1,721,025 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
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
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
General concept, instances and requirements of Resistive Economy and experts’ perspective on its requirements in health sector
No full textIntroduction: Resistive economy as a new concept/doctorine has entered to the Iranian economics literature several years ago. However, in order to be applied efficiently, a common perception among experts is necessary regarding its definition, instances and requirements. Thus, this study was conducted with the aim of general explanation of resistive economy concepts, its instances and requirements as well as identification of its requirements in health sector based on the experts’ opinions.Methods: In this qualitative study, 8 in-depth and face-to-face interviews were conducted with some economist as well as some health economists who were selected through purposive sampling methods. The interviews were transcribed and analyzed using the conventional content analysis method. MAXQDA Analytics Pro2020 (VERBI GmbH Berlin) Release 20.4.0 was used for coding and data management.Results: Two concepts of “economic resilience” and “comprehensive concept of resistive economy” were identified. Then, the instances and requirements related to these two concepts were determined. An anti-shock economy, an oil-free economy, economic productivity and change were identified as instances of “economic resilience” and justice-oriented, knowledge-based, endogenous, extraversion, democratized, jihadi culture, Islamization of the economy, and resistive economy as a political economy were identified as the instances of “comprehensive concept of resistive economy”. The instances and requirements of resistive economy in health sector were also elaborated. Conclusion: There are numerous interpretations of resistive economy. Based on expert opinions, resiliency is a very important specification of that economy, but other specifications should also exist to address the comprehensiveness of the concept. In order to implement and operationalize the resistive economy in various sectors including the health sector, the first step is to reach a common understanding of resistive economy amongst the experts
Going Beyond Counting First Authors in Author Co-citation Analysis
Full text linkThe present study examines one of the fundamental aspects of author co-citation analysis (ACA) - the way co-citation
counts are defined. Co-citation counting provides the data on which all subsequent statistical analyses and mappings
are based, and we compare ACA results based on two different types of co-citation counting - the traditional type that
only counts the first one among a cited work's authors on the one hand and a non-traditional type that takes into
account the first 5 authors of a cited work on the other hand. Results indicate that the picture produced through this non-traditional author co-citation counting contains more coherent author groups and is therefore considerably clearer. However, this picture represents fewer specialties in the research field being studied than that produced through the traditional first-author co-citation counting when the same number of top-ranked authors is selected and analyzed. Reasons for these effects are discussed
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