Saeed Karimi; Kamal Gholipour; Peyman Mottaghi; Mohammad Hossein Yarmohammadian; Azad Shokri
Volume 12, Issue 3 , June 2015, , Pages 356-366
Abstract
Introduction: Quality of care from the perspective of patients is increasingly considered an important component of comprehensive chronic disease management and as instrument that use for evaluation of quality. This study aimed to assess of quality of delivered care among patients with rheumatoid ...
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Introduction: Quality of care from the perspective of patients is increasingly considered an important component of comprehensive chronic disease management and as instrument that use for evaluation of quality. This study aimed to assess of quality of delivered care among patients with rheumatoid arthritis based on a model of Comprehensive Quality Measurement in Health care (CQMH).Methods: A cross-sectional study was conducted with 170 people with rheumatoid arthritis who were received care from specialist clinics of Isfahan University of medical sciences in 2013. Validity of The study questionnaires were reviewed and confirmed by 8 specialist in rheumatology and research and there reliability was confirmed according to Cronbach's alpha index (Service Quality (SQ); α = 0.721, Technical Quality (TQ); α = 0.766, Costumer Quality (CQ); α = 0.803). Final scores for each dimension were referred on a 0-100 scale with high values indicating better quality. Data analyzed using the SPSS-19 statistical package. Independent Samples Test, ANOVA Tests were conducted to compare CQ, SQ, TQ and QI score between categorical variables.Results: The average Quality Index was 72.70 of a 0-100 scale and average SQ, TQ, CQ score were 79.09, 68.54, and 70.25 respectively. For CQ only 19.8% of participations staying the course of action even under stress and financial constraints, there was a significant gap between what Rheumatoid Arthritis (RA) care they received and what was recommended in the guideline for TQ and the concept of service quality was poorly developed in many cases, specifically "availability of support group" that was the lowest scores.Conclusion: According to the present study quality of care the patient’s perspective was low, thus its need to pay attention to patient partnership and empowering them to manage their condition. Also there are need to Promote compliance and establish association of rheumatology patients.
Mahmoud Keyvanara; Saeed Karimi; Elahe Khorasani; Marzie Jafarian jazi
Volume 10, Issue 4 , November 2013, , Pages 538-548
Abstract
Introduction: Induced demand is one of the challenges of health care systems in different countries. It increases health care costs and also increases catastrophic cost index. This article seeks to examine the challenges of induced demand with the use of expert’s experiences of Isfahan University ...
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Introduction: Induced demand is one of the challenges of health care systems in different countries. It increases health care costs and also increases catastrophic cost index. This article seeks to examine the challenges of induced demand with the use of expert’s experiences of Isfahan University of Medical Sciences. Methods: The research is applied a qualitative method which done in Isfahan in 2012. Semi-structured interview was used for data gathering. For validity and reliability criteria such as data reliability of information and stability were considered. Participants in this study were people who had been informed in this regard and had to be experienced and were known as experts. Purposive sampling was done for data saturation. 17 people were interviewed. The anonymity of the interviewees was preserved. The data are transcribed, categorized and then used the thematic analysis. Results: In this study thematic analysis was conducted and 41 sub-themes and three themes were extracted. The three main themes include insurance organizations challenges, health systems challenges and patient’s challenges. Each of them has some sub-themes. Conclusion: the results of this study provide challenges due to induced demand. The most notable findings include insurance organizations challenges, health care system challenges and patient challenges. These findings will help health policymakers consider challenges to design appropriate strategies to reduce them. Keywords: Healthcare; Healthcare System; Insurance; Patients; Healthcare Costs
saeed karimi; Sima Nejadlabbaf; Taha Nasiri; lida shams
Volume 10, Issue 4 , November 2013, , Pages 549-557
Abstract
Introduction: Using economic principles and after that evaluating economical operation of hospitals cause the correction of procedures and continuation of activities and provide economic managing of hospital’s industry. The aim of this study was estimation production function in selected public ...
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Introduction: Using economic principles and after that evaluating economical operation of hospitals cause the correction of procedures and continuation of activities and provide economic managing of hospital’s industry. The aim of this study was estimation production function in selected public hospitals of Isfahan University of Medical Sciences to assessment economical behavior of these hospitals in use of resources. Methods: This study was a kind of application studies that perform in descriptive-analytic manner in 2011. In this study bilateral logarithmic Cab-Douglas production function used to assessment economical behavior of hospitals. Research society was 5 selected military hospitals of Isfahan University of Medical Sciences. Data collected in form of Panel (Composition of cross-sectional and time series) for a 6 years period by survey method. Finally EVIEWS 5 econometrical software used for estimation the model. Results: study findings showed that active beds (0/91), nurse (0/11), physician (0/01) and other personnel (0/008) inputs respectively have greater impact on production (number of Inpatient admission) of hospitals. The Coefficient of all inputs -except hospital beds- were significant (P<0.05). All of inputs were in economic area. Amount of appointment coefficient were in excellent range (R2=0.98). Summations of coefficients were more than 1 that shows increasing return to scale. Conclusion: the findings show great important of bed in rise of production (number of Inpatient admission). Thus the productivity of beds is high in hospitals and the greater role for production of hospital (number of inpatient discharge). Also we can say use of current hospitals capacity and investment in increasing production inputs can be an effective solution rather than building new hospitals because of increasing return to scale. Keywords: Economics, Hospital; Economics, Behavioral; Hospitals
Saeed Karimi; Mahmood Keyvanara; Mohsen Hosseini; Marzie Jafarian; elahe khorasani
Volume 10, Issue 6 , December 2012, , Pages 862-875
Abstract
Introduction: Health literacy is the degree to which people understand the health information and can operate in the health care system. Consequences of low health literacy occur both directly and indirectly. Therefore, the aim of this study was to determine health literacy, health status and health ...
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Introduction: Health literacy is the degree to which people understand the health information and can operate in the health care system. Consequences of low health literacy occur both directly and indirectly. Therefore, the aim of this study was to determine health literacy, health status and health services utilization and their relationships in adults in Isfahan. Methods: This study was a descriptive analytical survey on 300 (18-64 years old) people in Isfahan, multi stage sampling was performed. For collecting the data, questionnaire adapted from CHAP (Consumer Assessment of Healthcare Providers and Systems) health literacy questionnaire was used. Health status was measured by self-assessment of physical and mental health over the last 6 months. Health services utilization was asked by six areas that include the number of GP visits, number of special physician visits, number of outpatient or clinic visits, number of the emergency department visits, number of diagnostic services use of the last 3 months and the hospitalization in the past year. For data analysis SPSS18 software, descriptive statistics and Chi-square test was used. Results: Average health literacy score was 2.4, which was moderate. The average health status score was 3.1, which was good and the average health services utilization score was 2.1, which was weak. Health literacy, health status and health care utilization were not statistically significant. Levels of education and place of residence were effective on health services utilization. Conclusion: According to the average prevalence of health literacy in adults in Isfahan and low health services utilization, more attention to the improvement of health literacy and doctor-patient relationship and awareness of community through health programs and media was recommended. Keywords: Health Literacy; Health Status; Health Services; Utilization
Saeid Karimi; Azimeh Ghorbanian; Siavoush Khalilimoghadam
Volume 4, Issue 1 , March 2007
Abstract
Introduction: Administrative processes in universities should performe in coordination with major university policies and directions. Financial performance is one of the main factors in achieving efficency and effectiveness in management. This research investigates cost of undergraduate and post graduate ...
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Introduction: Administrative processes in universities should performe in coordination with major university policies and directions. Financial performance is one of the main factors in achieving efficency and effectiveness in management. This research investigates cost of undergraduate and post graduate student trainings at Faculty of Health Management and Medical Informatics during period of 1385-86. Methods: During this retrospective, cross sectional applied research, all costs related to studen training at this faculty has been estimated. “Performance based cost estimation” method has been used with educational services at Faculty considered at basis of expenditure. Data were collected using researcher designed cheklist from financial documents of the Faculty. Results: Per capita cost of students of medical librarianship; graduate diploma and bachelor in medical records; master of medical record; and master of health service management was 12565434 Rls, 11503362 Rls, 39120021 Rls and 13963497 Rls respectively during2006-2007. Traditional cost estimation however resutls to 13963497 Rls per capita. Conclusion: Master of medical records had the highest per capita expenses while graduate diploma and bachelor of medial records had the lowest per capita expenses. Expensed related to lecturers and administrative cost such as education office, educational departments, library, research affairs and student affairs were reported to form the bulk of the costs of student training. Efforts could be made to reduce these costs as well as increasing the number of students. Keywords: Costs and Cost Analysis; Students, Health Occupations; Costing; Higher Education
