فهرست مطالب shoresh barkhordari

Acute kidney injury (AKI) is one of the most prevalent and extreme physio-pathological disorders in hospitalized patients, 20-40% of whom are hospitalized in the intensive Care Unit (ICU). Sepsis is the most commonplace reason for AKI in intensive care patients, accounting for 50% of ICU cases This was a descriptive cross-sectional study conducted at Isfahan University of Medical Sciences from 22 October 2016 to 22 October 2017. Two hundred and thirty-two selected patients at Al-Zahra Hospital in Esfahan were enrolled in the study. Patients were followed for 10 days to determine the short-term mortality rate. Data were analyzed using t-test and Chi-squared test using SPSS software (ver. 16). In this study, 232 patients with sepsis were evaluated. Their mean age (± standard deviation) was 69.9 (18.4) years. The mean age of patients with acute kidney Injury (72.7 years) was significantly higher than the mean age of non-patients (non-AkI) (66.6 years) (p-value= 0.012). However, the significant difference was not between the age groups, but the p-value was near the significant border. The mortality rate of patients (53.6%) was significantly higher than the non-patients (non-AKI) (29.6%) (p-value<0.0001). This study showed that the prevalence of AKI was 57.3%, which was similar to the prevalence rate in other countries. A relationship was also demonstrated between AKI and mortality rate and showed that AKI increases the mortality rate.

Public-private partnerships can provide the health systems with the required resources to prevent disease, render effective care services, and promote individual and community health. The purpose of this study was to review application of the public-private partnership model in the delivery and promotion of health services to investigate the scope of this model and its success in health systems.

This critical review was conducted by conducting a search in the databases of ISI, Scopus, PubMed, Science Direct, SID, and Magiran using acombination of the following keywords public-private partnership, health promotion, health delivery, health improvement, health service, health care services, and providing health services. No time limit was considered in the research process.  A total of 238 articles were extracted and reviewed.

Finally, 12 eligible articles were studied, which resulted in 4 main themes: public-private partnerships and prevention, public-private partnerships and infectious-communicable diseases, public-private partnerships and chronic diseases, and public- private partnerships and clinical health services design and information.

The public-private partnerships were successful if supported and organized by the government. In most studied articles, the extent of private sector participation and its benefits were not clear. So, clarification of the interactions between these two sectors will increase the confidence of policymakers in public-private partnerships.