جستجوی مقالات مرتبط با کلیدواژه « health services » در نشریات گروه « پزشکی »

Satisfaction represents the extent to which people's expectations are fulfilled and is a psychological, multifaceted concept influenced by various factors, including individual, psychological, cultural, and socio-economic factors. Assessing the satisfaction of individuals utilizing the services of Comprehensive Health Centers (CHC) can be a crucial indicator for evaluating the quality of services rendered. Therefore, the primary objective of this study is to determine the relationship among service recipients' satisfaction at the CHC of Aran and Bidgol and its associated factors in 2022.

In this descriptive and analytical study, we used a stratified random sampling method to select 328 service recipients from CHC and their branches. The research tool was a questionnaire including demographic information, a standardized questionnaire of general satisfaction with services (CSQ-8 customer satisfaction questionnaire) and a questionnaire of factors related to satisfaction. Data analysis was conducted using SPSS-22 software, with descriptive and inferential statistics.

Among the 382 randomly selected service recipients, 109 (28.3%) were male, and 273 (71.5%) were female. The study revealed an overall satisfaction rate of 82.9%. The highest dimension of satisfaction was related to overall satisfaction with services, technical and communication skills of employees, accessibility and facilities of the centers. The lowest dimension of satisfaction was related to the dimension of time spent by personnel to provide services and service cost. Technical and communication satisfaction, gender, marital status and job had a significant relationship with the overall satisfaction score.

Based on the study's findings, we recommend maintaining and enhancing service recipients' satisfaction at comprehensive health service centers through the implementation of appropriate strategies and planning. Fundamental measures should be taken to improve satisfaction in all dimensions. Furthermore, adopting innovative approaches to enhance the technical and communication skills of employees is imperative for increasing service recipients' satisfaction.

Health tourism is a branch of the tourism industry that is of interest to many countries of the world due to its high demand and good income. Therefore, considering the importance of health tourism and the existing potential in Mazandaran province, this study was conducted with the aim of identifying and analyzing the factors affecting the development of the health tourism industry in Mazandaran province.

The present study was conducted using a qualitative method with a content analysis approach. For this purpose, 17 health tourism industry experts and health tourists were selected using the purposeful sampling method. Semi-structured interviews were used to collect data. The interviews were conducted until we reached a point of theoretical data saturation.

The findings showed that the health tourism industry in Mazandaran province is affected by structural, process and contextual factors. The structural factors included issues related to infrastructures, potentials/attractions, institutional factors, and expert human resources for health tourism destination. The process factor included issues related to drivers of health tourism, provision of health services and destination situational factors. The contextual-field factor included issues related to sociocultural contexts, potentials and attractiveness of tourism, and economic capacity.

Despite the importance of services related to health tourism and considering the increasing demand of this industry, travelers who travel to Mazandaran province need a variety of services, and the need to pay attention to quality service development in tourism destinations is evident. Therefore, the provision of other essentials for health tourists such as infrastructure, destination attractions, financial capacities, sociocultural conditions, human resources, situational factors are  the requirements for the development of this industry.

Induced demand is a major challenge for financing health promotion. Experts have highlighted the important role of health insurance as a driver of demand for doctors even in emerging and advanced world economies. Therefore, the importance of conducting review studies in the country to obtain methods for identifying induced demand is not hidden from anyone.

In this study, articles were searched from English PubMed, Scopus, ProQuest, Cochrane and Web of Science databases.

The findings showed that about 90% of the studies proved the induced demand in diagnostic and therapeutic services with statistical analysis methods and investigating the relationship of variables, and the issue of induced demand is still an important issue in the world.

The structure of insurances is quite effective in the formation of induced demand due to the fundamental role they play in paying health service providers, and the research methods of these articles provide effective perspectives for the country's health policy makers in recognizing and controlling induced demand.

The fundamental requirements and advancements in higher health education integrated into the delivery of healthcare and services to meet the goals of the general health and science and technology policies and health ideals advancements that are outlined in the second stage of the revolution and related documents.

The most important way to control COVID-19, with high contagiousness and no specific treatment, is prevention. Due to the lack of a similar study, this research aimed to assess Covid-19 anxiety and the factors affecting the preventive behaviors of Covid-19 from the perspective of clients referring to the comprehensive health centers according to the social and cultural beliefs of the region. This cross-sectional study was conducted on 400 patients referring to comprehensive health centers of Birjand during the outbreak of COVID-19 in 2022. In this study, after obtaining informed consent from the clients, a researcher-made questionnaire regarding COVID-19 preventive behaviors, the COVID-19 anxiety scale, and the demographic information checklist were completed by participants. The most preventive behavior in the studied clients was wearing a mask when leaving home. The mean score of preventive behavior in women was significantly higher than that of men (P<0.001), and the mean score of preventive behavior according to the occupation of the clients was significantly different from each other (P=0.010). There was a positive and significant relationship between the anxiety score and preventive behavior of subjects, with a correlation coefficient of 0.321 (P<0.001). The correlation coefficient between risk perception and preventive behavior against Covid-19 was 0.325, while between vulnerability and preventive behavior, it was 0.333. Considering the relationship between anxiety and preventive behavior of individuals, it is possible to promote preventive behavior in individuals by increasing the awareness and appropriate information about the serious complications of the disease, as well as the ways of transmission through the national media and cyberspace.

At the global level, the covid-19 epidemic has had many effects, especially in the health sector, and was accompanied by serious shortages and injuries. At this time, what was important was how to serve the people in order to prevent the spread and control of the disease, as well as providing health measures related to it. Therefore, the purpose of this research is to examine the role of the government and non-governmental organizations in providing health services to those affected by Corona.

it was conducted in a quantitative and qualitative manner, in the qualitative part of the interview method and in the quantitative part of the questionnaire, a questionnaire was used to collect data and it was analyzed with spss software. The statistical population of the research was estimated to be 384 people using Cochran's formula in the quantitative part and 12 people were interviewed in the qualitative part.

It showed that the health support of non-governmental organizations has more points than the health support of the government.

In the interpretation of this result, it can be said that NGOs provided completely free services in the provision of health items such as masks and alcohol; This admirable action was especially evident at the beginning of the Corona outbreak in 2019, while the government was completely surprised at that time.

The health system is trying to prevent unnecessary referrals to higher levels by providing tiered services and thus reduce the cost of health care. Therefore, this study was conducted in Zahedan City, Iran with the aim of finding the causes of referrals from level 1 to higher tiers in rural areas.

This cross-sectional study was conducted on 458 rural patients referred to the second level in the rural areas of Zahedan City, Iran. Data were collected from the family health files available in the Sib system and analyzed using the SPSS-16 statistical software, the statistical tests being descriptive statistics (percentage, frequency) and Chi-square test.

The highest (57.6%) and lowest (4.1%) proportions of referrals to the second level of service provision were found to have been in 2018 and 2016, respectively. From among the referred patients nearly 50% had been referred due to the need for a higher expertise, thus most referrals (67.2%) were to specialists. Further analysis of the data showed that only in 23.6% of the cases there was a feedback from the higher level to the first level.

The findings show that referrals from family physicians to higher levels in the health system requires higher medical expertise and patient insistence. In addition, feedback to the first level of service provision has not received proper attention. Establishing interactions between physicians and other health service levels, refresher training of physicians, emphasizing the importance of providing feedback and promoting the awareness of patients can reduce to a large extent inappropriate referrals.

Quality care in pregnancy and childbirth is associated with good results for mother and baby. The provision of some home prenatal care units reduces the stressors associated with these pregnancies and improves maternal health. The present study aimed to investigate maternal homecare for mothers and children in selected developed countries. In this review, all Persian and English articles and documents from 2006 to 2021 related to homecare services for mothers and children were reviewed using the keywords “Home care,” “Maternal child health services,” and “Home birth” in selected countries in reputable databases, namely PubMed, Web of Science, Scopus, Google scholar, World Health Organization (WHO), and Science Direct. Articles that met the inclusion criteria were extracted and analyzed. The findings indicated that in selected developed countries, there are home delivery services and periodic regular home care of mother and child after delivery, a maternity manual, and a birth package with insurance coverage or free of charge. Therefore, it appears that incorporating home delivery options, along with the provision of infrastructure and postnatal care programs for mothers and children, into the Ministry of Health's plans is imperative to enhance the quality and contentment of mothers. These services should be regularly offered, either free of charge or with insurance coverage.

Objective (s): 

Health services tariff is “the mandated price of health services determined by authorities and must be paid to healthcare providers in exchange of receiving services”. The pricing and tariff-setting system of healthcare services in Iran is facing challenges. This study aimed to identify and explain healthcare pricing and tariff-setting methods.

This study was conducted in 2023. Five English databases (i.e., PubMed, Web of Science, Scopus, Embase, and ProQuest) and three Persian databases (i.e., Magiran, Iranmedex and SID) and Google and Google scholar search engines were searched to find scientific sources. Finally, 45 documents related to healthcare pricing and tariff-setting methods were selected and analyzed using MAXQDA software version 10.

Overall, 20 healthcare pricing and tariff setting methods were identified, including capitation, per diem, fee-for-service, global budget, negotiation-based, resource-based relative value scale, cost-plus, value-based, pay-for-performance, best practice-based, diagnosis-related groups, bundled, reference, tiered, sliding-scale, premium, market-based, risk-adjusted, subscription and competitive bidding. Each of these pricing and tariff-setting methods has advantages and disadvantages. In general, the prospective and fixed pricing methods reduce healthcare costs and increase the efficiency of healthcare organizations. The use of complementary value and performance based methods improve the quality of health services.

Health care pricing and tariff-setting methods affect access to health services, and quality and cost of health services. The capitation method along with the value and performance based methods are suggested for the pricing of outpatient services; and diagnosis related groups, bundled and best performance-based methods are suggested for the pricing of inpatient services in Iran.

Implementing holistic health, the development of spirituality, and Islamic morality in society requires theory-based spiritual health services. The health system needs to provide spiritual health care in the spectrum of health and disease, at all levels of prevention and throughout life. This study aimed to explain the pathology of Iranian spiritual health services to design targeted measures to shape a desirable future.

This Islamic futurology was conducted in 18 months based on the Manteghi et al. model in three stages: 1) Analytical phase:non-systematic review of evidence with PRISMA protocol by searching for religious and scientific evidences during the last three decades in scientific databases and analysis of 32 articles based on Walker and Avant conceptual analysis model; 2) Interpretive stage: based on the personality theory and pathology theory of the Sound Heart model; 3) Intuitive phase: by content analysis of data obtained from interviews with 25 national experts. To check the strength, accuracy, completeness, and possibility of logical understanding of the findings, in addition to Morse et al.'s suggestions, two specialized panels were conducted in the Spiritual Health Department of the Academy of Medical Sciences.

The challenges were listed in three sections: 1) Research field: lack of jurisprudential supervision of research, lack of use of religious evidence by academics, preparation of religiosity assessment questionnaires, lack of theorizing; 2) Educational field: lack of spiritual health education in the university, lack of training of spiritual mentor professors, lack of spiritual health textbooks; 3) Clinical services field: lack of standards for spiritual health services, lack of assessment of competence of spiritual caregivers, neglect of spiritual needs of people, neglect of spiritual self-care, lack of implementation of theory-based spiritual care.

To design the ideal future of spiritual health, it is recommended to prepare clinical standards, -to train mentor professors, to implement competency-based longitudinal training, and provide theory-based spiritual health services by a qualified and licensed treatment team.

It is not possible to provide health information services in health crises without a comprehensive understanding of these services and how to provide them due to the health crisis. Based on this, the aim of the current research was to obtain comprehensive information about the components of providing health information services in health crises.

The current research was conducted with a qualitative approach and a meta-combined method, using the seven-step method of Sandelowski and Barroso. The statistical population consisted of articles and theses published in persian and international databases between 1991 to 2022 AD and 1370 to 1400 solar. Out of a total of 8363 resources identified based on the critical skills assessment program, 40 resources were approved. Extracted information was coded and coding reliability was measured and confirmed using Kappa coefficient. 

From the results of the research, 74 codes were extracted in 21 concepts and 6 categories in the field of providing health information services to patients. which categories and codes include health information needs assessment (disease, health, health information sources, patients); accessibility and dissemination of health information (health information, access ways); Awareness and notification of health information (information, tools); Education (patients, managers and staff of hospital libraries, methods); Planning (health crisis, resources, budget, infrastructure, patients, librarians and Medical Information Specialists) and obstacles and limitations (expert force, budget, facilities and infrastructure and resources) were categorized.

Dealing with the issue and components of providing health information services to patients in health Disasters in hospital libraries can cause policymakers in this field to know more about the dimensions, concepts, and consequences of providing these services in order to provide access to health information for everyone, especially patients. According to the identified components, efforts can be made to prepare the necessary infrastructure in order to plan to strengthen the strengths and eliminate the existing weaknesses and make appropriate policies in order to play the role of health counseling and launch the health information service department in hospital libraries.

The right to access health services as a part of fundamental human rights, affected by the conditions and facilities of governments and the international status, has always faced challenges. Despite the clarity of the general policies and upstream documents in the Iranian health system regarding the need to provide immigrants and refugees with health services and Iran’s membership in the relevant conventions, the implementation of the provisions of these documents is not consistent and complete for various reasons, including the inadequacy of laws related to immigrants and refugees and the incorrect implementation of some existing laws. The first draft of the ethical guidelines for providing health services to immigrants was prepared by the research team using the results of a review of relevant documents as well as a qualitative study and finalized according to the opinions of the participants in a panel of experts. In this draft, after explaining the values and ethical principles governing the provision of services to Afghan immigrants, the suggested guidelines and assignments were presented to the main stakeholders involved, including the policymakers and macro planners of the health system, institutions and centers providing health services, professionals and health service providers, professional organizations, civil society activists, media and non-governmental organizations,  and medical research and education authorities and researchers.