Health ScopePub Date : 2022-10-26DOI: 10.5812/jhealthscope-122412
Safiye Ghobakhloo, M. Miranzadeh, Y. Ghaffari, Zahra Ghobakhloo, G. Mostafaii
{"title":"Association Between Air Pollution, Climate Change, and COVID-19 Pandemic: A Review of the Recent Scientific Evidence","authors":"Safiye Ghobakhloo, M. Miranzadeh, Y. Ghaffari, Zahra Ghobakhloo, G. Mostafaii","doi":"10.5812/jhealthscope-122412","DOIUrl":"https://doi.org/10.5812/jhealthscope-122412","url":null,"abstract":"Background: Recent studies indicated the possible relationship between climate change, environmental pollution, and Coronavirus Disease 2019 (COVID-19) pandemic. This study reviewed the effects of air pollution, climate parameters, and lockdown on the number of cases and deaths related to COVID-19. Methods: The present review was performed to determine the effects of weather and air pollution on the number of cases and deaths related to COVID-19 during the lockdown. Articles were collected by searching the existing online databases, such as PubMed, Science Direct, and Google Scholar, with no limitations on publication dates. Afterwards, this review focused on outdoor air pollution, including PM2.5, PM10, NO2, SO2, and O3, and weather conditions affecting severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2)/COVID-19. Results: Most reviewed investigations in the present study showed that exposure to air pollutants, particularly PM2.5 and NO2, is positively related to COVID-19 patients and mortality. Moreover, these studies showed that air pollution could be essential in transmitting COVID-19. Local meteorology plays a vital role in coronavirus spread and mortality. Temperature and humidity variables are negatively correlated with virus transmission. The evidence demonstrated that air pollution could lead to COVID-19 transmission. These results support decision-makers in curbing potential new outbreaks. Conclusions: Overall, in environmental perspective-based COVID-19 studies, efforts should be accelerated regarding effective policies for reducing human emissions, bringing about air pollution and weather change. Therefore, using clean and renewable energy sources will increase public health and environmental quality by improving global air quality.","PeriodicalId":12857,"journal":{"name":"Health Scope","volume":" ","pages":""},"PeriodicalIF":0.6,"publicationDate":"2022-10-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41898432","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Health ScopePub Date : 2022-10-26DOI: 10.5812/jhealthscope-118032
P. Raeissi, A. Aryankhesal, Niusha Shahidi Sadeghi, H. Kalantari
{"title":"Root Cause Analysis (RCA) of Adverse Events in One of the Biggest Western Iranian General Hospitals: Short Communication","authors":"P. Raeissi, A. Aryankhesal, Niusha Shahidi Sadeghi, H. Kalantari","doi":"10.5812/jhealthscope-118032","DOIUrl":"https://doi.org/10.5812/jhealthscope-118032","url":null,"abstract":"Background: In developing and underdeveloped countries, medical error is often either not reported or reported improperly for various reasons. Root cause analysis (RCA) is a systematic method to determine how various factors contribute to the occurrence of medical errors. Objectives: The current study analyzed the root cause of one of western Iran’s biggest general hospitals. Methods: This retrospective RCA was conducted through a qualitative approach in 2019 following the National Patient Safety Agency (NPSA) protocol in seven steps: Initialization of the process, collecting and mapping information, identifying issues related to care delivery problems (CDP) or service delivery problems (SDP), event analysis, identifying the involved factors in the event - root causes, providing solutions, implementing solutions, and submission of reports. Results: According to the results of this study, 61 cases were examined, and committees accepted the errors in 11 cases. Here, 49 CDP and 13 SDP factors were identified. Care delivery problems factors were selected for all events based on the team’s viewpoints. Overall, task-related causes (20 cases), individual causes (17 cases), management-related causes (14 cases), training-related causes (8 cases), and causes related to work environment and conditions (7 cases) were specified. Conclusions: Accepting mistakes is the first step in the hope of improvement. In this hospital, only 11 cases of mistakes had been accepted by the authorities. In most cases, the proposed solutions to this issue included personnel training, monitoring system strengthening, and developing and standardizing processes. Overall, this study and other similar studies showed errors during service delivery and through service providers.","PeriodicalId":12857,"journal":{"name":"Health Scope","volume":" ","pages":""},"PeriodicalIF":0.6,"publicationDate":"2022-10-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48541483","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Health ScopePub Date : 2022-10-16DOI: 10.5812/jhealthscope-129849
S. Bokaie, A. Bahonar, A. Haghdoost, S. Daneshi, E. Barfar
{"title":"Advantages of Disability-Adjusted Life Years to Measure the Burden of COVID-19","authors":"S. Bokaie, A. Bahonar, A. Haghdoost, S. Daneshi, E. Barfar","doi":"10.5812/jhealthscope-129849","DOIUrl":"https://doi.org/10.5812/jhealthscope-129849","url":null,"abstract":"<jats:p />","PeriodicalId":12857,"journal":{"name":"Health Scope","volume":" ","pages":""},"PeriodicalIF":0.6,"publicationDate":"2022-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47193093","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Health ScopePub Date : 2022-09-10DOI: 10.5812/jhealthscope-120953
M. Shabani, F. Karimi, R. Khodayari-zarnaq, Taha Mohammadhoseini, Farahnaz Ezzati
{"title":"Factors Affecting Children’s Mortality Due to Traffic Accidents Using Haddon Model and Statistical Process Control in Ardabil Province, Iran","authors":"M. Shabani, F. Karimi, R. Khodayari-zarnaq, Taha Mohammadhoseini, Farahnaz Ezzati","doi":"10.5812/jhealthscope-120953","DOIUrl":"https://doi.org/10.5812/jhealthscope-120953","url":null,"abstract":"Background: The under-five mortality rate is one of the most important indicators of sustainable development, and accidents and injuries are the leading causes of child mortality. Objectives: The purpose of this study was to investigate the factors affecting child mortality from road traffic accidents in Ardabil province, Iran. Methods: This descriptive-analytical study investigated all mortalities of children under 5 years from road traffic accidents and injuries that occurred in Ardabil within 2013 and 2021. Standard questionnaires of the Child Health Department of the Iran Ministry of Health and Medical Education were used to collect data. Based on the Haddon matrix, the data were classified into three groups, namely Pre-event, Event, and Post-event. P-charts were used in statistical process control to control the care process in the system and identify specific and general causes. The data were analyzed in SPSS software (version 24). Results: A total of 64 mortalities occurred in the period under review. According to the Haddon Matrix analysis, environmental factors had the greatest impact in the Pre-event phase (41.6%); nevertheless, human factors had the greatest impact in the Event phase (62%) and the Post-event phase (46.8%). Conclusions: Given that road traffic accidents are the leading cause of accidents and unintentional injuries in Iran, with a rate of 38.3%, it is necessary to enhance safety-related knowledge and skills, develop safe streets and roads, ensure child safety in cars, and promote safe vehicle use. As for the regulatory bodies, enforcing strict driving rules and regulations, providing necessary monitoring and control, and facilitating access to emergency centers should be the top priorities.","PeriodicalId":12857,"journal":{"name":"Health Scope","volume":" ","pages":""},"PeriodicalIF":0.6,"publicationDate":"2022-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41537165","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Health ScopePub Date : 2022-09-07DOI: 10.5812/jhealthscope-129176
M. Ghasemi, M. Amini-Rarani, Nasrin Shaarbafchi Zadeh, S. Karimi
{"title":"Role of Public-Private Partnerships in Primary Healthcare Services Worldwide: A Scoping Review","authors":"M. Ghasemi, M. Amini-Rarani, Nasrin Shaarbafchi Zadeh, S. Karimi","doi":"10.5812/jhealthscope-129176","DOIUrl":"https://doi.org/10.5812/jhealthscope-129176","url":null,"abstract":"Background: The public health system is currently facing a shortage of resources, and the demand for healthcare has increased, indicating the need to use the capacities of other sectors through public-private partnership (PPP) strategies to improve the quantity and quality of health services. Objectives: The purpose is to identify PPPs' role in providing primary healthcare worldwide. Methods: This study was conducted in 2020. The Arksey O’Malley framework was used, along with a systematic literature search on five databases, including Web of Science (ISI), Scopus, Pubmed, ProQuest, and Google Scholar. Data were gathered from 2000 to 2020. Results: The findings presented in this study are reported based on 16 selected studies. The findings point to the positive impacts of cooperation between the public and private sectors in health care systems on matters of provision, coverage, and performance of services, as well as improvements in responsiveness to providers towards enhancing health referral systems. The provision of participatory services in countries varied according to their level of development, and further interactions between the government and the private sector resulted in better coverage and reduced inequality in service delivery. Conclusions: Public-private partnership is an effective way to achieve sustainable development goals. Public-private partnerships can be strengthened by integrating public and private sector facilities and aligning the interests and motivations of service providers with public health goals. Also, awareness of the plans and capacity of public and private sectors, along with conscious and mutual interaction, can strengthen health on a larger scale. Scientific approaches and correct participation can also relieve the part of governmental responsibilities to focus on more primary measures so that it can carry out its core tasks, including stewardship, policy-making, and supervision, with greater focus and power to facilitate the achievement of goals.","PeriodicalId":12857,"journal":{"name":"Health Scope","volume":" ","pages":""},"PeriodicalIF":0.6,"publicationDate":"2022-09-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47720202","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Health ScopePub Date : 2022-08-27DOI: 10.5812/jhealthscope-123782
Emir Tahmazi Aghdam, N. Joudyian, Mohammad Esmaeel Tavakoli, A. Choopani, S. Vatankhah, Hamideh Nafar
{"title":"Prolonged Discharge Process in Pediatric Teaching Hospitals","authors":"Emir Tahmazi Aghdam, N. Joudyian, Mohammad Esmaeel Tavakoli, A. Choopani, S. Vatankhah, Hamideh Nafar","doi":"10.5812/jhealthscope-123782","DOIUrl":"https://doi.org/10.5812/jhealthscope-123782","url":null,"abstract":"<jats:p />","PeriodicalId":12857,"journal":{"name":"Health Scope","volume":" ","pages":""},"PeriodicalIF":0.6,"publicationDate":"2022-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47761679","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Health ScopePub Date : 2022-08-26DOI: 10.5812/jhealthscope-127242
M. Tarrahi, Mahdi Rezaei Kahkha Zhaleh
{"title":"Investigating Internet Addiction and Sleep Quality Correlation Among Students of Isfahan University of Medical Sciences in 2021","authors":"M. Tarrahi, Mahdi Rezaei Kahkha Zhaleh","doi":"10.5812/jhealthscope-127242","DOIUrl":"https://doi.org/10.5812/jhealthscope-127242","url":null,"abstract":"Background: The quality of sleep plays an important role in physical development, as well as maintaining physical and mental health. Approximately 20% of Iranian students suffer from Internet addiction, and 56% suffer from insomnia. Objectives: This study aimed to investigate the relevance of Internet addiction and sleep quality among Isfahan University of medical sciences students. Methods: This cross-sectional study was conducted as a questionnaire at the Medical Sciences University of Isfahan. The collected data had three components: (1) Demographic information, (2) sleep quality with the Pittsburgh Sleep Quality Index (PSQI), and (3) amount of internet use with a questionnaire of 20 Internet Addiction Tests (IAT). Logistic regression was used to find any association between Internet Addiction and Sleep quality. Results: A total of 562 female and male students participated in the study, with a mean age of 21.41 ± 1.87. Internet users with moderate and mild addiction had poorer sleep quality than those with normal and severe Internet addiction. Logistic regression analysis showed an association between Internet addiction scores and sleep quality (OR = 1.035: 1.02, 1.04, P < 0.001). In addition, poor sleep quality was also predicted by the subgroups \"excessive internet use\" and \"anticipation\". Conclusions: The relationship between internet addiction and sleep quality was significantly negative. Universities and all educational institutions can use it to control the effects of Internet abuse and the quality of sleep of students.","PeriodicalId":12857,"journal":{"name":"Health Scope","volume":" ","pages":""},"PeriodicalIF":0.6,"publicationDate":"2022-08-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48115918","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Health ScopePub Date : 2022-08-22DOI: 10.5812/jhealthscope-115961
M. Abdoljabari, Faraj Hosseinian-Sarajehloo, Rozina Rahnama, Marzieh Karamkhani, Bahareh Kashani-Movahhed
{"title":"Designing a Measurement Scale for Spiritual Health of the Elderly in Tehran/Iran (2019)","authors":"M. Abdoljabari, Faraj Hosseinian-Sarajehloo, Rozina Rahnama, Marzieh Karamkhani, Bahareh Kashani-Movahhed","doi":"10.5812/jhealthscope-115961","DOIUrl":"https://doi.org/10.5812/jhealthscope-115961","url":null,"abstract":"Background: Spiritual health is one of the important dimensions of health that causes the coherence and harmony of other dimensions of health in human beings. Due to the increasing number of elderly, considering the status of their health is important. Objectives: The present study was an attempt to design and evaluate a measurement instrument for spiritual health in the Iranian elderly, which is appropriate for the Iranian society. Methods: This mixed methods study used a sequential exploratory strategy. In the first phase, spiritual health items were extracted based on a review of the previous studies and interviews with experts and the elderly using direct content analysis. In the second phase, the standardized questionnaire was assessed by performing validity and reliability tests on 400 elderly residents of Tehran. The participants were selected based on the purposive sampling method from the elderly referring to nursing homes. To analyze the collected data, qualitative content analysis was employed. In the first phase, 45 items of the questionnaire were extracted based on the interviews. After quantitatively determining the face and content validity, six items were removed, and the questionnaire items were reduced to 39 items. Results: Exploratory factor analysis on this questionnaire identified five factors that explained a total of 52.2% of the total variance of the test. The Cronbach's alpha coefficient obtained confirmed the high internal consistency of the questionnaire (0.925). Also, a high correlation was reported between the test and retest with a 10-day interval (r = 0.997). In addition, a high and significant correlation was reported in the simultaneous implementation of the designed instrument with Paloutzin and Ellison’s spiritual health instrument (r = 0.76). Conclusions: In general, based on the present study's findings, the designed questionnaire has an acceptable level of validity and reliability and is usable for the elderly.","PeriodicalId":12857,"journal":{"name":"Health Scope","volume":" ","pages":""},"PeriodicalIF":0.6,"publicationDate":"2022-08-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47865362","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Health ScopePub Date : 2022-08-14DOI: 10.5812/jhealthscope-126407
Ramin Rezapour, M. Letaief, A. Khosravi, M. Farahbakhsh, E. Ahmadnezhad, S. Azami, J. Tabrizi
{"title":"Primary Health Care Quality Assessment Frameworks: State of the Art Review","authors":"Ramin Rezapour, M. Letaief, A. Khosravi, M. Farahbakhsh, E. Ahmadnezhad, S. Azami, J. Tabrizi","doi":"10.5812/jhealthscope-126407","DOIUrl":"https://doi.org/10.5812/jhealthscope-126407","url":null,"abstract":"Context: Quality Assessment Frameworks (QAFs) are essential in monitoring progress in the primary health care (PHC) system. Different QAFs are used in countries to assess PHC quality. Objectives: This study aimed to review and compare the QAFs and highlight the most frequent quality indicators and dimensions. Methods: This state-of-the-art review was conducted on PHCQAFs. Required data were collected through search in Scopus, Web of Science, and PubMed databases, World Health Organization and World Bank websites, and Ministry of Health websites up to January 2022. The main keywords were quality, “primary healthcare”, PHC, “primary care”, “primary health services”, “basic healthcare”, assessment, evaluation, monitoring, measurement, improvement, indicator, OR index, pattern, framework, and model. Comparative tables were used to compare the defined quality dimensions (QDs) and quality assessment indicators (QAIs). Results: Finally, 14 PHCQAFs were retrieved, containing 94 QDs and 785 QAIs. Three PHCQAFs were proposed at the international level and others at the national level. Accessibility, coordination, and safety were the most frequent QDs, and QAIs related to smoking, alcohol and substance abuse, diabetes care, vaccination, chronic heart disease care, respiratory/infectious disease care, hypertension care, population coverage, community participation, customer satisfaction, maternal and child health, adverse event, health information management, staff empowerment, referral system, and patient rights were the most frequent among PHCQAFs. Conclusions: The current study illustrates the similarities and differences between PHCQAFs and highlights important QDs and QIs in PHC. Also, it provides a ready way for health policymakers to address key quality aspects that can help countries accelerate progress in the quality of PHC.","PeriodicalId":12857,"journal":{"name":"Health Scope","volume":" ","pages":""},"PeriodicalIF":0.6,"publicationDate":"2022-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49242571","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Health ScopePub Date : 2022-08-10DOI: 10.5812/jhealthscope-123211
M. Zafar
{"title":"Impact of the COVID-19 on the Health System and Healthcare Workers: A Systematic Review","authors":"M. Zafar","doi":"10.5812/jhealthscope-123211","DOIUrl":"https://doi.org/10.5812/jhealthscope-123211","url":null,"abstract":"Context: The coronavirus disease 2019 (COVID-19) pandemic has affected all sectors of life. The health system and healthcare workers also have been affected by the COVID-19 pandemic. Healthcare workers (HCWs) have faced major challenges in working in the hospitals due to COVID-19 pandemic. There is a need to provide evidence regarding challenges to working during the COVID-19 pandemic, specifically in developing countries. Objectives: The objective of this study was to evaluate the effect of the COVID-19 pandemic on health professionals and the health system. Methods: Ten studies conducted from January 1, 2020, to December 31, 2021were included in this review. Common search terms were impact, health, healthcare, providers, abuses, burden, and system. Different databases, such as Scopus, Web of Science, PubMed, and Google Scholar, were used. Data extraction was performed following the PRISMA recommendations. Results: The results of the systematic review showed that the hospitalization rate and numbers of out-patients have increased, leading to imposing a burden on the health system and healthcare workers (HCWs). A serious type of disease may need hospitalization and ventilatory support. The quality of healthcare institutions is unique and complex. HCWs, in their routine activities, face diverse challenges. The unexpected development of the COVID-19 pandemic was a great challenge faced by the health system and health professionals. Conclusions: The pandemic has altered the healthcare system and healthcare practice with innovative workplaces and social challenges confronted by the HCWs.","PeriodicalId":12857,"journal":{"name":"Health Scope","volume":" ","pages":""},"PeriodicalIF":0.6,"publicationDate":"2022-08-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44347374","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}