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  • 1
    Online Resource
    Online Resource
    Springer Science and Business Media LLC ; 2022
    In:  Irish Journal of Medical Science (1971 -) Vol. 191, No. 4 ( 2022-08), p. 1941-1949
    In: Irish Journal of Medical Science (1971 -), Springer Science and Business Media LLC, Vol. 191, No. 4 ( 2022-08), p. 1941-1949
    Type of Medium: Online Resource
    ISSN: 0021-1265 , 1863-4362
    Language: English
    Publisher: Springer Science and Business Media LLC
    Publication Date: 2022
    detail.hit.zdb_id: 2275855-0
    detail.hit.zdb_id: 2468506-9
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  • 2
    Online Resource
    Online Resource
    Knowledge E DMCC ; 2020
    In:  Evidence Based Health Policy, Management and Economics ( 2020-09-12)
    In: Evidence Based Health Policy, Management and Economics, Knowledge E DMCC, ( 2020-09-12)
    Abstract: Background: A significant amount of revenues and deductions exist in the hospitals each year. This study aimed to determine the number of deductions applied and identify its causes. Furthermore, we aimed to provide management strategies to reduce these deductions in Shafa Takestan hospital. Methods: This applied and interventional study was conducted with a cross-sectional design. The data collection tool was a checklist from the previous studies. Data were analyzed using descriptive statistics such as mean, percentage, and standard deviation as well as analytical statistics of the Wilcoxon test. Results: Before the intervention, among 405 non-global inpatient cases, about 323 (80 %) contained subtractions. After the intervention, among 555 non-global hospital admissions, about 264 (47 %) included deductions. Most deductions were related to health services insurance (75.38 %). Concerning each hospital ward, most deductions were related to surgery ward (38 %). Before and after the intervention, service deductions were included in 5.59 % and 4.57 %, respectively. Conclusion: Therefore, medical personnel should pay more attention to documenting patients' records and minimizing documentation errors. Moreover, to reduce patient record deductions, the health care staff should be familiarized with proper documentation procedures by conducting training sessions.
    Type of Medium: Online Resource
    ISSN: 2538-4716 , 2538-5070
    Language: Unknown
    Publisher: Knowledge E DMCC
    Publication Date: 2020
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  • 3
    Online Resource
    Online Resource
    Knowledge E DMCC ; 2022
    In:  Evidence Based Health Policy, Management and Economics ( 2022-10-15)
    In: Evidence Based Health Policy, Management and Economics, Knowledge E DMCC, ( 2022-10-15)
    Abstract: Background: Nowadays, since many health care organizations are facing a crisis of declining productivity and labor force stagnation, productivity can be improved through identifying and strengthening the components affecting the labor force productivity and performance. Thus, the present study was aimed at determining the effect of intellectual capital on innovative performance with the mediating role of health staff’s empowerment in Qazvin University of Medical Sciences. Methods: This is a descriptive-analytical cross-sectional study carried out in 2021. Three hundred and four staff of the Health Department and Health Networks participated in the research by the available sampling method. The Bontis questionnaire was employed for measuring the intellectual capital, the Spritzer questionnaire for measuring staff’s empowerment, and the Huang and Li questionnaire for measuring innovative performance. Moreover, for preliminary data analysis, SPSS25 Software was used as well as AMOS software for structural equation modeling at a significance level of 0.050 %. Results: The results of the path coefficient among the model variables on each path, corresponding to the research hypotheses, are positive, revealing a positive relationship among the research variables. The path coefficient of the direct relationship between intellectual capital and innovative performance was equal to 0.767 (P-value 〈 0.001). Moreover, the relationship between intellectual capital and empowerment was equal to 0.306, and between empowerment and innovative performance was equal to 0.153, both of which were significant (p 〈 0.001). Furthermore, indices of fit including NFI = 0.652, RMSEA = 0.064, GFI = 0.710, and CFI = 0.769 exhibited a relatively good fit of the final model. Conclusion: Given the direct relationship between model variables, the University of Medical Sciences’ managers and health officials should provide the bed for improving the capacity of human resources and innovative performance through developing intellectual capital besides creating a platform to play an effective role in the organization. Accordingly, effective and innovative performance based on responding to the human resources’ changing needs in all sectors may be imagined.
    Type of Medium: Online Resource
    ISSN: 2538-4716 , 2538-5070
    Language: Unknown
    Publisher: Knowledge E DMCC
    Publication Date: 2022
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  • 4
    In: Evidence Based Health Policy, Management and Economics, Knowledge E DMCC, ( 2020-03-24)
    Abstract: Background: Self-efficacy and spiritual beliefs can be considered as strong motives for improving the quality of working. Due to the different job description and environment than other service sectors, medical centers need to pay attention to these factors. So, the present study is aimed at identifying the effect of spiritual intelligence components on self-efficacy among operational staff of Qazvin medical centers. Methods: The present research is a descriptive-analytical and cross-sectional study conducted in 2019. About 238 people were selected by stratified sampling out of the medical centers staff in Qazvin, Iran. Spiritual intelligence was measured by King’s questionnaire including four dimensions, and self-efficacy was measured by Sherer’s questionnaires including three dimensions. Primary data analysis was done by Pearson’s correlation test in SPSS20 software, and path analysis was done by structural equation modeling in AMOS software with the significance level of 0.05. Results: There was a significant direct relationship between all dimensions of self-efficacy and spiritual intelligence except persistence in the face of adversity and consciousness expansion (P-value ˂ 0.01). All the relationships were significant in path analysis of the final model. Also, the fit indices including NFI = 0.901, RMSEA = 0.055, GFI = 0.923, and CFI = 0.913 suggest the good fitness of the final model. Conclusion: The managers of the studied hospitals can promote self-efficacy in clinical staff and improve their performance and behavior in service provision by psychological enrichment of the staff and raising their spiritual intelligence.
    Type of Medium: Online Resource
    ISSN: 2538-4716 , 2538-5070
    Language: Unknown
    Publisher: Knowledge E DMCC
    Publication Date: 2020
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  • 5
    In: Evidence Based Health Policy, Management and Economics, Knowledge E DMCC, ( 2020-06-29)
    Abstract: Background: In health economics, policymakers need to be aware of the individuals' sensitivity and reaction to change effective factors on the healthcare services demand. This study aimed to estimate the healthcare demand function and extract the price, income, and educational elasticity in Iran. Methods: A panel of macro data was used to estimate the demand function. The data included provincial average of the nominal values of Iranian household healthcare and education expenditure, provincial average of their nominal income, and Consumer Price Index values of the healthcare services from 31 provinces during 7 years (2011 to 2017). This information was obtained from the annual Household Budget Survey Reports and no sampling was performed in this research. The dependent variable was the actual amount of demand for health care services. Robust pre-estimation tests and a robust standard error panel regression were run to estimate the demand function in Stata 15. Results: All variables were stationary at the first-order differential (P-value 〈 0.01). All four variables were co-integrated (P-value 〈 0.01). The cross-sectional and fixed effects existed for each province (P-value 〈 0.01). Income and educational expenditure had a positive association with healthcare demand. Price elasticity of demand was -0.897 (P-value 〈 0.01), income elasticity was 0.491 (P-value 〈 0.1), and elasticity of education expenditure was 0.486 (P-value 〈 0.01). Noteworthy, 1 % increase was observed in the household incomes and their educational expenditure increased the demand for health care services by about 0.49 % and 0.48 %, respectively. Conclusion: Healthcare services have been low elastic to price and education expenditure and have also been the essential commodity in the household budget in Iranian households. Later, the price and income coefficients were consistent with the health investment model, but coefficient of the education expenditure was not matched with predictions of the health investment model. 
    Type of Medium: Online Resource
    ISSN: 2538-4716 , 2538-5070
    Language: Unknown
    Publisher: Knowledge E DMCC
    Publication Date: 2020
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  • 6
    In: Journal of Health Reports and Technology, Briefland, Vol. 8, No. 2 ( 2022-03-19)
    Abstract: Background: Performance is the primary concern of every organizational manager, and achieving higher performance is a significant goal of every organization. Organizational silence may adversely affect organizational performance. Healthcare centers should pay special attention to this issue due to their different job descriptions and environments compared to other sectors. Objectives: The present study aimed to investigate the effect of organizational silence and its dimensions on the professional performance of health workers in the medical centers in Qazvin province, Iran in 2020. Methods: This was a descriptive-analytical study in terms of objective and a cross-sectional study in terms of design. The study was conducted in the medical centers affiliated to Qazvin University of Medical Sciences. In total, 365 questionnaires were distributed to select a sample of the healthcare workers from the selected centers in proportion to the total number of the staff. Data analysis was performed in SPSS version 22 using path analysis at the significance level of 0.05. Results: A significant, inverse (negative) correlation was observed between organizational silence and the professional performance of the staff (P 〈 0.05). Among various dimensions of organizational silence, the highest and lowest mean scores belonged to acquiescent silence (15.633 ± 4.291) and altruistic silence (12.180 ± 3.719), respectively. As for the dimensions of professional performance, the highest and lowest mean scores belonged to evaluation (29.675 ± 6.071) and help (15.087 ± 3.206), respectively. Conclusions: Based on the findings, it is recommended that the organizational atmosphere of the medical centers be improved so that the healthcare workers could provide feedback without concerns of being criticized by colleagues and superiors and the fear of consequences.
    Type of Medium: Online Resource
    ISSN: 2783-2511
    Language: Unknown
    Publisher: Briefland
    Publication Date: 2022
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  • 7
    Online Resource
    Online Resource
    World Health Organization Regional Office for the Eastern Mediterranean (WHO/EMRO) ; 2017
    In:  Eastern Mediterranean Health Journal Vol. 23, No. 5 ( 2017-5-1), p. 368-374
    In: Eastern Mediterranean Health Journal, World Health Organization Regional Office for the Eastern Mediterranean (WHO/EMRO), Vol. 23, No. 5 ( 2017-5-1), p. 368-374
    Type of Medium: Online Resource
    ISSN: 1020-3397
    Language: Unknown
    Publisher: World Health Organization Regional Office for the Eastern Mediterranean (WHO/EMRO)
    Publication Date: 2017
    detail.hit.zdb_id: 2097065-1
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  • 8
    Online Resource
    Online Resource
    Briefland ; 2021
    In:  International Journal of Health and Life Sciences Vol. 7, No. 4 ( 2021-09-28)
    In: International Journal of Health and Life Sciences, Briefland, Vol. 7, No. 4 ( 2021-09-28)
    Abstract: Background: Out-of-pocket payments for medical services may undermine access to medical services and equity in healthcare financing. Objectives: The present study aimed to determine the distribution of the burden of out-of-pocket payments for healthcare services among the households in Qazvin province, Iran. Methods: This descriptive-analytical study was conducted on the urban and rural households in Qazvin province, Iran during 2019 - 2020. Data were obtained from the Statistics Center of Iran (2019 - 2020). The optimal sample size was calculated to be 992 households, and the households were selected via three-stage random cluster sampling. Data were collected using a valid questionnaire and via face-to-face interviews with the household owners. The fair financial contribution index (FFCI), concentration index, and Kakwani index were estimated in the Stata software. Results: The estimated parameters indicated that during the study period (March 21, 2019-March 20, 2020), the FFCI value of the rural and urban households was 0.782 and 0.854, respectively. The out-of-pocket payment concentration index based on income rank was estimated at 0.188 in rural households (P 〈 0.05) and 0.031 in the urban households. In addition, the Kakwani index of the urban and rural households was calculated to be -0.165 and -0.84, respectively. Conclusions: According to the results, out-of-pocket payments were unequally distributed among the households in Qazvin province in 2019 - 2020. These payments were mostly concentrated on the 5th - 7th deciles of urban households. On the other hand, the out-of-pocket payments during the study period were regressive. To promote financial equity, Qazvin health policymakers must run payment exemptions for low-income groups and also expand the medical insurance coverage and universal coverage of healthcare services.
    Type of Medium: Online Resource
    ISSN: 2383-4382
    Language: Unknown
    Publisher: Briefland
    Publication Date: 2021
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  • 9
    Online Resource
    Online Resource
    Ovid Technologies (Wolters Kluwer Health) ; 2023
    In:  Home Healthcare Now Vol. 41, No. 3 ( 2023-05), p. 158-164
    In: Home Healthcare Now, Ovid Technologies (Wolters Kluwer Health), Vol. 41, No. 3 ( 2023-05), p. 158-164
    Abstract: Pressure injury is a recognized problem for patients with stroke. Knowing the prevalence of pressure injury post stroke can guide clinical professionals and researchers to take appropriate actions for patient care and education. The aim of this study was to systematically review the literature regarding prevalence of pressure injury among patients with stroke in the hospital, and in the home with no home healthcare services and nursing homes. Original articles available in Scopus, Web of Science, PubMed, ProQuest, and Google Scholar databases were searched separately by two researchers using the following keywords: stroke, cerebrovascular attack, pressure injury, pressure ulcer, bedsore, decubitus ulcer, and prevalence. The search was performed according to the PRISMA flow diagram from 2000 to 2020. After the initial review, 14 articles conducted between 2008 and 2019 were included in the final analysis. Eight studies were conducted in healthcare settings, and six studies were conducted out of hospitals. The estimated pooled prevalence for pressure injury in all studies was 3.9%. The estimated pooled prevalence for pressure injury in studies conducted in hospitals and in patients' homes with no home healthcare services and nursing homes were 3.06 and 17.25, respectively. The prevalence of pressure injury among stroke patients after hospital discharge was significantly higher than when they were hospitalized. This could indicate that this group of patients do not receive adequate care and attention for pressure injury after hospital discharge. Given the limitations of the available studies, it is recommended that further studies be conducted on pressure injury among stroke patients both at the time of hospitalization and after hospital discharge.
    Type of Medium: Online Resource
    ISSN: 2374-4529
    Language: English
    Publisher: Ovid Technologies (Wolters Kluwer Health)
    Publication Date: 2023
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  • 10
    In: Evidence Based Health Policy, Management and Economics, Knowledge E DMCC, ( 2022-06-29)
    Abstract: Background: Hospital management style can affect various aspects of hospital performance. One of these aspects is the level of market orientation of the hospital. Therefore, the present study attempts to answer whether management style makes a difference in the degree market orientation of hospitals or not. Methods: This research is a descriptive-analytical and cross-sectional study conducted in 2020. About 420 people were selected by stratified sampling out of the six medical centers' staff in Qazvin, Iran. A total of 411 people (97.86 %) completed the questionnaires. The collected data were analyzed using STATA15 and SPSS16 software. Robust regression analysis was used to estimate the role of management style in the level of market orientation of hospitals. Mean variables were analyzed using one-way analysis of variance and post hoc test. Results: The score range of the variables was from 1 to 5. Autocratic and delegating styles obtained the highest average (3.22 ± 0.54) and the lowest average (2.87 ± 0.70), respectively. Among the dimensions of market orientation, customer orientation had the highest average (3.32 ± 0.84), while competitor orientation obtained the lowest average (2.80 ± 0.86). The average score of market orientation was 2.88 ± 0.65. A statistically significant difference between hospitals was observed in terms of participative and delegating styles (P-value 〈 0.05). In addition to market orientation, there was a statistically significant difference between hospitals (P-value 〈 0.05). The regression coefficient between the level of the hospital market orientation and the participative and delegating styles was 0.10 and 0.09, respectively (P-value 〈 0.05). In contrast, the regression coefficient between autocratic style and level of market orientation was estimated to be -0.76. Conclusion: It can be concluded that managers should use more participatory and delegating styles to increase the market orientation of the studied hospitals.
    Type of Medium: Online Resource
    ISSN: 2538-4716 , 2538-5070
    Language: Unknown
    Publisher: Knowledge E DMCC
    Publication Date: 2022
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