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کاربرد نوع شرط:
- جایگاه : پژوهشی
- مجله: Interdisciplinary Journal of Virtual Learning in Medical Sciences
- نوع مقاله: Journal Article
- کلمات کلیدی: Elite,Brain circulation,Reverse migration,Diaspora,Shiraz University of Medical Sciences
- چکیده:
- چکیده انگلیسی: Background: Brain mobility is an alternative word for brain drain. Today, brain drain is considered as a major loss that has a very harmful effect on developing countries. The brain movement, and inverse immigration depends a lot on policies adopted in the countries of origin. This research was conducted with the aim of investigating the role of virtual networks and diaspora in elite brain mobility and circulation in Iran. Methods: This study was conducted using a mixed-method approach based on sequential exploratory strategy in 2018. In qualitative section a semi-structured interview was conducted with 19 former graduates who had returned back to Iran. The theoretical saturation was reached via a purposeful sampling and maximum variation by applying conventional content analysis method processes. In the quantitative section, a questionnaire was developed and its validity and reliability was tested and verified for data collection. The questionnaire was distributed among a random sample of 285 physicians out of a target population of 1100 physician returnees. Only 158 participated in the study by returning the completed questionnaire. In addition, the data were reviewed by applying descriptive-survey method, and content analysis was used to analyze the collected data. Results: Regarding the theme of inclusive elite brain mobility and circulation, the results are indicative of the existence of 18 basic themes, and 4 organizing themes including: cultural strategies, educational and research strategies, management strategies, social and economic strategies, and 1 global theme. The Basic Islamic Cultural Requirement theme (with a factor of 0.83, P<0.001) is the best descriptor for elite brain circulation and movement. Conclusion: Developing countries not only should send their elite medical graduates abroad to gain professional experiences, but also they should try to motivate them for inverse migration to their homeland by creating and promoting Diaspora networks.
- انتشار مقاله: 22-09-1378
- نویسندگان: Zahra Yazdani,Parviz Saketi,Fariba Karimi,Mohammad H Yarmohammadian
- مشاهده
- جایگاه : پژوهشی
- مجله: Journal of Patient Safety & Quality Improvement
- نوع مقاله: Journal Article
- کلمات کلیدی: Iran,Rheumatoid arthritis,Customer quality,Patients’ Perspective,Self-management strategies
- چکیده:
- چکیده انگلیسی: Introduction: Customer Quality (CQ) refers to customer’s characteristics and is related to the consumer knowledge, skills and self confidence in active participating in care process and life style improvement. This study was aimed to assess customer quality among people with Rheumatoid Arthritis (RA) according to the patients’ perspective.
Materials and Methods:This cross-sectional study was carried out on 170 patients who received care from specialist clinics of Isfahan University of Medical Sciences in 2013. Customer Quality was assessed using Comprehensive Quality Measurement in Health care questionnaire (CQMH_CQ). Questionnaire content validity was reviewed and confirmed by 10 experts and its reliability was confirmed based on Chronbach's alpha index (α=0.803). SPSS-17 statistical software was used to analyze the data. Independent Samples T test and ANOVA were conducted to compare CQ score between categorical variables.
Results: The average CQ score was 70.25 (13.20). According to self-reported customer quality score, all participants achieved the scores at the level of stage one. Some (9.2%) of participants didn’t reach the action stage (stag three), then 90.8% took action in facing with health related problem and finally only 19.8% of participant achieved highest level of Self-management. Customer Quality score of employed patients (P=0.026) and patient who had active disease
(P =0.030) were significantly. Customer quality scores of illiterate participants were lower than that of the educated (P= 0.001).
Conclusion: According to overall score of customer quality, findings indicate the necessity of patients' involvement in care process and self-thought behavior-change skills for ongoing self-management and enhancing their self care abilities in daily life.- انتشار مقاله: 25-02-1393
- نویسندگان: Azad Shokri,Mohammad Hossein Yarmohammadian,Payman Mottaghi,Saeed Karimi,Najmeh Bahman Ziari,Kamal Gholipour,Jafar Sadegh Tabrizi
- مشاهده
- جایگاه : پژوهشی
- مجله: Journal of Kerman University of Medical Sciences
- نوع مقاله: Journal Article
- کلمات کلیدی: Iran,Quality of Life,reliability,Standardization,Health Utility Index 3
- چکیده:
- چکیده انگلیسی: Background: The aim of this study was to standardize and develop the health utility index III (HUI3); quality of life questionnaire. This study was conducted for the first time in Iran. Method: Forward-backward translation method was applied in order to translate the Canadian version into Persian. The final version was developed after modifications. Double stage cluster sampling and simple random sampling were respectively used for population and patients. A total of 511 healthy people in 15 regions of Esfahan/Iran and 51 patients suffering from cardiovascular disease completed the questionnaire. Cronbach's alpha and interclass correlation coefficient were used for testing the reliability of the questionnaire. Results: The mean age of population was 32.8 ± 11.3 years and the mean age of patients was 48.8 ± 6.2 years. The assessment of Interclass Correlation Coefficient of the tool in patients after two weeks in all eight questions ranged from 0.76 to 1 (ICC=0/91) that shows its high reliability. In addition, the average score in Alfa Cronbach was 0.68. Content validity of the questionnaire was 0.82. Differentiability of the test shows that a higher quality of life can be affected by male gender, higher education, low age, and employment In addition, the utility result of quality of life indicates a significant difference in the quality of life of patients compared with the general population (p = 0.004) Conclusion: The results showed a translated version is valid, reliable and applicable in medical sciences studies and can be used to Persian language.
- انتشار مقاله: 29-01-1396
- نویسندگان: Mohammad Hossein Yarmohammadian,Razieh Yazdani Bakhsh,Ali Reza Yousefi,Qasem Yadegarfar
- مشاهده
- جایگاه : پژوهشی
- مجله: International Journal of Hospital Research
- نوع مقاله: Journal Article
- کلمات کلیدی: Obstetricians,Gynecologists,promotion of vaginal births instruction,Promotion of natural birth,Health section Evolution Plan,pregnant woman
- چکیده:
- چکیده انگلیسی: Background and Objectives: The Increase of unnecessary caesarean sections has become one of the serious concerns in some health systems. One of the seven packages of the health Reform Plan that was sent to all Iranian medical universities in 2014 was the "Promoting Natural Delivery (vaginal births)," It emphasized the need to reduce cesarean delivery and promote more natural delivery. The present study aimed to assess gynecologists’ perspective on the Health Section Evolution Plan in Iran.
Methods: This qualitative study was conducted in 2015. Semi-structural interviews were used for data collection. 11 gynecologists of Isfahan University of Medical Sciences through purposive sampling were interviewed. Thematic analysis method was used for data analysis.
Results: After analyzing the content of the interviews, four main themes including “making the natural childbirth franchise free”, “reducing C-section rate”, “motivating service providers", and “improving the standards of natural childbirth facilities”, and 5 sub themes including “not giving attention to the culture” , “obligatory increase of natural delivery rate”, “not giving attention to some reform laws at the natural childbirth”, “an unacceptable tariff payment system” and “payment delays on new tariffs” were determined.
Conclusion: Promotion of natural childbirth instructions has somewhat realized; however it has serious shortages and limitations. It is possible to solve a lot of problems by increasing the number of vaginal births through developing legal guidelines to respond to the possible problems as well as seeking leg- انتشار مقاله: 28-09-1395
- نویسندگان: Alireza Jabbari,Mohammad Hossein Yarmohammadian,Marzye Hadian
- مشاهده
- جایگاه : پژوهشی
- مجله: Interdisciplinary Journal of Virtual Learning in Medical Sciences
- نوع مقاله: Journal Article
- کلمات کلیدی: Elite,Brain circulation,Reverse migration,Diaspora,Shiraz University of Medical Sciences
- چکیده:
- چکیده انگلیسی: Background: Brain mobility is an alternative word for brain drain. Today, brain drain is considered as a major loss that has a very harmful effect on developing countries. The brain movement, and inverse immigration depends a lot on policies adopted in the countries of origin. This research was conducted with the aim of investigating the role of virtual networks and diaspora in elite brain mobility and circulation in Iran. Methods: This study was conducted using a mixed-method approach based on sequential exploratory strategy in 2018. In qualitative section a semi-structured interview was conducted with 19 former graduates who had returned back to Iran. The theoretical saturation was reached via a purposeful sampling and maximum variation by applying conventional content analysis method processes. In the quantitative section, a questionnaire was developed and its validity and reliability was tested and verified for data collection. The questionnaire was distributed among a random sample of 285 physicians out of a target population of 1100 physician returnees. Only 158 participated in the study by returning the completed questionnaire. In addition, the data were reviewed by applying descriptive-survey method, and content analysis was used to analyze the collected data. Results: Regarding the theme of inclusive elite brain mobility and circulation, the results are indicative of the existence of 18 basic themes, and 4 organizing themes including: cultural strategies, educational and research strategies, management strategies, social and economic strategies, and 1 global theme. The Basic Islamic Cultural Requirement theme (with a factor of 0.83, P<0.001) is the best descriptor for elite brain circulation and movement. Conclusion: Developing countries not only should send their elite medical graduates abroad to gain professional experiences, but also they should try to motivate them for inverse migration to their homeland by creating and promoting Diaspora networks.
- انتشار مقاله: 22-09-1378
- نویسندگان: Zahra Yazdani,Parviz Saketi,Fariba Karimi,Mohammad H Yarmohammadian
- مشاهده