116 research outputs found
Supplemental Material - Identifying and ranking the attributes of hospitals readiness to apply bring your own device: an explanatory sequential mixed study
No full textSupplemental Material for Identifying and ranking the attributes of hospitals readiness to apply bring your own device: an explanatory sequential mixed study by Maryam Jahanbakhsh, Mostafa Amini Rarani, Shahram Tahmasebian and Masoumeh Shahbazi in Proceedings of Singapore Healthcare</p
Assessing the met and unmet needs among elderly people in Isfahan, Iran: A mixed method
No full textBackground. Due to the vast increasing of elderly population, it is required to assess the met and unmet needs among aged people. This study intended to identify and then assess met and unmet needs in a sample of older adults in Isfahan, Iran. Methods. In this mixed study we carried out 5 focus group discussions with 50 elderlies aged 60 years and above. Then, checklist based survey was done regarding older peoples’ experience and perspectives about their needs in a randomly selected 350 elderlies in October-December 2016. Results. The findings indicated that the most educational level belonged to Diploma and above (49.6). The most areas of unmet needs among elderlies dedicated to happiness (90), giving help from state and charity institution (60.9), places for entertainment (57.6), extra income during aging period (52.6), followed by providing recreational spaces(45.9) and self-cleaning(42.6). respectively. The area characterized by the highest percentage of met need was access to general physician (86.2) followed by relation with children and grandchild (85). Conclusions. Based on four categories recognized in the current study, supportive, emotional, cultural and healthcare needs were prioritized as the most unmet needs by elderlies, respectively. Thus, it is suggested that policy makers will pay more attention to fulfil elderlies’ emotional and supportive needs in Isfahan. © by Società Italiana di Gerontologia e Geriatria (SIGG)
Are Iranian Medical Sciences Curricula Equipped to Effectively Respond to Incidents and Disasters? A Content Analysis
No full textBackground: We live in a world with rapidly accelerating hazards, both natural and man-made. Medical science plays a crucial role in disaster management by enhancing preparedness and response capabilities. The purpose of this study was to examine the content of the official medical science curriculum from the perspective of incidents and disasters.
Materials and Methods: In this qualitative content analysis study, the content of the official curricula of undergraduate and postgraduate degrees in Iran’s Ministry of Health and Medical Education (MOHME) was explored from a disaster and emergencies point of view. All undergraduate and postgraduate disciplines (320 courses) were identified. The curricula of the disciplines were then screened, and those unrelated to disaster and emergencies were excluded based on face validity (n=285). Finally, the remaining disciplines (n=35) were carefully read and analyzed.
Results: At the undergraduate level, most of the topics related to disaster and emergencies belonged to anesthesia (19 times). In the master’s degree, the field of radiation medicine has the most codes related to incidents and disasters (13 times). Regarding the PhD majors and medical doctor course, codes related to disasters and emergencies were mentioned 10 times in the field of toxicology.
Conclusion: It is suggested that, considering the broad variety of disasters and emergencies, it is not advisable to design generic topics for all fields of medical science. Instead, it is more important to propose specialized topics based on specific needs and in a theoretical-practical manner for each major and different educational levels
What are the vulnerabilities and solutions of noncommunicable diseases in rural areas? A descriptive qualitative study in Iranian villages
No full textAbstract Background The increasing prevalence of noncommunicable diseases (NCDs) worldwide is a major global health challenge. Each year, more than 15 million people between the ages of 30 and 69 die prematurely from NCDs. While the prevalence of NCDs is greater in urban areas, there are significant structural changes in rural areas, and certain socioeconomic factors increase the likelihood of developing NCDs. This study aimed to explore vulnerabilities in rural areas of Natanz County to address NCDs and provide solutions. Methods This descriptive qualitative study was conducted in Natanz County, Iran, in 2024, focusing on 17 villages with varying prevalence rates of NCDs. The study design involved identifying the 5 villages with the highest prevalence rates of NCDs for in-depth analysis. The study population comprised residents from these selected villages, and a total sample size of 22 residents was purposefully chosen to participate in the study. Data were collected using focused group discussions, which facilitated rich, qualitative insights. The transcribed data were analyzed through Braun and Clarke’s thematic analysis, allowing for the extraction of codes, subthemes, and themes. The data analysis was conducted using MAXQDA Analytics Pro 2020. Results Vulnerabilities were categorized into 6 themes and 18 subthemes, and in the area of proposed solutions, 7 themes and 20 subthemes were recognized. The identified vulnerabilities included social factors, lifestyle changes, political factors, economic factors, individual factors, environmental factors, and comprehensive health services. The proposed solutions can be categorized into social factors, lifestyle changes, political factors, economic factors, individual factors, environmental factors, comprehensive health services, and research factors. Conclusion Diabetes and hypertension are prevalent in the studied villages and are driven by unhealthy lifestyle choices and a lack of trust in healthcare services. To address these issues, targeted interventions focusing on education, health promotion, and rebuilding trust in healthcare are essential for promoting healthier lifestyles and improving treatment strategies
The agenda-setting process for urban family physician program within Iran’s health insurance
No full textAbstract Background and objective Since 2005, health policymakers in Iran have focused on the rural family physician plan to minimize unnecessary specialist referrals and enhance both efficiency and equitable access to services. In September 2021, the urban family physician plan was launched, engaging various organizations, including insurance companies. A trustee was appointed to manage the implementation of the Iranian health insurance program. This study examines how Iran Health Insurance prioritized the urban family physician program on its agenda by applying Kingdon’s agenda-setting model. Materials and methods This descriptive qualitative study gathered data through semi-structured interviews with 13 stakeholders in Iran’s urban family physician program, including planners, policymakers, and implementers. Purposive sampling, followed by snowball sampling, was used until data saturation was reached. Directed content analysis was applied, guided by Kingdon’s multiple streams framework. Results Three themes emerged: problem, policy, and political streams. The problem stream for Iran’s family physician plan included structural challenges (such as incomplete implementation, physician shortages, fragmented health data systems, poor stakeholder coordination), social-cultural barriers (including low public awareness, resistance to change), and economic issues (such as high treatment costs, inadequate insurance coverage). The policy stream proposed solutions such as electronic systems, standardized protocols, new technologies, expanded education, and improved physician working conditions. Strong government and parliamentary backing were identified as critical to addressing these challenges, emphasizing the need for sustained commitment and holistic strategies. Discussion and conclusion The WHO, Iranian Parliament, Ministry of Health, and health insurers can serve as policy entrepreneurs to advance the family physician program within Iran’s health insurance system. The WHO can leverage global health data to emphasize Iran’s healthcare challenges, while the Ministry of Health and insurers can pinpoint issues via national research. The Parliament can facilitate public voices to gather input from citizens and experts
The Effect of an Educational Program on the Knowledge and Attitude of Medical Sciences Students About Social Determinants of Health in Iranian University Students: A Quasi‐Experimental Study
No full textABSTRACT Background and Aims Given the importance of social determinants on health outcomes, training medical sciences students in addressing social determinants of health can enhance their effectiveness and social accountability. The aim of this study was to assess the effect of an educational program on the knowledge and attitude of medical sciences students regarding social determinants of health. Methods Using a one‐group pretest‐posttest quasi‐experimental design, this study selected 200 students from a medical university in Iran through simple random sampling. A tailored educational intervention, grounded in the conceptual framework for action on social determinants of health, was implemented. To assess the program's effect, data were collected using a validated questionnaire that measured the students' knowledge and attitudes towards social determinants of health both at baseline (pretest) and 1 month following the intervention (posttest). Results The application of the Wilcoxon Signed‐Ranks Test revealed a significant increase in the median scores for knowledge and attitude postintervention. Specifically, the posttest median scores were significantly elevated compared to the pretest knowledge score (Z = −11.89, p < 0.001) and attitude score (Z = −11.60, p < 0.001). This indicates that the educational intervention significantly improved the students' knowledge and attitudes concerning social determinants of health. Conclusion The study outcomes suggest that educational interventions focused on social determinants of health effectively improve students' knowledge and attitudes. We recommend integrating such programs into the medical sciences curriculum and experiential training. By doing so, we can better prepare future healthcare professionals to address social determinants of health‐related issues. This approach has the potential to reduce health disparities and also addresses broader social challenges affecting population health
Challenges of patient handover process in healthcare services: A systematic review
No full textBACKGROUND: The patient handover process is in fact a valuable and essential part of the care processes in the hospitals. This can be a factor in increasing the quality and effectiveness of medical care. Incorrect and incomplete handover can increase the percentage of errors and cause serious problems for patients. The aim of this study was to identify the handover challenges concerning safety and quality of health services. MATERIALS AND METHODS: A systematic review was conducted according to the Preferred Reporting Item for Systematic Reviews and Meta-analyses guideline. The key words "challenges of patient handover" or "challenges of patient handoff" were used in combination with the Boolean operators OR and AND. The ProQuest, Ovid, Doaj, Magiran, SID, Scopus, Science Direct, PubMed, and ISI were searched. RESULTS: A total of 263 articles were extracted, and 20 articles were selected for final review. The results of selected articles indicated that there are various challenges such as communication, noncoordination, nonuse of checklist, poor management, time management, and other things. These studies reported that communication was the main challenge of handover process. CONCLUSIONS: Hospitals try to provide a lot of services to the patients and other customers in a safe and healthy environment. Lack of communication among the incoming and outgoing nurses in handover process is one of the main causes of reduced safety and quality of services and patient dissatisfaction
Social Support, Quality of life and Social health in Older Adults in Lorestan, Iran: A Structural Equation Modeling
No full textObjective: As Iran has started to experience population ageing, it is important to consider the elderly needs and health. The purpose of this study was to examine the structural relationships between social support, quality of life and social health in Iranian older adults. Method: The research was a survey-based cross-sectional study. The sample consisted of 800 non-institutionalized older adults living in Lorestan province in Iran in 2018. Three questionnaires were employed to collect data including social health, social support and quality of life. Data were analyzed by SPSS 22 and Amos 8 softwares. Results: The majority of the participants were men (51%) and 62% of the participants were married. The most of older adults had moderate or poor economic status. Having insurance and higher income significantly correlated with higher quality of life and social health (p<0.05). The direct effect of all three variables including social support on social health, and social support on quality of life and social health on quality of life were significant. The final model indicated that 39% of the overall variance of quality of life was attributed to social support and social health. Conclusion: Findings confirm the importance of social networks and services in the life of older adults. Indeed, to improve quality of life and social health, it is needed to pay much more attention to all aspects of social support
Content analysis of official curriculum of medical sciences from the perspective of early childhood development
No full textIntroduction: Today, social determinants of health are defined as one of the most important approaches in examining health differences among communities as well as within them. In this approach, Early Childhood Development has been a centeral theme in the comprehensive evolution of the child. This study endeavored to examine the content analysis of the Medical Sciences’ curriculum from the perspective of Early Childhood Development.
Methods: In view of that, in this qualitative study through content analysis approach based on the pattern of the social factors affecting health, the content of the undergraduate, postgraduate, and doctoral degree programs in Medical University of Isfahan Sciences were analyzed After several stages of screening 27 medical sciences official curriculum were analyzed using MAXQDA.
Results: The results of content analysis showed that in undergraduate and postgraduate, most of the topics related to Early Childhood Development were from Midwifery and Pediatric Nursing, respectively; that is to say courses containing the concept of Early Childhood Development were related to Bachelor of Midwifery, Bachelor of Public Health, and Master of Pediatric Nursing, respectively.
Conclusion: Comparing three undergraduate, postgraduate and doctoral degrees, most of the Early Childhood Developmental topics belong to undergraduate degree. The purpose of medical education is gaining knowledge, skills, and information necessary for care and promoting the health of the community, Medical students' didactic content needs to be socially oriented. In the course headings, the social determinants of health and in particular the topics related to the evolution of early childhood need to be highlighted
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