Showing 11 results for Health Care
Taher Mohebati,
Volume 1, Issue 1 (7-2018)
Abstract
Ali Shojaee, Seyed Mosoud Shajari Pourmosavi, Mohammad Mehdi , Reza Moradi, Sanaz Taghizadeh, Elnaz Kalantari,
Volume 1, Issue 1 (7-2018)
Abstract
Introduction: Health system reforms are designed and implemented according to the situational conditions of each country. Recently health reforms have focused on resources and costs in the health sector for governments; they would be as the tools for making the necessary changes and improvements. Governments have designed and implemented health reforms step by step to completing the coverage of health services in terms of geographic accessibility, service affordability, and avoiding health impoverishments, catastrophic poverty from the use of health services in recent two decades. Objectives other than completing public coverage, improving quality and the quality of health services and care, and the logical reduction in costs and the optimal use of resources. Objectives other than completing public coverage, improving quality The quality of health services and care has not had a reasonable reduction in costs and the optimal use of resources. Comparing the spending costs of hospitalization in the years before and after the Iranian Healthcare Reforms Plan in 2014 has could show that the efficiency and cost of spending. This study seeks to examine the average cost of each hospitalization case in the years before and after the Iranian Healthcare Reforms Plan to compare the impact of the costs on health insurance funds.
Methods: The present study was a cross sectional study. The population of the study has included the sum of the inpatient bed day of health insurers admitted in hospitals of in 31 provinces over the past 5 years from 2010 to 2015. In this study, survey was being conducted, and accessible data resources in the databases were used for data collecting process and analyzing. The analysis has been conducted by using Excel 2010.
Results: The highest of growth rate of the cost of inpatient bed day of health insurers in the first year of the Iranian Healthcare Reform Plan was Included respectively to the rural fund (88.4%), governmental employees fund (75.2%), self-employed fund (73.17%) and other populations fund (73.10%), and the self-employed fund shown third ranking in growth rate, although growth rate of the cost spending in all funds was more than 73%. In the first year of Iranian Healthcare Reform Plan has shown more inpatient costs growth rate than 73 percent’s for all the Iranian Health Insurance Funds.
Conclusion: The average of total inpatient spending cost has increasing trend in all funds of Iran Health Insurance and if there is not be a serious review of the Reform Plan, the health insurance organization may been faced serious financial problems. Therefore, by reviewing the Reform plan, it is possible to improve the plan as well as to ensure health insurance regarding sustainability of financial resources.
Zeynab Farahmanfar, Kamran Hajinabi, Afsoon Aeenparast,
Volume 1, Issue 3 (12-2018)
Abstract
Introduction: The performance of employees has an important role in productivity of organizations. The performance of employees is affected by a wide range of individual and organizational factors. Recognition of the effective factors has an important role in improving the performance of employees. The aim of this study was investigating the relationship between provision of welfare facilities and performance of health care network of Rey City.
Methods: This was a cross-sectional study. The study population were employees of Rey health network. All the population were selected for the study. 100 employees were studied. The data collection tool was a researcher made questionnaire. The questionnaire contained three main components: demographic questions, performance investigation questions and welfare facilities question. The questionnaire validity and reliability was tested and confirmed. The data of this study were analyzed using SPSS statistical software.
Results: The results of the current study showed that there is no significant difference in employees’ performance between sexuality, different age groups, education, marriage, employment condition, work experience, and job position. Investigating the relationship between the performance of employees and provision of welfare facilities including health insurance, cultural and sport facilities, transportation facilities, tourism facilities, and welfare benefits showed that there is a significant relationship (P < 0.05).
Conclusions: The results of the study depicted that the performance of employees is not influenced by factors such as population and income level of the participants. However, provision of welfare facilities can be effective on employees’ performance improvement. However, in order to gain the maximum performance of the employees, it is necessary to consider welfare matters so that they work with higher motivation in order to improve the health condition of the community.
Shapour Badiee Aval, Amin Adel, Hosein Ebrahimipour, Akbar Javan Biparva, Elaheh Askarzadeh,
Volume 1, Issue 4 (2-2019)
Abstract
Introduction: Since supplementary insurance patients should benefit from the benefits of insurance, they do not receive health subsidies, the behavior of supplementary insurance organizations and their insured may be endangered for supplementary insurance. The purpose of this study was to investigate the change in the behavior of supplementary insurers and insured individuals before and after the implementation of the health system reform in Mashhad University of Medical Sciences hospitals.
Methods: This descriptive study was conducted on a retrospective cross-sectional study in 2012-2017. The population of the study consisted of 2099499 admitted and under-observed patients in 24 public hospitals affiliated to Mashhad University of Medical Sciences. The data were collected by referring to the hospital discharge department and patient information through HIS in each hospital. The accuracy of the data was evaluated. Data analysis was performed using SPSS v16 and EViews v10 software.
Results: The share of supplementary insurance in the year 2012 was about 1, and in the year 2013, Implementation of the health system reform program has reduced the share of supplementary insurance, And by the end of the year 2017, the trend has been declining to 0.2.
Conclusions: It seems that supplementary insurance contracts should be integrated with university hospitals and patients' insurance coverage should be done electronically.
Elham Shami, Shirin Nosratnejad, Alireza Pirestani,
Volume 2, Issue 1 (6-2019)
Abstract
Introduction: Getting and receiving health care services is called health care utilization. Health system management depends on decisions that are right and conscious, Utilizing knowledge of health services and studies in this area is mandatory for allocating financial resources and health planning. Access has an important role in the utilization and use of health services. One of the most important factors in increasing access to services is the people’s insurance coverage. The aim of this study was determine health care utilization among new insured people of the Iranian health insurance plan after the implementation of Health Care Improvement Plan.
Methods: The present study is a cross-sectional study with a sample size of 400 households from Tabriz with random sampling. The study was conducted using a telephone conversation (retrospective information) questionnaire on the rate of utilization of outpatient and inpatient care services among the Iranian health insurers of Tabriz during one-year period. Data were analyzed using descriptive and analytical statistics and analyzed using STATA 11 and EXCEL software.
Results: The relative frequency of outpatient and inpatient services were 98.49, 98.75%, respectively. Also, access to services in the use of outpatient and inpatient services was 93% and 90%, respectively. Satisfaction rate for outpatient services was 51%. Satisfaction rate for receiving hospital services was 56%.
Conclusions: Health insurance in Iran has led to the benefit of people without health insurance, which is higher in inpatient services. Moving toward universal health coverage can be a better way to cover people uninsured and the community.
Mostafa Piri, Reza Jalali, Ali Akbar Amini,
Volume 2, Issue 4 (12-2019)
Abstract
Introduction: Policy change is one of the most popular areas in public policy, and the establishment of justice in the health sector is one of the most important goals of government - oriented governments in this field. Accordingly, the present study aimed to explain the effective factors in promoting justice in health with centrality of Iran health insurance organization.
Methods: the present study is applied in terms of the practical purpose and the method is implemented in two qualitative and quantitative sectors in 1397. in the qualitative section after reviewing the literature, the delphi method and expert panel were used with the help of six experts who participated in the mixed sampling method and the snowball sampling in this study, the objective was evaluated and the conceptual model structure was constructed with four constructs and 20 variables. After examining the formal validity and content validity, 16 questions were finalised with a five - point Likert scale to examine in the quantitative section. in the quantitative part, structural validity was evaluated by cronbach's alpha by factor analysis and reliability. at this stage of the research, 190 members of the target community who had
sufficient information on the subject of research were conducted. SPSS and excel software were used for data analysis.
Results: In this study, 65.7 percrent of male participants were male and 43.3 percent female. 57.3 percent of them are official employment and 57 percent have more than 20 years of work experience. More than 56 percent of the participants have master degrees and doctorate degrees. Reliability of the questionnaire proved to be 83 percent in this study. Validity was assessed and confirmed (Face validity, Content validity and Construct validity). All four constructs in this study were the reliability of over 70 percent. Confirmatory factor analysis also showed that construct validity was approved by the whole questionnaire.
Conclusion: The results of this study indicate that the Iranian health insurance organization has a key role in health with the support provided by the government and the adoption of reason Influence in the study to satisfy the people of the society and ultimately in health.
Hamed Asgari, Nader Khalesi, Amir Ashkan Nasiripour, Reza Zyari,
Volume 3, Issue 1 (4-2020)
Abstract
Introduction: Demand for health in the sense of providing unnecessary services with the intention of benefiting to patients or clients has always been challenging with the exercise of power and order by stekeholders. The present article aims to identify factors for controlling induced demand in cardiovascular diseases with basic and supplemental insurance with the help of experts and experts, to provide strategies for controlling it to be used in macro-level policy and planning and implementation levels.
Methods: This research was a mixed method. In the first part of the narrative review and consensus of experts a researcher-made questionnaire was prepared and its validity and reliability were confirmed. Shahid Chamran data were collected and analyzed in SPSS 20 software.
Results: The highest and the lowest mean score of induction-related factors in cardiovascular patients were social (3.36 ± 0.76) and stakeholders (2.90 ± 0.76))respectively. Among the social factors sub-factors, community health literacy (3.38 ± 0.81) and among the sub factors, stakeholders, physicians, and professional ethics (3.13 ± 0.97) had higher average insurance coverage (Insurers showed a lesser role in stimulating consumption and possibly inducing demand).
Conclusions: According to the findings of this study, it recommends to policy makers adopted and communicated their to prioritize appropriate policies for fundamental and structural change focusing on changing the knowledge and attitudes of people at all levels of education in the country, including people, physicians, insurers and stekholders. It advises executives to provide the necessary infrastructure for the development of insurance in the country by following these policies.
Hamid Mohammadi, Shahram Tofighi, Mostafa Rajabi, Hamidreza Izadbakhsh, Bahar Hafezi,
Volume 4, Issue 3 (12-2021)
Abstract
Introduction: Strategic purchasing in health services has been one of the basic components in improving performance and one of the most important issues in order to improve the health system in the world. Although the Ministry of Health and insurance organizations in Iran sometimes address the issue of strategic purchasing goals, it is not possible to achieve or even implement it due to existing problems. For this purpose, this study was conducted to identify the most important factors affecting the launch of strategic procurement of health services and its implementation in the treatment department of the Social Security Organization and to provide an applicable model.
Methods: This is a qualitative study that was conducted in 2020 to identify the factors affecting the implementation of strategic procurement of health services in the Social Security Organization and provide a local model in two stages. In the first step, semi-structured interviews were used to extract important factors in the field of strategic purchasing. In the second step, the Delphi method was used to determine the approval or non-approval of the factors influencing the strategic purchase in the Social Security Organization.
Results: In this study, 6 subjects and 40 sub-subjects were extracted. The main topics of the research include: target groups, social structure, insurance structure, management and coordination of departments, knowledge and information systems and service providers. The two main issues of interest to experts were the target groups and the structure of insurance. The highest score of consensus among experts on the following topics included health needs assessment and prioritization of target groups, equitable allocation of resources, income level of covered individuals, and strategic purchasing discourse.
Conclusion: According to the model, most attention is paid to the role of target groups and insurance structure as a leader in purchasing health services and a suitable distributor of services. It is important that the Social Security Administration is able to communicate with providers and select the best providers and receive price information through competition in the most appropriate mechanism. Also, with this model, it can strategically purchase the best and most effective services for its insured individuals. The practical model presented in this article can help the development of health systems to overcome the existing obstacles in the implementation of strategic purchasing progress. This model meets the need for knowledge necessary for strategic purchasing of health services.
Parivash Heidari Orejlo, Shaghayegh Vahdat, Hassan Soltani,
Volume 5, Issue 1 (3-2022)
Abstract
Introduction: In today’s societies, “health” is the inalienable right of all members of society and indicators showing health in society are important factors in showing the level of development of the country. The purpose of this study is to determine and prioritize the factors affecting financing in Iran.
Methods: This descriptive research is a survey method and in terms of implementation process, it has been done qualitatively and quantitatively. In this research, first with a qualitative approach and by theoretical and library studies, the financing model in the world health system was examined and then by comparative comparison and determining the points of difference and commonality, the main factors were identified. Then, using the opinion of experts, the researcher proceeded to prioritize the factors.
Results: To investigate the research hypotheses, because the dimensions and components affecting health financing did not have the same rankings, as a result, prioritization was done in the field of contextual factors, instrumental factors, content factors and structural factors. The results showed that the central tax system with 4.451 points, the budgeting system with 4.420 points and the formulation of the financing plan with 4.368 points are the most influential components, respectively.
Conclusion: In the study of the studied countries and financing models and frameworks, the variables that had the highest frequency in the financing system included the variables of tax axis, integrated financial fund, subsidies, financial participation and protection of investment risks. It shows the emphasis of the mentioned models on the tax view along with investment. The results of this study show that in Iran, despite the existing insurance system, creating a mechanism in the tax system, budgeting system and formulating a financing plan with respect to sanctions and creating restrictions in the investment system in the health sector has the most importance and rank.
Javad Sajjadi Khasraghi, Mahmood Salesi, Mohammad Meskarpour Amiri,
Volume 5, Issue 4 (12-2022)
Abstract
Background: The outbreak of the Covid-19 pandemic has had a devastating effect on the provision and receipt of health services around the world. The present study was conducted with the aim of investigating the effects of this disease on referrals and services of one of the hospitals in Tehran.
Methods: In this historical cohort study, the number of referrals and services in 26 hospital departments in the first 6 months of 2018 and the first 6 months of 2018 were investigated and analyzed. The data in the form of a pre-designed Excel form received from the statistics unit and quality improvement unit of the hospital were entered into SPSS software version 26 and analyzed using non-parametric Wilcoxon test.
Results: The load of referrals and services of the studied hospital was reduced by 30 percent during the Covid-19 epidemic. The highest rate of decrease was related to clinics and clinics (55/07 percent) and the lowest rate of decrease was related to emergency services (7/67 percent). CT scan services and referrals increased by 84/5 percent on average. These changes were statistically significant.
Conclusion: The reduction of the burden of referrals and services of the studied hospital is evaluated as medium to high. Healthcare providers should monitor hospital activity and develop strategies to mitigate the indirect effects of the COVID-19 pandemic resulting from reduced overall hospital activity
Mohammadreza Rezaee, Keivan Babadi, Hasan Saeidi,
Volume 7, Issue 2 (9-2024)
Abstract
Introduction: The Villagers and Nomads' Family Physician Program in Khuzestan Province was implemented to provide primary medical and health services to the rural and nomadic populations, aiming to improve their quality of life by focusing on disease prevention and management.
Methods: In this study, questionnaires were used to collect data to determine the challenges of implementing the family physician plan from the perspectives of plan monitors and participating physicians, focusing on nine areas. Questionnaires were sent to all 235 members of the health team, and plan monitors in Khuzestan Province, and 177 members completed the survey. The findings of this quantitative study were analyzed using descriptive statistics, chi-squared tests, and Mann-Whitney tests at a significance level of 0.05.
Results: The results indicated that physicians' low job attractiveness, with an average score of 7.43, impairs their persistence, which is identified as the most important challenge.
Conclusion: Considering the difficulty of the job and the adequacy of facilities and amenities, attention should be paid to the motivational and financial needs of health team members when setting executive guidelines.
