Mitra Momenzade; Elham Moazam; Mehri Sirous; Asghar Bakrani
Abstract
Introduction: Mammography is the cornerstone of breast cancer screening and early detection. This study was conducted to investigate the status of digital mammography facilities in Isfahan City, Iran, in terms of equipment and physical-quality requirements, to offer solutions to improve the current situation.Methods: ...
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Introduction: Mammography is the cornerstone of breast cancer screening and early detection. This study was conducted to investigate the status of digital mammography facilities in Isfahan City, Iran, in terms of equipment and physical-quality requirements, to offer solutions to improve the current situation.Methods: In this descriptive study, all 15 active digital mammography facilities (DMF) in Isfahan City were visited by a medical physicist. Data were collected using a researcher-made checklist including 40 items and topics of calibration, general condition of equipment, dosimetry, quality of images, and printers. Instructions and quality control reports of devices were evaluated and compared with the guidelines of Atomic Energy Organization of Iran (AEOI).Results: All the DMFs passed the standards of AEOI. The most important problem was that in majority of DMFs, the diagnosis room was not equipped with standard medical monitors or these monitors were not utilized. The differences between evaluated resolution measures of the device with results reported by quality control companies, lack of attention to expiration dates of received films by operator, lack of phantom for periodic calibration by operator, lack of attention to mean glandular dose and surface dose indicator, and printing four images on one film were the other observed problems.Conclusion: It is recommended to pay more attention to installation and operational standards of the equipment and conduct periodic surveys of DMFs. Moreover, equipping the centers with the diagnostic rooms is essential. Although all the medical imaging centers are obliged to conduct annual quality control tests on their equipment by qualified companies, investigating DMFs revealed that these quality control tests are not sufficient.
Elham MoazamFaramarz Gholami; Faramarz Gholami; Nafiseh Tavakol; Rafaat Zahedi Far
Volume 10, Issue 7 , December 2014, , Pages 921-930
Abstract
Methods: In this cross - sectional study, information about 24844 patients who admitted in hospitals in Isfahan in September 2008, including age, sex, cause and ward of hospitalization, residence address, type of referral and insurance coverage was extracted by means of self designed checklist. Data ...
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Methods: In this cross - sectional study, information about 24844 patients who admitted in hospitals in Isfahan in September 2008, including age, sex, cause and ward of hospitalization, residence address, type of referral and insurance coverage was extracted by means of self designed checklist. Data was analyzed using SPSS software primarily. Using visual and analytical capabilities of the GIS ARC/GIS (ver 9.3) the data were illustrated in the forms of maps.Results: In the study period, 11832 (47.6 percent) male and 12984 (52.3%) female were hospitalized. About 56 percent of patients were under 35 years old. In the other word there was more demand in females and young age groups for inpatient care. Most causes of hospitalization were pregnancy and childbirth complications in women (29.5%), and injuries and accidents (27.3%) in men. People had more demand for services from the public sector. Semirom, Najaf Abad and Lenjan had the higher per capita hospitalized patient (3/9, 6/7 and 3/7 patient per 1000 population respectively). The center of the province had a remarkable geographical elasticity for substantial provinces especialy for nearby city of IsfahanConclusion: High elasticity of inpatient services in the provincial capital city lead to increasing the load of patients in referral centers. Targeted management of this demand to the referral block cities, by strengthening them, altering the community culture and implementing the family physicians programs is possible.Key words: Demand Elasticity; Health Services Needs and Demand; Geographic Information Systems; Isfahan
Samira Nikoukar; Saeedeh ketabi; Elham Moazam
Volume 7, Issue 0 , December 2011
Abstract
Introduction: The purpose of this research was to evaluate the Performance of the hospitals’ managers affiliated to Medical University of Isfahan by Data Envelopment Analysis (DEA) method. Also since some attributes of performance are qualitative, Analytical Hierarchy Process (AHP) method was used ...
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Introduction: The purpose of this research was to evaluate the Performance of the hospitals’ managers affiliated to Medical University of Isfahan by Data Envelopment Analysis (DEA) method. Also since some attributes of performance are qualitative, Analytical Hierarchy Process (AHP) method was used also to quantify the data.Methods: This research was practical in purpose and descriptive-analytic in method. The research population was 29 hospitals’ managers affiliated to Medical University of Isfahan University in 2008.Primary data collected from the existed documents in care deputy of medical University of Isfahan. Data analysis has been done by DEA & AHP methods using Expert Choice and DEA-Excel Solver software.Results: In this research the efficient managers are determined along with their return to scale (RTS). The variable returns to scale and output oriented model of DEA has been applied in the research. And also the optimal situation compared by in this situation, that showed the most variation between these situations was about ratio of revenue to cost. The efficiency, Optimal Multipliers and slacks are determined.Conclusion: In this research the efficient managers and their score were determined. Between 29 managers 15 managers was determined as efficient ones. RTS for more managers are decreasing or constant. Indicators such as Lack of hard work indices, the number of expert resources and number of resources were treated as inputs. Indicators such as performance form Score, bed occupancy, last time payments and ratio of revenue to cost were selected as the output.Keywords: Performance Assessment; Data Interpretation, Statistical; Administrators; Hospitals.
