coronavirus caused disease as a significant challenge in the 21st century and the importance of managing and controlling this disease.

This study was conducted in the form of a field review to identify non-clinical and non-laboratory aspects of coronavirus in both Persian and English and the keywords such as "corona", "coronavirus", COVID-19 " were searched in the databases from "Scopus", "Web of Science", "PubMed", "SID" as well as "Google Scholar" search engines since the beginning of 2020.

The contents were searched in the adopted databases, and a total of 1257 studies were discovered, and eventually, 18 main papers were extracted and applied after applying the inclusion and exclusion criteria. As the results obtained by the studies explain, a high percentage of the papers focused on stress management, crisis control, and management, focusing on employees and providing the solutions to decrease stress, including exercise, establishing beneficial relationships with relaxation, and so on.

It is better governments provide remote health care services for patients to diagnose and treat this disease due to the speedy spread of coronavirus, lack of definitive treatment, and absence of sufficient quarantine infrastructure for developed patients. Crisis conditions cause all populations engaged in society to share a common purpose and utilize common values in a cooperative movement and progress.

Patient satisfaction is an important indicator of healthcare quality and effectiveness. Quality management as an organizational strategy enhances the quality of hospital services through continuously improving hospital structures and processes. This study aimed to examine the impact of quality management on patient satisfaction.
A participatory action research was conducted in respiratory intensive care unit, at Labafinejad hospital, Tehran, Iran, in 2013. A quality improvement team was established. Operational processes were improved using a quality management model. The quality improvement team standardized processes, identified quality goals for the processes and improved them until achieved quality goals. Patients’ satisfaction data was collected before and after the intervention using a valid and reliable questionnaire.
Patients’ satisfaction was 75 percent at the beginning of the study. Patients were mostly dissatisfied with the nutrition services, amenities, lack of attention to their personal needs and lack of involving them in their treatment processes. An action plan was developed for improving patient satisfaction. After the quality management intervention, patient satisfaction reached to 81 percent at the end of this study. The quality management model improved the quality of services by 54.5 percent and consequently increased patient satisfaction by 7.2 percent. Almost half of the patients at the beginning of this study were definitely willing to recommend the hospital to their friends and relatives. This figure increased to 76 percent. The rest of patients stated that they may recommend the hospital to others.
Implementing an appropriate quality management model appropriately in a supportive environment helps improve the quality of services and enhance patient satisfaction and loyalty.

Health care section as an important social part of a community plays a determining role in people’s health and therefore all people must equally and purposefully enjoy health services and facilities; failure in this regard may lead to unpleasant consequences. The research is both applied and analytical which ranks the counties of Sistan and Baluchestan province in terms of entitlement to health structural indicators in 2011. Thus, 15 health structural indicators were selected and data were collected from Statistical Center of Iran. Experts’ opinions and FAHP technique were used to weight the indicators. Finally the counties ranked by TOPSIS technique. Data were analyzed using Excel, Expert Choice, and LINGO. FAHP’s results showed that indicator of health house workers (Behvarz) in health centers was more important and dentist indicator less important than other indicators. Besides, TOPSIS technique showed that Zahedan, Zabol, and Iranshahr were the highest and Delgan, Zaboli, and Sib and Suran were the least entitled counties, respectively. Based on our findings, there seems to be a huge gap between the counties of the province in terms of their entitlement to health structural indicators. It is therefore suggested that authorities of the health section set the priorities according to the counties’ entitlement to the indicators to remove inequalities in the province.