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

The World Health Organization (WHO) categorized the novel coronavirus disease (COVID-19) outbreak as a global pandemic on 12th March 2020. After declaration of the COVID-19 epidemic, the Iran government took several measures to contain the outbreak. As the epidemic propagated, and due to limited resources ,both military and law enforcement civil service of Iran was assigned to integrate in operating the National epidemiological efforts in collaboration with the Ministry of Health and Medical Education (MoHME) and  established a system to cope with the disease COVID-19 pandemic. This study assessed the impact of a armed forces strategies, guidelines and supervisions of Islamic Republic of Iran army on managing the outbreak in terms of military hospitals preparedness for emergency admission of patients, responses to overall daily emergencies, providing the lifesaving medical equipment and medicines. Results generally showed that Islamic Republic of Iran Army has played a pivotal role in crisis public administration to combat the COVID-19 pandemic, as well as providing the medical and protective equipment.

The most common problems reported by callers to pre-hospital emergency centers is chest pain. Cardiovascular diseases are among common diseases with serious consequences that have a great impact on the death and lifestyle of sufferers. In this study, the time interval of the arrival of dispatch code to the scene at the bedside of patients who died with heart complaints in the year 2021 in Ahvaz city, Iran is investigated.

The present study is a descriptive-cross-sectional study. Sampling was done by census method and it included all the registered cases of patients who died with heart complaints in emergency center 115 of Ahvaz city, Iran. Data collection was done using a checklist consisting of two sections, including demographic characteristics and time recording. The resulting data was analyzed using SPSS version 21 software.

In this study, the data of 293 patients with an average and standard deviation age of 73.3±17.5 were included in the study. 66.2% were men and the rest were women. The average time to reach the patient's bedside was 7.2 and the time for stopping the medical emergency at the scene was 11.5 minutes, which was not significantly different from the standard value (P<0.05)

Although in the present study, the medical emergency arrived at the patient's bedside in less time than the standard, but unfortunately all the patients had died. The faster arrival of the pre-hospital emergency at the patient's bedside, as one of the most important factors affecting mortality, can be the chance of survival. Increase patient stay.

Nowadays, civil Society consisting of non-governmental organizations has proven its value. By supporting and monitoring the right to medical and health services, civil Society has been able to take a special place in international human rights systems. Medical services have been considered in both before and after disease processes, because disease prevention is one of the important examples of the right to health and medical services after disease are shown by providing medicine, medical items and treatments. International human rights documents have not been clear about these matters, but they have considered the right to health and the use of medical services as inevitable. The purpose of present study is to express the role of civil Society in monitoring the implementation of medical services in international society.

The present study is theoretical and descriptive-analytical. Library was data collecting method.

Ethical Considerations:

 In present study, the principles of text originality, trustworthiness and honesty have been observed.

Civil society deals with the policymaking, implementation and pursuing the human's affair in the field medical services. Civil society acts as attorney general on the correct implementation of medical services by governments and World Health Organization.

The main role of civil society in providing desired medical services is defined in the light of collecting information, preparing reports, fact-finding committees and providing direct services to the victims and it can oblige governments to observe and implement global medical services both in prevention and treatment.

Several factors lead to the migration of patients to other cities with large and higher quality medical centers in order to receive diagnostic and treatment services. This study aimed to find out reasons for patient migration from Sistan and Baluchestan Province to Mashhad.

This was a descriptive study that carried out in 2020. The total number of patients was 2063 and the sample size for interview using Cochran's formula was 350. Using a standard questionnaire with 37 questions, data related to patient migration were collected in five dimensions (hospital characteristics, staff, services provided, facilities and personal characteristics). Data were analyzed using SPSS23 software and t-test, One Way ANOVA.

The most common disease among immigrants was pediatric diseases with 35%. The most important migration factors from the patients' view were related to quality of services provided with an average of 4.7 (SD = 0.29), followed by the factor related to staff 4.2 (SD = 0.45).

The most important factors in migration were the quality of services and hospital staff. Paying attention to improving the quality of medical services and creating motivation and commitment in hospital staff and the spirit of respect for patients can prevent unnecessary migration to other areas.

Despite the high prevalence of the problem in the society, people with pelvic floor disorders are less likely to seek medical services. Various studies stated that one of the important problems in providing medical services to people with pelvic floor disorders is not paying attention to their preferences and expectations. Therefore, this study was conducted with the aim of exploring the experiences of women with pelvic floor disorders with received medical services.

The present study was conducted by the conventional qualitative content analysis approach of Graneheim and Lundman on 24 women with pelvic floor disorders. The participants were selected with maximum diversity in a purposeful manner, taking into account the entry criteria, Data collection was done with semi-structured in-depth interviews and continued until data saturation.The interviews were digitally recorded and then coded in MAXQDA10software. Analysis of data is done simultaneously with the collection of information.

 After categorizing and coding the data, one main themes named "weakness of the treatment system in disorder management" were extracted.This category has eight sub-categories including insufficient educational services to relieve symptoms, disregarding the rights of clients, the inability of the system to gain people's trust, lack of proper insurance coverage, imposing financial burden on the family.

There are weaknesses in the treatment system for pelvic floor disorders, which can be a reason for not using the services optimally. It is necessary to plan for people with pelvic floor disorders in such a way getting more insurance support and comprehensive training.

Health system services are not reliable without quality assessment. It is important to explore gaps between standard services and the existing situation to improve the quality of health system. This study aimed at studying the quality assessment of electronic referral system in one of the major provinces of Iran.

This study was a cross-sectional study, utilizing SERVQUAL model. The population comprised 3 groups totaling approximately 11,004 people. The sample size allocated to each city was determined in proportion to each city’s population. A sample of 384 patients who had used electronic referral service at level 2 and received outpatient services made up the population of the study. The data were collected through a two-part questionnaire. The validity of the questionnaire was confirmed by 10 experts, including senior and mid-level managers and medical science university faculty members. The questionnaire assessed demographic data and the patients' perceptions and expectations. The data were analyzed using descriptive statistics and analytical statistics such as nonparametric mean comparison tests, in view of the normality assumption, including Wilcoxon test, Mann-Whitney and Kruskal-Wallis. Spearman correlation test was used to determine the intensity of correlation between the study variables. The significance level of all tests was considered 0.05.

There were identified gaps throughout all dimensions of health services among the studied clinics (P <0.001). The biggest gap was observed in the empathy dimension (0.57) and the smallest one was observed in the tangible dimension (-0.38). The gap between the services provided to patients was different in terms of guarantee, gender (P = 0.005), empathy, level of education (P = 0.028) and reliability based on the particular city considered (P = 0.028).

In the hospitals implementing the electronic referral system in Golestan province, there is a gap in all dimensions and it indicates that the expectations of the recipients have not been fully met in virtually any of the dimensions.

The need for providing specialized and professional services in emergency situations in the community and outside hospitals, multiplies the importance of professionalism in pre-hospital medical emergencies. This article tries to examine the factors affecting professionalism from the perspective of pre-hospital emergency medical technician students.

This study was a qualitative content analysis. The study population consisted of pre-hospital emergency medical students of Kurdistan University of Medical Sciences. Participants were selected from the interns (10 students) and semi-structured interviews were used to collect data until data saturation was reached. Interviews were conducted and their resulting transcriptions were carefully and repeatedly reviewed and then coded and classified using the Strauss and Corbin method.

Based on data analysis, 4 main categories (factors related to education, individual factors, factors related to the nature of the profession, and social factors) and 17 sub-categories (factors related to professors, factors related to students, educational space and facilities, educational planning, criteria for accepting students, expertise, interest, experience, ethics, personal ability, commitment, working conditions, support of officials, knowledge of rights and laws, culture and customs governing the society, and advertising in schools) were extracted.

From the perspective of the participants in this study, professionalism is affected by factors related to education, individual factors, factors related to the nature of the profession and social factors. Since the ultimate goal of various medical professions is to promote the health of individuals in the community, the results of this study can be used by educational planning officials as well as policy makers in employment of pre-hospital emergency medical graduates.

Social security law as a tool for income redistribution, a manifestation of the establishment and guarantee of social security and justice and a source of peace of mind and self-esteem in individuals, can play an important role in protecting society against all risks of crises. Economic, social and cultural, so addressing these rights is of great importance in the context of the Islamic Republicchr('39')s plans for economic, social and cultural development. The condition for the excellence and success of any system in the formulation, application and implementation of these principles is accurate and correct.

This research is theoretical and the research method is descriptive-analytical. The method of data collection is library and has been done by referring to documents, books and articles.

Medical services are another necessity that the insured needs. An insured person who has always hoped to one day be able to use these services by participating in and paying premiums and per capita medical treatment, and with the support of social security treatment, some of his pain and suffering will be reduced.ses with a preventive, therapeutic, and corrective approach under the heading of deviation and disease.

Ethical considerations:

 In all stages of writing the research, while respecting the originality of the texts, honesty and trustworthiness have been observed.

The current social security system in Iran consists of two parts: insurance system and support system. Accordingly, most of the services provided by Social Security are insurance and medical services. Providing medical services in Iranian social security is provided in two ways and under the supervision of the organizationchr('39')s deputy director of treatment. In the first method, these services are provided directly. After starting employment in the workplace and sending his first salary list, which takes place one month after employment, the insured becomes the owner of a medical record and can use the services. Insured to use medical services for free by referring directly to medical centers and social security hospitals. In the second method, which is the provision of medical services indirectly, the Social Security Organization, by concluding a contract and purchasing medical and medical services for the insured with other public and private medical institutions, provides the conditions for the insured to use these services. Today, due to their political, economic and even security importance, these principles are called not only as "tools and context of development" but also as one of the "goals of sustainable development".

Despite the introduction of new medical and therapeutic methods in the medical history of the Qajar period, Traditional medicine continued to live alongside it Traditional therapists continued to work One of the traditional therapeutic groups was the Dallak and barbers This group has had an active presence in the Qajar era health and medical services so that in addition to the usual barber activities and Dallak: They also did health care

The present study is based on a descriptive-analytical method and through gathering research receipts from library sources

According to studies, despite the advent of modern Western medicine in the Qajar period, traditional medicine continued to provide health care to Iranians in various groups due to its long history and history Dallak and Barber were from this spectrum that did things outside their primary profession it was a hairdresser Including the health care provided by Dallak and Barber it was done Cupping, blood sampling, surgery, dental, smallpox and circumcision although not free of activities Dallak and Barber Of the dangers and a lot of attention on Qajar to Western medicine, Dallak and Barber They were welcomed by the community and the public

Qajar-era community embraces health services Dallak and Barber together with modern medicine, this group provided many health services to people, especially the middle and lower classes of society and it was accepted by the general public The reason for this attraction and acceptance In addition to psychological and sociological reasons, there were also social and economic factors of course, the field of activity Dallak and Barber Injuries such as the spread of contagious and dangerous diseases through contaminated equipment and lack of proper hygiene at work

Perhaps the most important challenge in provision of health services is the issue of tariffs. The roles of the Ministry of Health, Treatment, and Medical Education, the Supreme Council of public health services insurance, Ministry of Cooperatives, Labor, and Social Affairs, as well as the Medical Council are specified in law. But it is faced with serious problems in implementation. The purpose of this study was to identify and introduce infrastructures and necessary actions parallel with reforms of medical service tariffs to improve health system performance in Iran.
Purposeful sampling was used and continued until data saturation in this qualitative study. Participants included 12 Health Managers of Tehran, Isfahan, and Tabriz, who were selected based on the study goals. These people were investigated with deep interview. Data analysis was based on a thematic analysis. Criteria such as "credibility", "reliability", "validity", and "stability" of data were considered.
Findings showed that the infrastructure and reforms, according to participant's viewpoints were divided into 3 parts: first, the reform of the Ministry of Health, including structural reforms, reforms related to the provider, and establishment of correct informing; second, health insurance reforms, consisting of structural reforms and actions that should be taken by the government about the insurance; and third, the necessary reforms by the government.
First, it seems that various issues and aspects related to tariff determination should be considered. Furthermore, some preliminaries should be provided before tariff's reformation or some actions should be taken in line with that for the success of tariff reformation process. These measures and reformations are related to the Ministry of Health, insurances, and the government.

Adolescence is a crucial juncture in the evolution. The hospitalization process could have harmful effects on the health of an adolescent’s mind and body. Since recently, patient satisfaction survey has been considered as one part of the annual assessment, the present study was performed to compare the hospitalized adolescent's satisfaction of clinical services and physical environment in children and adults’ wards in Isfahan.
This cross-sectional and descriptive analytical study was conducted by sampling of 200 adolescents aged 10-19, discharged from adults and children's wards in general hospitals of Isfahan in 2009. Sampling was conducted through the available method and for carrying out the research, a standard questionnaire was used. Demographic information and information related to satisfaction of nursing, medical, other personnel, facilities and quality of environment were collected. Content validity and Cronbach's alpha coefficient (0.85) were used to confirm the validity and reliability of the tool, respectively. Data analysis was performed using SPSS software and independent t-test. There was no significant relationship between age and satisfaction of nursing, medical, other staff services, and the environment. However, there was a significant relationship between gender and satisfaction of medical services; the mean satisfaction score of medical services in girls was more than that in boys, and the difference was significant.
Most admitted adolescents’ satisfaction of clinical services and physical environment belonged to high category (80-100). Adolescents admitted in children’s ward had a higher satisfaction of nursing care (P = 0.005) and environment (P = 0.04) than those admitted in adults’ ward; this difference was statistically significant. In contrast, satisfaction of medical services (P = 0.073) and other personnel (P = 0.09) in the adolescents hospitalized in adults and children’s wards were not statistically significant. A total of 87% of young adults who were hospitalized in adults’ ward and 3.35% of teens who were hospitalized in children’s ward preferred to be admitted in adolescents’ ward. Furthermore, the relationship of age and gender with satisfaction of cervices was assessed. There was no significant relationship between age and satisfaction of nursing, medicine, other staff services and environment. However, there was a significant relationship between gender and satisfaction of medical services; the mean satisfaction score of medical services in girls was higher than in boys, and the difference was significant.
The results of this study showed that adolescents were more satisfied of the environment and nursing services provided in children’s ward than those in adults’ ward. Adolescents also expressed the need for a special ward for hospitalization of adolescents. It is suggested that wherever allocation of separate sections for young people is not possible, necessary facilities should be provided for young children in children’s wards; also, personnel and physicians should be trained on how to communicate and deal with teenagers as well as the changes needed in service providing.

Tariff is effective on equity, efficiency, quality and accountability in the provision of services and it can affect the availability and use of services. In our country, for several years, the tariff of health care is due to an increasing base and has not clear and defensible base. This matter creates different challenges in our health system. This study aimed to identify challenges and damages resulting from incorrect medical services. This study was a qualitative study. Sampling was Purposeful and continued until data saturation was obtained. Research Society were 12 people of Health Managers of cities including Tehran, Isfahan and Tabriz, that in the purpose of the study, these people were investigated with deep interview. Analysis of the data in the present study was based on a thematic analysis. Criteria such as "reliable information", "trustworthy", "reliability" and "ability tocon solidation" of data were considered. according to the findings, inefficiency of tariffs for medical services have caused challenges in the current situation that this damages were divided to three general categories and challenges, dissatisfaction, economic, and behavioral of Ministry of Health, doctors, patients and insurers. Dissatisfaction with stakeholders, especially health providers, the first factor is that a real so following other challenges including; economic and behavioral challenges. Challenges of incorrect tariffs and their Bad effects on the health system stakeholders are a warning to administrators and policy makers of this system, finding causes and attempting to fix the challenges. Although incorrect medical tariff is introduced as one of the challenges causes, but it is necessary in addition to that are note other structural and Rooty problems in the health system, as noted tariff reforms to fully be able to solve the created challenges.