Iranian Institute for Health Sciences Research, ACECR
Payesh (Health Monitor)
1680-7626
2008-4536
20
4
2021
8
1
Outpatient appointments in private practices in Tehran, Iran
407
414
FA
Afsoon
Aeenparast
Health Metrics Research Center, Iranian Institute for Health Sciences Research, ACECR, Iran
aaeenparast@ihsr.ac.ir
Y
0000-0002-2715-4136
Faranak
Farzadi
Health Metrics Research Center, Iranian Institute for Health Sciences Research, ACECR, Iran
faranakfarzadi@yahoo.com
N
0000-0002-7686-8143
Ali Asghar
Heari Mehrizi
Health Metrics Research Center, Iranian Institute for Health Sciences Research, ACECR, Iran
a.haeri@acecr.ac.ir
N
0000-0002-3671-2849
10.52547/payesh.20.4.407
Objective(s): outpatient services are an important part of health services. One important aspect of outpatient services is outpatient appointments. The study aimed to investigate the outpatient appointments and time management status in private practices.
Methods: This was a cross-sectional study that was conducted in Tehran in 2020. Two hundred and eight practices were selected by using convenient sampling. Data was collected using a 50-items self-designed questionnaire. The validity and reliability of questionnaires were tested before data collection. SPSS software version 23 was used for data analyses.
Results: More than half of the practices (56.3%) were specialists’ offices. In 85.6% of the practices patients were admitted on schedule. Data indicated that in most clinics scheduled patients were in priority for being visited by the physician (59.3%). Compared to younger physicians, the possibility of not using appointment systems was higher in older physicians and among physicians with higher working experiences (P value=0.01 and P value=0.039 respectively).
Conclusions: In general, the findings showed that the age and work experience of the physicians might play an important role in the use of queuing systems in medical practices. It seems that simplifying the appointment methods can be effective in increasing the use of appointment systems and improving the management of waiting time for outpatients in private practices. It is the responsibility of health system managers and experts to produce simple tools and methods without the need for sophisticated technology for this group of outpatient service providers.
Waiting time, Outpatient, Appointment
http://payeshjournal.ir/article-1-1383-en.html
http://payeshjournal.ir/article-1-1383-en.pdf
Iranian Institute for Health Sciences Research, ACECR
Payesh (Health Monitor)
1680-7626
2008-4536
20
4
2021
8
1
Evaluation of the causes of prescription deductibles in a teaching hospital in Kermanshah
415
425
FA
Behnam Reza
Makhsosi
Asadabad School of Medical Sciences, Asadabad, Iran
behnam.makhsosi@gmail.com
N
0000-0002-7511-8295
Hossein
Amiri
Clinical Research Development Center, Imam Khomeini Hospital, Kermanshah University of Medical Sciences, Kermanshah, Iran
hossein.amirii@yahoo.com
N
0000-0003-4094-8050
Nasim
Evani
Clinical Research Development Center, Imam Khomeini Hospital, Kermanshah University of Medical Sciences, Kermanshah, Iran
evani.nasim@gmail.com
Y
0000-0003-2586-6217
Sharmin
rahmani
Clinical Research Development Center, Imam Khomeini Hospital, Kermanshah University of Medical Sciences, Kermanshah, Iran
sh.rahmani90@yahoo.com
N
0000-0003-1045-1641
Soheila
Kazazi
Clinical Research Development Center, Imam Khomeini Hospital, Kermanshah University of Medical Sciences, Kermanshah, Iran
kazazi1368@gmail.com
N
0000-0003-3148-6851
10.52547/payesh.20.4.415
Objectives: Due to the fact that most of insurance companies have deductions and long delays in the reimbursement of bills. They are causing dissatisfaction in the hospitals of the contracting party. Therefore, the present study was conducted with the aim of determining the causes of prescription deductibles in a teaching hospital in Kermanshah, Iran in 2018.
Methods: In this cross-sectional and descriptive-analytical study, all 560 cases related to 2018 year that were covered by the insurance of the hospital were examined. Data were analyzed using the SPSS software version 23. The significant level was set at 5 percent.
Results: The results of the present study showed that the mean and standard deviation of prescription deductibles in the hospital during 2019 were 16596782.90 and 335966366.43 Rails, respectively. The highest amount of prescription deductibles was recorded in January and the lowest was recorded in March. The highest cause of prescription deductibles in the opinion of the participants with a frequency of 44.4% was related to the lack of accurate and precise registration of drugs and equipment in the doctor's and nursing notes.
Conclusion: The findings suggest review of medication application forms by at least two people, reminding and educating doctors, inspection by insurance and income personnel regularly, encouraging staff if deductions are reduced, reducing the time interval between shifts of physicians and nurses, increasing cooperation between insurance companies and income personnel with the pharmacy department, and using specialists to update the price of medicines before entering the pharmacy might help to lessen prescription deductibles
Hospital, Drug Deductions, Insurance
http://payeshjournal.ir/article-1-1517-en.html
http://payeshjournal.ir/article-1-1517-en.pdf
Iranian Institute for Health Sciences Research, ACECR
Payesh (Health Monitor)
1680-7626
2008-4536
20
4
2021
8
1
The Study of Economic and Social Status of Iranian female-headed households: a secondary analysis
427
437
FA
Ahmad
Dorahaki
Faculty of Social Sciences, Allameh Tabataba’i University, Tehran, Iran
Ahmaddorahaki@gmail.com
Y
0000-0003-4115-6872
Reza
Noubahkt
Faculty of Social and Economic Sciences, Payame Noor University, Iran
rznobakht@gmail.com
N
0000-0001-8446-8353
10.52547/payesh.20.4.427
Objective (s): In Iran, recent official data show a growing trend in the number of female-headed households. On the other hand, female-headed households are known as vulnerable groups in society that need attention in various social, economic and health aspects.
Methods: This study used the secondary analysis of the combined file of household characteristics and personal characteristics of 2% of the general population and housing census data of 2016, which was collected by the Statistics Center of Iran. The extracted variables analyzed by individual level included age, number of children, marital status, place of residence, migration status, education, literacy, working status and household level variables included number of household members, living area measured in square meters, residential house ownership and type of residential house.
Results: Based on the analysis of 2% of the census data, female-headed households constitute 12.5% of the Iranian heads of households. The percentage of caretaker is significantly related to age and about 50% of women-headed households are 60 years and older. Marital status also indicates that 68% of the reasons for headed women are due to the death of the husband and 12% are due to divorce. Also, 14% of women who have a husband are heads of households. 44% of women-headed households are living in single family, and female-headed households are less mobile than male-headed households. Literacy is significantly related to gender and 54% of female-headed households are illiterate. Only 14% of women -headed households are employed. 24.8% of women -headed households live in mortgaged and rented houses and about 7% of them live in houses with 40 square meters and less.
Conclusion: According to the results of the present study, it can be said that the leading challenges of women -headed households follow three cultural dimensions such as issues related to widowhood and barriers to remarriage, economic dimensions such as housing and employment and demographic issues such as living in single family. Policy-making is necessary in all three dimensions.
Women Heads of Household, Census, Economic and Social Status, Iran.
http://payeshjournal.ir/article-1-1658-en.html
http://payeshjournal.ir/article-1-1658-en.pdf
Iranian Institute for Health Sciences Research, ACECR
Payesh (Health Monitor)
1680-7626
2008-4536
20
4
2021
8
1
Health Transformation Plan in birth departments in Iranian hospitals: A rapid review
439
449
FA
minoor
lamyian
Faculty of Medical Sciences, Tarbiat Modares University, Tehran, Iran
Lamyianm@modares.ac.ir
N
0000-0001-7033-5605
katayoun
jalali aria
Counseling and Reproductive Health Research Centre, Golestan University of Medical Sciences, Gorgan, Iran
k.jalaliaria@modares.ac.ir
N
0000-0001-6614-8719
massoumeh
alijanpoor
School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran
m.alijanpoor@odares.ac.ir
N
0000-0001-6210-0478
roza
hoorsun
Department of Midwifery, Faculty of Nursing and Midwifery, Tehran Medical Sciences, Islamic Azad University, Tehran, Iran
roza.hoorsan@modares.ac.ir
N
0000-0003-0537-5875
zahra
daneshfar
Imam Sajad hospital in Ramsar, Mazandaran University Medical Sciences, Iran
zahra_23j@yahoo.com
N
0000-0002-0994-1718
mahboobeh
rasoulzadeh bidgoli
Trauma Nursing Research Center, Kashan University of Medical Sciences, Kashan, Iran
rasoulzadeh.mah@gmail.com
Y
0000-0002-0368-807x
10.52547/payesh.20.4.439
Objective (s): The Iranian Health System Transformation Plan was implemented on May 6 (2014) and consisted of 8 service packages. As such a program was to promote Normal Vaginal Delivery. This article aimed to critically review the implementation of this service package.
Methods: Several databases including Google Scholar, ISD, and PubMed were search for relevant papers. Keywords included Health Transformation Plan, Childbirth, Health care, and Labour. Out of 83 research articles on the Health Transformation Plan, 9 related articles and 3 reports were retrieved and reviewed.
Results: Based on the results, the costs paid by patients and the rate of cesarean delivery reduced. This prevalence reduction was in hospitals that affiliated to medical universities. However, the reduction was still far from global standards. However, midwives were dissatisfied with the implementation of the plan due to the injustice of the payment system.
Conclusion: One of the most important factors driving women to Natural Vaginal Delivery and public hospitals, in addition to financial benefits, were the role midwives who did not receive appropriate gain form the project. In view of the above, it is necessary to revise the health transformation plan to ensure that all parties gain benefit from this service package.
Health Transformation Plan, Normal Vaginal Delivery, Cesarean section
http://payeshjournal.ir/article-1-1619-en.html
http://payeshjournal.ir/article-1-1619-en.pdf
Iranian Institute for Health Sciences Research, ACECR
Payesh (Health Monitor)
1680-7626
2008-4536
20
4
2021
8
1
The effect of supportive care program based on Bandura self-efficacy on stress-exacerbating and stress-relieving factors of neonatal mothers admitted to neonatal intensive care unit
451
460
FA
Shima
Heidary
Faculty of Nursing and Midwifery, Shahrekord University of Medical Sciences, Shahrekord
Shimaheidarye@gmail.com
N
0000-0001-7440-4284
haydeh
Heydari
Faculty of Nursing and Midwifery, Shahrekord University of Medical Sciences, Shahrekord
haydehheidari@gmail.com
Y
0000-0002-4934-3886
roya
choopani
Shahrekord University of Medical Sciences, Shahrekord, Iran
dr.choopani@yahoo.com
N
0000-0002-5452-4948
Morteza
sedehi
School of Health, Shahrekord University of Medical Sciences, Shahrekord, Iran
sedehi56@gmail.com
N
0000-0003-4403-1709
10.52547/payesh.20.4.451
Objectives: The birth of a premature baby can change all the emotions of parents and replace stress. It is necessary to identify the factors that aggravate and relieve maternal stress and adopt strategies to reduce it. The aim of this study was to analyze the effect of supportive care program based on Bandura’s self-efficacy on aggravating and stress relieving factors of mothers of neonates admitted to the neonatal intensive care unit
Methods: A quasi-experimental study was performed in 2020 on 90 mothers of premature infants admitted to the neonatal intensive care unit of a Hospital in Shahrekord by convenience sampling method. The experimental group has received an educational intervention based on the theory of self-efficacy in four two-hour sessions with the presentation of an educational booklet. Data were collected using a self-designed questionnaire before and after the intervention in both groups and were analyzed using SPSS software version 24 performing paired t-test, independent t-test, and Chi-square.
Results: The results showed that the mean score of stressors in mothers of preterm infants in the control group decreased from 42.73 ± 6.26 to 42.62 ± 7.09, which was not statistically significant (P= 0.906) while in the experimental group it was decreased from 48.78 ± 4.36 to 25.33 ± 4.84, which was statistically significant (P <0.001). The mean score of soothing agents for mothers of preterm infants increased from 2.98 ± 2.61 to 3.07 ± 2.29 in the control group which was not statistically significant (P = 0.415) and in the experimental group it was increased from 4.51±1.72 to 7.29 ± 1.16, which was statistically significant (P <0.001).
Conclusion: Based on the findings of the study, it is recommended to implement interventions to make parents of premature infants, especially mothers ready to face the baby in the intensive care unit.
Stress, mother, newborn intensive care units, care program
http://payeshjournal.ir/article-1-1641-en.html
http://payeshjournal.ir/article-1-1641-en.pdf
Iranian Institute for Health Sciences Research, ACECR
Payesh (Health Monitor)
1680-7626
2008-4536
20
4
2021
8
1
Translation and initial validation n of the Persian version of the Family Satisfaction in the Intensive Care Units (FS-ICU-24)
461
469
FA
Ameneh
Hayatinia
Shahed University, Faculty of Nursing ;Midwifery, Tehran, Iran
amenehhayatinia@gmail.com
N
0000-0001-5676-5975
Majideh
Heravi Karimooi
Elderly Care Research Center, Faculty of Nursing; Midwifery, Shahed University, Tehran, Iran
majidehheravi@yahoo.com
Y
0000-0003-3863-2655
Nahid
Rejeh
Elderly Care Research Center, Faculty of Nursing; Midwifery, Shahed University, Tehran, Iran
nrejeh@yahoo.com
N
0000-0002-6916-6514
Ali
Montazeri
Health Metrics Research Center, Iranian Institute for Health Sciences Research, ACECR, Tehran, Iran
montazeri@acecr.ac.ir
N
0000-0002-5198-9539
10.52547/payesh.20.4.461
Objective (s): This study aimed to translate and initially validate the Persian version of 24- item Family Satisfaction in the Intensive Care Unit (FS-ICU-24).
Methods: This was a methodological study and conducted on 150 family members hospitalized in the Intensive Care Units of hospitals in Shiraz, Iran. The translation of the main questionnaire was done using the backward-forward method. The content validity of the questionnaire was performed by interviewing 15 experts and the face validity was carried out qualitatively through interviewing 10 family members of hospitalized patients. Then, the structural validity was assessed using the known groups comparison. Convergent validity was assessed by measuring the correlation between the Persian version of the FS-ICU-24 and the Persian version of the Patients Needs Assessment Questionnaire (CCFNI). Reliability was evaluated using internal consistency analysis (Cronbach's alpha).
Results: The results obtained from known groups comparison indicated that the mean satisfaction score in male was significantly higher than female as expected (p=0.001). Convergent validity showed a significant correlation between the Persian version of the FS-ICU-24 and the CCFNI questionnaires (p<0.01). The Cronbach's alpha coefficient for the dimensions and total questionnaire was higher than 0.7.
Conclusion: The findings indicated that the Persian version of the FS-ICU-24 Questionnaire is a valid instrument and can be used in a variety of situations, including clinical and research settings. It is suggested that the future studies assess the structural validity of the FS-ICU-24 using factor analysis with a bigger sample size.
Validation, Intensive Care Unit, FS-ICU-24
http://payeshjournal.ir/article-1-1660-en.html
http://payeshjournal.ir/article-1-1660-en.pdf
Iranian Institute for Health Sciences Research, ACECR
Payesh (Health Monitor)
1680-7626
2008-4536
20
4
2021
8
1
Socio-economic factors affecting attitudes towards childbearing: A study of ever married couples in Kermanshah, Iran
471
485
FA
ezddin
alidousti
Humanistics School, North Tehran Branch, Islamic Azad University, Tehran, Iran
e.alidousti@ut.ac.ir
N
0000-0003-3702-2732
Abdul Reza
Adhami
Humanistics School, North Tehran Branch, Islamic Azad University, Tehran, Iran
adhamiab@yahoo.com
Y
0000-0002-1162-4439
Shahla
Kazemipour
Humanistics School, North Tehran Branch, Islamic Azad University, Tehran, Iran
skazemipour@gmail.com
N
0000-0001-5403-0406
10.52547/payesh.20.4.471
Objective (s): In recent years decreasing fertility in Iran has become one of the demographic problems which has attracted the attention of policymakers. The purpose of this study was to identify the association between socio-economic factors with childbearing tendency.
Methods: This was a cross sectional study. A sub-sample of data from the “2017 Iran Fertility Transition Survey” was used. The sample comprised of 374 ever married men and women aged 15-49 in Kermanshah, Iran. They were selected through the clustered sampling and the data was analyzed via SPSS 22 software using linear regression, Pearson correlation, independent t-test, and one-way analysis of variance
Results: The results obtained from data analysis indicated no significant relationships between residency, housing, home size, employment, education and social class and attitudes toward childbearing (p>0.05). However, significant relationships between sex preference, gender, spouse age, birth interval, Internet consumption, birth space and attitudes toward childbearing was observed (p<0.05). Overall the result indicated that independent variables could explain 23% of variance of dependent variables.
Conclusion: The findings suggest that the ideal number of children of young couples is affected by their living conditions. So, the success of any potential population polices depends on the improvement of couples' living conditions.
Socio-economic status, Fertility, childbearing
http://payeshjournal.ir/article-1-1647-en.html
http://payeshjournal.ir/article-1-1647-en.pdf
Iranian Institute for Health Sciences Research, ACECR
Payesh (Health Monitor)
1680-7626
2008-4536
20
4
2021
8
1
Psychometric Properties of the Attitude towards Pressure Ulcer Prevention Instrument (APuP) among Nurses
487
495
FA
Mehdi
Heidarzadeh
Nursing and Midwifery School, Ardabil University of Medical sciences, Ardabil, Iran
m.mahda@gmail.com
N
0000-0003-4302-8882
Habibeh
Moharramzadeh
Alzahra teaching hospital, Tabriz University of Medical Sciences, Tabriz, Iran
h.moharramzadeh13@gmail.com
Y
0000-0002-2693-9783
Nader
Moharramzadeh
Medical Emergency and Accident Management Center, Tabriz University of Medical Sciences, Tabriz, Iran
nadertbz@yahoo.com
N
0000-0003-4537-3348
10.52547/payesh.20.4.487
Objective (s): Pressure ulcers are a significant health problem worldwide. Positive attitudes towards pressure ulcer prevention have a positive impact on preventive care. This study aimed to determine the psychometric properties and factor structure of the Attitude towards Pressure ulcer Prevention instrument (APuP) in Iranian nurses.
Methods: This was a cross sectional study on a sample of nurses working in ICUs and the internal medicine, surgery, orthopedics, cardiovascular, neurology, and neurosurgery departments in four teaching hospitals in Ardabil, Iran. construct validity (confirmatory factor analysis), internal consistency, and test-retest analyses were performed to determine the psychometric properties of the APuP.
Results: In all 190 nurses partipated in the study. With regard to fitness indices including GFI، AGFI، CFI، RMSEA factor structure of the APuP with five factor and 13 items were confirmed. The Cronbach’s alpha for the overall APuP was 0.70, and correlation coefficient between test-retest was 0.85 (ICC=0.85, p<0.0001).
Conclusion: The findings showed that the Persian version of Attitude towards Pressure ulcer Prevention instrument could be used as a standard tool to assess nurses' attitudes about pressure ulcer prevention.
Pressure ulcer, psychometric, Attitude, nurse, Prevention
http://payeshjournal.ir/article-1-1649-en.html
http://payeshjournal.ir/article-1-1649-en.pdf
Iranian Institute for Health Sciences Research, ACECR
Payesh (Health Monitor)
1680-7626
2008-4536
20
4
2021
8
1
The effect of film screening training before cataract surgery on anxiety in the elderly: A clinical trial
497
504
FA
Mozhgan
Eftekharpour Fatemi
University of Social Welfare and Rehabilitation Sciences, Tehran, Iran
mozhganeftekharpoor@gmail.com
Y
0000-0002-3534-0844
Farahnaz
Mohammadi Shahboulaghi
Iranian Research Center on Aging, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran
mohammadifarahnaz@gmail.com
N
0000-0001-8357-0882
Razieh
Bandari
Iranian Research Center on Aging, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran
r.bandari2314@yahoo.com
N
0000-0003-4900-0426
Kian
Nourozi Tabrizi
University of Social Welfare and Rehabilitation Sciences, Tehran, Iran
dr.kian_nourozi@yahoo.com
N
0000-0001-7439-6691
Akbar
Biglarian
University of Social Welfare and Rehabilitation Sciences, Tehran, Iran
abiglarian@gmail.com
N
0000-0002-9776-7085
10.52547/payesh.20.4.497
Objective(s): Cataract is one of the main reasons for visual acuity reduction in elderly. Like any other surgery, the elderly who are candidates for cataract surgery, experience a great deal of anxiety, having adverse effects on them, mentally and physiologically. Training interventions are a common and suitable type of nursing intervention having neither cast nor side effects. Thus, this study aimed to evaluate the effect of preparation-for-surgery training on the anxiety of the elderly before cataract surgery.
Methods: This was a randomized clinical trial. Fifty old patients were selected from October 2020 to February 2021 using a targeted sampling method. They then divided randomly into two groups in the selected hospitals in Semnan, Iran. The intervention group took the training through the designed short film while the control group did not. The film included some information about the preparation before surgery, getting familiar with the environment and facilities of the surgery room, a part of surgical operation, recovery environment, some information about post-surgical cares, and times of subsequent visits of the doctor. The data were analyzed by SPSS v16 software using independent t-test, paired t-test, chi-square, and analysis of covariance.
Results: The mean score of the anxiety in the intervention and control groups had a significant difference (p<0.05). Also, the covariance analysis showed that there was no significant difference between the two groups in the anxiety reduction in the post-test.
Conclusion: The findings suggest that the nurses are better at using other training methods such as pamphlets or face-to-face training along with film screening training.
Cataract, old age, training, anxiety
http://payeshjournal.ir/article-1-1684-en.html
http://payeshjournal.ir/article-1-1684-en.pdf
Iranian Institute for Health Sciences Research, ACECR
Payesh (Health Monitor)
1680-7626
2008-4536
20
4
2021
8
1
Academic mobbing: a threat to university reputation and integrity
505
507
FA
Alimohamad
Mosadeghrad
School of Public Health, Health information management research Centre, Tehran University of Medical Sciences, Tehran, Iran
mosadeghrad@gmail.com
Y
0000-0002-7955-6292
10.52547/payesh.20.4.505
No abstract available
(Letter to editor)
Academic mobbing, University, Higher education
http://payeshjournal.ir/article-1-1682-en.html
http://payeshjournal.ir/article-1-1682-en.pdf