Mohammad Arab
Department of Health Management and Economics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran
[ 1 ] - Changes in Socio-Economic Inequality in Neonatal Mortality in Iran Between 1995-2000 and 2005-2010: An Oaxaca Decomposition Analysis
Background Exploring changes in health inequality and its determinants over time is of policy interest. Accordingly, this study aimed to decompose inequality in neonatal mortality into its contributing factors and then explore changes from 1995-2000 to 2005-2010 in Iran. Methods Required data were drawn from two Iran’s demographic and health survey (DHS) conducted in 2000 and 2010. Normalized...
[ 2 ] - Improving Fraud and Abuse Detection in General Physician Claims: A Data Mining Study
Background We aimed to identify the indicators of healthcare fraud and abuse in general physicians’ drug prescription claims, and to identify a subset of general physicians that were more likely to have committed fraud and abuse. Methods We applied data mining approach to a major health insurance organization dataset of private sector general physicians’ prescription claims. It involved 5 ste...
[ 3 ] - Factors Affecting Family Physicians’ Drug Prescribing: A Cross-Sectional Study in Khuzestan, Iran
Background Rational prescription is a considerable issue which must be paid more attention to assess the behavior of prescribers. The aim of this study was to examine factors affecting family physicians’ drug prescribing. Methods We carried out a retrospective cross-sectional study in Khuzestan province, Iran in 2011. Nine hundred eighty-six prescriptions of 421 family physicians (including 3...
[ 4 ] - Nurses Exposure to Workplace Violence in a Large Teaching Hospital in Iran
Background Workplace violence is one of the factors which can strongly reduce job satisfaction and the quality of working life of nurses. The aim of this study was to measure nurses’ exposure to workplace violence in one of the major teaching hospitals in Tehran in 2010. Methods We surveyed the nurses in a cross-sectional design in 2010. The questionnaire was adapted from a standardized quest...
[ 5 ] - بررسی رابطه عدالت سازمانی و پاسخگویی در بیمارستان های دانشگاه علوم پزشکی تهران
Background and aims: Organizational justice has shown the perception of fairness and equality in the workplace by staff and responsibility is the ability of Health systems in response to people's non-medical expectations. One of the important components in a health care system is hospitals and the increased responsibility of hospitals is one of the factors affecting the perception of justice. T...
[ 6 ] - بررسی ارتباط بین شاخصهای محیط کاری پرستاران و ابعاد فرسودگی شغلی آنان در بیمارستانهای عمومی آموزشی دانشگاه علوم پزشکی تهران
Background and Aims: In a healthy organization, staff's physical and mental health is as important and considerable as production and productivity. Burnout is a result of long-term tension and stress in the job environment. Its symptoms occur when employees' power and potency is not enough for the job environment demands. Emotional exhaustion, depersonalization and lack of personal accomplish...
[ 7 ] - ارزیابی کیفیت خدمات غیر بالینی بیمارستانی با استفاده از تکنیک مبتنی بر طبقه بندی: مطالعه مقطعی در یکی از بیمارستان های تهران
Introduction: The process of the measuring quality needs an efficient instrument for recognizing and prioritizing criterions of a systematic process for measuring quality improvement. Measuring Attractiveness by a Categorical Based Evaluation Technique maybe can help researchers in complex process of measuring quality. Methods: This is a cross-section study that has three main steps. First s...
[ 8 ] - رابطه سبکهای رهبری رؤسا و مدیران بیمارستانها با شاخصهای عملکرد بیمارستان
¯ چکیده زمینه : بیمارستانها در اولویت توسعه بخش بهداشت و درمان کشور قرار دارند. یکی از مهمترین وظایف مدیران, هدایت و رهبری کارکنان است که در اثربخشی و کارایی بیمارستان دارد. هدف : مطالعه به منظور تعیین ارتباط سبکهای رهبری مدیران و رؤسای بیمارستانها با شاخصهای عملکرد بیمارستان انجام شد. مواد و روشها : این مطالعه تحلیلی در سال 1383 بر روی مدیران و رؤسای 8 بیمارستان استان قم (16 نفر) انجام شد. اب...
[ 9 ] - مطالعه هزینه‌های کمرشکن و منجر به فقر سلامت در جمعیت شهری تهران
Introduction: Measurement of financial support for health services is determined by household out of pocket expenditure for health which is associated with two approaches: catastrophic and impoverishing health expenditures. Therefore, this study aimed to investigate the catastrophic and impoverishing health expenditure in Tehran urban population. Method: This cross-sectional study was con...
[ 10 ] - تعیین کارایی بیمارستانهای تأمین اجتماعی شهر تهران بر اساس مدل پابون لاسو
Introduction: Hospitals are the centers consuming most of the resources in the health sector. Determining the efficiency of hospitals is very beneficial when resources are limited. To determine efficiency of an organization, several indicators are used for comparison. Pabon Lasso Graph is one of the techniques that simultaneously compares these indicators. The main purpose of this study was to ...
[ 11 ] - Reduction and elimination solutions of informal payment in Iran’s health system
Background: Informal payments can cause delayed access to health care services, forcing people to sell their properties for cost of treatment; and as a result, they lose trust in the health system. Considering the importance of this issue, this study was conducted in 2016 to identify solutions to reduce and eliminate informal payments in Iran’s health system. Methods: Initia...
[ 12 ] - Leadership challenges in health care organizations: The case of Iranian hospitals
Background: Effective leadership is a vital component of health care systems and has an extensive range of functions in improving organizational effectiveness and efficiency. This study aimed at exploring leadership challenges encountered by leaders in Iranian hospitals. Methods: This qualitative study was conducted on a purposeful sample of 27 members of hospital management team ...
[ 13 ] - Does smoking status affect cost of hospitalization? Evidence from three main diseases associated with smoking in Iran
Background: Smoking is recognized as one of the main public health problems worldwide and is accounted for a high financial burden to healthcare systems and the society as a whole. This study was aimed at examining the effect of smoking status on cost of hospitalization among patients with lung cancer (LC), chronic obstructive pulmonary disease (COPD) and ischemic heart disea...
[ 14 ] - Economic burden of smoking: a systematic review of direct and indirect costs
Background: Smoking imposes considerably high economic costs both on the healthcare system as well as on a country as a whole. This study was aimed at systematically reviewing the currently published literature on the direct and indirect costs associated with smoking globally. Methods: A systematic review was performed on systematically searched articles from PubMed ...
[ 15 ] - Gender equity in health: A secondary analysis of data in Iran
Background: Gender inequality harms the health of millions of women and girls in all over the world. This study aimed to identify the state of gender equity in the health sector of the Islamic Republic of Iran. Methods: This study was based on the secondary analysis of the available data in four provinces. The research team held three sessions to select the appropriate indicators for ...
[ 16 ] - ارزیابی عملکرد بیمارستانهای نهم‌دی و رازی شهرستان تربت حیدریه براساس مدل پابن لاسو و مقایسه تطبیقی آن با استانداردهای کشوری در سال-های 1393-1394
Background and Aim: In the field of health, due to the limited resources and sensitivity of the subject of treatment, performance evaluation gains more importance. The main objective of this research was to evaluate the performance of two hospitals in Torbat Heydarieh city based on the PABON LASSO model and to compare the performance indicators with national standards during 2014-2015. Methods...
[ 17 ] - A Comparative Study on Different Pharmaceutical Industries and Proposing a Model for the Context of Iran
Medication is known as the main and the most effective factor in improving public health. On the other hand, having a strong and effective pharmaceutical industry will, to a very large extent, guarantee people's health. Therefore, this study was prospected to review the different pharmaceutical industries around the world and propose a model for the context of Iran. This is a qualitative as wel...
[ 18 ] - A Comparative Study on Different Pharmaceutical Industries and Proposing a Model for the Context of Iran
Medication is known as the main and the most effective factor in improving public health. On the other hand, having a strong and effective pharmaceutical industry will, to a very large extent, guarantee people's health. Therefore, this study was prospected to review the different pharmaceutical industries around the world and propose a model for the context of Iran. This is a qualitative as wel...
[ 19 ] - معتبر سازی پرسشنامه نگرش کارکنان نسبت به استفاده از اجبار در درمان بیماران روانی و ارزیابی آن در بیمارستان های منتخب روانپزشکی دولتی شهر تهران در سال1394
Background: This study was conducted to validate the "staff attitude toward the use of coercion in the treatment of mentally ill patients" questionnaire and assessed their attitude in selected public psychiatric hospitals in Tehran city. Materials and Methods: This is a descriptive and analytical study which was carried out on three hospitals of Tehran University of Medical Sciences, Iran Univ...
[ 20 ] - تأثیر مدیریت کیفیت بر کاهش کسورات بخش اعمال جراحی بیمارستان ولیعصر(عج) یک مطالعه اقدام پژوهی مشارکتی
Background: The health system of Iran is suffering from resources shortage. The health insurance companies (payers) do not confirm all hospitals’ claims (bills) and as a result do not reimburse them completely. Decreasing the amount of these deductions helps healthcare managers to use their resources efficiently. This study aimed to examine the impact of a quality management model on reducing t...
[ 21 ] - سنجش کیفیت خدمات ارائه شده در بخش های منتخب بیمارستانی (مطالعه موردی با استفاده از تکنیک های تصمیم گیری چند معیاره)
Abstract Background and Aim: Especially in the case of Hospital services, quality assesment is an complicated and vague issue. For achieving this goal Multiple Criteria Decision Making methods help us. These studies aims to knowledge and prioritize quality indicators and rank selected inpatient wards in an elected hospital of Tehran university of medical science by using Analytical Hier...
[ 22 ] - چالش های موجود در ارزیابی نحوه استقرار برنامه حاکمیت بالینی از دیدگاه ارزیابان کشوری (مطالعه کیفی)
Background: Clinical Governance (CG) is a framework which obligates heath care system to responsiveness regarding maintaining and improving health care services' quality. Purpose of this study was to exists challenges in Clinical Governance establishment evaluation based on national assessors' aspect. Materials and Methods: This qualitative study was conducted with national assessors' partic...
[ 23 ] - محاسبه قیمت تمام شده خدمات بخش فیزیوتراپی بیمارستان آموزشی درمانی سینا تهران بر اساس روش هزینه یابی بر مبنای فعالیت و مقایسه آنها با تعرفه های مصوب در سال 1392
Background: Todays, hospitals are facing with shortage of resources and increasing costs challenges, So, cost information and cost calculation of hospital delivered services can be effective in efficient resources allocation and tariff rates reforming and budget. This study aimed at calculating the cost of services and physiotherapy department's income of Sina hospital and comparing with appro...
[ 24 ] - ارزیابی وضعیت ایمنی در جمع آوری پسماند های بیمارستانی توسط خدمه در بیمارستان های دولتی تحت پوشش دانشگاه علوم پزشکی تهران در سال 1391
Background: Hospital waste need a very sensitive and cautious attention due to holding hazardous, toxic, and pathogenic factors such as infectious, pharmaceutical, pathological, chemical and radioactive left-overs. Thus, this study aimed to evaluate the observance of safety measures by workers responsible for collecting hospital wastes in the public hospitals affiliated to Tehran University of ...
[ 25 ] - بررسی عوامل موثر بر ترک بیمارستان با مسئولیت شخصی در بیماران مراجعه کننده به واحد اورژانس مرکز آموزشی- درمانی امیراعلم تهران، سال 1391
Background: Patient`s self-discharge from the hospital is a process in which a patient leaves the hospital before completing his or her determined treatment period by his own will. This study is aimed to survey the factors affecting patient`s self-discharge from the hospital in emergency ward of a referred hospital. Materials and Methods: This is a case-control study. The 280 selected samples w...
[ 26 ] - معتبر سازی برگردان فارسی پرسشنامه پیمایش بیمارستان در مورد فرهنگ ایمنی بیمار با استفاده از تکنیک تحلیل عاملی تاییدی
Background: Patient safety is one of the most important components of health care quality. Given that assessing the current culture of patient safety is the first step in improving patient safety, we decided to translate and validate one of the most used patient safety culture assessment tool (HSOPS questionnaire) for the first time in Iran, and in this way take a step toward improving patient ...
[ 27 ] - بررسی علل بستری مجدد بیماران در بیمارستانهای دانشگاه علوم پزشکی تهران
Background: Most hospitals face with incremental demands, low facilities and readmission of patients as well as dissatisfaction of the clients in regarding to the quality and access of services. Investigating the reasons for readmission and solutions for decreasing the rate of these kinds of admissions can decrease hospital expenditures and improve the efficiency of hospital recourses. By offer...
[ 28 ] - سنجش وضعیت فرهنگ ایمنی بیمار در بیمارستانهای عمومی وابسته به دانشگاه علوم پزشکی تهران
دریافت: 18/4/91 پذیرش: 26/5/92 مقدمه: ایمنی بیمار مهمترین بخش مراقبت و یکی از ستون‌های اصلی حاکمیت بالینی ( Clinical Governance ) می‌باشد. نخستین مرحله از طرح گام به گام ارتقای ایمنی بیمار، آگاهی از فرهنگ ایمنی و تلاش در جهت بهبود آن است. با توجه به اهمیت حاکمیت بالینی در نظام سلامت کشور و حرکت بیمارستانها به سمت ایجاد " بیمارستانهای دوستدار ایمنی بیمار " ، مطالعه حاضر با هدف ارزیابی وضع...
[ 29 ] - تحلیل عوامل مؤثر بر مدت زمان اقامت بیماران در بیمارستانهای دولتی استان لرستان
مقدمه: مدت اقامت در بیمارستان شاخص مهمی است که امروزه به طور وسیع برای تحلیل میزان استفاده از خدمات و کارآیی و عملکرد فعالیت‌های بیمارستانی مورد استفاده قرار می‌گیرد. هدف این پژوهش بررسی عوامل مؤثر بر مدت اقامت بیماران در بیمارستانهای دولتی استان لرستان می‌باشد. روش‌کـار: این مطالعه از نوع توصیفی- تحلیلی و مقطعی است. نمونه‌های پژوهش (پرونده 662 بیمار بستری) به روش نمونه‌گیری تصادفی انتخاب شد. ...
[ 30 ] - مطالعه کیفی بررسی ابعاد و درجه اعطای خودگردانی به بیمارستانهای دانشگاهی مورد پژوهش
مقدمه: هدف ما تعیین کلیدی‌ترین ابعاد سازمانی اثرگذار بر خودگردانی بیمارستانهای عمومی دانشگاهی و تعیین میزان خودگردانی اعطا شده در هر یک از این ابعاد بود. روش کـار: شش بیمارستان وابسته به سه دانشگاه علوم پزشکی تهران، ایران و شهید بهشتی به صورت تصادفی انتخاب شدند. در این مطالعه کیفی با 27 نفر از مسؤولان بیمارستانها (میزان پاسخگویی 82%) مصاحبه انجام شد. راهنمای نیمه ساختاری مصاحبه‌ها بر اساس چه...
[ 31 ] - Risk Factors for Falls in Hospital In-Patients: A Prospective Nested Case Control Study
Background Patient falls are considered a challenge to the patient’s safety in hospitals, which, in addition to increasing the length of stay and costs, may also result in severe injuries or even the death of the patient. This study aims to investigate the associations between risk factors among fallers in comparison with the control group. Methods A prospective nested...
[ 32 ] - Construction and Validation the Healthy Lifestyle Questionnaire Among the Iranian Elderly Who Receive Home Care Services
Objectives: Investigating the elderlychr('39')s lifestyle conditions is a challenging issue, due to various factors influencing lifestyle. The current study was developed to explore the construct and validity of the Healthy Lifestyle Questionnaire (HLQ) among the Iranian elderly who receive home care services. Methods & Materials: This combinatory, sequential exploratory study was conducted fo...
[ 33 ] - Strategic analysis of the establishment of an international patient Department: a case study of specialized and sub-specialized hospitals of Tehran University of Medical Sciences
Background: Medical tourism has been considered in our country for many years. The arrival of international patients in the country will boost the medical tourism sector; however, the necessary infrastructure must be created for this. The guidelines for the establishment of the International Hospital Unit are one of the legal infrastructures for standardization in this field. Therefore, this st...
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