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کاربرد نوع شرط:
- جایگاه : پژوهشی
- مجله: Journal of Health Management and Informatics
- نوع مقاله: Journal Article
- کلمات کلیدی: Cost analysis,Public Hospital,Costing,unit cost,cost structure
- چکیده:
- چکیده انگلیسی: Background: The health systems around the world are facing significant pressure to control the costs and improve the health services delivered. A method to address this challenge is to express the potential savings and inefficiencies of hospitals. The hospitals should provide health care services with the acceptable quality and minimum cost. For this purpose, managers should have accurate information about the cost of the services they provide.
Methods: This is a cross-sectional retrospective study carried out based on the data of financial year of 2017-2018. In this study, the cost structure of Shafa Hospital was analyzed and its unit cost of the final activity centers was calculated using top-down approach.
Results: The total cost of the hospital in the studied period was US$ 29752539.1. The highest and lowest cost share was related to human resources and energy consumption (64.33% and 0.48%, respectively). The human resources, medicines, and consumables account for over 96% of the cost of the final clinical activity centers. The unit cost of the final activity centers varies so that among admission wards the unit cost of ICU is the highest (US$372.45) and the daily bed cost in the neurology ward is the lowest (US$118.9).
Conclusion: Clarification of the hospital cost structure can provide a comprehensive analysis of hospital costs for decision making and policy making. The unit cost of the final activity centers also provides insights into the hospital cost management planning.- انتشار مقاله: 15-07-1399
- نویسندگان: Mohammad Saleh Koushki,Mahmoud Nekooei Moghaddam,Mohammadreza Amiresmaili,Reza Goudarzi,Vahid Yazdi-Feyzabadi
- مشاهده
- جایگاه : پژوهشی
- مجله: Asian Pacific Journal of Cancer Prevention
- نوع مقاله: Journal Article
- کلمات کلیدی: Opium,Iran,Risk Factor,Case-control,head & neck neoplasms
- چکیده:
- چکیده انگلیسی: Background: Head and Neck (H and N) cancers include malignant tumors of the nasal cavity, pharynx, paranasal sinuses, oral cavity, larynx and salivary glands. Opium use might be related to these cancers. The aim of this study was to investigate the relation between Opium and its Derivatives (O and D) use and the incidence of H and N cancers. Methods: In this case-control study conducted in Kerman, 140 patients with H and N cancers and 280 healthy controls (matched for age, gender, and place of residence) were included. Information about their use of O and D, cigarette smoking, alcohol and diet were collected using a structured questionnaire. Conditional logistic regression was used to investigate the relation between variables. Results: The use of opioids was associated with an increased risk of HandN cancers (Adjusted OR: 8.13; CI: 4.08-16.2). A significant dose-response relation between O and D use was observed, with high use Adjusted OR=8.91; 95% CI: 4.03-19.65 and low use Adjusted OR=6.52; 95% CI: 3.18- 13.36. This dose-response association was stronger in patients with laryngeal cancer and opioids use, with high use Adjusted OR = 11.17; 95% CI=4.48-28.09 and low use Adjusted OR = 9.46; 95% CI= 3.97- 22.52. Conclusion: The results show that opium use can be considered as an important risk factor for H and N cancers. Also in Iran, opium seems to play a more important role than cigarette smoking.
- انتشار مقاله: 13-09-1398
- نویسندگان: Hosniyeh Alizadeh,Ahmad Naghibzadeh Tahami,Narges Khanjani,Vahid Yazdi-Feyzabadi,Hadi Eslami,Vahidreza Borhaninejad,Mohammad Hasan Larizadeh,Ahmad Enhesari,Reza Abbasi-Rayeni,Vahid Moazed,Aliasghar Arabi Mianroodi
- مشاهده
- جایگاه : پژوهشی
- مجله: Addiction and Health
- نوع مقاله: Journal Article
- کلمات کلیدی: Harm reduction,Drug misuse,Drug and Narcotic Control,Drug dependence,Needle-exchange programs
- چکیده:
- چکیده انگلیسی: Background: Drug abuse is one of the main problems of human's life; thus communities have been thinking
about the solution of this problem. The present study aimed to compare the general features of drug abuse
treatment policies, war on drugs (WOD), and harm reduction (HR), in the selected countries.
Methods: The present study was a comparative and desk research that sought to compare context,
stewardship, financing, type of substance abuse treatment services, reasons of paradigm shift, and executive
challenges of treatment policies in the selected countries (China, Malaysia, Germany, Netherland, and Iran).
The necessary data for comparison of the countries were collected through valid databases, review of
documents, and reports of international organizations.
Findings: Context conditions were better in the HR countries. In most countries, the central government
played a key role in the stewardship, financing, and service providing. In WOD countries, the presence of
judicial structure was higher in the treatment of drug abuse. The policy-making approach was ideological in
WOD countries, but evidence-based in HR countries.
Conclusion: It seems that performance of HR countries is better than WOD countries.
- انتشار مقاله: 14-04-1398
- نویسندگان: Mohammad Hossein Mehrolhasani,Vahid Yazdi-Feyzabadi,Ahmad Hajebi,Saeid Mirzaei
- مشاهده