Mohsen Ghaffari Darab; Mohammad Hossein Yarmohammadian; Elahe Khorasani; Hamed Alaghemandan
Volume 11, Issue 6 , November 2014, , Pages 799-811
Abstract
Considering the quality of care from views of patients is an important aspect in improving health services and expected value of patient. So the value chain is a strategic tool in health care organizations to create value and achieve the goal of continuous improvement in quality. In this paper we discuss ...
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Considering the quality of care from views of patients is an important aspect in improving health services and expected value of patient. So the value chain is a strategic tool in health care organizations to create value and achieve the goal of continuous improvement in quality. In this paper we discuss the role of value chain in promoting quality of health care. This study was review which was done the first half of 2012. For searching related articles and documents, the main value chain keyword and sub keywords quality and satisfaction were used in the database. Title, abstract and full text investigated respectively, and then 43 of them selected for evaluation. Findings were classified in several parts. These findings include the concept of quality, planning achieve to value-based quality, value chain, its use in health care organizations, describing components, logic planning implementation strategies, value adding healthcare service delivery strategies and value adding support strategies. In this paper, we try to noted different aspects of the value chain, two important parts of value chain including value adding healthcare service delivery strategies and value adding support strategies. Value chain can be an important tool for managers in order to planning and improve the quality. Keywords: Quality of Health Care; Health Care; Value Chain; Patient Satisfaction.
Mohammad Hossein Yarmohammadian; Marzie Jafarian Jazi; Elahe Khorasani; Golrokh Atighechian
Volume 11, Issue 5 , October 2014, , Pages 633-644
Abstract
Introduction: On one hand, risk management is capability of recognition available risk factors. And on the other hand it is risk analysis and the selection of appropriate strategies to control and eliminate it. The purpose of this study is to identify, assess and provide appropriate actions to control, ...
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Introduction: On one hand, risk management is capability of recognition available risk factors. And on the other hand it is risk analysis and the selection of appropriate strategies to control and eliminate it. The purpose of this study is to identify, assess and provide appropriate actions to control, reducing and eliminate risks in the ICU ward in Azahra hospital in 2012, with the FMEA technique.Method: The present study is a qualitative research conducted in 2012 through direct observation, interview with the officials and authorities in the ICU ward, and available document review. The participants include nurses who identify the process of ICU ward. 4 people were selected purposefully. To collect the data, the standard worksheet of the failure mode effect analysis (FMEA) technique was used.Results: The finding suggested that 58 failure modes were identified in the ICU ward in Alzahra hospital in Isfahan from among which 13 potential failure modes were related to general practices, 5 cases to neurological care, 8 cases to gastrointestinal care, 6 to the sampling, 5 to the medication, 4 to skin care, 17 to respiratory care. Of course some errors were discovered were common.Conclusion: According to the findings, several causes underlie errors in nursing cares. Overuse of nurses by setting the sequential shifts and rely on nurses who have been trained under and also stressful work environment shortage of qualified and expert nurses, endanger the patient's health due to the possibility of errors in nursing work. The best solution is to promote the improvement of hospital staff. The results of this study can be nurses and nurse managers are made aware of the dimensions underlying operating errors and a new approach to planning and greater attention to patient safety and Health Maintenance can be explained.Key words: Evaluation; Risk; Intensive Care Units; Hospitals.
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; 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
