Mehrdad Farzandipour; Abbas Sheikhtaheri; Monireh Sadeghi Jabali
Volume 9, Issue 5 , November and December 2012, , Pages 646-654
Abstract
Introduction: Based on individual independence rights, patients can refrain from being treated orcan voluntarily discontinue their treatment after receiving full information. This study aimed toreview the reasons of treatment refusal and the status of informed refusals for patients.Methods: This was ...
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Introduction: Based on individual independence rights, patients can refrain from being treated orcan voluntarily discontinue their treatment after receiving full information. This study aimed toreview the reasons of treatment refusal and the status of informed refusals for patients.Methods: This was a cross-sectional descriptive study. The study population included 135patients who refused to be treated in university hospitals of Kashan (except for the Psychiatricward) during summer 2010. Data were collected through a 35-item questionnaire by means ofinterviewing. The data were analyzed using SPSS software.Results: The most important common reasons for treatment refusals were patients’ inappropriatefeelings for hospitalization continuation (83%), low quality of hospital services (49%) andreceiving advices from their friends and families (35.5%). Providing information before signingthe consent form (64.2%), understandability of the consent form (69.2%) and interaction betweenthe patient and the physician (72%) were items with adequate or somewhat adequate statusmentioned by the patients.Conclusion: Improving status of hospitalization, mental condition, and patient tendency to behospitalized and also promoting health quality can result in decreasing personal satisfaction fordischarges against medical advices. To improve the status of informed refusals, more informationabout alternatives, their benefits and complications, and content of consent forms should beprovided to patients. Physicians should understand patients’ reasons to refuse treatment and try toeliminate obstacles and persuade them to continue their treatments.
Saeid Karimi; Sakineh Saghaeiannejad Isfahani; Mehrdad Farzandipour; Maryam Esmaeili Ghayoumabadi
Volume 7, Issue 0 , December 2011
Abstract
Introduction: Designing and performing of minimum data sets (MDS) in hospitals and health centers can be considered as the beginning steps of any disease information management which result in improvement of the quality of care and disease control. Transplantation MDS with a set of definitions considered ...
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Introduction: Designing and performing of minimum data sets (MDS) in hospitals and health centers can be considered as the beginning steps of any disease information management which result in improvement of the quality of care and disease control. Transplantation MDS with a set of definitions considered as one the most important management decision making facilities which ensure accessibility to accurate health data. The main purpose of this work was to study the minimum data sets of health information management of organs transplantation in Canada, Malaysia and Australia, and present solutions for Iran.Methods: This research was an applied comparative study in 2009 which was conducted through three stages. At the first step, transplantation MDS in selected pioneer countries was studied via e-text and resources and compare with Iran situation systematically studied. At data analysis stage, the transplantation MDS at selected countries were compared using comparative tables method and difference and similarities were determined. Finally with respect to accumulated data, new organ transplantation registry forms were established for Iran.Results: A transplantation MDS was proposed as 23 forms in three categories (transplantation recipient registration forms, transplant candidate registration forms, transplant recipient follow-up forms, living donors and deceased donor registration forms) and approved by experts.Conclusion: In order to register all the possible data in future, it is necessary to establish different registry forms to prepare the most accurate set of data for organ procurement network. The prepared transplantation MDS as a set of forms will bring about costs controlling and promoting of organ transplantation management in Iran .Also assessment of the rate of organ donations survival establishment of appropriate polices will be possible through exploitation of extracted data from the prepared forms.Keywords: Data; Information Management; Transplants; Comparative Study.
Fatemeh Rouzbahani; Abbas Sheykhtaheri; Mehrdad Farzandipour; Fatemeh Rangraz Jeddi; Zohreh Mobarak Ghamsari
Volume 8, Issue 2 , May and June 2011
Abstract
Introduction: The goal of Training activities is to grow potential abilities and intelligence in human. Evaluation of Training Service has main role in achieving qualified educational activities and increasing students’ skills. Therefore, this study evaluated the performance of training educators ...
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Introduction: The goal of Training activities is to grow potential abilities and intelligence in human. Evaluation of Training Service has main role in achieving qualified educational activities and increasing students’ skills. Therefore, this study evaluated the performance of training educators from points of view of medical record students in Kashan University of Medical Sciences in 2005-6.Methods: In this descriptive study, medical record students from all levels of associate and bachelor degree including 21 associate and 20 undergraduate students of bachelor degree in the second semester of 2005-2006, were enrolled. A questionnaire consisting of ten questions with very good to weak responses, with confirmed validity and reliability, was used. Totally 328 questionnaires were distributed to evaluate all training instructors (8 cases), from which 205 questionnaires were returned.Results: Most of the students (71.2%) considered the controlling of students’ absent and present as very good score. Respecting to Islamic and moral rules (69.7%), coming on time (67.8%), answering to students’ questions (60.5%), dominating to practical skills (60%), expressing theorical explanations for practical skills (57.1%), explain trainer's tasks (57.1%), being careful in doing trainers’ tasks (55.6%), following trainers’ problems (52.7%), supervising on learning (51.2%), were in next stages.Conclusion: Totally, students evaluated training educators’ performance in very good level. It seems that attention to the factors like following trainers’ problems, being careful in doing trainers’ tasks and supervising on his/her learning can improve learning quality more and more.Keywords: Medical Records; Training; Trainee; Evaluation.
