جستجوی مقالات مرتبط با کلیدواژه "healthcare services" در نشریات گروه "پزشکی"

Iran is ranked among the top ten nations in the world for hosting a large number of migrants and refugees. During the COVID-19 outbreak, refugees and migrants were among the most vulnerable groups. This study aimed to investigate the extent of healthcare service utilization by refugees and migrants during the COVID-19 pandemic in healthcare centers affiliated with Iran University of Medical Sciences

This quasi-experimental study was conducted in 2021 in Tehran. The research environment included all healthcare networks and general and specialized hospitals. Data were collected through document review and registered information in the Sina system. All provided services were categorized into four groups: primary care, outpatient, emergency, and inpatient services. Data analysis was performed using the Chow test and Interrupted Time Series model with the Wats and Sctest software packages in R version 4.3.0.

The decrease in utilization of outpatient, emergency, and inpatient services by refugees and migrants was significant (P-value < 0.001), whereas the decrease in primary care services was not significant. Additionally, after the onset of COVID-19, only the utilization of inpatient services showed a significant increasing trend (P-value < 0.013).

During the COVID-19 pandemic, the utilization of all healthcare services by refugees and migrants, including primary, outpatient, emergency, and inpatient care, decreased. It is recommended to provide complete insurance coverage for refugees, offer free treatment for impoverished refugees, increase awareness among refugees to encourage greater use of health services, reduce existing social and economic barriers, and facilitate interaction between healthcare providers and refugees.

Musculoskeletal disorders are one of the main health problems among health care providers. This study aims to determine Job responsibilities and risk factors for work-related musculoskeletal disorders among the hospital employees of one of the largest hospitals in Zahedan.

This cross-sectional study was conducted on 194 staff in one of the largest hospitals affiliated with Zahedan University of Medical Sciences. Data were collected using a demographic questionnaire and Cornell Musculoskeletal Discomfort Questionnaire. The collected data were analyzed using SPSS v19 and univariate logistic linear modeling, in addition to Kruskal-Wallis and Mann-Whitney U tests.

The highest average pain score was related to the back(21/10±26/19). Neck pain was more prevalent in people over 40 years old(50%). Women were 4.9 times more likely to experience neck pain than men, and the possibility of back pain in individuals older than 40 years was 2.2 times higher than in those younger than 30. Furthermore, participants with more than 20 years of work experience were 5/4 times more likely to develop knee pain than those working for 5 years and less. There was a significant difference between pain scores in different positions among the hospital staff(p=0/003).

The results of the present study demonstrated that the prevalence of musculoskeletal disorders among nurse assistants, women, elderly people and those with more work experience was higher than other employees, and it is necessary to design and implement targeted and specific interventions to reduce these disorders for different groups in hospitals.

Children without identity need special attention due to their physical and mental vulnerability and dependence on others for enjoying their rights. In this study, health rights of undocumented children living in Iran have been investigated.

The data of this qualitative study was collected by literature review that included books, articles, legal documents and national and international reports related to the right of children without identity in 2023. The documents were in Persian and English languages. The text of the selected documents was coded and analyzed and used in writing the paper.

Ethical Considerations:

 In all stages of the study, authenticity, honesty and trustworthiness have been taken into consideration.

Even though, there are laws supporting children without identity, access of these children to health services is not enough. These children usually belong to families of low economic and social status who cannot afford medical and insurance costs. Because of not having identity documents, they are not covered by public support. Living in unsafe and unhealthy settlements, working at a young age in unauthorized workplaces and on the street, being orphaned or living with abusive parents and feeling isolated and rejected from society are examples of the threats to the health of these children.

The access of children without identity to health services is a challenge. The situation of the right to health and health of these children needs to be carefully examined. Identifying these children and granting them identification documents, not necessarily Iranian nationality, can be the basis for support programs to improve the living conditions and health of these children and promote national security.

Objective :

This study aims to design a local community-oriented readiness model (CRM) for Iranian medical universities in providing healthcare services to earthquake victims.

Methods:

 This is an applied-exploratory study conducted at two phases: (1) Designing a CRM for Iranian medical universities in providing healthcare services to earthquake victims (Qualitative approach), (2) Fitting and assessing the CRM (Quantitative approach). In the qualitative phase, a panel of experts including university professors in crisis management, senior managers of medical universities, and consultants in the field of crisis management were considered as the study population. In this phase, a purposive sampling method was used and sampling continued until theoretical saturation was reached. In the quantitative phase, the study population consisted of senior, middle-level and operational managers of 50 medical universities (n=500). Using Krejcie and Morgan’s table, 217 were selected as samples by a cluster sampling method. Eleven interviews were conducted in this study. The data collection tool in the quantitative phase was a researcher-made questionnaire consisting of 40 items, which was distributed and collected online. In the quantitative phase, test the hypotheses were analyzed in LISREL software.

Results:

 It was found that causal conditions had a positive and significant effect on the necessity of community-oriented readiness of medical universities in providing healthcare services at the time of earthquakes (t=0.46). The necessity of community-oriented readiness of universities of medical sciences had a positive and significant effect on the implementation of strategies in providing healthcare services at the time of earthquakes (t=0.61). Environmental conditions had a positive and significant effect on the implementation of strategies in providing healthcare services at the time of earthquakes (t=0.20). Moreover, the implementation of community-oriented strategies by medical universities had a positive and significant effect on reducing costs (t=0.55) and casualties (t=0.68), and on social capital capability (t=0.74).

Conclusion:

 The presented CRM has a good fit and, therefore, can be suitable for evaluating the community-oriented readiness of medical universities in Iran for providing healthcare services to the earthquake victims.