Ahmad Reza Raeisi; Nasrin Sharbafchizadeh; khatereh Dabirzadeh
Abstract
Introduction: Palliative care should be a top priority in public health and disease management programs. This study endeavored to compare the palliative care services in some selected countries and this way provide a framework for Iran.Methods: This study was conducted with a descriptive and comparative ...
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Introduction: Palliative care should be a top priority in public health and disease management programs. This study endeavored to compare the palliative care services in some selected countries and this way provide a framework for Iran.Methods: This study was conducted with a descriptive and comparative approach in the year 2019. Data were collected through literature review of the databases of the relevant organizations in the selected countries.Results: Findings revealed that the United Kingdom and the United States are leading countries in palliative care and provide comprehensive services to the patients. Turkey has also made significant progress in palliative care and has covered a large population in recent years. In Iran, many services required for end stage patients have not yet been implemented or the centers for providing these services are limited. Experts in palliative care believe that in Iran, less attention has been paid to the organization of such centers than the United Kingdom, the United States and Turkey.Conclusion: Based on the results of this study, it is suggested to benchmark the experiences of leading countries and initiatives and proceedings of the developing countries, considering organizational structure, financing and support services, supervision of services, interdisciplinary teams, patient care need assessment, training and recruitment as a framework for Iran.
Asghar Ehteshami; Ahmad Reza Raeisi; Maedeh Rashedi
Abstract
Introduction: Monitoring hospital information systems requires developing key indicators and criteria for efficiency and effectiveness, and consequently fulfillment of organizational objectives, including safety and quality. The purpose of this study was benchmarking of key indicators of hospital information ...
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Introduction: Monitoring hospital information systems requires developing key indicators and criteria for efficiency and effectiveness, and consequently fulfillment of organizational objectives, including safety and quality. The purpose of this study was benchmarking of key indicators of hospital information systems.Methods: This research was based on qualitative methodology with two phases. It was carried out in Ahwaz City, Iran, during the years 2015 and 2016. In the first phase, we conducted purposeful sampling using snowball technique. In the second phase, ranking of the key indicators of benchmarking operation of hospital information system (HIS) was conducted using Delphi technique. The method of data analysis in the first phase was based on a thematic content analysis, and primary and secondary themes were extracted through descriptive, interpretative, and explanatory coding. For the second phase, SPSS software was used to analyze quantitative findings and their ranking.Results: After performing 14 semi-structured interviews with the study participants, the key benchmarking indicators for hospital information system were identified with 8 main themes including hardware, software, support services, vendors, output quality, workflow process, design/interface, and costs, and 76 subthemes, prioritized through Delphi method.Conclusion: Benchmarking intended for comparison and improvement of the various hospital systems such as hospital information system, is one of the very helpful instruments in the hands of the managers working in this field. The indicators identified during this research will provide a comprehensive tool for benchmarking of hospital information system. By applying these benchmarks continuously, there is a good possibility to improve the operation of such systems.
Sakineh saghaeiannejad Isfahani; Ahmadreza raeisi; Hassan Jannesari; Asghar Ehteshami; Awat feiz; razieh mirzaeian
Volume 10, Issue 5 , October 2013, , Pages 655-664
Abstract
Introduction: Supporting a therapeutic approach and medication therapy management, pharmacy information system acts as one of the central pillars of hospital information system. This ensures that medication therapy is being supported and evaluated with an optimal level of safety and quality similar to ...
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Introduction: Supporting a therapeutic approach and medication therapy management, pharmacy information system acts as one of the central pillars of hospital information system. This ensures that medication therapy is being supported and evaluated with an optimal level of safety and quality similar to other treatments and services. Methods: The present study was an applied, descriptive and analytical study which was conducted on the pharmacy information system in use in the selected hospitals. The research population included all the users of pharmacy information system. The research sample is the same as the research population. The data collection instrument was self designed checklist developed following the guidelines of the American Society of Health-System Pharmacists, Australia pharmaceutical Society and Therapeutic guidelines of the Drug Commission of the German Medical Association. The checklist validity was assessed by research supervisors and pharmacy information system pharmacists and users. results: The findings of the study on the pharmacy information system revealed that the degree of meeting the standards given in the guidelines issued by the Society of Pharmacists, the highest rank in observing the input standards belonged to Social Services hospitals with a mean score 32.75. While teachingEducational hospitals gained the highest score both in processing standards with a mean score of 29.15 and output standards with a mean score 43.95 and the private hospitals had the lowest mean score of (23.32,17.78, 24.25) in input, process and output standards respectively. Conclusion: Pharmacy Information System (PIS) is composed of three data banks, namely patient information, medication information (managerial, financial and scientific data) and medication prescriber information. It is expected that this system be effective in three fields of operational management, financial management and scientific support to the medication services in hospitals. In addition, it is also expected that administering and using these data banks entail reduction of errors and increase of the speed of managing the orders and dispensing the medications. Hence, when PIS is to be administered, informational requirements and hardware, software, manpower and educational resources needed for establishing the medications plans, standards, policies and laws must be taken into account. In sum, the findings of the present research showed that among the 8 information systems in question, the Social Services System and Pouya Samaneh gained the highest ranks in observing the input standards, while the highest mean score in meeting the standards related to processing and output standards belonged to Sayan Rayan e Ekbatan System and Modiriat e Amar System respectively. It is worth noting that due to inattention to such system's capabilities, all of them suffer from some deficiencies that need to be obviated Since one of the most significant and effective elements of PIS, i.e. medication's scientific data bank has been ignored and the PISs in question have not been equipped with some software suitable for providing the prescriber with scientific backup in his/her making decision process, the prescribers have just contented themselves to their own information making medication errors in health care domain inevitable. Before designing and administering PIS, due attention must be given to the users' informational requirements as well as their expectations from the system. The availability of informational elements effective on managing and monitoring the medication related complications, reducing medication errors, checking the medication therapy information to ensure the suitability of medication regimen and medication warns to identify drug allergies, system potential relation with other systems supporting physicians in their making decisions and at last, recording the prescribers' orders are some capabilities that can promote this system so that it can be regarded as a clinical system with a treatment approach. Keywords: Evaluation; Pharmacy; Information Systems; Performance Assessment
Ahmad Reza Raeisi; Efat mohamadi; Nooredin menglizadeh
Volume 10, Issue 5 , October 2013, , Pages 770-777
Abstract
Access to health care is a fundamental right of people in communities. Universal health insurance coverage by reducing financial barriers to access to health services is one of the important strategies. Achieving universal coverage is not a simple process. Many countries already have universal coverage, ...
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Access to health care is a fundamental right of people in communities. Universal health insurance coverage by reducing financial barriers to access to health services is one of the important strategies. Achieving universal coverage is not a simple process. Many countries already have universal coverage, most of it has lasted decades. Studying of health insurance history in different countries is helpful to localizing certain situations due to local conditions, culture and Islamic countries and the many other intent to prevent errors and accelerate the implementation process effectively.The present article analyzed and evaluated the past experience of the development of universal coverage by social health insurance in 5 countries use of reviews the literature. Results show that all countries have increasingly followed the approach and development of the system, some took longer than others. The maximum transition period of 127 years in Germany and the lowest South Korea to 26 years. In all countries surveyed, the process moves to full coverage health insurance, a growing community with a population coverage of a systematic expansion in terms of the transfer. However, the preliminary findings are presented to achieve this expansion is different. Membership in the sickness fund was raising stable in some countries , but in other countries the expansion of membership by the Central Government has led medical insurance. Keywords: Insurance, Health; Universal Coverage; Social Security
Ahmad Reza Raeisi; Razieh Sattari
Volume 9, Issue 2 , May and June 2012
Abstract
Introduction: In health care services, preventing problems and failures is more efficient than concentrating on correcting them. Repairs are always expensive, as they require highly specialized personnel and costly spare parts. Regular inspecting and servicing, using manual services and checklists, would ...
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Introduction: In health care services, preventing problems and failures is more efficient than concentrating on correcting them. Repairs are always expensive, as they require highly specialized personnel and costly spare parts. Regular inspecting and servicing, using manual services and checklists, would maximize the impact of maintenance and minimize the costs. It is thus important to introduce a planned preventive maintenance (PPM) system to the hospitals. Methods: This quantitative-qualitative research used a Delphi survey to assess 23 medical engineers and managers at hospitals affiliated to Isfahan University of Medical Sciences (Isfahan, Iran) in 2010. Using interviews, the requirements were categorized into 4 groups of structural, human resources, financial, and equipments. A Delphi survey was obtained according to the results. A final questionnaire based on a Likert scale with a Cronbach's alpha of 92% was used to collect data. The data was then analyzed by SPSS. Results: Medical engineers and managers prioritized the requirements as structural needs (preparing appropriate organization for repairing and maintenance activity in hospitals and treatment center and cultivation of the plan in the hospitals), human resources (all management personnel should have true belief in the plan), financial needs (allocating specific budget for teaching managers and nurses), and application needs (providing a specific checklist for medical equipments). Conclusion: Medical engineers are definitely needed to be available in all hospitals affiliated to the university. A unit for following preventive maintenance programs, and creating sympathy and cooperation between managers and engineers is also of high importance. Keywords: Need Assessment; Preventive Maintenance; Requirements.
Ahmadreza Raeisi; Saeed Asefzadeh; Mohammadhossein Yarmohammadian
Volume 3, Issue 2 , September 2006, , Pages 1-9
Abstract
Introduction: The scientific, technological and economic development of a society is closely related to its public health. Therefore; improvement of health service quality along with increasing the number of health facilities is one of the main concerns of health care authorities in developed countries. ...
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Introduction: The scientific, technological and economic development of a society is closely related to its public health. Therefore; improvement of health service quality along with increasing the number of health facilities is one of the main concerns of health care authorities in developed countries. This study was designed to compare accreditation models of health care organizations in Europe and the United States.
Methods: This was a comparative-review study in which a wide range of paper and electronic data sources related to different accreditation models in all European countries and the US were collected. The origins, underlying principles and the application of various accreditation models in health care were compared.
Results: Our findings showed that four models of health care accreditation were applied in European countries. The ISO and EFQM models had industrial origins, and were more frequently used in technical fields such as laboratories and administrative departments of hospitals. Other accreditation models, however, had health care origins and were used for the accreditation of all sections of hospitals as well as for specialized clinical groups.
Conclusion: One of the main challenges facing countries whishing to establish an accreditation system is to reach an agreement on the concept and characteristics of the accreditation model.
Keywords: Quality of health care; Evaluation; Accreditation
Ahmadreza Raeisi; Zeinab Dadashi
Volume 3, Issue 1 , March 2006
Abstract
Introduction: One of the key features of the management system in each organization is the availability of information systems. Comprehensive information systems and their use by different organizational units can enhance the quality of management of the whole organization. In this study, the educational ...
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Introduction: One of the key features of the management system in each organization is the availability of information systems. Comprehensive information systems and their use by different organizational units can enhance the quality of management of the whole organization. In this study, the educational needs of hospital managers were assessed based on hospital information systems. Methods: It is a cross-sectional study carried out in all hospitals (N=33) affiliated with Isfahan University of Medical Sciences participated. The data was collected by a researchermade questionnaire which was validated by the experts. Its reliability was also examined by cronbach alph (r=86%). Results: The findings revealed that the mean of managers awareness of the web, information systems and alternative approaches were 43.5%, 28.8% and 5.4% respectively. Conclusion: It can be inferred that the managers' awareness of information systems was at "average" level. Thus, managers need to be trained in this regard. Key words: Health Services Needs and Demand; Hospital Administraters; Hospitals, Teaching; Hospital Information Systems.
