Fereshteh Davari; Haniyeh Sadat Sajadi; Elham Ehsani-Chimeh; Khalil Alimohammadzade
Abstract
Introduction: The retention of health human resources in the deprived areas is a global challenge, especially in countries with high geographic dispersion. This study endeavored to identify incentive policies for the retention of physicians and nurses in deprived areas of Iran.Methods: The study was ...
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Introduction: The retention of health human resources in the deprived areas is a global challenge, especially in countries with high geographic dispersion. This study endeavored to identify incentive policies for the retention of physicians and nurses in deprived areas of Iran.Methods: The study was conducted in two stages of review and qualitative. In the review stage, health system policies and interventions for the retention of physicians and nurses in deprived areas of Iran were identified. The list compiled to announce the opinion and complete the policies and interventions of the health system for the retention of physicians and nurses in the deprived areas was provided to 18 experts in the field of health human resources. In the second stage, these policies were prioritized by 44 experts using an electronic questionnaire. Data obtained from the responses were described using frequency, percentage, and mean. The compiled list was approved using the opinions of 18 experts in the field of health human resources. Second, these policies were prioritized through an electronic questionnaire by 44 experts. The data were described through frequency, percentage, and mean.Results: Following the Islamic Revolution, the Iranian health system designed and implemented eight policies, including 40 interventions, for the retention of physicians and nurses in deprived areas. Prioritization findings indicated that the Law of Service of Physicians and Paramedics, Family Physician Program, Instructions on how to distribute medical graduates, and the health transformation plan have greater and longer-term impact on retention of physicians; and the Law of Service for Physicians and Paramedics, the Law on Promoting Clinical Staff Productivity, and the health transformation plan had longer-term effects on retention of nurses.Conclusion: Although policies have been effective in attracting and retaining physicians and nurses in deprived areas, they face challenges and failures. Therefore, it seems necessary for policymakers to review the overall incentive policies, and take serious action to address program challenges by creating cross-sectional coordination, sustainable funding and cost management, and awareness of physicians, nurses and patients' preferences as well as aligning policies with their services and demands.
Haniyeh Sadat Sajadi; Rouhollah Zaboli
Volume 13, Issue 1 , May 2016, , Pages 55-60
Abstract
Introduction: The health system reform plan is currently being implemented in Iran due to the emphasis of health policy makers and planners on the financial protection of patients, equity in access to health services, and improvement of the quality of hospital services. This study aimed to ...
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Introduction: The health system reform plan is currently being implemented in Iran due to the emphasis of health policy makers and planners on the financial protection of patients, equity in access to health services, and improvement of the quality of hospital services. This study aimed to investigate the positive effects of health reform plan from the perspective of hospital directors. Methods: This qualitative cross-sectional study was conducted in December, January, and February of 2015. Semi-structured interviews were used for data collection. The participants were selected through purposive sampling from among hospital directors and managers in Tehran, Iran. The content of 18 interviews were audio-typed, transcribed, coded, and then, analyzed using NVivo software. Results: The positive effects of health reform plan implementation were categorized into 8 themes and 21 sub-themes. The main themes were insurance coverage of patients in need of healthcare, performance indicators improvement, hospital management system modification, interhospital referral system improvement, improvement of patient payments control and management, improvement of selected quality indicators, increased health system accountability, and increased hospital income. Conclusion: Implementation of the health reform plan in Iran may result in the increasing of patient satisfaction and improving of health services quality if sustainable financial resources can be provided for the plan.
Hanieh Sadat Sajadi; Mohammad Bagher Tavakoli; Mostafa Kian-Mehr; Mahmoud Nasr-Esfahani
Volume 2, Issue 1 , March 2005
Abstract
Introduction : Nowadays, medical equipment is essential to provide health care services in hospitals. Since 20% of the hospitals costs are devoted to providing such equipment, an appropriate management is required to maintain it. In this study it is intended to investigate the maintenance management ...
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Introduction : Nowadays, medical equipment is essential to provide health care services in hospitals. Since 20% of the hospitals costs are devoted to providing such equipment, an appropriate management is required to maintain it. In this study it is intended to investigate the maintenance management of medical equipment in hospitals. Methods and materials : it is a cross-sectional study. The population of the study consisted of 40 managers, nursing services menagers, the head of medical engineering or medical equipment unit in hospitals affiliated to Isfahan University of Medical Sciences. The data were collected by a questionnaire which was checked for its validity and reliability. Results : planning organization, coordination and management of maintaing the medical equipment had the following mean scores respectively : 62%, 44%, 54% and 42% . Conclusion : In order to improve the quality of medical equipment maintenance management, the required financial and human resources must be supplied. It seems essential to train a person as a medical equipment expert, to hold training courses for the hospital personnel to learn how to use this equipment and to provide a software for medical equipment maintenance management. Keywords : equipment and supplies – materials managemeat, hospital – hospitals – hospitals, university
