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کاربرد نوع شرط:
- جایگاه : پژوهشی
- مجله: Interdisciplinary Journal of Virtual Learning in Medical Sciences
- نوع مقاله: Journal Article
- کلمات کلیدی: Quality Control,Hospital,educational assessment,Educational Management,Baldrige Model
- چکیده:
- چکیده انگلیسی: Introduction: Quality improvement is one of the important challenges of health systems. Baldrige excellence model, which makes use of self-assessment mechanisms to promote organizations, has optimized the principles of Total Quality Management (TQM) to improve the quality in teaching and treatment organizations. The aim of the present study was to evaluate the clinical and educational system of the teaching hospital based on Baldrige Excellence Model.Materials and Methods: This study was a descriptive-analytical, cross-sectional survey conducted in the Baqiyatallah hospital in Tehran in 2011. The data were collected based on Baldrige questionnaire (version2009-2010) through interviewing the educational managers and the staff, studying the recorded documents and observing the processes. The scores were calculated based on Baldrige Vote matrix, and Excel 2007 software was used to analyze the data.Results: The selected hospital obtained 332.94 (33.2%) points out of 1000 in the Baldrige modeling clinical-educational section. Organizational leadership criterion with 53.95 out of 120 points (44.96%) and performance results criterion with 109 out of 450 points (24.44%) were the strongest and weakest in this hospital, respectively.Conclusion: Despite the fact that, due to the implementation of WFME, this center has an appropriate approach for excellence, it is in need of further improvement at the levels of learning and organizational integration. We recommend the use of advanced sections capabilities for organizational integration and the reinforcement of current accreditation system based on Baldrige Model criteria.
- انتشار مقاله: 11-10-1398
- نویسندگان: Mohammad Saleh Fallah,Nooredin Dopeykar,Shahram Tofighi,Zahra Azami Alvand,Hosien Amini Anabod,Mohsen Barouni,Mojtaba Khajehazad,Nourolhoda Fakhrzad
- مشاهده
- جایگاه : پژوهشی
- مجله: Interdisciplinary Journal of Virtual Learning in Medical Sciences
- نوع مقاله: Journal Article
- کلمات کلیدی: Data envelopment analysis,Efficiency,Health Information Technology,Performance appraisal,Departments
- چکیده:
- چکیده انگلیسی: Introduction: Efficiency evaluation is a fundamental necessity with respect to confronting and facing evolutions in order to improve activities. Considering that one of the main indices for assessing the development of a country is currently its share in producing knowledge, evaluating the performance of educational units and their efficiency is necessary. We aimed to study the efficiency of health information technology departments of medical universities using the data envelopment analysis (DEA) method.Materials & Methods: In this descriptive-analytical study we used the mathematical model of DEA using the Deap2.1 software for evaluating the efficiency of health information technology departments of Iranian medical universities during 2011. To gather data, a researcher-made form was designed including information on the number of students, faculty members, number of written books and translations by faculty members, research papers, etc.Results: The results showed that of 18 educational departments, 6 departments were efficient and 12 departments were inefficient. Optimal and ideal values were determined for ineffective groups in order to achieve efficiency.Conclusion: To achieve maximum efficiency (=1), departments should increase their research output through more research projects, articles or books. These departments should establish a long-term program to reduce training inputs (students) and its funds based on the specified surplus amount.
- انتشار مقاله: 11-10-1398
- نویسندگان: Sajad Khosravi,Mohsen Barouni,Reza Khajouei,Nourolhoda Fakhrzad
- مشاهده
- جایگاه : پژوهشی
- مجله: Interdisciplinary Journal of Virtual Learning in Medical Sciences
- نوع مقاله: Journal Article
- کلمات کلیدی: Economic Growth,Education,Human Capital,Economics,Household’s Welfare,Structural Path Analysis
- چکیده:
- چکیده انگلیسی: Introduction: Because of the close relationship between economic growth and well-being, many economists have sought to identify the sources of economic growth. Human capital, through increased quality, increased wages will enhance economic growth .Today, Development Economists studies shows government policy such as Investing in human capital and R&D expenditure affected on Income distribution and reduction of inequality in countries economics.Materials and Methods: This study is based on data of 2011 Iranian social accounting matrix using structural path analysis. The study population was included all the economic sectors and households in Iran. Sim sip -SAM software used for analysis of data.Results: With increase of 1 billion Rial in education sector, income of energy sector, services sector, Health sector, agricultural sector, industrial sector, and mining sector increased 0.0199, 0.0195, 0.0185, 0.0173, 0.012, and 0.0154 respectively. Among the quintile households, the fifth quintile Urban with 0.038 billion will have the greatest impact on expansion of the training and the total household income will increase to the extent of 0.229 billion.Conclusion: Expansion or regards to Education sector caused increase of income in household’s quintiles equally, in result, this issue reduced inequality, thus providing of free education will increase household welfare, economic growth and ultimately the economic development will be strengthened.
- انتشار مقاله: 11-10-1398
- نویسندگان: Mehdi Khakian,Mohsen Barouni,Nourolhoda Fakhrzad,Javad Neshani Sadabad,Alireza Khakian,Zeynab Kargar
- مشاهده
- جایگاه : پژوهشی
- مجله: Journal of Oral Health and Oral Epidemiology
- نوع مقاله: Journal Article
- کلمات کلیدی: Dental caries,Cost savings,Cost-benefit,Oral health,Water fluoridation
- چکیده:
- چکیده انگلیسی: BACKGROUND AND AIM: Oral diseases are very important because they impose economic and social burden on societies. Given the resource scarcity, it is necessary to devise cost-effective and scientific strategies to prevent and control oral diseases. This study aimed to estimate the potential cost-savings for dental caries treatment associated with Community Water Fluoridation Program (CWFP) in Kerman, Iran.METHODS: An economic model to compare the costs of CWFP with treatment savings achieved through averted tooth decay was developed. Direct cost of prevented caries was taken equal to treatment savings. Implementation cost and the associated savings was estimated for Kerman in 2016. We obtained required data and parameters for costs and savings estimation through published documents and other sources.RESULTS: Annual cost-savings associated with implementing the water fluoridation in Kerman was estimated about $11160415.5 to $44350544.11. About $34.9 to $136 could be achieved per each dollar spent. Annual cost and benefit per capita was $0.66 and $23.4-$91.09 respectively. Net benefit per capita was $22.7 to $90.4.CONCLUSION: This study indicates significant annual savings from CWFP; additional savings could be achieved if this program is implemented in other regions. We could also receive even more if this program is integrated with other public oral health programs such as screening school children, community dentistry and oral health education.
- انتشار مقاله: 22-12-1395
- نویسندگان: Ali Eskandarizadeh,Habib Jalilian,Leila Vali,Mahmoud Nekoie-Moghadam,Mohsen Barouni,Tayebeh Malek-Mohammadi
- مشاهده
- جایگاه : پژوهشی
- مجله: Journal of Health Management and Informatics
- نوع مقاله: Journal Article
- کلمات کلیدی:
- چکیده:
- چکیده انگلیسی: Introduction: Achievement of economic growth, as one of the most important macroeconomic variables, depends on the precise understanding of potential routes and the factors affecting on it. The aim of this study was to evaluate the health care sector’s effect on Iran Gross Domestic Product (GDP), as the status of economy.Method: Artificial Neural Network (ANN) and Dynamic Ordinary Least Squares (DOLS) were performed according to Iran GDP as the output variable and the input variables of life expectancy at birth, under five mortality rates, public health expenditures, the number of doctors and hospital beds during 1961-2012 in Iran. Data were collected from the Statistical Center of Iran, the Central Bank of the Islamic Republic of Iran, the World Health Organization and the World Bank databases. Data management and analysis were performed using Eviewes 7, stata 11 and also Mathlab. MSE, MAE and R2 were calculated to assess and compare the models.Results: One percent reduction in deaths of children under 5-years could improve Iran GDP as much as 1.9%. Additionally, one percent increment in the number of doctors, hospital beds or health expenditure would increase GDP by 0.37%, 0.27% and 0.29%, respectively. Mean Absolute Error (MAE) demonstrated the superiority of DOLS in the model estimation.Conclusion: The lack of sufficient considerations and excellent models in the health care sector is the main reason for underestimating the effect of this sector on economy. This limitation leads to neglecting the resource allocation to the health care sector, as the great potential motivation of the economic growth.Keywords: Neural Network, Health care sector, Life expectancy, Health expenditure, Econometric model
- انتشار مقاله: 05-07-1396
- نویسندگان: Marziyeh Sadat Safe,Mohsen Barouni,Seyed Mojtaba Saif
- مشاهده
- جایگاه : پژوهشی
- مجله: Addiction and Health
- نوع مقاله: Journal Article
- کلمات کلیدی: cost of illness,smoking,Relative risk,Stroke,cancer,Chronic Obstructive Pulmonary Disease,Myocardial Infarction
- چکیده:
- چکیده انگلیسی: Background: Cigarette seems to be the least valuable of addictive drugs. It is easily accessible to the public, and its harmful personal and social effects have attracted less attention. Therefore, the present research was carried out with the aim of presenting cost estimations of smoking-related diseases in smokers who aged 35 or higher in Kerman City, Iran, in 2014.Methods: Using the prevalence approach, the direct and indirect costs of smoking-attributable diseases including lung cancer, gastric cancer, myocardial infarction, stroke, and chronic obstructive pulmonary disease (COPD) were estimated. The initial data were obtained from the information in documents of medical document units as well as the 2014 income statements of teaching hospitals of Kerman University of Medical Sciences, Kerman City.Findings: In this research, total economic costs of diseases attributed to smoking were estimated to be 50 million dollars in 2014 in Kerman City, and calculations suggest that this figure accounts for 0.02% of Iran’s gross domestic product (GDP). Total direct cost of diseases caused by smoking in Kerman City adds up to 17 million dollars, whereas the estimated indirect cost of diseases caused by smoking is 33 million dollars. The yearly per capita cost of any of the selected five diseases is 270 dollars.Conclusion: Smoking places a high economic burden on health system and society as a whole. Therefore, stronger intervention measures against smoking should be taken without delay to reduce the health and financial losses caused by smoking.
- انتشار مقاله: 28-11-1396
- نویسندگان: Maliheh Ghobadi,Mohammad Reza Farrokhi,Nouzar Nakhaee,Mohammad Jafari-Sirizi,Mohsen Barouni
- مشاهده
- جایگاه : پژوهشی
- مجله: Addiction and Health
- نوع مقاله: Journal Article
- کلمات کلیدی: Methadone,Cost-benefit analysis,maintenance,Therapeutics,HIV
- چکیده:
- چکیده انگلیسی: Background: Acquired immune deficiency syndrome (AIDS) is one of the greatest social health problems in many communities in the twenty-first century. Methadone maintenance treatment (MMT) could decrease HIV infection among injection drug users (IDU). The main aim of this paper was to determine the cost-effectiveness of the governmental MMT program to prevent human immunodeficiency virus (HIV) infection among IDU.Methods: This analytical study was performed through a before-after assessment during a one-year period. Using census sampling, 251 IDU referred to the public MMT program of Kerman, Iran, were selected. The expenditures of MMT centers were calculated in the view of government (public sector). The cost-effectiveness was calculated using TreeAge software.Findings: MMT centers averted 86 new cases of HIV infection. The total cost of centers was US$471 per client in the year. The share of IDU from current expenditures was 35% and from capital expenditures was 32%. Also, methadone per capita for each person who injected drug was US$514. Per capita expenditure of HIV drug treatment was estimated US$8535 per year. Incremental cost effectiveness ratio (ICER) was US$2856 per year, which means governmental MMT program is cost-effective according to the World Health Organization (WHO) criteria.Conclusion: MMT centers are cost-effective in preventing HIV infection and the access to this program should be facilitated for IDU.
- انتشار مقاله: 13-04-1396
- نویسندگان: Sirus Pourkhajoei,Mohsen Barouni,Alireza Noroozi,Ahmad Hajebi,Saeed Amini,Mohammad Karamouzian,Hamid Sharifi
- مشاهده