Epidemiology and Statistics
yalda ravanshad; Mohadese Golsorkhi; elham Bakhtiari; aghil lollah keykhosravi; anoush azarfar; malihe shoja; mohamad behazin; sahar ravanshad; alireza ghodsi
Volume 28, Issue 2 , May and June 2021, , Pages 183-188
Abstract
Introduction: The patient’s self-discharge from the hospital is a process in which the patient leaves the hospital voluntarily without completing the course of treatment, despite medical advice, and can indicate patient dissatisfaction and a significant challenge for health system managers. This ...
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Introduction: The patient’s self-discharge from the hospital is a process in which the patient leaves the hospital voluntarily without completing the course of treatment, despite medical advice, and can indicate patient dissatisfaction and a significant challenge for health system managers. This study was conducted to investigate the causes and consequences of a patient's self-discharge from Dr. Sheikh Hospital as a referral center in the northeast of Iran.
Material and Method: All patients who were discharged with the personal consent from the hospital with personal consent between October 2014 and March 2015 were included in the study. A checklist was used to collect data. The patients' outcome was completed by telephone a week later. Finally, SPSS statistical software was used to evaluate the results.
Results: Totally, 51 patients were included in this study. The leading causes of discharge with personal consent were including dissatisfaction with the physician and medical staff in 23 patients (45.1%), home care preference in 12 patients (23.5%), distance from the hospital in 5 patients (9.8%), teaching at the hospital in 3 patients (،5.9), the high cost of treatment in 3 patients (9 5.9), the overcrowding of the hospital in 3 patients (9 5.9) and the lack of specialist or diagnostic and therapeutic devices in 2 patients (3.9%). Also, in the study of patients' outcome, 21 patients (41.1%) referred to the doctor again, 18 patients (35.3%) continued treatment at home, 9 patients (17.7%) were readmitted and 2 patients (3.9%) died.
Conclusion: The most common cause of discharge with personal consent was dissatisfaction from the treatment team. Given that 3.9% of patients have died and a large number of patients have been re-referred to the doctor and be readmitted, it seems that justifying patients to refrain from self-discharge is in the patient's best interest.
Health Education
Zahra Keyvanlo; Somayeh Fazayeli; Bita Barghamadi; Aghilallah keykhosravi; Najmeh Sabzevari; Mahboubeh Neamatshahi
Volume 26, Issue 6 , March and April 2020, , Pages 817-825
Abstract
Introduction: responsiveness is one of the main goals of the health system, which reflects the patient's experience of providing services that they receive during the care period. Awareness of the importance of different aspects of patient responsiveness can help to better resources allocation and develop ...
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Introduction: responsiveness is one of the main goals of the health system, which reflects the patient's experience of providing services that they receive during the care period. Awareness of the importance of different aspects of patient responsiveness can help to better resources allocation and develop appropriate strategies for management. Therefore, this study aimed to investigate the most important aspectsns of responsiveness from the point of view of referring to Sabzevar health centersMaterials and Methods: This descriptive cross-sectional study was performed on persons referred to 10 health centers in Sabzevar city in 2017. six centers were selected Cluster Random Sampling and 40 persons were randomly questioned from each center. Data were collected using the World Health Organization (WHO) questionnaire. Data was analyzed using descriptive and analytical indices in SPSS21 software.Results:In general, all of the different dimensions of responsiveness were very important except dimension of independence from the point of view of referring to Sabzevar health centers. The most important dimension was the right to choose(98.3%) and the low important dimension was the independence(72.9%). Although there was no significant relationship between the importance of general responsiveness and demographic variables, there was a significant relationship between gender and respect for dignity.(p=0.05)Conclusion:Given the results of the study and nature of the public health centers, attention to the priorities of the recipients of servicese specially Autonomy in the field of responsiveness can be a good guide for allocating more resources and increasing the satisfaction of the recipients of the service
Health Education
Seyed mojtaba mousavi bazaz; Zahra Keyvanlo; Aghilallah Keykhosravi; Mohammad Neamatshahi; Atefeh Asadi; Mahboubeh Neamatshahi
Volume 26, Issue 4 , November and December 2019, , Pages 413-420
Abstract
Background:Health-related quality of life is an index of the safety Patients and refers to the measure of a patient's functioning, well-being, and general health perception in each of three domains: physical, psychological, and social. The aim of this study is identify related factors with quality of ...
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Background:Health-related quality of life is an index of the safety Patients and refers to the measure of a patient's functioning, well-being, and general health perception in each of three domains: physical, psychological, and social. The aim of this study is identify related factors with quality of life in hemodialysis patients.Materials and Methods:In this cross sectional study, 50 hemodialysis patients of 15 to 87 years old in mashad city were participated in 2017. We used checklists which included demographic questionnaire and SF-36 Questionnaire. Descriptive and statistical tests such as mean± standard deviation for quantitative variables, Spearman correlation coefficient,Naparametric test were used. Results:The mean score of quality of life was 43.3±8.2 that in the physical dimension was 42.8 ± 11.9 and in the psychological dimension was 43.9 ± 10.4.The highest mean of quality of life was observed in the men( 42.5 ± 6.1) , singles ( 43.6 ± 5.4), users general vehicles (44.4 ± 8.4) and people with a level of education in the guidance school (43.5±6.7).Age (p=0.04,r=-0.3) and duration to each dialysis session(p=0.007,r=-0.2) with mean score for quality of life were significantly inversely related but the correlation did not significantly with any of the individual characteristics, laboratory factors and clinical factors. The marrage (p=0.03) and duration of each dialysis session (p=0.03) and age(p=0.04) was a significant inversely correlation with the physical dimension.Conclusions: Life quality of Hemodialysis patients is low and authorities need to provide these patients with more social support and see into their welfare.