Marjan Vejdani; Maryam Godarzeyan; Zahra Rahimi; Seyyed Ehsan Saffari; Marzieh Vejdani; Samira Fouji; Arefeh Pourtaleb
Volume 23, Issue 4 , September and October 2016, , Pages 662-671
Abstract
Background Considering patient’s experiences about non clinical aspect of health care services is now seen as a key characteristic of an effective health system. This study looks into the Responsiveness in Sabzevar University of Medical Sciences, 2015.Methods & Materials In this cross-sectional ...
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Background Considering patient’s experiences about non clinical aspect of health care services is now seen as a key characteristic of an effective health system. This study looks into the Responsiveness in Sabzevar University of Medical Sciences, 2015.Methods & Materials In this cross-sectional and explanatory study, 189 hospitalized patients in Vasai hospital were selected using a stratified and simple random sampling. Standard Responsiveness Questionnaire was used as the data collection tool. Data were analyzed using descriptive statistics, independent t-tests and ANOVA by SPSS 16 at a significance level of 0.05.Results Access to the social support during hospitalization achieved the highest score while patient autonomy received the least score. There was a significant relationship between Access to the social support and patient’ gender (P≤0.05). Results showed significant differences between wards in this hospital and Access to the social support and Quality of basic amenities (P≤0.05). From patient view point the total score for this hospital was (2.43±0.60) that showed the moderate level of responsiveness. Conclusion More than ever trying to institutionalize the principle of responsiveness culture in this kind of training educational hospital should be regarded. In this way it could be helpful to design a new scientific approach to implement and evaluate responsiveness in hospital regularly. It also would be an effective way to design suitable guideline and checklist along with improve clinical governance and clinical audit
Vahid Ataie Moghanloo; Roghayeh Ataie Moghanloo; Malihe Pishvaei; Maryam Goudarzian
Volume 23, Issue 3 , July and August 2016, , Pages 422-429
Abstract
Background Loss of wife along with the phenomenon of aging could cause psychological disorders and shorten the duration of this stage of life. This study aimed to examine the efficacy of treatment reminders of life with emphasis on integrative reminiscence on self-esteem and anxiety in old widowed men.Materials ...
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Background Loss of wife along with the phenomenon of aging could cause psychological disorders and shorten the duration of this stage of life. This study aimed to examine the efficacy of treatment reminders of life with emphasis on integrative reminiscence on self-esteem and anxiety in old widowed men.Materials & Methods The research method was a randomized clinical trial with pretest and posttest design with a control group. The study population included all 60- to 80-year-old people living in Meshginshahr, Iran. Of whom 34 participants were selected using convenient sampling method. They were randomly allocated into two equal groups (experimental and control). The experimental group participated in therapy sessions and the control group did not receive any interventions. The research instrument was Rosenberg self-esteem scale and questionnaire of general anxiety.Results Multivariate analysis of variance (ANOVA) results showed that the treatment was efficient on variables of self-esteem and anxiety in old widowed men (P<0.001).Conclusion Managing certain psychological disorders in the elderly can be done by the proper and alternative treatments. It seems that integration of personality through integrated reminiscence can have different results in adjusting or treating people.
Fatemeh Rostami Golmohammadi; Ali Kazemi Karyani; Maryam Goudarzian; Saeed Asefzadeh; Sattar Mehraban
Volume 23, Issue 3 , July and August 2016, , Pages 444-457
Abstract
Background Given the scarcity of resources in the areas of health, the efficient use of these resources is very important. The purpose of this study was to assess the efficiency of rural health centers of Ghazvin province in the period of 2006-2010.Materials & Methods This is a descriptive-analytical ...
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Background Given the scarcity of resources in the areas of health, the efficient use of these resources is very important. The purpose of this study was to assess the efficiency of rural health centers of Ghazvin province in the period of 2006-2010.Materials & Methods This is a descriptive-analytical study, in which all rural health centers in Qazvin Province, 43 centers, were included. Independent variables were the number of physicians, health experts, technicians, and community health workers, and the dependent variables were percentages of screening for congenital hypothyroidism, percentages of iron supplementation in the first guidance school students, number of visits of public procurements and food distribution centers, number of general practitioner’s visit, and number of specialist referral by the general physician. In this study, input-oriented model and variable returns to scale (VRS) assumption were used. Also, time trend of efficiency was estimated with a regression model. Data envelopment analysis (DEA)-solver and Stata software were used to measure efficiency and estimate regression models, respectively.Results The mean technical efficiencies during 2006 to 2010 were 0.77, 0.77, 0.78, 0.92, and 0.89, respectively. Also, the average scale efficiencies in these years were 0.98, 0.95, 0.95, 0.97, and 0.97, respectively. Average score of managerial efficiency increased from 0.78 to 0.92 during this period. The results of time trend showed that β-coefficient for average score of efficiency was 0.039 and statistically significant (P=0.03). Conclusion The mean levels of efficiency and health outcomes have been improved in these years but some of resources are still wasted. It seems that some practices such as ongoing evaluation of performance, improving the quality and quantity of services, and programing for optimal use of inputs, can be particularly useful.