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Open Access Article
1 - Designing a Model of Managed Care in Health Care System of Iran
B. Delgoshaei M. Ghasemithe managed care is an example of the new system of care taking which is designed to control the careexpense, manage the utilization of the services, and evaluate the services done for the improvement ofthe quality and make a proper cost- effectiveness through the manag Morethe managed care is an example of the new system of care taking which is designed to control the careexpense, manage the utilization of the services, and evaluate the services done for the improvement ofthe quality and make a proper cost- effectiveness through the managed care organization .the mostimportant objective is, study of planning, organization and control in selected country and designing amodel for Iran.it is a practical research and trough a comparative – descriptive procedure like those performed in theUSA, Australia, UK, Malaysia. The utilization of the descriptive statistics for the analysis of thequestionnaire by means of Delphi technique is done.in order to encourage the care taking of the patients in a proper way and to increase the economicaleffectiveness of the system in the investigated countries , some programs like" Integrated Care" are putin to practice, so that the expenses are controlled to a large extent. Primary care groups in UK are thesimplest form and managed care in the USA is the most complex process the integrated care. Planning,organizing and control of this model is accepted by mean 78.2 ± 1.15, 70.14 ± 1.6 and78.76 ± 3.6(Pvalu .05).it seems that, health care expenditure could be reduced considerably through establishing managedcare organizations (MCOs). So، this model can create a new way of insurance and health careservices. Manuscript profile -
Open Access Article
2 - HHC-PSS: Solving the problem of home health care with a resource constrained project scheduling approach
Hamid Reza YousefzadeIn home health care (HHC) problem, the assignment of medical teams to patients and scheduling medical members are done manually, which is a time-consuming process and sometimes are not optimized. In this article, we examine the scheduling assignment of medical teams to MoreIn home health care (HHC) problem, the assignment of medical teams to patients and scheduling medical members are done manually, which is a time-consuming process and sometimes are not optimized. In this article, we examine the scheduling assignment of medical teams to the patients with a new innovative approach based on resource constrained project scheduling problem. Advantages of proposed approach can be included the use of theorems, standard benchmark problems, and various (meta-innovative) scheduling methods to improve assignment quality, as well as determining the minimum number of human resources required to cover all medical services requested by patients. In this approach, we solve the HHC problem by defining a dynamic priority rule and using the parallel scheduling scheme. Evaluation criteria for evaluating the quality of feasible solutions resulting from scheduling include minimizing the travel time of medical team members, reducing overtimes, maximizing the number of human resources which are used, and so on. The set of feasible solutions satisfy to some constraints such as the total working time in the contracts, the hardware time window of each job, the mandatory breaking time, and the optimal assignment of the medical team to patients (according to the type of service requested by the patient). The numerical results obtained from calling the proposed algorithm on the Kolisch’s benchmarks are presented to evaluate the performance of proposed approach. Based on the results, the proposed algorithm has a high ability to solve the HHC problem. Manuscript profile -
Open Access Article
3 - A multi-objective optimization model for scheduling nurses and routing them in home health care services
Hamid Reza Yousefzadeh somayeh Harati Motlagh Moosarreza Shamsyeh ZahediRecently with the growing population and the consequences of factors such as the increase in the number of elderly and patients with chronic diseases, the demand for receiving Home Health Care (HHC) is increasing. HHC services providers are looking for the optimal solut MoreRecently with the growing population and the consequences of factors such as the increase in the number of elderly and patients with chronic diseases, the demand for receiving Home Health Care (HHC) is increasing. HHC services providers are looking for the optimal solutions in planning and scheduling HHC service delivery to maximize the satisfaction of patients and nurses in addition to minimizing the costs to patients. Accordingly on the one hand, the patients prefer to be visited at some specific periods based on their nursing skills. On the other hand, nurses are willing to provide services during their desired time windows. Following the rules corresponding to the working times in the contract, observing the soft and hard time windows, and taking required breaks are some of the restrictions that must be considered.The main objectives of this paper are to minimize the total traveling times and overtime of all nurses and to maximize the satisfaction level of patients as well as nurses, which are achieved through a multi-objective mathematical programming model.The proposed model considers the preferences of the nurses, as well as their patience. Moreover it establishes mandatory breaks for nurses after a certain period of work to assign qualified nurses to patients, optimize schedules, and determine the route of nurses, and provides high-quality services. Finally by applying the proposed model to a set of different random test problems, and by considering the stopping criterion on the problem solving time, we analyze the numerical results corresponding to optimal scheduling and allocation. Manuscript profile -
Open Access Article
4 - Examining the Spatial Spillover Effects of Misery Index on Health Care Expenditure in Selected Developing Countries
hadi rezaei Mohammad Alizadeh younes nademiIntroduction: The impact of different effective factors on health expenditure appears in the public health and health promotion. Health is a key element in economic, social, and political development and has an important role in different infrastructure of society. Cons MoreIntroduction: The impact of different effective factors on health expenditure appears in the public health and health promotion. Health is a key element in economic, social, and political development and has an important role in different infrastructure of society. Considering the previous studies in this field with the classic assumption and according to the fact that existence of spatial dependence between the observations and disregarding these effects, the method of estimating conventional econometrics will be biased. Therefore, the main aim of this study is to consider the spatial dependence between observations. Methods: we use spatial econometrics model and spatial Durbin model in order to analyze the effective variables on health expenditure in 79 selected developing countries during (1995-2014). Results: The empirical results have indicated that there is a significant negative relationship between misery index and health expenditure. It means that if the weighted average of the logarithms of misery index increases 1 percent in neighboring countries, the average logarithm of health expenditures will decrease 0.13 percent in targeted country. Moreover, the effects of per capita income (0.54) and life expectancy (0.49) on per capita health care expenditure are significantly positive. Conclusion: The results of this study indicate that if governments do not have appropriate policies to prevent the illegal immigration of foreign nationals and face difficulties in employing labor in their country, the health of the community will be compromised in long term because of the escalation of unemployment and Lack of inhibition of inflation. Manuscript profile -
Open Access Article
5 - The Role of Psychological Empowerment in the Prediction of Psychological Well - Being in Health Care Workers ran
ahmad movahhed zohreh abbasiIntroduction: The jobs that employees have the role of care are naturally susceptible to various types of physical and mental illnesses. Psychological well-being is one of the variables that can act as deterrent and moderating against such issues and problems. This stud MoreIntroduction: The jobs that employees have the role of care are naturally susceptible to various types of physical and mental illnesses. Psychological well-being is one of the variables that can act as deterrent and moderating against such issues and problems. This study aims to investigate the role of psychological empowerment in the prediction of psychological well - being in health care workers.Methods: This research is descriptive – correlative study. The statistical population of this study was 720 people of the health care workers of the city of Qayen, among which, using cluster random sampling method, and 250 people were selected as sample. Data were gathered using psychological empowerment questionnaire of Spritzer and Mishra (1995) and psychological well-being of Riff (1995). The results were analyzed using SPSS software whit Pearson correlation coefficient and regression test.Results: The results showed a positive and significant relationship between three dimensions of psychological empowerment (autonomy, meaningfulness, and trust) with psychological well-being, but there was not relationship between two other dimensions of psychological empowerment (competence and effectiveness) with psychological well-being.The results of the regression analysis showed that, among the dimensions of psychological empowerment, two dimensions (trust and self – determination) have the power to predict psychological well - being.Conclusion: Therefore, human resource needs and priorities must always be considered and as far as possible, the empowerment programs in the organization must be carried out. Manuscript profile -
Open Access Article
6 - Factors Affecting in Providing Active Aging Services in Iran
zeinab gholipour Mahmood Mahmoodi Majd Abadi Farahani Leila Riahi kamran hajinabiIntroduction: It is very important that as many as possible, elderly people remain independent and active so that they can actively participate in the community. Today, delivering quality management services for elderly people has attracted the attention of the countrie MoreIntroduction: It is very important that as many as possible, elderly people remain independent and active so that they can actively participate in the community. Today, delivering quality management services for elderly people has attracted the attention of the countries. The purpose of this study was to determine the effective factors on provide active aging services.Methods: The method of this study descriptive-cross sectional research and combination (qualitative and quantitative) method. The statistical population of this study is involved the 287 elderly managers in organizations related to the provision of active aging services. The research tool was questionnaire wich was developed by researcher. Quantitative assessment was done using content validity ratio (CVR) and content validity index (CVI). Data were analyzed by descriptive statistics, one sample t-test and SPSS software.Results: According to the findings of this study, the State Pension (Non-Contributory) payment for elderly people (p=0/001, t=32/14), long-term care insurance (p=0/001, t=27/23), mobile care services (p=0/001, t=27/71), discount card of recreational sports centers(p=0/001, t=21/41), shipping discounts (p=0/001, t=18/37), health check-ups and outpatient care services (p=0/001, t= 26/47), elderly's hospitals and specialist clinics (p=0/001, t= 22/61) and plan of study in university (p=0/001, t=17/23), are effective in providing active aging services.Conclusion: The active aging service quality will be better and will get good results in this way in long-term, if the government and other organizations focus on improving the effective components of aging services and try to solve Barriers and problems. Manuscript profile -
Open Access Article
7 - The Effects of Types of Health Services on the Economic Growth of Iran Using the Johansson - Juselius Convergence Method
Ebrahim ghaed Mohammadtaher Ahmadi Shadmehri mozhgan moradi Mohammad Sadeq mohammadiIntroduction: One of the most important parameters for improving the level of GDP and economic growth in Iran is the role of the health services sector and its related indicators. In this regard, many studies have been conducted, but the effect of simultaneous separatio MoreIntroduction: One of the most important parameters for improving the level of GDP and economic growth in Iran is the role of the health services sector and its related indicators. In this regard, many studies have been conducted, but the effect of simultaneous separation types of health services on the economic growth of Iran has not been studied. It would be helpful for policymakers to study the health indices in order to recognize the health-care index that has the greatest impact on growth and prioritize it for investment. Therefore, the main purpose of this study is to investigate the effects of Types of health services on the economic growth of Iran. Methods: This study is causal analytical in terms of the method and it is also the applied research in terms of purpose. The method of data collection is documenting – library. For this analysis, Vector Autoregressive Model, Johansson - Juselius Method and Vector Error Correction Model are used. Data collected for the period of 1981 - 2017 Were estimated by Eviews software. Results: Based on the coefficient of the error correction method indicates that about 0.86 of the short-term imbalance is adjusted in each period to achieve the long-term equilibrium. Further, in the long run, a one percentage increase in the Labor force, labor productivity, population growth rate, ratio of investment to GDP and the of types health care services ( health costs, cost of treatment, cost of education and insurance ratio), leads to 0.67, 1.77, 0.88, 1.12, 5.43, 3.02, 4.85 and 2.09 percentage increase in the GDP, respectively. Conclusion: Health cost has the most effects on economic growth in comparison with other health care services. This result could help policymakers to modify their policies in allocation of expenditures in different sectors of health services and to highlight the investment in this field in order to achieve economic growth and development in the future. Manuscript profile -
Open Access Article
8 - Designing Pathology Pattern of Green Information Technology Implementation in Hospitals and Treatment Centers
azizeh azizian amin Nikpoor zahra shokooh Masoud mohammadbagheriIntroduction: organizational ambidexterity and leadership are considered factors of growth and development in organizations. The purpose of this study was to design an organizational ambidexterity model based on knowledge oriented leadership in health care service organ MoreIntroduction: organizational ambidexterity and leadership are considered factors of growth and development in organizations. The purpose of this study was to design an organizational ambidexterity model based on knowledge oriented leadership in health care service organizations in Kerman province. Methods: The present study is descriptive which has been done by survey method. Also in terms of purpose, this study is developmental- applied research. The statistical population of the study is employees of health care service organizations in Kerman province that the sample size of 586 people is based on 5 to 10 times the number of questions in the questionnaire. In order to analyze the data, descriptive and inferential statistical methods were used and the tools of data collection are researcher-made questionnaire of knowledge oriented leadership and organizational ambidexterity. Results: Findings while confirming the proposed model, showed that knowledge oriented leadership has a positive and significant effect on organizational ambidexterity and its dimensions (exploration and exploitation) in health care organizations and the effect of knowledge oriented leadership on the dimension of exploration has been more than the exploitation dimension. Conclusion: It can be concluded that knowledge-oriented leadership has a positive and increasing (direct) effect on organizational ambidexterity (exploration and exploitation) and the ability of health care service organizations to discover new opportunities and also exploit existing competencies in this context and establishment of organizational ambidexterity requires the use of knowledge-oriented leadership style in the organization. Manuscript profile -
Open Access Article
9 - Factors Affecting Planned Human Resource Development in the Iranian Social Security Organization’s Hospitals
S. Jamaledin Tabibi Sudabe Vatankhah Amir Ashkan Nasiripour Shaghayegh Vahdat Somayeh Hessam -
Open Access Article
10 - Measurement and Assessment of environmental and occupational health the Academic libraries in Tehran
Arezou Maghsoudi Hajar Zarei S. Mohammad S. AlaviPurpose: This study aimed to assess the occupational health in the University Central Librarriess located in Tehran. Methodology: This study is a descriptive survey. The population consisted of central libraries of universities in Tehran (a total of 20 libraries). Data MorePurpose: This study aimed to assess the occupational health in the University Central Librarriess located in Tehran. Methodology: This study is a descriptive survey. The population consisted of central libraries of universities in Tehran (a total of 20 libraries). Data were collected using a questionnaire. The data obtained from the questionnaire were analyzed using SPSS software. Findings: Analysis showed that the health indicators if Tehran university libraries in total, is18 percent in poor condition, 40% percent medium, 36% good condition, and 3% very good condition. Health indicators are not observed in 3% of the libraries. Conclusion: Assessment of occupational health in Central University Libraries in Tehran with safety measures, showed that occupational health and safety is in medium condition and can be considered as successful. Manuscript profile -
Open Access Article
11 - Measurement and Assessment of environmental and occupational health the Academic libraries in Tehran
Mehdi Rahmani Mohsen HajizaynolabediniPurpose: This study aimed to assess the occupational health in the University Central Librarriess located in Tehran. Methodology: This study is a descriptive survey. The population consisted of central libraries of universities in Tehran (a total of 20 libraries). Data MorePurpose: This study aimed to assess the occupational health in the University Central Librarriess located in Tehran. Methodology: This study is a descriptive survey. The population consisted of central libraries of universities in Tehran (a total of 20 libraries). Data were collected using a questionnaire. The data obtained from the questionnaire were analyzed using SPSS software. Findings: Analysis showed that the health indicators if Tehran university libraries in total, is18 percent in poor condition, 40% percent medium, 36% good condition, and 3% very good condition. Health indicators are not observed in 3% of the libraries. Conclusion: Assessment of occupational health in Central University Libraries in Tehran with safety measures, showed that occupational health and safety is in medium condition and can be considered as successful. Manuscript profile -
Open Access Article
12 - An Approach to Integrate Wireless Sensor Networks with Cloud Computing Technology in Medical Context
Mohsen Norouzi Ali Arshaghi Mohsen Ashourian -
Open Access Article
13 - A Model of Evaluating the Agile of Health care Institute using a Stable Balanced Score Card (Case study: selected Hospitals in Guilan province)
Faegheh Saharkhiz Roshandel jalal haghighat monfared Hossein Adab -
Open Access Article
14 - Healthcare Internet of Things Technology: Getting to Know the Basics
Ali nazari -
Open Access Article
15 - A Stochastic Optimization Approach to a Location-Allocation Problem of Organ Transplant Centers
Mahshid Ghane Reza Tavakkoli-Moghaddam -
Open Access Article
16 - Investigating the Effect of Product Packaging Design on Attracting Customers about Cosmetic Products with Conjoint Analysis Method
Davood Jafari Nima Asadian Loabat Parvizi -
Open Access Article
17 - A comparison of prevalence of clear anxiety among the students with different demographic characteristics
Narjes khatoun Movahhedi rad Hojjat allah Ajvadi Maryam Ahmadi, Fatemeh Fakhar Moghadam Mahdi Akbarian Isa MalmirAnxiety is the most common mental disorder and an important factor in the incidence of social conflict and mental health disorder. The aim of this study was to survey some factors affecting the prevalence of clear anxiety in Mashhad female high-school students. This stu MoreAnxiety is the most common mental disorder and an important factor in the incidence of social conflict and mental health disorder. The aim of this study was to survey some factors affecting the prevalence of clear anxiety in Mashhad female high-school students. This study was a cross sectional study (descriptive-survey). Using Cochran's formual 570 students was chosen as the sample size. To gather the data, two questionnaires were used. The first questionnaire (checklist) was related to some variables related to socioeconomic and demographic characteristics and the second questionnaire was Spiel Berger anxiety questionnaire. The collected data were analyzed through SPSS software version16. The sampling method was multi-stage random sampling. The result showed that there was a significant relationship between the clear anxiety with mother's relationshio with the student, mother's job, mother's educational grade with, (P=0.022), father's educational grade, father's job, father educational grade, and relationship of other children with student. Considering the obtained research results the researcher suggests authorities according to the mental health in similar populations to improve the quality of mental health, more extensive studies should be conducted in the general population. Manuscript profile -
Open Access Article
18 - Adoption of Scientific Poultry Farming Practices by the Broiler Farmers in Haryana, India
C.S. Ithika S.P. Singh G. Gautam -
Open Access Article
19 - Assess the Levels of development Health services With the model Multiple Criteria Decision Making(Case study: city of Khorasan Razavi province)
M. mousavi A. meshkini M. veysian M. hosseiniHealth services In city surface with health and health mental of the citizens of Relationship Direct are. Improve Condition the health of citizens is a sign of the promotion of and human development. Assess the Levels of development Using quantitative methods Led to the MoreHealth services In city surface with health and health mental of the citizens of Relationship Direct are. Improve Condition the health of citizens is a sign of the promotion of and human development. Assess the Levels of development Using quantitative methods Led to the identification of The inequality Between the areas And the Other effort In Fields Reduction And fixes Inequalities. The present study With the aim of Exploitation The parameters considered, Looking Assessment of Situation distribution And development Health Services The city of the province, Determine the Differences in development Between them And Also Realized the Officials More attention city of Underserved and underdeveloped. Methodology, descriptive analytic And applied research The data consists of 15 indicators of health services from the last census (1390) was received. In this studyusing the model Topsis and Vikor To prioritize city of Khorasan Razavi Based on indicators of health care-The four levels Discussed . Results of the study suggest that Mashhad city as the administrative center of political and economic In situation developed City In terms of indicators Health services are Significant difference with other County There. Cities Nishapur and Sabzevar located on the second level of development And Other Cities In Level Partially Deprived And Deprived Located. Research findings suggests that Deprivation Kelly In the Provincial In terms of Entitlement Indicators of health services Dominates And distribution Health services Available Proportional With the needs Population cities Not carried out. Manuscript profile -
Open Access Article
20 - Fuzzy Implication Operators Applied to Country Health Preparation
John Mordeson Sunil Mathew Aswathi PrabhathWe use a new method to determine a fuzzy similarity measure using fuzzy implication operators. We use this method to determine the fuzzy similarity between the two rankings of countries involving health security and health care. We then find a fuzzy similarity of co MoreWe use a new method to determine a fuzzy similarity measure using fuzzy implication operators. We use this method to determine the fuzzy similarity between the two rankings of countries involving health security and health care. We then find a fuzzy similarity of countries involving the two rankings of countries with respect to national disaster and political disaster. Manuscript profile -
Open Access Article
21 - Productivity Evaluation and Measurement in Iranian Petroleum Industry Health Organization
Meysam Azimian Mahdi Karbasian Hamed Rahimpour Shahrzad FalahiIn health care provider organizations (HCPOs), there are several sub-units, simultaneously providing health and preventive services to the population covered, in which measuring productivity is one of the most important challenges for the managers of these organizations MoreIn health care provider organizations (HCPOs), there are several sub-units, simultaneously providing health and preventive services to the population covered, in which measuring productivity is one of the most important challenges for the managers of these organizations. Hence, the purpose of this study is to provide an integrative approach of data envelopment analysis (DEA) and Malmquist productivity index (MPI) to monitor the productivity in Iranian Petroleum Industry Health Organization (PIHO) as an HCPO. In this study, using the indicators related to efficiency and defining the specialized indicators affecting the performance of the sub-units of this organization, the growth rate of the performance of the sub-units was determined through calculating four distance functions and Malmquist productivity Index. According to the results of this study, 27 specialized indicators in the fields of direct and indirect health and preventive services for monitoring the effectiveness of proposed HCPO have been presented. Also, the growth rate of productivity of the fifteen areas of the organization under study has been evaluated from 2019 to 2021. The innovative aspect of this article lies in the definition of effectiveness measurement indicators and presentation of a theoretical framework for monitoring the rate of productivity in HCPOs. The findings of this applied research in health service organizations can be used to enhance capacity in different areas of health care and save resources. Manuscript profile
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