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

The organ transplant network is among the most complex and challenging systems in the healthcare sector. This study presents a three-objective hierarchical location model for kidney transplants, aiming to simultaneously minimize total time and costs while maximizing geographic equity in the supply and demand network for donated kidneys. Various transportation modes within the network are also analyzed.

This applied research was conducted over a one-year period in 2022 (1401 in the Iranian calendar) in the province of Sistan and Baluchistan. The proposed mathematical model was implemented in GAMS software and solved using the Torabi-Hosseini method and epsilon constraint technique.

The model recommended establishing candidate locations for organ collection units and transplant centers without the need for air transport equipment. It suggested that only the candidate location number 2 at Zabol Hospital Transplant Center should be equipped with air transport facilities, while the other proposed locations do not require the establishment or use of air emergency services.

The results indicate that the designed kidney transplant network is practical and feasible. Efficient network management ensures that all organ recipients, even those far from the provincial center and in remote areas, have timely access to the necessary facilities and equipment for transplant operations.

Access to primary healthcare services, considering equity and equality in the health system, is a right of the global community. To provide primary health services, the rural family physician program was implemented at the beginning of 2005 to achieve universal health coverage in rural areas and small cities (with a population of less than 20,000). The specific goals of this program included the implementation of the referral system, increasing the responsiveness of the health market, increasing people’s access to health services, reducing unnecessary costs in the health market, and increasing service coverage. After approximately 7 years of implementation of this program, the urban family physician program started in Mazandaran and Fars province as a pilot project. The urban family physician program started in the Mazandaran province in 2012 as the first level of providing health services. In line with the better implementation of this program and considering the wide range of expected programs and activities, it is essential to entrust the appropriate activities with the time of the service providers. This study was conducted to assess the expected duration of activities assigned to the family physician.

This cross-sectional study was conducted on 15 urban family physician centers (6 government and 9 private centers) in Golugah, Behshahr, Neka, Ghaemshahr, Noor, and Chalus cities of Mazandaran province. Out of 15 cities with more than 20,000 people participating in this program in Mazandaran province, the six cities mentioned above were randomly selected, and 15 urban family doctors were randomly selected from the existing list. Finally, the target groups were included in the study for convenience sampling. To collect the data, checklists compiled based on care packages corresponding to 8 groups of service recipients (elderly (11 services), middle-aged (7 services), youth (13 services), teenagers (24 services), under 5 years old (6 services), mana (15 services), mothers (3 services), and non-target visit) were used. For each service recipient group, at least three individuals were examined. Central and dispersion indices were used to describe the data.

The results of measuring the time of providing service to 297 people (including 90 under 5 years old, 30 people receiving Mana services, 30 people from each of the groups of mothers, teenagers, young people, middle-aged, elderly, and 27 people from non-target visit) showed that the median and mean expected time for providing daily service by an urban family physician to the covered population is 2 h and 52 min and 3 h and 23 min, respectively. The estimated time was different in the groups receiving the service, the highest time of which was related to the visit of the non-target service group with median and mean of 84.17 and 87.20 min, respectively, and the lowest time was related to Mana services with a median and mean of 3.40 and 4.34 min, respectively.

Urban family physicians have enough time to provide daily services, and therefore it seems that the health system has not assigned them more than their daily time capacity.

Active aging is among the important concepts of health influenced by effective public services; understanding adults' needs and services are of great importance. This study aims to explain understanding older adults' needs for services in public places in Yazd city.

This qualitative study was done as conventional content analysis. Participants were 20 elderly people from Yazd selected by purposive sampling.  Data were collected through semi-structured interviews. Data analysis was done in three levels of open coding and formation of sub categories and main categories. The study was evaluated and approved by four criteria of creditability, tranformability, reliability, and confirmability.

In total, 564 open codes were extracted. Then, primary codes were compared based on similarity, compatibility, and appropriateness, and 66 subclasses were obtained. 14 main categories were obtained by compressing the subcategories. The 8 main categories regarding different services included:  healthcare, recreational, government agencies, transportation, communication and interaction, educational and research, religious and pilgrimage. In addition, regarding the older adults' needs, the 6 main categories included: improving the safety of places; providing effective education, mental, spiritual and social health development programs; improving services quality, reorganizing municipal services and provision of amenities.

Paying attention to the needs of the elderly is necessary in planning for  public spaces in cities. Regarding the need for comprehensiveness of services, it is suggested that the findings of this study be used in designing, implementing, and evaluating services in public places to their service needs and solve their problems.

The goal of professional development centers is to enhance the skills and knowledge of faculty members. Therefore, the professional development center offers a range of services. Purpose of this article was to study activities of the professional development center in the top world's universities.

The Brady model used in this comparative study. Fifteen world top universities, based on the Shanghai ranking, was selected by targeted sampling method on five continents of the world, and studied the activities and services in professional development centers. In this method, the needed information for the research is collected by using existing documents and then, they were categorized into separate categories and analyzed and compared.

In addition to workshops and seminars, the most important activities and services of professional development centers in selected universities are studying and researching in teaching and learning, teaching grant, teaching awards , evaluation of teaching, materials and educational environment

Although the services provided by the centers of professional development are different, depending on the conditions and facilities of the universities , But by studying the centers of the top universities, it is possible to achieve common points and use their successful experience.

Satisfaction is a complex multidimensional phenomenon influenced by personal, psychological, social, cultural and economic factors. Health care Quality is usually defined as a set of patient satisfaction and treatment success. Patient satisfaction is a sign offering proper services that is not only the result of technology promoting, but also due to the correct behavior and good performance. The present study evaluates the patientschr('39') satisfaction from dental care services provided by the Dental Faculty of Yazd University of Medical Sciences in 2014.

This descriptive and cross-sectional study was done on 764 patients referred to Yazd dental school in 2014. Sampling was stratified by size of each class. A three part questioner including individual questions, questions about facilities & questions about dental services was designed. Data were analyzed by SPSS software, T-test, ANOVA & chi-square.

Mean age of patients was 25.11±12.08. General satisfaction from services provided, was evaluated: complete satisfaction 129 (16.89%), partial satisfaction 571(74.74%), partial dissatisfaction 52(6.8%) and complete dissatisfaction 12(1.57%). There was A significant difference between overall satisfaction with gender, age, education, marital status and place of residence (P>0.05).

As regards the results of the present study shows the patientschr('39') satisfaction from dental care services provided, in Yazd Dental School is in the desirable level and it is hoped that with solving of existing problems & improving the quality of services, the present situation can be improved.

Considering the announcement of national population policies by the Supreme Leader and the importance of efforts to comprehensively pursue the reform of the countrychr('39')s population structure, the issuesofwomen’s healthbecome one of the main priorities of this important issue.
Accordingly, in order to investigation of various dimensions of health and social and executive aspects of policies and programs for promotion of demographic structure of country and to explain the strategies for optimal use of existing capacities and synergy of resources in the current situation, the Department of Women Health of the Academy of Medical Sciences of the Islamic Republic of Iran run present study,aimed to address required services and infrastructure in the field of womenchr('39')s health.

In order to implement national population policies, benefitting from participation of all available relevant stakeholders and key informants, we conducted a specialized scientific experts meeting. Through this qualitative approach data gathering and analysis of finding followed based on content analysis method.

The results of this study show that in each of the four dimensions of physical, mental, social, and spiritual health of women, in order to implement population policies, we need to pay serious attention to the requirements and infrastructure that facilitate and accelerate this important provided.

Providing facilities and required infrastructure, by facilitating and accelerating the processes, provides the possibility of achieving the expected results. Adopting a comprehensive and participatory approach at all stages, from preliminary needs assessments to planning and implementation, is one of the points that can largely guarantee the successful implementation of population policies.

Providing quality services is one of the important goals of the health system. Dental services and treatments are expensive. The aim of this study was to investigate the factors influencing the perceived quality of dental treatment services.

This descriptive-cross study conducted in 2 qualitative-quantitative phases. Data were collected using interviews and pairwise comparison matrix with 20 dentists working in NAJA dental clinics who were selected by targeted sampling. The validity and reliability of the interviews were determined by long-term engagement of their peers and negative case analysis. The validity of the pairwise comparison matrix was determined through the incompatibility rate (>0.1). Data were analyzed by coding and effect intensity tests (R+J), descriptive statistic test (mean, standard deviation) using SPSS23, Maxqda and matlab R2017b.

Content analysis of the interview showed that tangible factors, assurance, trust, and empathy are the factors affecting the quality of dental treatment services. In the second phase, data analysis showed that trust and empathy (28.204), assurance (24.356), and tangible factors (17.798) are the most to the least important factors in the quality of dental treatment services (P=0.1).

Trust and empathy were the most important factors in the quality of dental treatment services. Managers of dental clinics and dentist need to improve the quality of dental treatment services by emphasizing respect for patients in accordance with the promise to act in the field of providing treatments to patients.

Individuals With Disabilities (IWDs) are part of the society that, respecting their situation, have the greatest need for social support and the provision of desirable services. However, in underdeveloped and developing countries, the existence of a negative and incorrect view towards IWDs is effective in providing services to them, especially in care centers; accordingly, this condition makes this part of society encounter numerous challenges in receiving the necessary services. Factors, such as the number of IWDs in care centers, their age, their ratio to the number of caregivers, and the characteristics of caregivers, such as their professional skills and experience, are influential in the occurrence of abusive behaviors. Due to the necessity of providing efficient and effective service to IWDs, the present study aimed to identify the challenges of providing services in care centers for IWDs.

This qualitative study was conducted in 2020. The research setting consisted of all care centers for IWDs in Tehran City, Iran. Moreover, the study population included the managers of care centers for IWDs in Tehran. Using the purposive sampling method, 19 managers of the centers were selected and interviewed according to the objectives of the study. The interviews continued until reaching data saturation. For data collection, we used semi–structured interviews; the interviews were recorded, then transcribed, and analyzed with the consent of the study participants. For data confirmation, each interview was provided to the study participants after analysis, and their opinions were re–obtained concerning their interviews. The latent content analysis method was also used to analyze the collected data. For this purpose, after listening to each interview several times and reading the transcripts line by line, important phrases in the content of the data were identified; consequently, the appropriate concepts were determined and placed in the same categories. To observe ethical issues, verbal informed consent was obtained from all study participants before conducting the interviews. SPSS was used to investigate the frequency distribution of study participants respecting the demographic variables.

The mean age of study participants was 41.13 years. The majority of the study participants (57.89%) were in the age group of 41–46 years. Their average work experience equaled 14.51 years and the majority (68.42%) were in the group of 13–20 years. Additionally, most of the respondents had a BA degree (68 .</span>42%). After analyzing the interviews with 19 managers of the centers, the first 321 separate codes were obtained; after analyzing, they were grouped under 15 sub–categories. Finally, after reviewing and analyzing these subcategories, 3 main categories, including cultural–educational factors, planning, and necessary resources, as well as facilities and infrastructures were developed. Cultural–Educational characteristics, included the lack of culture creating, the lack of promotion of public knowledge, the lack of individual and public education, not introducing resources about disability, no belief in the ability of IWDs, and the lack of education and training of human resources. Planning consisted of the lack of a database, no codified service delivery programs, no plan to increase service coverage, guidelines, and specific program for use by IWDs. Necessary resources, facilities, and infrastructures included the lack of adequate equipment and items, drug shortages, human and financial resources, the lack of interdepartmental supports to support IWDs.

According to the current research findings, factors related to culture–education, planning, and the necessary resources, facilities and infrastructures were the main challenges and obstacles in providing services to IWDs.

Performance Indicators consist of standards, evaluation tools and identifications to check current situations in organizations.  Hospitals as the center of gravity to provide   health and therapy care are of no exception. The present study aimed to determe the performance indicators in selected hospitals of Tehran province.

The present inquiry was a cross-sectional descriptive-analytical study. The statistical population of all public hospitals was covered by Tehran University of Medical Sciences and Shahid Beheshti. 14 educational and 9 non-educational cases were examined. Data collection tools were data entry forms for hospital performance indicators, which included general information on the studied hospitals and performance indicators, bed occupancy rate, average patient stay, and bed turnover rate. Data were analyzed using Chi-square and Kolmogorov-Smirnov tests.

The average patient stay was 5.89 days, which was only 7.15 percent desirable by standards. The bed occupancy rate was 76.35 and the bed turnover was 45.97 times a year. The status of these two indicators was optimal based on the standards available in 92.85% of the cases. Also, based on the results of the present study, the mean average patient stay was 2.91 days, which was desirable in 77.77% of the cases according to the standards. The bed occupancy rate was 62.70 and only 11.11% of the cases were favorable. The bed turnover was set at 65.44 times a year. In relation to this index, in 100% of cases, the situation was favorable.

The non-educational hospitals of Tehran University of Medical Sciences were in a better position regarding the length of the patient's stay than the indicators of the Ministry of Health and even compared to the hospitals of other provinces. In relation to educational hospitals, due to the fact that according to the Ministry of Health, the optimal condition of the average patient stay is less than 3.5 days and more than 4 days is a sign of weakness and inefficiency of the hospital, the studied hospitals with an average of 5.69 days. They differ significantly from the standard. In the other two indicators, both educational and non-educational hospitals were in good condition.

Drugs are essential components of health services in all communities and pharmacists play a major role in delivering appropriate health care. There are lack of comprehensive studies on the knowledge, attitude, and practice of pharmacists in dealing with prescription drugs in Mazandaran province, Iran, so, this study aimed at assessing the performance of pharmacists on these issues.

A cross-sectional study was carried out in 179 community pharmacies in Mazandaran province selected via random sampling. A trained shopper with a prescription attended the pharmacy and based on researcher-made flowchart and questionnaire, the pharmacist's performance on drug interactions, side effects, etc. was evaluated.

Among the pharmacies investigated (n=179), pharmacists were available in 154 (86%) and pharmacist consultations were observed in 67 (37%) pharmacies. Right medications were given in 157 (88%) pharmacies and in 166 (93%) instructions for use were completely correct and in accordance with the prescription.

At the community pharmacy, pharmacists usually focus on dispensing correct medication and pay less attention to pharmacy counseling. Trainings on drug interactions and adverse drug reactions could increase the awareness and knowledge of pharmacists.

Clients’ satisfaction regarding health-care services is one of the indicators of measuring the quality of services provided; therefore, this study aimed to evaluate the satisfaction rate of clients referred to the healthcare centers. This descriptive study was carried out on 385 people referring to healthcare centers in Rafsanjan in 2017. To collect data, a checklist includes demographic and proprietary information was used. The final analysis of data was performed using Chi-square and one-way ANOVA tests at a significant level of 0.05. The results showed that of 385 people, 335 people (87%) were female and 50 (13%) were male. Also, 77.4% of the clients were very satisfied with the services provided in health centers and 19.7% of them were highly satisfied. After controlling for the confounding effect of level of education variable, no statistically significant difference was observed between the private, urban-governmental and rural centers in terms of satisfaction score (p>0.05). Overall, clients had high level of satisfaction with health care centers in Rafsanjan. Investigation of clients' satisfaction rate with healthcare centers will be helpful in promoting planners' and managers' level of awareness about the status of provision of health services and the application of methods to address deficiencies.