scholarly journals Threats and Opportunities of the Health Reform Plan from the Nurses’ Perspective in Ilam

2016 ◽  
Vol 9 (5) ◽  
pp. 85
Author(s):  
Masoumeh Shohani ◽  
Firoz Balavandi ◽  
Reza Valizadeh ◽  
Hamed Tavan
Keyword(s):  
Clinical Education ◽  
Health Reform ◽  
National Level ◽  
Cross Sectional Study ◽  
Data Collection Tool ◽  
Medical Sciences ◽  
Cross Sectional ◽  
Reform Plan ◽  
The Mean ◽  
Scale Data

<p><strong>BACKGROUND</strong><strong>: </strong>The Health Reform Plan is one of the greatest state services in Iran. However, this plan has its own weaknesses and strengths. This study was conducted with the purpose of determining strengths and weaknesses of the Health Reform Plan from nurses' perspective.</p><p><strong>METHODS: </strong>This is a cross-sectional study in which 100 nurses who work in clinical education centers on Ilam participated. The data collection tool was a questionnaire which consisted of 12 items regarding the strengths of the Health Reform Plan and 18 items about the plan's weaknesses on a six-option Lickert scale. Data analysis was carried out using SPSS V. 19 and applying descriptive and inferential statistics.</p><p><strong>RESULTS:</strong> The mean score for weaknesses was 79.94 and the mean score for strengths was 52.49. There was a significant statistical relationship between the variable of age and the strengths (P=0.015).</p><p><strong>CONCLUSION: </strong>If we manage to increase strengths and reduce weakness of the Health Reform Movement, we can be hopeful that this great plan will be administered more efficiently at a national level. It is suggested that future studies be conducted about individuals' perspectives in other occupations in the field of medical sciences working in different medical communities and hospitals in Iran and the results be compared.</p>

scholarly journals Examining the Effect of Executing the Health Reform Plan on the Share of Insurances, Franchise, and Health Subsidies in Shahid Sadoughi University of Medical Sciences in Yazd in 2013-2016

2020 ◽  
Author(s):  
Ahmad Reza Motalehi ◽  
Elham Roshanian ◽  
Mohammad Reza Vafaeinasab ◽  
Masoud Saffari
Keyword(s):  
Health Reform ◽  
Large Scale ◽  
National Level ◽  
Health Costs ◽  
Medical Sciences ◽  
Ministry Of Health ◽  
Cross Sectional ◽  
Reform Plan ◽  
Out Of Pocket Payments ◽  
Out Of Pocket Costs

Background: The Health Reform Plan was begun in 2014 as one of the most significant programs of the Ministry of Health to reduce hospitalization and out-of-pocket costs paid by people. Hence, we consider examining the economic consequences of this plan as one of the research priorities in this field. This study aimed to examine the effect of implementing the Health Reform Plan on the share of basic, supplementary insurances, franchise, and health subsidies from medical expenses in Shahid Sadoughi University of Medical Sciences in Yazd in 2013-2016. Methods: This study is a descriptive study conducted in a quantitative and cross-sectional method. The study population included patients' bills in hospitals affiliated to Shahid Sadoughi University of Medical Sciences in Yazd. All patient's hospitalization files were examined by the census method. Information was extracted from financial documents and data in the hospital's HIS system. We referred to the basic and supplementary insurance organizations of the province to complete the data. Descriptive statistics and were used to analyze the obtained data by using SPSS16 Software. Results: Generally, it was specified that the share of basic and supplementary insurances had not changed considerably due to the doubling of the whole costs of patients 'files, and basic insurances will pay on average 76 % of patients' costs. But, the patient's share of out-of-pocket payments has declined from 21 % to 11 %, which the Ministry of Health and Medical Education will pay this 10 percentage through the health subsidy to the affiliated centers. Conclusion: This study's results explained an increase in patient's health costs and a decrease in patient's out-of-pocket costs. Consequently, it is required to pay attention to methods to increase medical centers' efficiency to reduce health costs. Furthermore, large-scale/macro programs should be designed and implemented at the national level to reduce patient's out-of-pocket payments.

scholarly journals Evaluation and Comparison of Clinical Rounds from the Perspective of Professors and Students of Shahrekord University of Medical Sciences

2021 ◽  
Author(s):  
A Malekpour-Tehrani ◽  
M Moezzi ◽  
SS Hosseini ◽  
SM Hosseini
Keyword(s):  
Clinical Education ◽  
Medical Training ◽  
Cross Sectional Study ◽  
Demographic Information ◽  
Medical Sciences ◽  
Cross Sectional ◽  
Significant Difference ◽  
The Status ◽  
The Mean ◽  
The Ideal

Introduction: Evaluating different fields of clinical education is necessary to improve the medical course. Among these, clinical rounds are an important part of clinical education. Therefore, achieving maximum realization in any clinical field is the goal of every medical training center. Methods: Present descriptive cross-sectional study was conducted at Shahrekord University of Medical Sciences by census method on more than 67% of clinical medical professors and 79% of medical students who are on internship. The research instrument included a questionnaire of demographic information and a clinical round, which was prepared based on clinical standards approved by the Ministry of Health. 30 out of 44 clinical professors and 30 out of 38 interns succeeded in completing the questionnaires. The obtained data were analyzed by SPSS-16 software and tests (T-test and ANOVA). Result: The mean scores of clinical rounds of professors were 65± 13.16 and interns were 52.47± 35.19 and in general, the situation in this field was described as higher than the average (42) for both groups. Comparison of the two groups also showed a significant difference (P = 0.00). Thus, the mean scores of clinical round scores in the professors’ group were higher than the average scores of the interns’ group. Conclusion: The current clinical rounds situation in Shahrkord University of Medical Sciences was described as more favorable than average. Therefore, in order to further promote medical education, it is recommended that universities continuously evaluate and monitor the status of various areas of clinical education in order to reach the ideal level as soon as possible.

scholarly journals Nutrition knowledge and Attitude in Medical Students of Tabriz University of Medical Sciences in 2017-2018

2019 ◽  
Author(s):  
Neda Dolatkhah ◽  
Seyed Kazem Shakouri ◽  
Azizeh Farshbaf Khalili ◽  
Majid Hajifaraji ◽  
Maryam Hashemian ◽  
...  
Keyword(s):  
Medical Students ◽  
Clinical Training ◽  
Cross Sectional Study ◽  
Nutrition Knowledge ◽  
Nutritional Knowledge ◽  
Validity And Reliability ◽  
Medical Sciences ◽  
Cross Sectional ◽  
The Mean ◽  
Knowledge And Attitude

Abstract Objectives : In this cross-sectional study among 220 medical students we aimed to determine the nutritional knowledge and attitude of medical students through clinical training courses (externship and internship) of Tabriz University of Medical Sciences, Iran. A nutritional knowledge questionnaire included 51 questions was used to determine the correct, perceived and accuracy of knowledge of the participant in different aspects of nutrition sciences. Nutritional knowledge was calculated as percentage of correct responses. The nutrition attitude questionnaire included 30 questions. Both questionnaires were confirmed in terms of the validity and reliability for assessing nutritional knowledge and attitude in this sample of Iranian medical students. Results: The mean score of correct knowledge was not significantly different among externs and interns (68.20±7.50% and 67.87±6.04% respectively, p=0.729). Results showed that most of the participants (49.61% of externs and 57.14% of inters) had a poor nutritional knowledge, significantly varied by age (p=0.035). The mean attitude index of the subjects was not significantly different among externs and interns (106.37±13.66 and 108.16±13.35 out of 145 respectively, p=0.337). Most students (92.7%) had a very appropriate attitude toward nutrition, significantly varied by sex (p=0.010). These findings indicate that there are multiple deficiencies in nutrition knowledge of medical students.

scholarly journals Designing and psychometric evaluation of Stretching Exercise Influencing Scale (SEIS)

BMJ Open ◽  
2019 ◽  
Vol 9 (5) ◽  
pp. e026565
Author(s):  
Mohammad Hossien Delshad ◽  
Sedigheh Sadat Tavafian ◽  
Anoshirvan Kazemnejad
Keyword(s):  
Psychometric Properties ◽  
Intraclass Correlation ◽  
Psychometric Evaluation ◽  
Cross Sectional Study ◽  
Medical Sciences ◽  
Cross Sectional ◽  
Valid Instrument ◽  
Good Internal Consistency ◽  
The Mean ◽  
Office Employees

ObjectiveThe lack of reliable and valid tools for assessing the factors that influence stretching exercises (SEs) among Iranian office employees is obvious. This study aimed to design and evaluate psychometric properties of this instrument.DesignCross-sectional study of psychometric properties.SettingData were gathered from May to September 2017.ParticipantsParticipants were 420 office employees who were working in 10 health centres affiliated to the Shahid Beheshti University of Medical Sciences in Tehran, Iran.Primary outcome measuresThe instrument was designed on the basis of the constructs of the health promotion model (HPM) and extant literature. Exploratory factor analysis (EFA), Cronbach’s α and intraclass correlation coefficient (ICC) were employed to check the scale’s psychometric properties.ResultsIn total, 420 questionnaires were completed. The mean age of the office employees was 37.1±8.03 years. Among the 86 items, 77 items had significant item-to-total correlations (p<0.05). The results showed good internal consistency and reliability for the whole questionnaire and each domain. EFA results confirmed 53.32% of the total variance of the items yielded in 11 subscales. The ICC was acceptable (0.78, 95% CI 0.70 to 0.88).ConclusionsThe Stretching Exercise Influencing Scale (SEIS) can be a reliable and valid instrument for measuring the factors that influence SEs among office employees.Trial registrationIRCT20160824295512N1

scholarly journals Lifestyle of students at Tehran University of Medical Sciences during Corona Epidemic: A cross-sectional study

2021 ◽  
Author(s):  
Fatemeh Rahimi ◽  
Elahe Alamdar ◽  
Hengame Sadat Seyed Mirnasab ◽  
Somaieh Borjalilu ◽  
Mahnaz Pouresmaeil ◽  
...  
Keyword(s):  
Spiritual Growth ◽  
Cross Sectional Study ◽  
Demographic Variables ◽  
P Value ◽  
Sectional Study ◽  
Medical Sciences ◽  
Cross Sectional ◽  
Health Promoting ◽  
The Mean ◽  
Health Promoting Lifestyle

Background and purpose: There is concern that students may have an unhealthy lifestyle as a result of changes that occurred during corona conditions, so this study aimed to determine the status of the lifestyle and its relationship with the demographic characteristics of postgraduate students during the corona span.  Material and Methods: This cross-sectional study was conducted at Tehran University of Medical Sciences in 2020. The link to the online Health-Promoting Lifestyle Questionnaire Profile2 was sent to conduct the research. To examine the relationships between the mean scores of health-promoting lifestyle and different variables, an independent samples t-test was applied in the case of dichotomous demographic variables (gender, education level, and income-generating activity), while one-way analysis of variance test was used to evaluate the multilevel demographic variables (marital status, place of residence, and faculty). The Pearson correlation coefficient was also used for testing age.  Results: The sample 240, (75.4%) were female and 145 of them, (60.4%) were single. The mean age of them was 32.21±7.45.45 years old. The lifestyle total score was 138.28± 21.18 at the average level. The highest score was related to spiritual growth (26.93±5.01), whereas the lowest score was reported on physical activity (16.92±5.17). The difference between the mean of health-promoting lifestyle was not significant in terms of demographic variables.According to the results, a statistically significant difference was observed between male and female students in the field of nutrition. Also, students were significantly different in the nutrition domain regarding students’ residence (p-value <0.05). Spiritual growth was significantly different among students in terms of marital status (p-value <0.05). Conclusion: Although the mean score of health-promoting lifestyle was not different from other studies, further studies are proposed to plan health interventions in accordance with epidemic conditions for students. 

scholarly journals A cross-sectional study of relationship between self-esteem and self-concept of students of medical sciences

2018 ◽  
Vol 6 (3) ◽  
pp. 747
Author(s):  
Mehdi Amirkhani ◽  
Fatemeh Habibi ◽  
Azadeh Hakimi ◽  
Majid Najafi Kalyani ◽  
Javad Salami
Keyword(s):  
Standard Deviation ◽  
Self Esteem ◽  
Cross Sectional Study ◽  
Male Students ◽  
Self Concept ◽  
Sectional Study ◽  
Medical Sciences ◽  
Cross Sectional ◽  
Significant Difference ◽  
The Mean

Background: Identification of the role of factors such as self-esteem and self-efficacy and the investigation of their relationship among students can bring about improvement of educational planning and enhance the teaching outcome. This study aimed at investigating the relationship between self-esteem and self-efficacy among the students of medical sciences.Methods: The present study is an analytical-descriptive which was conducted as a cross-sectional study on 394 students of Fasa University of Medical Sciences in 2016. In order to collect the data two questionnaires were used namely, Coopersmith Self-Esteem Inventory (CSEI) and Rogers Self-concept Questionnaire. The data were analyzed using SPSS 22. The researchers used descriptive and inferential statistics such as t-test, chi-square one-way ANOVA, and correlation to analyze the data.Results: The mean and the standard deviation of self-esteem scores of female and male students were 38.23±6.80 and 37.51±6.67 respectively. The mean and the standard deviation of self-concept scores of female and male students were 9.49±3.53 and 9.43±4.14 respectively. The mean of self-concept scores of students of different majors had statistically significant difference with each other (0.011), whereas there was no statistically significant difference in self-esteem scores among students with different majors (0.442).Conclusions: Considering the statistically significant difference in students’ self-concept scores in different majors, it is suggested that we take right approaches to the improvement and enhancement of individuals’ self-concept and the creation of positive feedback.

scholarly journals Investigation of Health-Promoting Lifestyle and its Determinants Among Students of Medical Sciences in Iran

2020 ◽  
Vol 13 (1) ◽  
pp. 627-633
Author(s):  
Mohammad Amiri ◽  
Ahmad Khosravi ◽  
Niloofar Aboozarzadeh ◽  
Leila Khojasteh ◽  
Zakieh Sadeghi ◽  
...  
Keyword(s):  
Self Efficacy ◽  
Pearson Correlation ◽  
Well Being ◽  
Cross Sectional Study ◽  
Medical Sciences ◽  
Related Factors ◽  
Cross Sectional ◽  
Health Promoting ◽  
The Mean ◽  
Health Promoting Lifestyle

Background: A person's lifestyle plays an important role in his health. This study aimed at determining thehealth-promoting lifestyle and its related factors among the medical students of Shahroud Islamic Azad University. Methods: In this cross-sectional study, a total of500 students of medical sciences were selected using the stratified random sampling method and they completed the health-promoting lifestyle, self-efficacy, and well-being questionnaires. The collected data were entered into SPSS 16 and were analyzed with a T-test, Chi-square, Pearson correlation coefficient, and a backward regression model. Results: The mean age of the students was 22.25±1.45 and 65% of the participants were female. The mean scores of health-promoting lifestyle, well-being, and self-efficacy were 134.1±23.85, 14.41±5.09, and 41.67±8.05, respectively. Among the students, 32.8% had a health disorder and only 2.2% had a high self-efficacy. Well-being and self-efficacy were statistically correlated with the health-promoting lifestyle (p<0.001). The results showed that out of 17 independent variables, only 4 variables of educational level, academic year, marital status, well-being were the best predictors of health-promoting lifestyle. Conclusion: More than 90% of students had low self-efficacy and more than 30% of them did not have good well-being. Moreover, the health-promoting lifestyle of students was moderate. More attention to the above areas, such as well-being status and applying required interventions, can help to improve the situation.

scholarly journals The Prevalence of Addiction to Social Network Among Students in Iran and its Factors Related: A Study Conducted in 2020

2021 ◽  
Vol 17 (1) ◽  
pp. 170-176
Author(s):  
Hoorieh Rahiminia ◽  
Hamid Soori ◽  
Mahdi Jafari ◽  
Soheila Khodakarim
Keyword(s):  
Social Networks ◽  
Statistical Data ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Data Collection Tool ◽  
Medical Sciences ◽  
Related Factors ◽  
Cross Sectional ◽  
Significant Relationships ◽  
The Social

Background: In the present era, the prevalence of addiction to social networks has shown that many users, including students, are detaching from the real world. Therefore, this study aims to estimate the prevalence of addiction to the social networks among students in Iran and its related factors. Methods: This is a cross-sectional study conducted in 2020 on 1000 students in Shahid Beheshti University of Medical Sciences, Tehran, Iran. The data collection tool was a standardized questionnaire about addiction to the social networks distributed online among students. Statistical data were analyzed using Stata software version 14. Results: Generally, 462 students (44%) had addiction to social networks, of which 449 (90.04%) had slight addiction and 13 (9.96%) had severe addiction. The results showed that age (p = 0.001), type of disciplines in the treatment-related subgroup (p = 0.03) and using nerve medicine (p = 0.0001) had significant relationships with addiction to social networks. Conclusion: Considering that a high number of students in the present study are at high risk of addiction, it is suggested that educational programs should be implemented to improve the knowledge of parents and students for optimal use of social networks and raise awareness of the harmful consequences of addiction.

scholarly journals Clinical and Laboratory Presentations of Leptospirosis Patients in North of Iran

2017 ◽  
Vol 7 (1) ◽  
pp. 122
Author(s):  
Mostafa Javanian ◽  
Masomeh Bayani ◽  
Moharam Esfandiar ◽  
Arefeh Babazadeh ◽  
Soheil Ebrahimpour
Keyword(s):  
Cross Sectional Study ◽  
Clinical Findings ◽  
Positive Finding ◽  
Medical Sciences ◽  
Cross Sectional ◽  
Tropical Regions ◽  
Global Spread ◽  
Chief Complaints ◽  
North Of Iran ◽  
The Mean

Leptospirosis is a zoonosis that common in warm and tropical regions with global spread and it is an occupational disease. The aim of recent study was to evaluate the clinical and Para clinical findings of leptospirosis patients in Babol, northern of Iran. In this cross-sectional study, 118 patients with high suspicion to leptospirosis admitted to hospitals of Babol University of Medical Sciences, Babol, Iran, during 2009 -2011. Thirty one cases with positive finding (IFA) were enrolled as definitive Patients. Clinical and Para clinical data for all patients were recorded. The mean age of the confirmed ‎patients (male: 71%, rural: 90.5%) was 48.5 years (range 18-80 years old). The commonest chief complaints were fever (71%) and ichter (19%) and among the clinical features of them fever (90.5%), gastro intestinal signs (80.5%), ichter (71%) and headache(68%) was the most prevalent ones. Weil's syndrome occurred in 10 (32%) patients. Thrombocytopenia and leukocytosis were noticed in 80.5% and 42% of the patients respectively. Transaminases in 80.5% of cases were above the normal upper limit. Based on current study, the most of leptospirosis patients were farmers and presented in hot seasons. The commonest clinical and laboratory pattern of this disease in our region was fever, ichter, myalgia and headache in conjunction with Mild elevations in levels of transaminases and thrombocytopenia that can be used as a good marker in early clinical diagnosis and treatment.

Stigma and COVID-19 in Iran: a rapid assessment

2020 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Azad Shokri ◽  
Ghobad Moradi ◽  
Amjad Mohamadi Bolbanabad ◽  
Mitra Satary ◽  
Mahin Shabrandi ◽  
...  
Keyword(s):  
Design Methodology ◽  
Rapid Assessment ◽  
Cross Sectional Study ◽  
Self Report ◽  
Data Collection Tool ◽  
Perceived Stigma ◽  
Cross Sectional ◽  
Content Type ◽  
Stigma Score ◽  
The Mean

Purpose The purpose of the study is to investigate the perceived stigma among residents of Sanandaj, west of Iran, following COVID-19 pandemic. Design/methodology/approach This is a cross-sectional study conducted from March to April 2020. The sample consisted of 1,000 participants who live in Sanandaj. The data collection tool was a self-report electronic questionnaire. ANOVA and T-test were used to analyze the data. Findings The mean perceived stigma for COVID-19 was 5.50±2.24 (IQR: 3.75–6.87) out of 10-point scale. The highest point was seen for perceived external stigma (6.73±2.49, IQR: 5–8.75) followed by disclosure stigma (4.95±3.92, IQR: 0–10). Interestingly, self-employers were more concerned about disclosing their illness than those with governmental jobs (25±3.93 vs. 4.31±4.14, P<0.05), and also had an overall higher stigma score; 5.72±2.23 vs. 5.19±2.37, P<0.05). Originality/value COVID-19 stigma is high among Iranians and more common among men, youngsters and self-employers.

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