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جستجوی مقالات مرتبط با کلیدواژه « e valuation » در نشریات گروه « پزشکی »

  • منصور عسکری، مصطفی رجبی*، شهرام توفیقی، مریم شریف دوست، بهار حافظی
    مقدمه

    تکیه بر پرداخت از جیب خدمات مراقبت از سلامت، افزایش بار مالی و هزینه های کمرشکن خدمات درمانی برای خانواده ها نتیجه فقر را به همراه دارد. با توجه به ضرورت وجود بیمه درمانی پایدار برای مشاغل غیر رسمی، پژوهش حاضر به بررسی تمایل به پرداخت بیمه درمانی همگانی سلامت برای مشاغل غیر رسمی در شهر اصفهان برای دهک های درآمدی یک تا شش در دو گروه دهک درآمدی یک تا سه و دهک چهار تا شش پرداخت است.

    روش بررسی

    در این مطالعه به برآورد میزان تمایل به پرداخت از روش ارزش گذاری مشروط (CVM) استفاده شد. در این پژوهش از روش کتابخانه ای و میدانی پس از طراحی پرسشنامه برای جمع آوری داده ها استفاده و از آنجا که متغیر وابسته (تمایل به پرداخت) به صورت رتبه ای بود از روش های اقتصاد سنجی پروبیت رتبه ای و توبیت به برآورد الگو پرداخته شد.

    یافته ها

    نتایج نشان داد تمایل به پرداخت صاحبان مشاغل غیررسمی برای خرید بیمه سلامت در شهر اصفهان در گروه اول (دهک 1 تا 3) برابر487،600 ریال و برای گروه دوم (دهک 4 تا 6) برابر 513،200 ریال است و در مجموع میانگین تمایل به پرداخت هر دو گروه یعنی دهک یک تا شش برابر 500،400 ریال است. همچنین اختلاف تمایل به پرداخت دو گروه 5 درصد است. از پنج متغیر مستقل در هر دو گروه متغیر سطح تحصیلات تاثیر معنی داری بر تمایل به پرداخت ندارد اما سایر متغیرها از جمله سن، متوسط درآمد خانوار، و متوسط هزینه های درمانی بر میزان تمایل به پرداخت تاثیرگذار هستند. همچنین اثر متغیر اندازه خانوار بر تمایل به پرداخت منفی شد.

    نتیجه گیری

    نتایج نشان می هد که از دیدگاه اقتصاد رفتاری، شاغلان بخش غیر رسمی تمایل دارند با قیمتی کمتر از میانگین سهم حق بیمه شاغلان بخش رسمی، در بیمه های درمانی ثبت نام کنند. یارانه ها و تغییرات در ویژگی های بیمه (به عنوان مثال از جمله تحت پوشش قراردادن بیماری های خاص) در افزایش تمایل به پرداخت موثر باشد.

    کلید واژگان: مشاغل غیر رسمی, تمایل به پرداخت, بیمه درمانی, پروبیت رتبه ای و توبیت}
    Mansour Askary, Mostafa Rajabi*, Sharam Tofighi, Maryam Sharifdoust, Bahar Hafezi
    Introduction

    Relying on out-of-pocket payments for health care services increases the financial burden and back-breaking costs of medical services for families. It results in poverty. Considering the necessity of sustainable medical insurance for informal jobs, the present study evaluated the willingness to pay medical insurance for informal jobs in Isfahan province for two groups of informal jobs in income deciles one to three and deciles four to six.

    Methods

    In this study, the conditional valuation method (CVM) was used to estimate the willingness to pay. The maximum willingness to pay is equal to the compensatory interest, that is, the decrease in income that maintains the initial level of the respondent's utility if insurance coverage is provided. In this research, library and field methods were used to collect data, and since the dependent variable (willingness to pay) was ranked, the econometric methods of ordered probit and Tobit were used to estimate the model.

    Results

    The results showed that in both groups of income deciles, the variable of education level has no significant effect on the willingness to pay, but other variables such as age, average household income, age and average medical expenses have an effect on the willingness to pay. The effect of changing household size was also negative. In the following, the practical suggestions obtained from the results were presented.

    Keywords: Contingent Valuation, Willingness To Pay, Health Insurance, Household}
  • Luz María Peña-Longobardo *, Juan Oliva-Moreno
    Background 

    This paper had two aims. Firstly, to provide a broader view of the profile of non-professional caregivers in Europe, and secondly, to estimate the economic value of the non-professional caregiving.

    Methods 

    The European Quality of Life Survey 2016/2017, carried out by Eurofound, was used. The target population of the survey was adults who care for a relative or friend in a total of 33 European countries. The opportunity cost method was used to estimate the economic value of caregiving, in which two of the activities forgone were analysed: paid activities (restricted to caregivers who were employed), for which the average gross wage of each country was used; and unpaid activities, for which the minimum gross wage of each country was used.

    Results 

    There were more than 76 million non-professional caregivers in Europe that provide care for a relative or friend. This figure represents 12.7% of the population in Europe. The estimated time devoted to non-professional care in Europe reached 72 301.5 million hours in 2016. Sharp differences were found among countries. The economic value of that time is estimated at 576 000 million of euros, which represented about 3.63% of Europe’s gross domestic product (GDP).

    Conclusion 
    This study shows the very important number of resources dedicated to the non-professional care of dependent people and their economic valuation. These results may be helpful in prospective analyses estimating future needs on professional and non-professional and for designing of long-term care (LTC) policies in Europe.

    Keywords: Non-professional Care, Economic Valuation, Europe, Caregiving, Family Care, Informal Care}
  • Z. Mehranfard, A.H. Mozayani*, A. Assari Arani, L. Agheli
    Aims

    The spread of the Corona pandemic has affected the status of companies involved in information and communication technology. This study aimed to investigate individuals’ subjective perspectives on the use of ICT (online businesses, virtual meetings, e-learning, and generally the role and impact of cyberspace) and finally evaluate people’s willingness to pay.

    Materials & Methods

    In this study, a conditional logit model was used. The required information was collected through a field survey by completing a questionnaire from 384 respondents of Tehran citizens in 2021.

    Findings

    Based on the information from the questionnaires filled, more than 75% of the respondents rated the use of cyberspace capabilities for encountering Corona disease as moderate and high. The result of estimating people’s willingness to pay for the feature of “use of information and communication technology” in the present study was 5600000 Rials.

    Conclusion

    Considering the capabilities of this technology and its position among the people, it is necessary to put on the agenda ICT penetration expansion and planning to make maximum use of its capabilities in similar pandemics and crises.

    Keywords: Covid-19, Information, Communication Technology, Economic Valuation, Social health}
  • Shima Nikjoo, Aziz Rezapour, Najmeh Moradi, Setareh Nasiri Zeidi, Ali Kabir
    Background

    Financial ability to pay has a unique role in the accessibility of health care services, which indicates the necessity of raising enough funds by governments. However, how much households are willing to pay (WTP) for receiving a particular service? And what factors influence their WTP? The current systematic review aimed to, firstly, review studies on the WTP for Down syndrome (DS) screening, and, secondly, to identify factors that affect WTP for DS screening.

    Methods

    We systematically searched the Scopus, PubMed, Web of Sciences (ISI), and Embase databases to identify relevant studies from their inception to June 2020; the search strategy was updated on December 2021. Initially, 157 articles were identified, and 5 were found eligible for full-text review. In event of any disagreement, a third reviewer was used. Extracted WTPs were converted to US dollars in 2018 using exchange rate parity and the present value formula to make a comparison. The quality assessment of the selected studies was done using the "Lancsar and Louvier" and Smith checklist; also, vote counting was used to assess the influence of factors.

    Results

    Five eligible studies, published from 2005 to 2020, were fully reviewed. All final studies were scored as good quality. The extracted WTPs varied from $169 to $1118 in UK and Canada, respectively. Income and information/knowledge about screening tests were the most frequently investigated factors. Education level, detection rate, women's age, cost, and family history were significantly associated with higher levels of WTP for DS screening.

    Conclusion

    This study demonstrated a significant gap in WTP for DS screening in various countries. Women are WTP higher costs for tests with higher screenings. Also, a unique role was identified for income, occupation, information, and family history of DS in WTP for DS screening. In addition, a positive association was found for the variable of age.

    Keywords: Willingness to Pay, Contingent Valuation, Down Syndrome Screening, Early Detection, Systematic Review}
  • Anahita Shokri Jamnani*, Aziz Rezapour, Najmeh Moradi, Mostafa Langarizadeh
    Background

    Cervical cancer is the fifth most deadly cancer in women in Iran. The present study aimed to investigate the monetary value of cervical cancer screening benefits from a social perspective.  

    Methods

    A cross-sectional study was conducted among 480 women aged 30 to 59 years in Mazandaran province, Iran, from 2020-21. The willingness to pay (WTP) for screening tests- Pap smear and simultaneous tests- was investigated using a researcher-made questionnaire based on the contingent valuation method (CVM) in 2 separate sample groups. The first group received basic information regarding cervical cancer (Scenario 1), while the second received complementary information in addition to basic knowledge (Scenario 2).  Multivariate regression was applied to examine factors affecting WTP and the difference between the mean WTP in 2 scenarios was analyzed by a t-test.   

    Results

    The mean WTP of Pap smear and simultaneous tests was estimated at US$135.08 and US$160.19, respectively. There were significant and negative relationships between age and household size with the WTP of the Pap smear test. The number of people with income, household expenses, a chronic illness, and suggested base price indicated significant and positive effects on WTP of the Pap smear test. The number of people with income and household expenses showed significant and positive relationships with the WTP of simultaneous tests. There was no significant difference between the mean WTP of each group and the demand for screening tests was not elastic.      

    Conclusion

    The mean WTP of screening tests is notable when compared to their cost, demonstrating the need of concentrating on screening programs.

    Keywords: Willingness to Pay, Screening Methods, Cervical Cancer, Contingent Valuation}
  • Robert K. Basaza*, Judith H. Kiconco, Elizabeth P. Kyasiimire, Emmanuel D. Otieno
    Background

    To assess determinants of Willingness to Pay (WTP) for Community Health Insurance (CHI) among commercial motorcyclists (Boda boda riders) in Kampala City, Uganda.

    Methods

    This is a descriptive study with a cross-sectional design. A total of 381 commercial motorcyclists were selected from Nakawa Division using purposive and simple random sampling methods. Structured interviews and contingency valuation method were used for data collection and measuring WTP for CHI. Data were collected in April, May and June 2019. Data were analyzed in SPSS software, v. 21 by multivariate regression analysis and considering at significance level of P<0.05. 

    Results

    Most of Boda boda riders had WTP for CHI (70%); 7 out of 10 commercial motorcyclists were willing to pay a premium of at least 70,000 UGX (20 USD).Those with at least five years of experience in the commercial motorcycle business were 9 times more willing to pay for CHI. Those with hired motorcycles and a history of involvement in a riding accident were less likely to pay for CHI. The other key determinants of WTP included: Being a commercial motorcyclist for 3 years or more, being aware of CHI, self-employment (riding own motorcycle), a history of payment for any form of insurance, and being single. 

    Conclusion

    The WTP for CHI is high among commercial motorcyclists in Kampala City. The WTP among these motorcyclists is determined more by individual factors and less by insurance scheme-related factors. The results recommend the coverage of informal sector by CHI schemes to increase universal health coverage in Uganda.

    Keywords: Willingness to pay, Contingent valuation, Community Health Insurance, Boda Boda, Uganda}
  • عاطفه نجفی شاهکوهی، فائزه اسلامی پور، سعید صادقیان، مریم معینی*
    مقدمه

    پوشش خدمات دندانپزشکی توسط نظام سلامت با ارتقاء سلامت دهان و دندان کودکان و کاهش بار مالی بیماری های دهان و دندان خانوارها در ارتباط است. هدف پژوهش حاضر بررسی تمایل به پرداخت خانوارها برای پوشش بیمه ای خدمات دندانپزشکی کودکان، با استفاده از تکنیک سوال باز است.

    روش بررسی

    مطالعه حاضر یک پیمایش مقطعی است. نمونه پژوهش شامل 464 سرپرست خانوار دارای فرزند 12-6 سال یا همسر ایشان بودند که در سال 1399به کلینیک های دندانپزشکی شهر اصفهان مراجعه کرده بودند. داده های مورد نظر بر اساس پرسشنامه و به شکل حضوری یا آنلاین جمع آوری شد. از تکنیک سوال باز برای تخمین تمایل به پرداخت خانوارها استفاده شد. پردازش داده ها توسط نرم افزار Stata11 انجام شد.

    یافته ها

    میانگین تمایل به پرداخت ماهانه به ازای هر فرزند برای پوشش های بیمه ای دارای سقف بازپرداخت،285782.2 ریال بود. حداکثر و حداقل تمایل به پرداخت ماهانه برای پوشش های بیمه ای، به طور متوسط و به ترتیب 443650.8 ریال و 195819.7 ریال محاسبه شد. میانگین تمایل به پرداخت ماهانه به ازای هر فرزند برای پوشش های بیمه ای بدون سقف بازپرداخت 246926.2ریال بود. حداکثر و حداقل تمایل به پرداخت ماهانه برای این پوشش های بیمه ای، به طور متوسط و به ترتیب 345319.2 ریال و 165625 ریال محاسبه شد.

    نتیجه گیری

     نتایج مطالعه نشان داد که ارزشگذاری خانوارها برای پوشش بیمه دندانپزشکی کودکان با توجه به مولفه های پوشش بیمه، متفاوت است. بنابراین، لازم است سیاستگذاران و بیمه گران درمان به ترجیحات خانوارها برای پوشش بیمه دندانپزشکی کودکان توجه داشته باشند.

    کلید واژگان: ارزشگذاری مشروط, تمایل به پرداخت, بیمه دندانپزشکی, کودکان}
    Atefeh Najafi Shahkoohi, Faezeh Eslamipour, Saeid Sadeghian, Maryam Moeeni*
    Introduction

    Dental insurance package provided with health system is related to promotion of dental health, and reduction of burden of dental diseases. The purpose of this study is to investigate the willingness to pay of households for children's dental insurance coverage with using the open-ended question technique.

    Methods

    The present study is a cross-sectional survey. Sample size included 496 head of household or their spouses who had at least one 6-12 years old child and visited to selected dental clinics in Isfahan city in the year of 2020. An online /paper & pencil self-completion questionnaire was filled in by each respondent.The open-ended question technique was used to estimate the willingness to pay of respondents. Stata11 software was used to process the data.

    Results

    The mean of monthly WTP per each child in the scenarios with ceiling reimbursement was 285782.2 Rial. The highest and lowest WTP for those scenarios averaged 44365.8 Rial and 195819.7 Rial, respectively. The mean of monthly WTP per each child in the scenarios without ceiling reimbursement was 246926.2 Rial. The highest and lowest WTP for these scenarios averaged 345319.2 Rial and 165629 Rial, respectively.

    Conclusion

    The findings indicated that households value pediatric dental insurance packages differently considering the attributes of each dental package. Thus, policy-makers and health insurers need to pay special attention to households’ valuation for pediatric dental insurance coverage.

    Keywords: Contingent valuation, Willingness to pay, Dental insurance, Children, O pen-ended question}
  • امیدعلی عادلی، ساناز رحیمی کاه کشی*
    مقدمه

    وجود بحران اپیدمی کووید - 19 در جهان، ضرورت انجام مطالعات همه جانبه در این زمینه را به وجود می آورد. واکسیناسیون به عنوان یک عنصر اساسی در پیشگیری و کنترل بیماری هاست. روش ارزش گذاری مشروط یکی از روش های تخمین تمایل به پرداخت و تحلیل هزینه  فایده است. هدف از مطالعه حاضر، برآورد میانگین تمایل به پرداخت افراد برای واکسن کووید - 19 با مدت زمان محافظت یکساله و طولانی مدت و تعیین عوامل موثر بر آن، است.

    مواد و روش کار

    پژوهش حاضر یک پژوهش توصیفی - تحلیلی بود. داده های مورد نیاز از تکمیل 370 پرسشنامه دوگانه دوبعدی به صورت برخط، در اواخر آبان 1399از مردم ایران جمع آوری شده است. برای برآورد تمایل به پرداخت افراد از روش ارزش گذاری مشروط و مدل لوجیت استفاده شده است.

    یافته ها

    نتایج نشان داد، 7/65 درصد افراد مایل به پرداخت مبلغی برای واکسن هستند. متغیرهای درآمد خانوار، سن، سابقه بیماری زمینه-ای، سابقه ابتلا به کووید - 19، نگرش، مبلغ پیشنهادی و فرد سالمند در خانواده تاثیر مثبت و معنی دار بر واکسینه شدن طولانی مدت و متغیرهای سن، درآمد خانوار، سابقه بیماری زمینه ای، نگرش و مبلغ پیشنهادی اثر مثبت و معنی دار برای سالیانه واکسینه شدن دارند. همچنین، متوسط تمایل به پرداخت هر نفر375000 تومان برای واکسینه شدن طولانی مدت و 113000 تومان به صورت سالیانه بدست آمد.

    نتیجه گیری

    به طور معمول در مطالعات ارزش گذاری مشروط افراد مبلغ پیشنهادی کمتر را برای سیاست مورد مطالعه پیشنهاد می کنند. اما در این مطالعه افراد حاضرند برای انجام واکسیناسیون مبلغ بیشتر را پرداخت کنند که نشان می دهد این برنامه از دیدگاه مردم حایز اهمیت است. لذا این موضوع می تواند ابزار مدیریتی موثری برای مسیولان امر جهت اجرای بهتر سیاست ها باشد.

    کلید واژگان: کووید - 19, واکسن, ارزش گذاری مشروط, تمایل به پرداخت, مدل لوجیت}
    OmidAli Adeli, Sanaz Rahimi Kah Kashi*
    Objective

    Conditional valuation method is one of the methods of estimating the willingness to pay and is a cost-benefit analysis. The aim of the present study was to estimate the average willingness of individuals to pay for the Covid-19 vaccine with a one-year and long-term protection period and to assess its contributing factors.

    Methods

    The present study was a descriptive research. The required data were collected from 370 two-dimensional online questionnaires at the end of November 2020 from Iranians. Conditional valuation method and logit model were used to estimate peoples’ willingness to pay.

    Results

    The results showed that 65.67 percent of people are willing to pay for the vaccine. The household income, age, history of having chronic disease, history of Covid-19, attitude, recommended amount and having an elderly person in the family had a positive and significant effect on long-term vaccination and age, household income, history of having chronic disease, attitude and the amount offered had a positive and significant effect on annual vaccination. Also, the average willingness to pay was 3,750,000 Rials per person for long-term vaccination, and 1,130,000 Rials per year.

    Conclusion

    In conditional valuation studies, individuals typically offer a lower bid for the policy under study. However, this study indicated that people are willing to pay more for vaccinations. The findings might have some implications for policy and planning.

    Keywords: Covid – 19, Vaccine, Conditional valuation, willingness to pay, logit model}
  • Amirmasoud Mohamadi Shamsabadi, Nima Majedi*, Zahra Nobakht Ramezani
    Background

    If we measure brand value accurately and properly, it can become a good measure for evaluating the long-term effects of marketing.

    Objectives

    The purpose of this study is to analyze the factors affecting the value of brands in Iranian Futsal Premier League clubs.

    Methods

    The research method was descriptive and correlational studies. The purpose of the present study was to analyze the factors affecting the brand value of Iranian Futsal Premier League clubs using the Colin Model. The statistical population consisted of Futsal players (168 players), coaches (28 coaches) and club managers (14 managers) who served in the Iranian Futsal Premier League during 2017 - 2018. The sample size was n = 172 according to the questionnaire completion. We used a researcher-made questionnaire containing 35 questions consisting of seven components of Colin evaluation based on a five-point Likert scale for data collection.

    Results

    The results showed that significant causal relationships were found among the seven components of the main model of research including stability, profitability, support, geographic expansion, security and protection, leadership and market and brand value. The results showed that support is the most effective parameter in brand equity of Iranian Futsal clubs.

    Conclusion

    It is therefore suggested that futsal clubs should take measures to attract non-governmental sponsors and provide the necessary infrastructure to support the club.

    Keywords: Brand, Brand Valuation, Colin Model, Futsal Premier League}
  • Hamed ‎ Seddighi, Ibrahim Salmani*, Saeideh Seddighi
    Background

    Volunteering has great economic and social benefits, but it is neglected due to the nature of the work. This study aimed to assess the monetary aspect of the voluntary activities in the National Plan of Safety and Health of Nowruz Passengers and analyze the cost of the implementation of this plan, regarding youth volunteers.

    Materials and Methods

    In this descriptive-analytical study, 1574 volunteers outlined in the plan were analyzed with the wage replacement and replacement cost approach for the monetary evaluation of voluntary activities. Also, the cost-benefit analysis of the Red Crescent voluntary plan was calculated by the volunteer investment and value audit technique.

    Results

    In the mentioned road safety plan, the sum of the economic values of volunteering work was multiplied by the number of working hours of youth volunteers per day. Thus, the number of young people was determined, considering the average wage per hour for these people, the monetary value of $69 885.6 was obtained for the voluntary activities. Also, the volunteer investment and value audit rate was $10.6; it means that every dollar spent by Red Crescent would cost more than $10 if it were not voluntary. 

    Conclusion

    According to the present findings, it seems that the National Plan of Safety and Health of Nowruz Passengers had been economically profitable for the Red Crescent population and the government because of its high revenue, compared with its cost.

    Keywords: Cost analysis, Monetary valuation, Volunteering, Youth, Road safety}
  • Najmeh Moradi, Arash Rashidian, Hamid Rasekh*, Teymoor Mohammadi, Mahnoosh Foroughi, Alireza Olyaeemanesh
    The aim of this study was to estimate monetary value of a QALY among heart disease patients and to identify its determinants.A cross-sectional survey with face-to-face interview was conducted with 196 cardiovascular disease patients from two heart hospitals in Tehran, Iran, to estimate the value of QALY using disaggregated and aggregated approaches. The Euro Qol -5d (EQ-5D) questionnaire, visual analogue scale (VAS), time trade-off (TTO) and contingent valuation WTP techniques were employed to, first, elicit patients’ preferences and to estimate WTP for QALY. The association of patients’ characteristics with WTP for QALY was assessed using the Heckman selection model. Mean willingness to pay per QALY estimated by the disaggregated approach ranged from 2,799 to 3599 US dollars. It is higher than the values estimated from aggregated methods (2,256 to 3,137 USD). In both approaches, the values were less than one gross domestic product (GDP) per capita of Iran.
    Significant variables were current health state, education, age, marital status, number of comorbidities, and household’s cost group. Our results challenge two major issues: the first is a policy challenge which concerns the WHO recommendation on using less than 3 GDP per capita as a cost-effectiveness threshold value. The second is an analytical challenge related to patients with zero QALY gain. More scrutiny is suggested on the issue of how patients with full health state valuation should be dealt and with what arbitrary value could be included in the estimation value of QALY when disaggregated approach was used.
    Keywords: willingness to pay, quality adjusted life year, contingent valuation, cost effectiveness threshold value, cardiovascular diseases}
  • مریم معینی، شکوفه سادات ممهد، شیرین نصرت نژاد، سعید کریمی*
    مقدمه
    دسترسی به بیمه دندانپزشکی با استفاده ی بیشتر از خدمات دندانپزشکی و سلامت دهان و دندان مرتبط است. هدف مطالعه حاضر پاسخگویی به دو پرسش ذیل است: تمایل افراد به پرداخت برای بیمه دندانپزشکی چه میزان است و چه عواملی با این تمایل در ارتباط هستند؟
    روش کار
    پژوهش حاضرمطالعه ای پیمایشی است. جمع آوری داده ها از طریق پرسشنامه محقق ساخته بر مبنای دستورالعمل ارزش گذاری مشروط انجام شد. از روش سوال باز برای تخمین تمایل به پرداخت در 385 فرد مراجعه کننده به کلینیک های دندانپزشکی شهر اصفهان در سال 1394 استفاده شد. عوامل مرتبط با میزان تمایل به پرداخت از طریق رگرسیون خطی و با استفاده از نرم افزار STATA 11 تحلیل گردید.
    یافته ها
    میانه و میانگین پیراسته 5%تمایل به پرداخت ماهانه هر عضو خانوار برای بیمه خدمات دندانپزشکی به ترتیب برابر با 10000ریال و 156282.4ریال محاسبه شد. نتایج تحلیل رگرسیون نشان داد که افراد بالای 40 سال به صورت معنا داری تمایل کمتری به پرداخت برای بیمه خدمات دندانپزشکی داشتند. ارتباط معنا داری بین سایر متغیرهای بهداشتی، اقتصادی و جمعیت شناختی خانوار با میزان تمایل به پرداخت برای بیمه خدمات دندانپزشکی مشاهده نشد.
    نتیجه گیری
    میزان تمایل به پرداخت خانوارها، راهنمایی برای تعیین حق بیمه خدمات دندانپزشکی برای سیاستگذاران است. با توجه به عدم ارتباط متغیرهای مدل با تمایل به پرداخت برای بیمه دندانپزشکی، گسترش این بیمه نیازمند سیاستگذاری دولتی جهت افزایش آگاهی مردم نسبت به اهمیت سلامت دهان و دندان می باشد.
    کلید واژگان: ارزش گذاری مشروط, تمایل به پرداخت, روش سوال باز, بیمه خدمات دندانپزشکی, خانوار}
    Maryam Moeeni, Shekoofeh Sadat Momahhed, Shirin Nosratnejad, Saeed Karimi*
    Objective
    Access to dental insurance is related to the utilization of more dental services and better oral and dental health. The current study aimed at addressing the 2 following questions: how much are the premium households willing to pay for dental insurance, and which factors are associated with their willingness to pay for this insurance coverage.
    Method
    In the current survey study, data were collected through a self-reporting questionnaire based on the contingent valuation method. The open-ended question method was applied to elicit willingness to pay in a sample of 385 respondents attending Isfahan dental clinics, Iran, in 2015. The linear regression approach was used to address factors related to willingness to pay for dental insurance. Data analysis was performed using Stata version 11.
    Result
    The median and 5% trimmed mean of willingness to pay for dental insurance per person per month was $US 2.74 and 51.10, respectively. The result of regression analysis indicted that the subjects older than 40 revealed significantly less willingness to pay for dental insurance. No significant association was found between willingness to pay for dental insurance and variables of households’ health status, households’ economic status, as well as households’ demographic characteristics.
    Conclusions
    From a policy point of view, willingness to pay can be used as a guide to set a premium for dental insurance. Almost all potential factors made no contribution to willingness to pay. Thus, in order to expand this insurance coverage, government policies should be adopted to improve people awareness about oral and dental health.
    Keywords: Contingent Valuation, Willingness to Pay, Open-ended Question Method, Dental Insurance, Household}
  • Mohsen Golparvar *, Zahra Javadian
    Introduction
    Spirituality in one of the most important influencing factor on humans’ health. Specifically in Islam, there is special emphasize about effect of spirituality on humans’ physical and psychological health. One of the very new construct in spirituality is spiritual capital. Current research was carried out with the aim of construction spiritual capital scale and concurrent validation of it with spiritual wel-lbeing in an Iranian population.
    Materials And Methods
    Statistical population was the employees of two work complex in Esfahan city, among them, 277 people were selected by stratified random sampling.‌ Research instruments was researcher made spiritual capital scale and spiritual well being questionnaire (Gomez & Fisher, 2012). Data were analyzed by use of exploratory factor analysis, and computation of reliability coefficient and Pearson correlation coefficient.
    Findings
    Results revealed that spiritual capital scale with twenty four items have five factor structure, named hope and reliance to God (10 items), spiritual valuation (5 items), spiritual influence (4 items), spiritual theology (2 items) and pro-God activity (3 items). Cronbachs’ alpha for five components, which is hope and reliance to God, spiritual valuation, spiritual influence, spiritual theology and pro-God activity was 0.91, 0.85, 0.76, 0.74 and 0.75 respectively.
    Conclusion
    results revealed that there is positive significant relationship between spiritual capital components with personal spiritual well being, environmental spiritual well being and transcendental spiritual well being.
    Keywords: Key words: Reliance to God, Spiritual Valuation, Spiritual Influence, Spiritual Theology?, Pro, God Activity, Spiritual Wellbeing.}
  • حسین ابراهیمی پور، علی وفایی نجار، مرضیه معراجی، مهدی یوسفی، الهه هوشمند *
    مقدمه
    علی رغم نقش محوری حاکمیت بالینی در اعتباربخشی بیمارستان های کشور تاکنون مستندات علمی و چاپ شده ای پیرامون تعیین معیارهای ارزیابی بیمارستان ها بر اساس اصول حاکمیت بالینی وجود ندارد. لذا این پژوهش با هدف شناسایی چالش های نظام ارزیابی استقرار حاکمیت بالینی در ایران انجام شد.
    روش کار
    این پژوهش از طریق انجام 15 مصاحبه نیمه ساختار یافته با متخصصین حاکمیت بالینی کشور در سال 1390 انجام شد. به منظور تحلیل مصاحبه ها از روش تحلیل چارچوبی داده ها استفاده شد.
    یافته ها
    نتایج پژوهش، پنج چالش عمده را به منظور ارزیابی استقرار حاکمیت بالینی نشان داد: مدیریت منابع انسانی، ارتقای کیفیت بالینی، مدیریت توسعه، سازمان دهی حاکمیت بالینی و خدمات سلامت بیمارمحور
    نتیجه گیری
    این مطالعه، چارچوبی شفاف به منظور شناسایی چالش ارزیابی نظام استقرار حاکمیت بالینی در بیمارستان های ایران ارایه داد که به منظور سیاست گذاری در این زمینه باید مدنظر دست اندرکاران حاکمیت بالینی کشور قرار گیرد.
    کلید واژگان: ارزیابی, نظام, حاکمیت بالینی, استقرار, مطالعه کیفی}
    Introduction
    Despite the pivotal role of clinical governance in enhancing quality of services provided by hospitals، there is no scientific framework with specific criteria in order to evaluating hospitals in Iran. This study was conducted to identify the challenges involved in evaluating systems of clinical governance in Iran.
    Methods
    In this qualitative study، 15 semi-structured interviews with experts in the field were conducted in 2011. Data were analyzed using the framework analysis method.
    Results
    Five major challenges were emerged in evaluating clinical governance including: 1) managing human resources; 2) improving clinical quality; 3) managing development; 4) organizing clinical governance; and 5) providing patient-oriented healthcare system.
    Conclusion
    This study provided a transparent framework to identify challenges of clinical governance implementation in hospitals in Iran.
    Keywords: e valuation, system, clinical governance, establishment, qualitative study}
نکته
  • نتایج بر اساس تاریخ انتشار مرتب شده‌اند.
  • کلیدواژه مورد نظر شما تنها در فیلد کلیدواژگان مقالات جستجو شده‌است. به منظور حذف نتایج غیر مرتبط، جستجو تنها در مقالات مجلاتی انجام شده که با مجله ماخذ هم موضوع هستند.
  • در صورتی که می‌خواهید جستجو را در همه موضوعات و با شرایط دیگر تکرار کنید به صفحه جستجوی پیشرفته مجلات مراجعه کنید.
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