جستجوی مقالات مرتبط با کلیدواژه « ارزیابی کیفیت » در نشریات گروه « پزشکی »

The research activities of developing countries have increased over the last two decades. The expansion and decentralization of ethics committees necessitates appropriate performance evaluation. In 2023, a cross-sectional study was carried out on the Iranian research ethics Committees using the checklist called "Research Ethics Committee Self-Assessment Tool". The checklist was translated into Persian and revised based on the opinions of research ethics experts and the approved “regulation of establishment, grading, and description of duties for research ethics committees”. The electronic checklist was sent to the senior members of 269 research ethics committees. After gathering the data, it was analyzed using SPSS software. The response rate was 83%. The average overall score was 152.11 ± 25.173, or 69.14% of the maximum. The two sections (including continuing review (monitoring) and committee resources received less than 50% of the average score. The 138 research ethics committee scores were excellent and 85 committees were in the good range. The findings revealed that average scores are influenced by activity years, the number of monthly meetings, the presence of an approved annual budget, an approved quality improvement program, and having specific administrative staff. Completing the self-evaluation tool can raise the National Committee authorities' awareness about the adherence of the research ethics committees to the imperative standards. It can also lead to each committee's awareness of its strengths and challenges. Revision of national regulations governing the establishment, grading, and description of committee duties and then future self-evaluation can facilitate upgrading and improving the performance of ethics committees.

 When designing an evidence-based treatment program to help patients with pelvic floor disorders through conservative methods, it is necessary to select studies that, in addition to focusing on the desired subject, also have a suitable quality. Therefore, the present study was performed with aim to assess the quality of published clinical trials regarding the effect of conservative methods in women with pelvic floor disorders using CONSORT tool.

 In this critical review, published RCTs which are indexed in PubMed, Scopus, Medline, Cochrane، Web of Science as well as Persian databases such as SID and Magiran from 2001 to 2021 were searched using Persian and English keywords. Out of 416 articles, 64 RCTs were assessed using CONSORT 2017 checklist. Data were analyzed using SPSS (version 16) and descriptive statistical tests.

 In the complete assessment of the articles, the mean overall score of articles quality based om CONSORT criteria was 28.85 ± 7.5 (minimum and maximum range of 12-41). Title, introduction, objectives and discussion had the highest mean score; whereas method and results section had the lowest mean score. Also, 33.9% of the articles had not point out the type of the article in the title. In the abstract section, 75% of the articles did not report the study type, 87.5% did not describe the method of randomization, and more than 73.2% did not report blinding.

 The appraised articles in the present study had a moderate quality. Improving the quality of clinical trials, especially in the method section, is essential for more use at the bedside and providing better care. Getting help from experts in the statistics and methodology as well as using standard tools for critical appraisal, the quality of articles could be improved.

In the last few decades, higher education has grown increasingly in terms of quantitative, but it has faced the phenomenon of unemployed graduates and the weakness in entrepreneurship in academic staff. ‌ Hence, this research aimed to develop a framework for assessing the quality of the university in order to develop university entrepreneurship. So then the statistical population consisted of the university experts of the governmental universities of Tehran province who had professional experience in the field of entrepreneurship that 113 members were selected by cluster random samplin based on Cochran formula. In addition, descriptive and inferential statistics were used to analyze the data using SPSS22 and PLS2 software. Considering the finddings of the research, it showed that the factors used to assess the quality of the university including the quality of organizational, human, equipment and infrastructure and management had a significant relationship with the factors of university entrepreneurship development, and universities should consider these factors and strive to improve their quality in order to improve qualitatively improvement.

Clinical trials are used extensively in the compilation of systematic review studies and clinical guidelines. Critical appraisal of articles is a part of systematic review writing and also effective in citation. This study aimed to evaluate quality of randomized clinical trial articles of Mashhad University of Medical Sciences with consideration report of randomized, blindness, and allocation concealment methods in them.

In this study, all randomized clinical trials with Mashhad University of Medical Sciences affiliation indexed in PubMed by 2018 were evaluated.

Of 257 eligible articles, dentistry (n=44 , 17.1%) , obstetrics and gynecology (n=28 , 10.9%) and internal medicine (n=23 , 8.9%) had the highest relative frequency of published randomized clinical trial articles. Eithy-three articles (32.3%) reported the randomization method and most of them (86.9%) used simple randomization. Blinding was done in 138 papers (53.7%) with double blinding being the most common (70.2%). Only three articles (1.2%) reported allocation concealment.

The report of "random allocation and randomization" in articles was far less than acceptable. It may seem that there may be different biases in the methodology. Upholding the principles of scientific writing and avoiding errors and biases increase the validity of the scientific articles and citation, which is one of the criteria of the scientific ranking of top universities.

Awareness of patient satisfaction from service quality is vital to advance performance improvement strategies. The main goals to evaluate the quality of services in the health and treatment system are service performance, service identification, service performance improvement evaluation and finally providing favorable service to customers.

In this research, seven key aspects were identified to assess the quality of health care system. Then, they weighted by the best-worst fuzzy developed method. In the following by using a researcher-made questionnaire, the openions of referrals to selected departments of the treatment center have been reviewed as a statistical sample of service quality. Finally, the complex of treatment centers, hospital departments, and quality dimensions were analyzed and ranked by Fuzzy Vikor Method, Friedman statistical tests and Analysis of variance.

Development of comprehensive satisfaction assessment model could include desirable range of criteria affecting the satisfaction of the referrers to health centers. In addition, using developed multi-criteria fuzzy hybrid decision making has been able to consider the uncertainty of the assessment process for the qualitative criteria considered by the evaluators. Key findings of the research suggest that the final weights in order of priority are: pivotal patient (0.198), time (0.188), effectiveness (0.178), responsiveness (0.123), warranty (0.112), financial (0.108), and health communication (0.9).

Health centers by focusing on priority-based performance improvement programs can offer a better level of service quality and can achieve higher customer satisfaction. Therefore, they will be able to achieve a sustainable competitive advantage.

This study was conducted with the aim of evaluating and ranking the quality gap in educational services from the student’s point of view.
The method of this descriptive study was a survey; The Statistical population was randomly selected and consisted of 706 students of the first semester of the academic year 2015 – 2016. Data were collected by SERVQUAL standard questionnaire which consist of accountability, empathy, guaranteed, Reliability, and physical conditions. Data analysis was performed by the use of Spss.18 software, U-Mann Whitney test, Kruskal-Wallis, Wilcoxon, and Pearson-Spearman correlation.the entire six grade 8 books, the component related to mental health with 732 and physical activity with 735 cases allocate the highest frequency, and control and prevention of diseases was the least frequent with 6 frequency.
There is a negative gap in all 5 aspects of service quality from perspective of students. Average for each quality gap aspect was observed respectively in physical conditions (- 0/83), accountability (- 0/82), empathy (-0/78), guaranteed (-0/68) and Reliability (- 0/68). There is no significant correlation between gap, in each of these five aspects, with variables of different academic terms and sex demography. There is a significant correlation between quality gap with the academic study level variable with exception of guaranteed and accountability aspects. The grade variable have an impact of all of aspects except empathy and accountability. There is no correlation between fields of study with quality gap except in physical conditions.
The results shows that students find the quality of educational services insufficient, therefore the Academic policymakers can use these results to increases the quality of educational services in universities.

Despite the great importance of comprehensive evaluation of mobile health services, as a part of ýnovel health services, most researches have only focused on the evaluation of the technical ýaspects and have neglected other aspects of these services. The main objective of this study was ýthe identification and prioritization of the indicators and dimensions of mobile health systems’ ýquality by considering all critical aspects including technical, information, and interactive ýdimensions.
This applied and descriptive study was conducted through survey method. A questionnaire was ýused to collect data the validity of which was confirmed by academic experts. The statistical ýpopulation of the study included experts of health services quality evaluation with emphasis on ýmobile health with more than 3 years of experience in this field. Using judgmental sampling (non-ýprobability purposive sampling), 28 subjects were selected and questionnaires were distributed ýamong them. The content validity of the scale was confirmed by experts and its reliability was ýapproved through calculation of inconsistency rate for all pairwise comparison matrixes (less than ýý0.1). The collected data were analyzed using the analytic hierarchy process in Expert Choice ýSoftware.
The interaction quality dimension was the most important among the dimensions of quality ýassessment of mobile health services. In addition, the indicators of privacy, effectiveness, safety, ýreal-time performance, accountability, after-sales service, and patient-centered services were ýrespectively, the most important quality indicators.
It is necessary to study mobile health services in the context of other health services and not just ýsimply as software. The success of a mobile health system is based, first, on the quality of general ýhealth service indicators such as accountability, patient-centered services, and privacy, and then, ýon the quality of software system indicators. Therefore, it is necessary for all stakeholders to be ýinvolved in the process of designing a mobile health service in order to improve the chances of ýsuccess.

Evaluating quality of health and medical care is considered as an essential criteria to promote the care's quality that can lead to improve the results of programs and their efficacy. One of the methods to assess the quality of care is Bruce model which can detect the weak units and eliminate the shortages. This study was performed with aim to evaluate the quality of postpartum care Based on Bruce Model in medical health centers of Mashhad. This cross-sectional study was performed on 500 qualified mothers from 19 medical and health centers in Mashhad in 2013-2014. The samples were selected by multi-stage sampling method. Data collection tool included demographic questionnaire and care evaluation check-list based on Bruce model which included 6 aspects of technical skills, training and consultation, inter-personal relationship, informed selection, follow-up mechanism, organizing the services and conditions. Data was analyzed by SPSS software (version 16) and descriptive-analytical statistics. P Total quality of postpartum cares was moderate. In this study, technical qualification (clinical examinations) and training and consultation in postpartum care were weak. Other aspects including technical qualification (history), inter-personal relationship, follow-up mechanism, and informed selection were moderate. Based on the Kruskal-Wallis test, there was difference between mean scores of different aspects of quality in Mashhad health centers except in the aspect of follow-up mechanism (P<0.05). With regard to the poor quality of clinical examinations and training and consultation in these cares and their effects on preventing from postpartum complications, it is recommended to do more studies about the cause of weak quality of these cares.

In the view of the importance of evidence-based clinical practice in recent years, clinical disciplines such as nursing and midwifery have found a special need to systematic review and meta-analysis. However, systematic reviews and meta-analysises like any other studies may be poorly designed and implemented. Therefore, certain guidelines have been considered for reporting of such studies. The PRISMA statement is one of the most recent developments to improve the reporting quality of systematic reviews. The present study aimed to assess the reporting quality of systematic reviews and meta-analysises in the Iranian journals of Nursing and Midwifery, based on the PRISMA statement.Methods & Materials: In this study, we conducted a comprehensive search on the Iranian journals of Nursing and Midwifery (Persian and English), indexed by the SID, Magiran, Irandoc, Iranmedex and Google Scholar databases during 2010 to 2015 years. The search was implemented using the key words such as systematic review and meta-analysis. Of the 44 articles found, after considering the inclusion criteria, 16 articles remained that were investigated using the PRISMA statement. Data were analyzed through the descriptive statistics and chi-square test using SPSS software version 16. The compliance rate of studies on the basis of PRISMA statement was estimated to be about 63%. The most common deficiency in the reporting quality was related to methodology estimated to be about 57%. The most visible deficiencies in the reporting of systematic reviews and meta-analysises were related to bias in the primary studies and bias in combining the results of these studies and lack of reporting these biases. In this study, the reporting quality of systematic reviews and meta-analysises in the Iranian journals of nursing and midwifery was in the moderate level. The most probable reason for this may be the lack of enough attention of researchers to the PRISMA statement or not using this statement in reviewing articles. Therefore, it is recommended that an appropriate share of the educational programs on research methodology be allocated to systematic reviews and familiarizing with valid criteria such as PRISMA statement.

Happiness is a persistent feeling of positive emotion and perception of reality of life. Physiological signs of emotion and joy, including: Changes in the face or tone of speech which strongly affect the quality of our relationship with others. Communication performance is the most important characteristic for those who work in primary healthcare. Midwives as a key member in the treatment process, has close relationship with the patients. Therefore, the present study aimed to determine the level of happiness and its relationship with the quality of communication performance in midwives.

This study was conducted among 90 midwives working in maternity of Mashhad University of Medical Sciences hospitals which were selected through census sampling. This is a descriptive-correlation study. Data were collected from the Oxford Happiness Questionnaire and observational Check list for communication performance. Data were analyzed by descriptive statistics, Spearman, ANOVA and Pearson test with Spss19.

11 (12.2%) midwives had low level of happiness, 46 (51.1%) moderate, and 33 midwives (36.7%) had high level of happiness. Spearman correlation coefficient showed a significant and positive correlation between happiness and communication performance (p<0.001, r=0.771).

Due to happiness and communicative performance show significant positive correlation, and also the result showed 63.3% of midwives had low and average happiness, authorities can increase the communication performance of midwives by increasing levels of happiness and through this, organizations provide patient satisfaction.

Service quality assessment is a basic step in quality improvement planning. Educational services offered to students of academic organisations are of different types. So students’ satisfaction is an indicator of disirable services in academic organisations. This study aimed to indentify the students’ expectations of educational services، their viewpoints about current educational services and determination of the quality gap at Sabzevar University of Medical Sciences، using SERVQUAL Model. In this cross-sectional study the existing gap between the students’ expectations and the educational services was assessed، using the SERQUAL model with a standard questionnaire containing 28 items and a sample of 273 students. The data was analyzed by SPSS software، version 16 with t and ANOVA tests. Most of the students were 21 years old and 67. 4% of them were female. Also undergraduate students with 77. 7% and nursing students with 23. 4% had the most frequencies. Regarding the five aspects of quality، there was considerable gap between the quality of current educational services and the students’ expectations (p= 0. 000). The students of Health School gave the best score to the current educational services. ANOVA analysis showed that regarding the five asspects of quality in different schools، only the difference between the empathy aspect was ststistically significant (p-value=0. 086). Based on the results، the students’ expectations are beyond the current status. Thus improving the quality of services، particularly those with the most gap، should be of the highest priority.

Access to affordable and quality health care is one of the most important ways for reducing maternal and child mortality. The purpose of this study was to provide strategies to promote the quality of care during childbirth in Lorestan province in 2011. This research was a mixed method (quantitative, qualitative), study in which quality of 200 care during childbirth in hospitals of Lorestan Province were evaluated. Data gathered through self-made tools (Checklists prepared according to the guidelines of the ministry of health). Descriptive statistics and SPSS software were used to data analysis.In the second part of the study which was qualitative, interview with service providers, hospital officials and high-ranking officials of Lorestan university of medical sciences (decision makers) was used to discuss strategies to improve the quality of care. The results showed that the care of the first stage delivery in %54.5, second stage %57 and third stage 66% were in accordance with the desired status and care in this three stages was of moderate quality. Based on the interviews, the officials who are in charge of Lorestan university of medical sciences, proposed strategies such as financial incentives and in-service training of midwives as suitable strategies to improve quality of services. According to the results, strategies such as financial incentives, increased use of private sector services to reduce the workload of the public sector and increase of quality and use of more in-service training, to improve the quality of services, are recommended.

This study was aimed to assess Service Quality (SQ) of maternity care from the perception of pregnant women. Methods and materials: A cross-sectional study was conducted using a sample of 185 pregnant women at the 9th month of pregnancy were selected randomly from 40 health posts and urban health centers in Tabriz، Iran. Service Quality was calculated using: SQ = 10 – (Importance × Performance) based on importance and performance of non-health aspects from the customer’ perspective. Data collection used a researcher-developed questionnaire whose validity and reliability was reviewed and confirmed. Data analyzed using SPSS-17 software. Independent sample T-test and ANOVA were used to investigate relationship between service quality dimensions and categorical variables.

From the customers’ perspective the average service quality score was 7. 59 of 10. Service quality aspects of “confidentiality” achieved scores at the level of good quality (≥9); and “support group” (3. 48) reached low service quality scores. Also، result indicate housewife assess SQ better than worker (p=0. 047) and mother who''s have planned pregnancy has had greater SQ score (p=0. 022). Although، in the linear regression analysis، job status and planned pregnancy were significantly and independently related to SQ score.

Findings revealed a significant room for quality improvement in most aspects of provided care، particularly support group and safety from the perception of people who received maternity care.

Seminars and congresses provide an academic atmosphere to present unpublished data and new scientific achievements. In this regard, assessing the quality of such academic events can play an important role in developing their scientific values and identifying their weaknesses. In this descriptive, cross-sectional study, the abstracts of the two recently held aerospace and submarine medicine congresses were evaluated. Descriptive statistics were used for data analysis. Results showed that the majority of the presented articles (about 90%) were review articles and only about 10% of contributors had submitted original research studies. In addition, the affiliation of the corresponding author in most articles was AJA University of Medical Sciences (64% and 86.7% in the first and the second congress, respectively). Toxicity and occupational medicine were the most frequent subjects (40% and 28.2%, respectively). The results indicated that the quality of abstracts presented in both congresses was not satisfactory. It seems necessary to find a proper strategy to improve the scientific and research quality of such events in future.

Service quality is defined as patients’ self-reported experience of care, and is used as a measurement tool for evaluating systems quality. This study was aimed to assess the quality of services from the perspective of patients who used the medical laboratory of Tabriz Heart and Cardiovascular Hospital (Shahid Madani) to evaluate and improve service quality at this laboratory.

A cross-sectional study was conducted using a sample of 150 patients who used our laboratory. Service quality was calculated based on importance and performance of non-health aspects from the customers’ perspective. A researcher-developed questionnaire whose validity and reliability was reviewed and confirmed was used for data collecting. Data were analyzed using SPSS-14 software. Independent sample t-test and Regression test were used to investigate the relationship between service quality dimensions and categorical variables.

From the customers’ perspective, the average service quality score in our laboratory was 7.93 out of 10 which is relatively a low score. Meanwhile, in some aspects, such as respect and immediate attention by the laboratory staff, good interactions and trust on the laboratory with a score higher than 8, achieved acceptable quality. The ease of access to the laboratory achieved 5.78 score which is the lowest among the dimensions of services quality.

Our findings have clarified that even in a high ranking hospital, there are still significant points for service quality improvement in most aspects such as human resources, basic utilities, and technical equipment.

The status of providing medical services to patients in the emergency wards can be indicator of medical service delivery in every part of hospital. The objective of this study is to determine the rate of satis-faction of the emergency patients in Vali-e-Asr Hospital of Fasa. The study was application and descriptive and analytical. Designed questionnaire in five part Likert scale has completed through inter-view. 470 Patients were interviewed. Collected data through SPSS 18 and Minitab16 software is analyzed by using appropriate tests. Validi-ty of questionnaire is provided through structural and content method. To determine reliability, Cronbach alpha is calculated which 0.91 is. The results showed that 50.1% of the studied samples were men. Among the demographic and contextual variables, there was statisti-cally meaningful relationship between satisfaction and education (p <0.001). Exploratory factor analysis showed that the questionnaire contains five factors which are: "facilities and equipment", "Environ mental health", "Access", "Care" and "behavioral aspects". The satis-faction of "facilities and equipment" 3.41, "Environmental health" was 2.69, the "Access" was 3.77, and “Care” was 3.15 and the satisfaction to behavioral aspects” was 3.11 The findings highlight the need to improve the quality of emergency services. It appears that by reforming system's defects based on Pa-tients’ opinions higher satisfaction would be obtained.

The status of providing medical services to patients in the emergency wards can be indicator of medical service delivery in every part of hospital. The objective of this study is to determine the rate of patients’ satisfaction from General physicians’ services in Fasa.

The study was application and descriptive and analytical. Designed questionnaire in five-part Likert scale has completed through the interview. Sampling method was random and 400 Patients were interviewed. Data was collected through SPSS 18 and Minitab 15 software is analyzed by using appropriate tests. Validity of questionnaire is provided through structural and content method. To determine reliability, Cronbach alpha is calculated which 0.93 is.

Among the demographic and contextual variables, there was statistically a meaningful relationship between satisfaction and education, job, sex, married. Correlation coefficient between Patient's overall satisfaction and loyalty index, is calculated which is 0.792. The key improvement priorities from General physicians’ services respectively, "Physician’s skill and expertise", "Careful consideration to the patient and complete patient history taking and physical examination by a physician" and "Physician response to patient questions about disease and treatment methods" were identified.

The findings highlight the need to improve the quality of General physicians’ services. It appears that by reforming system's defects based on Patients’ opinions higher satisfaction would be obtained.

Based on recommendation of management development and organizational change center of the ministry of health. EFQM model is the most appropriate model to deploy in country`s hospitals. In this study we assess quality of emergency wards in khorramabad hospitals based on EFQM model and compare it with results of annual evaluation of the ministry of health. this descriptive، cross-sectional study was carried out in 2009. Emergency wards of khorramabad hospitals were our study population which were selected using census method. Data collection tool was questionnaire of EFQM model which was filled out by researchers in studied wards. RADAR logic used for scoring and EFQM consensus process used for agreement. The data were analyzed through descriptive statistics، SPSS and EFQM softwares. Scores of studied wards (Social security، Shahid Madani،Shohaday-e Ashayer and Asali hospitals) were 216،108. 1،129. 9،72. 1 respectively. The mean score in EFQM criteria were: leadership 12. 3%، policy and strategy 7. 1%، staff 11. 8%، partnerships and resources 13. 8%، processes 20. 8%، customers results 8. 3%، staff results 12. 5% society results 9. 5%، key performance results 18. 8%. Findings show that quality of studied wards is less than the model standards and other similar studies considerably. From view point of the researcher the existing gap with external studies is logical and in comparison with internal studies is irrational. The studied wards acquired the most score in process criterion and the least score in policy and strategy criterion. Also، findings shows a negative relation between results of assessment based on EFQM model and current evaluation system of the ministry of health، so it is suggested that the current system should be revised fundamenally.

The aim of this study is to evaluate the quality of the curriculum of virtual education which is done through cohort method. In this study the quality of the curriculum is studied according to nine elements of Francis-Klein and one added element. For achieving the mentioned research aim، two questions are asked: 1-How much is the quality of the courses of virtual education of Ferdowsi University with course separation، according to curriculum elements? 2-How is the quality of the curriculum of virtual learning from the view of students? The study group included 210 students which have chosen their courses virtually in 1388. The data is gathered through a questionnaire. For evaluating، the reliability of questionnaire the content is evaluated and it is calculated by α krahba 0. 89. The analysis of the data is done at two levels which are descriptive and Inferential Statistics. The results of the study showed that the quality of the curriculum of virtual education of Mashhad Ferdowsi University has an appropriate quality from the point of aim elements، content، page plan، educational material، categorization، time، environment and evaluation، the learning activities have average quality، and categorization، element has an in appropriate quality. The quality of curriculum of virtual education of this university is appropriate. Also among all courses، Nahjolbalaqeh had the best and Mathematics had the lowest quality level.