scholarly journals Economic sanctions against Iran as an important factor in threatening the health of patients with multiple sclerosis

2021 ◽  
Author(s):  
Mohammad Ali Sahraian ◽  
Abdorreza Naser Moghadas ◽  
Sharareh Eskandarieh
Keyword(s):  
Multiple Sclerosis ◽  
Health Care ◽  
Stress Level ◽  
Health Care Services ◽  
Health Care Quality ◽  
Economic Sanctions ◽  
Cross Sectional Study ◽  
Care Quality ◽  
Cross Sectional ◽  
Care Services

Background: After intensified economic sanctions against Iran, decreased welfare of patients were more recognizable. The present study was aimed at identifying the challenges and stress level experienced by patients with multiple sclerosis (MS) regarding treatment and health care services in 2018-2019 after strengthening of economic sanctions against Iran. Methods: A cross-sectional study was conducted on MS patients in Tehran, Iran. A structured questionnaire was designed to measure the main variables addressing the challenges and stress level of MS patients with respect to receiving care and treatment services. Results: In total, 1039 MS patients were enrolled into the study. Among the patients who answered yes to the questions, 873 (85.8%) and 837 (86%) were concerned about medicine unavailability and supply and purchase of internationally branded medicine, respectively. Moreover, 671 (70.3%) subjects were concerned about replacing their medicines with cheaper alternatives due to financial problems and 427 (41.4%) were unwilling to continue their treatment due to the economic burden of MS. In total, 795 (82%) were concerned about the effectiveness of Iranian drugs in comparison with internationally branded drugs. Generally, 970 (93.53%) subjects had experienced increased current living costs and 711 had experienced (68.82%) reduced nutrition quality, which (OR: 2.68; 95% CI: 1.99, 3.60) was significantly higher among subjects who had an income of less than or equal to 250 US$ per month. Conclusion: The sanctions can impose greater stress and hardship on patients due to the unavailability and costs of medicines. Iran should manage health care quality and provide services to prevent the adverse effects of sanctions on MS patients and guarantee patients’ right to receive well-established medication and health services.  

scholarly journals HUBUNGAN BULLYING DI TEMPAT KERJA TERHADAP DISTRESS PSIKOLOGIS DAN KEPUASAN HIDUP PEKERJA PELAYANAN KESEHATAN

2021 ◽  
Vol 5 (2) ◽  
pp. 1013-1025
Author(s):  
Rully Rudianto ◽  
Dadan Erwandi ◽  
Fatma Lestari ◽  
Abdul Kadir
Keyword(s):  
Health Care ◽  
Psychological Distress ◽  
Stress Level ◽  
Health Care Services ◽  
Workplace Bullying ◽  
Satisfaction With Life ◽  
Cross Sectional Study ◽  
Health Care Sector ◽  
Cross Sectional ◽  
Care Services

AbstractWorkers who are working in the health care sector have to deal with a work condition that is high-risk for bullying from various parties that come from, among others, the expectation of excellent performance. This study aimed to assess the association between Workplace Bullying, Psychological Distress, and Satisfaction with Life among workers in health care sector.  This is a cross-sectional study on 310 respondents consisting of workers who work on various health care services. Data were collected using a randomly distributed questionnaire and processed using a frequency distribution table. The association between variables were then analyzed using the Spearman correlation test. The results of this study showed associations between Workplace Bullying, Psychological Distress, and Satisfaction with Life. The majority of workers in the health care sector did not experience bullying and stress. For the satisfaction with life in this sector, the study showed a high satisfaction level. This study concludes that there is an association between bullying and stress level among workers in health care sector. A higher bullying and stress level will trigger dissatisfaction with life. Despite the low bullying incidence in this sector, management still has to be aware and perform prompt actions to identify and prevent negative actions. This is important to prevent bullying by implementing an appropriate anti-bullying program in the workplace, that the stress level will not increase and the satisfaction of the workers is maintained. Keywords: bullying, health care sector, level of distress, and satisfaction with life AbstrakPekerja sektor Pelayanan Kesehatan  merupakan pekerja yang harus menghadapi situasi kerja yang sangat berisiko terjadinya kejadian bullying dari berbagai pihak dan menuntut perfoma yang tinggi. Penelitian ini bertujuan untuk menilai hubungan bullying di tempat kerja, distres psikologis, dan kepuasan hidup pada pekerja di sektor pelayanan kesehatan. Penelitian ini merupakan penelitian cross-sectional dengan menggunakan kuesioner yang disebarkan secara acak kepada kelompok pekerja yang bekerja di berbagai sektor pelayanan kesehatan dengan jumlah responden sebanyak 310. Data yang terkumpul kemudian diolah menggunakan tabel distribusi frekuensi dan dianalisis hubungannya dengan metode uji korelasi Spearman. Hasil penelitian menunjukkan terdapat hubungan antara bullying di tempat kerja, distres psikologis, dan kepuasan hidup. Pekerja di sektor pelayanan kesehatan mayoritas tidak mengalami kejadian bullying dan mayoritas juga tidak mengalami stres. Terkait tingkat kepuasan bekerja di pelayanan kesehatan, hasil studi menunjukkan tingkat kepuasan yang tinggi. Hasil penelitian menunjukkan bahwa hubungan tersebut menunjukkan semakin tinggi kejadian bullying dan tingkat stres di sektor pelayanan kesehatan akan memicu ketidakpuasan terhadap kehidupan para pekerjanya. Walaupun didapatkan kejadian bullying yang rendah di sektor pelayanan kesehatan, manajemen harus tetap waspada dan segera bertindak untuk mengidentifikasi dan mencegah terjadinya perilaku negatif. Hal ini penting untuk mencegah terjadinya korban bullying dan penerapan program anti bullying yang tepat di tempat kerja, sehingga tingkat stres tidak meningkat dan kepuasan bekerja tetap terjaga. Kata kunci : Bullying, distress level, kepuasan hidup, dan pelayanan kesehatan 

scholarly journals Brand equity analysis to increase health care utilization

2020 ◽  
Author(s):  
Ernawaty ◽  
Kendra Wardhani K ◽  
Stefanus Supriyanto ◽  
Nuzulul Kusuma Putri ◽  
Yeni Rahmah Husniyawati
Keyword(s):  
Health Care ◽  
Health Care Utilization ◽  
Brand Equity ◽  
Health Care Services ◽  
Simple Random Sampling ◽  
Cross Sectional Study ◽  
Care Utilization ◽  
Cross Sectional ◽  
Brand Association ◽  
Care Services

Background: Health care utilization is one of the key indicators in measuring performance of health care services. Strong brand equity suggests positive correlation with great attraction for consumers to use a product. Design and Methods: A cross-sectional study was conducted to identify the effects of brand equity to health care utilization. 381 students were selected by simple random sampling. Multiple logistic regression tests were used to analyze the influence between variables. Results: Findings showed that there was an influence between brand equity and health care utilization (P=0.001). In the three attributes, brand equity was known to have an influence to the utilization of health care. The highest influence of the three attributes was brand association (Exp (B) = 2.501). Conclusions: It can be concluded that brand equity affects patient visits to AHCC showing that the brand equity significantly influence patient visits. Promotion to create familiarity and good impression was required to enhance brand equity and increase health care utilization.

scholarly journals Impact of COVID-19 and mitigation plans on essential health services: institutional experience of a hospital in Ethiopia

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Firaol Dandena ◽  
Berhanetsehay Teklewold ◽  
Dagmawi Anteneh
Keyword(s):  
Health Care ◽  
Health Services ◽  
Health Care Services ◽  
Cross Sectional Study ◽  
Vital Role ◽  
Treatment Center ◽  
Cross Sectional ◽  
Poor Countries ◽  
Care Services ◽  
The Impact

Abstract Background Health systems around the world are being challenged by an on-going COVID-19 pandemic. The COVID-19 pandemic and associated response can have a significant downstream effect on access to routine health care services, and indirectly cause morbidity and mortality from causes other than the disease itself, especially in resource-poor countries such as Ethiopia. This study aimed to explore the impact of the pandemic on these services and measures taken to combat the effect. Methods The study was conducted at St. Paul’s hospital millennium medical college (SPHMMC) from December 15, 2020 to January 15, 2021 using a comparative cross-sectional study design. We collected data on the number of clients getting different essential health care services from May to October 2019 (Pre COVID) and the same period in 2020 (during a COVID-19 pandemic) from the patient registry book. The analysis was done with SPSS version 24 software. Result Overall, the essential services of SPHMMC were affected by the COVID-19 pandemic. The most affected service is inpatient admission, which showed a 73.3% (2044 to 682) reduction from the pre-COVID period and the least affected is maternal service, which only decreased by 13% (3671 to 3177). During the 6 months after the COVID-19 pandemic, there was a progressive increment in the number of clients getting essential health services. Conclusion and recommendation The establishment of a triple setup for fighting against COVID-19, which encompasses non-COVID services, an isolation center and a COVID-19 treatment center, played a vital role in preserving essential health services.

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