مجله تحقیقات نظام سلامت حکیم
سال بیست و پنجم شماره 2 (پیاپی 97، تابستان 1401)

 The quality of work life for family physicians can have a significant impact on patient and community satisfaction. The Quality of Life Questionnaire developed by Van Lar is one of the tools commonly used in Iranian studies to assess this aspect.

 This study combined three research studies on the quality of life of family physicians, with a total sample size of 251 people. It utilized a linear model with random effects at a significance level of 95% in the Comprehensive Meta-Analysis software.

 The average pooled quality of work-life among family physicians was 53.1%. Among the dimensions, the work-home interface had the lowest pooled effect at 45.9%, while the general well-being status had the highest, estimated at 58.2%.

 Due to the inadequate quality of the working conditions for family physicians in all aspects, policymakers must prioritize the quality of their working lives and implement suitable solutions to enhance their overall well-being.

 Apart from physical effects, coronary heart disease has had some negative psychological effects such as vague worries and anxieties for all people, whether they are infected or not. The present study investigated these psychological effects, called coronary anxiety, among addicts in addiction treatment camps in Yasuj.

 The method used in this study is quantitative and the survey technique and questionnaire tools have been used to collect data. The statistical population of this study is the people present in the addiction treatment camps in Yasuj city. According to the Lin table with an error of 5%, 144 of them were selected as a sample by simple random sampling and studied. The data were analyzed using SPSS statistical software, and independent t-test and Pearson correlation were used to test the hypotheses.

 In general, the average anxiety of Corona among addicts present in drug addiction camps in Yasuj city was high (mean: 30.25, standard deviation: 8.06) and the effect variables of the group, density of camps, number of years of drug use, duration The time of being in the camp and the health condition of the camp had an effect on the level of corona anxiety of these people.

 Addicted people as a group of society who need help, especially in the city of Yasuj, which is one of the deprived cities of the country, should be given more attention and social support, and in this COVID-19 situation, help them to reduce their anxiety. In the case of coronary heart disease, they should be able to successfully go through the process of quitting their addiction and return to their normal lives.

 Health literacy and self-efficacy play an important role in the fear of recurrence in breast cancer patients.

 A descriptive correlational research of structural equation modeling and a statistical population included all female patients with breast cancer in Tehran province who had referred to Imam Khomeini Hospital for follow-up treatment, and 172 of them were selected using a purposive sampling method. ; Then, the self-efficacy questionnaires of Sherer et al., fear of recurrence and standardized health literacy were completed for the patients. The data of the research was analyzed using the software of Lisrel statistics.

 The results showed that there was a significant relationship between health literacy and fear of recurrence. The results of modeling of structural equations showed the good fit of the model with the experimental data and the general hypothesis of the research was confirmed. Self-efficacy in dealing with cancer has a significant direct effect on health literacy. Also, health literacy showed an indirect and significant effect on the fear of recurrence through the self-efficacy of coping with cancer.

 The result showed the effective role of health literacy in increasing the efficiency of patients to deal with the disease and reducing the fear of recurrence in breast cancer patients.

 Hysterectomy is one of the most common surgical operations worldwide, which is performed due to benign diseases, malignant cancers, postpartum emergencies, and gender reassignment. In addition to the possible complications of surgery, the removal of the uterus has many consequences. Designing and creating a national registry program with integrated information can be effective in the evaluation and effectiveness of hysterectomy, planning to improve the quality of care and research.

 This descriptive research was conducted in 2022-2023. After reviewing the texts from PubMed, Scopus, Web of Science and Cochrane Library databases and based on the comparative study of the hysterectomy registration program in pioneer countries, a Delphi questionnaire was developed and after confirming the reliability and validity, it was given to 40 experts. After two stages, the final model of the national hysterectomy registration program for Iran was presented.

 The National Hysterectomy Registry Program model includes five main categories: objectives, structure, minimum data sets (administrative-clinical data, data related to hysterectomy and patient death, and hospital data), standards and processes (processing, reports, quality control and follow-up), which was agreed by the majority of experts.

 The steps performed in this study could be an approach to designing other registration programs. Also, considering the central role of the hysterectomy registration program in the management of healthcare services, regular and continuous implementation of this program in all obstetrics and gynecology centers is suggested.

 Dyslipidemia is a major risk factors for cardiovascular disease. This research aimed to determine the knowledge of the doctors in this field in Shiraz and its related factors.

 This analytical cross-sectional study was performed among urban general family physicians in 1400. Cluster random sampling was done from 8 centers out of 32 comprehensive health centers covered by 2 main health centers that cover the whole city of Shiraz (86 people from each main health center). A researcher-made questionnaire was used which included 12 questions about dyslipidemia. The questionnaire was delivered to the physicians in the workplace, and the completed questionnaire was taken one day later. Statistical analysis was done with SPSS-20 software. The effect of factors on the score of the questionnaire was investigated by linear regression analysis.

 172 questionnaires were completed of which 98 (57%) were male and 69 (40%) were female and the average age of the participants was 44.7 ± 9.7 years. The average score was 64% of the total score in prevention and treatment. (3.2 ± 0.9 of 5 points and 4.5 ± 1.4 of 7 points, respectively). 50.6% of doctors were aware of national guideline, and only 32.6% had read that. None of the investigated factors significantly affected the total score, including participating in Continuing Medical Education and studying the guidelines.

 General family physicians’ knowledge about dyslipidemia was less than expected. Physicians’ awareness and studying of the national guideline was unsatisfactory. It is required to design effective and targeted Continuing Medical Education and to prepare and effective use of clinical guidelines targeted to family physicians. In the future, similar studies should be conducted to monitor the knowledge of doctors at regular intervals to improve the quality and quantity of education after graduating.

 Monetary donations from charitable individuals and organizations are one of the financial sources of health sector programs. This study sought to extract and deeply understand their views and opinions in Kohgiluyeh and Boyer Ahmad provinces.

 In this qualitative content analysis study in 2017, the data was collected through 22 in-depth interviews with donors (9 women and 13 men) living in Kohgiluyeh and Boyer Ahmad provinces. The interviewees were identified and selected by checking the database of the province’s Health Charity Forum and referrals from other charity organizations. The data was analyzed manually using the framework analysis method.

 The age range of the participants was 32-74. Data analysis led to five main themes and 11 subthemes. Most participants expressed their reasons for donations as intrinsic motivations and positive attitudes towards these activities. Moreover, the majority of them believed that; a sense of commitment, sense of responsibility, altruism, as well as brotherhood, and equality inherent in human beings were the main reasons for their donations. Lack of recognition and lack of trust in charitable organizations were the main obstacles to donation. Conducting appropriate advertisements, and gaining community trust in charities were the most important interventions suggested by the interviewees. Family members, especially spouses, were the most important influential group for monetary donations.

 Focusing on the feeling of inner satisfaction and having a good feeling after donating cash and highlighting it, as well as removing the stated obstacles can lead to encouraging people and society to do this behavior.

 One of the interesting and challenging topics in healthcare systems is the methods of financing the costs of patient treatment. During the COVID-19 pandemic, the share of financial resources for patient treatment may have changed. This study was conducted to examine the changes in the share of financial resources for patients’ hospital bills during the pre-COVID-19 and COVID-19 periods.

 This descriptive-analytical study was conducted with an practical approach. The research environment was two the COVID-19 referral hospitals at Mashhad University of Medical Sciences. A total of 305,382 files were reviewed. The main source for data collection was the hospital information system. Data analysis was performed using Excel 2017 and SPSS version 25 software, using the Mann-Whitney test at a significance level of 0.05.

 The results showed that the share of basic insurance in the pre-COVID-19 period and in the covid-19 period was 70% and 72%, respectively(P=0.09). The ratio of health subsidy share decreased from 4.8 in the pre-COVID-19 period to 2.2 in the COVID-19 period (P<0.001). The ratio of patient payment share compared to the total files amount for internal-infectious patients increased by about 7% in the COVID-19 period compared to the pre-COVID-19 period (P<0.001).

 The results of the study indicate that with the spread of the COVID-19 pandemic, the share of each financial resource in the patient’s bill has changed. The increase in the share of COVID-19 patients highlights the need for structured programs to protect the financial interests of healthcare recipients during potential crises in the future.

 In recent years, studies have been conducted on the burnout of healthcare workers and the family physician program. We decided to review the prevalence of job burnout among family physician staff in Iran based on published studies.

 An advanced search was conducted in PubMed, Scopus, Irandoc, Magiran, and SID databases, along with a hand-searching in Google Scholar, using keywords related to family physicians. The search was conducted, without language restrictions, covering the period, from 2005 to 2022, 2022, and was independently performed by two individuals. A random effects meta-analysis was conducted to estimate the prevalence of job burnout and the sub-dimensions of the Maslach Inventory using Comprehensive Meta-analysis software.

 In total, more than 8361 studies were reviewed, and 4 articles that used the Maslach Inventory to describe job burnout were included in the meta-analysis. The pooled prevalence among family physician staff for emotional exhaustion was 30.6% (CI 17.4-47.8), while the prevalence of depersonalization was 12.9% (CI 5.4-27.6) and the prevalence of  personal accomplishment was 23.3% (CI 7.1-54.8).

 There is a significant prevalence of job burnout, especially related to emotional exhaustion, among family physician staff. Therefore, it is essential to conduct further studies to address burnout among family physician staff.