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        1 - Future research of health transformation plan using ke Ye model
        seyed mohammad mehdi baki hashemi seyed abbas ebrahimi
        Background : Given the7 years since the start of the Health System Development Plan And the need to assess the extent to which this line is adapted to the needs and policies of the community Objective:The purpose of the study was to examine how the policy was continued More
        Background : Given the7 years since the start of the Health System Development Plan And the need to assess the extent to which this line is adapted to the needs and policies of the community Objective:The purpose of the study was to examine how the policy was continued to be maintained, modified, or terminated. Methods: This research has been carried out with a qualitative and applied approach. Using library studies, the necessary documentation was gathered in the field of research. Then he conducted semi-structured interviews with 15 experts and experts in the field of health Library studies and interviews were analyzed in the form of a theme analysis method and the end-of-line policy ke ye model. Findings: Given that the health evolution plan is a major part of the electoral ideology of the eleventh and twelfth government It has the support of legal, spiritual and community demands The continuation of the implementation of the line will be deployed at least until the end of the government But according to the analysis done on the basis of the model of the plan. Conclusion: for the continuation, it needs to be modified in the policy. Run an electronic record; Referral system And family physician; Compilation of medical references; Focus on prevention And mental health; Focus on financial discipline The need for a review of the healthcare reform will bring about a correlation between the real needs of the country And executive plans to achieve macro goals and solve public issues Manuscript profile
      • Open Access Article

        2 - The Effect of the Health System Evolution Plan on the Time of Emergency Services Delivery using Interrupted Time Series Analysis (Case Study: Rasoul- e-Akram Hospital in Tehran)
        Maedeh Allahverdi Aniseh Nikravan kamran Hajinabi
        Introduction: In recent years, the country's health system has faced numerous problems that have caused dissatisfaction among the people. The Ministry of Health launched the Health System Transformation Plan with the aim of protecting people from health costs, improving More
        Introduction: In recent years, the country's health system has faced numerous problems that have caused dissatisfaction among the people. The Ministry of Health launched the Health System Transformation Plan with the aim of protecting people from health costs, improving quality, and increasing access to health care. The aim of this study is to investigate the effect of health system transformation plan on the time of providing emergency services in Hazrat Rasoul Hospital.   Methods: The statistical population of this study included all patients referred to the emergency department during the years 1391 to 1395. In order to investigate the effect of the design on the time of emergency treatment, interrupted time series analysis and Stata software have been used has been used. This method allows us to show the short and long-term plan for the duration of service. Results: The research of this study showed that the implementation of the transformation plan in the short-term does not have any impact on the waiting time but in the long-term significantly (P<0.01) has reduced the waiting time for the visit, the first treatment, preparation of the test result, receiving the test result by the doctor, receiving the final test result, receiving the ECG result, receiving the ECG result by the doctor and Receiving the final result of the ECG in Hazrat Rasool Akram Hospital. Conclusion: Findings of this study can be useful in managing the waiting time of patients to receive services after the implementation of the health system transformation plan.   Manuscript profile
      • Open Access Article

        3 - Analysis of Performance Indices of emergency Departments in Educational Hospitals of Kermanshah University of Medical Sciences Before and After Implementation of Health Sector Evolution Plan
        Mojgan Cheshmekaboodi Tayebeh Ahmadi Rujia Nikbazm Roholah Mohammadi Shirin Zarduee golanbari Ali Mohammadi
        Introduction: Analysis of the Emergency performance Indices is a criterion for understanding services that performed in this department. The aim of this study was to analyze the performance Indices of the Emergency Department of educational hospitals affiliated with Ker More
        Introduction: Analysis of the Emergency performance Indices is a criterion for understanding services that performed in this department. The aim of this study was to analyze the performance Indices of the Emergency Department of educational hospitals affiliated with Kermanshah University of Medical Sciences. Methods: The descriptive-comparative study was conducted in seven educational hospitals in the Kermanshah University of Medical Sciences in 2018. The data were collected from information technology and statistic unit from deputy of clinical affairs, using a checklist based on the performance Indices of the emergency department and its validity was determined. Data were analyzed by SPSS20 software and presented in descriptive-analytic tables. Results: Results showed that the number of patients encounter to all hospitals increased. Percentage of patients who were decided upon within 6 hours in five hospitals, left the emergency department within 12 hours in four hospitals and discharged against medical advice have decreased. Unsuccessful resuscitation increased in six hospitals. The average duration of triage in level four was increased in most centers, but difference in the duration of triage in level five was greater. And so, lowest difference in duration of triage was in level one. Conclusion: Implementation of Health Sector Evolution Plan in general and specialized centers had different effect on emergency performance Indices. The increase in specialist and emergency medicine specialists in psychiatric and general centers has not been effective, but has improved performance in specialized centers. Developing an electronic system for recording data will also provide a better analysis of the performances. Manuscript profile
      • Open Access Article

        4 - The Study of Healthcare Service Quality Effects on Patients' Satisfaction Among the University, Social Security and Private Hospitals' Wards Unites in Urmia
        yousef pashazadeh hamed valizadeh salar faridpour
        Introduction: In order to apply the health aims in the fifth development program law, health system evolution planning has prepared with three purposes: financial protection of people, make equanimity in accessibility to health services, preferment of services quality. More
        Introduction: In order to apply the health aims in the fifth development program law, health system evolution planning has prepared with three purposes: financial protection of people, make equanimity in accessibility to health services, preferment of services quality. This research has done for purpose of studying the influence of health system evolution plan on the psychological enrichment and acting life quality of treatment cadre for educational-remedial hospitals of Urmia, with the descriptive-usage correlation method.Methods: For accessing to research goals, 330 clinical personnel of educational-remedial hospitals of Urmia selected with random sampling in spring and summer of 1396. The data of research has obtained through questionnaire and the design of questionnaire has done based on standard questionnaire and advice of faculties. For analysis of data, Data distribution test (Kolmogorov-Smirnov), T test, Regression and Spearman Correlation, was used in SPSS software.Results: The results showed that impressment of performance of health system evolution plan, in one aspects of five personnel enrichment aspects, confidence, shows decrease, Whiles in four aspect of impressment, autonomy, ability and signification it shows decrease.Also impressment of performance of health system evolution plan in six aspect of eight aspects of acting life quality means, balanced work, growth facility, safe work, social coalition, social utilization, facility of security, shows increase; Whiles in two others aspects means, impress of reward able and govern of law, it shows decrease.Conclusion: Generally, it concluded that impressment of performance of health system evolution plan on the personnel enrichment was influenced just on four aspects of five aspect, Whiles in acting life quality it influenced on six aspects of eight aspects. Manuscript profile