international journal of hospital research最新文献

{"title":"Compliance of General Health Clinics to National Licensure Standards: A Survey in Northwestern Iran","authors":"J. Tabrizi, F. Gharibi, Maryam Ebrahimnejad","doi":"10.15171/IJHR.2016.03","DOIUrl":"https://doi.org/10.15171/IJHR.2016.03","url":null,"abstract":"Background and Objectives: Monitoring of health organizations by the regulatory bodies is crucial to ensure high performance of health system. Although Iranian health settings are monitored by the MOHME in various ways, periodic evaluation of their continuous commitment to the national licensure standards in health domain is rare. The aim of the present study was to highlight the important of such evaluations by auditing the general health clinics of Tabriz (a metropolitan city in Northwestern Iran) based on national licensure standards. Methods: This across-sectional study surveyed all general health settings in Tabriz city. The data were collected using a validated researcher-made checklist. The collected data were summarized using descriptive statistical methods. The mean values were compared by t-test and ANOVA. Findings: The score of compliance to national licensure standards averaged at 70.5%. The highest level of compliance was observed for medical and non-medical devices dimension (78.2%) whereas the loest compliance was recorded for hygiene dimension (58.4%). Public clinics showed a significantly higher compliance to standards compared to the private settings (P and Conclusions: The level of current compliance of the surveyed clinical settings shows room for considerable improvement. Private health settings and the hygiene domain are the primary targets of focus for monitoring and intervention. Our results encourage further national-wide studies to gain a comprehensive view of the compliance of Iranian clinics to the licensure standards.","PeriodicalId":178002,"journal":{"name":"international journal of hospital research","volume":"125 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2016-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115555872","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}

{"title":"Awareness towards Occupation Exposure among Health Care Workers of a Tertiary Care Hospital: A KAP Survey","authors":"B. Kashyap, Shilpi Gupta","doi":"10.15171/IJHR.2016.01","DOIUrl":"https://doi.org/10.15171/IJHR.2016.01","url":null,"abstract":"Background and Objectives: Health care workers are under constant exposure to the risk of ooccupational blood-borne infection, which most of the time can be avoided by observing standard precautions. The aim of this study was to assess the knowledge, attitude and practices of health care workers of a sample tertiary care hospital towards occupational exposure to blood-borne pathogens. Methods: A cross sectional study was carried out among health care workers of a 2500 bedded tertiary care hospital. The study instrument was structured and pretested questionnaire designed to measure the knowledge, attitude and practices of the participants towards occupational exposure. Findings: Among the 380 respondents 22.63% gave history of sustaining NSI in the preceding 1 year. The commonest clinical activity to cause NSI among doctors was blood sampling (37.5%) followed by re-capping of needles (31.3%). Although 70.5% of the participants were aware of the immediate step to be followed after NSI, only 47.36% gave partial correct answer to the questions regarding the number of diseases transmitted by NSI, and 44.2% had the correct knowledge about the Post Exposure Prophylaxis (PEP) facilities available in the hospital. Conclusions: The prevention of transmission of blood-borne pathogens among health care workers requires an education-centric approach and a comprehensive infection control protocol along with strict compliance with the practices within the health care delivery system.","PeriodicalId":178002,"journal":{"name":"international journal of hospital research","volume":"5 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2016-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114406156","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}

{"title":"Identification of Determinant Factors of Health-Related Quality of Life in Iranian Urban Population","authors":"Sajad Vahedi, A. Rezapour, M. Arefnezhad, Sajad Lak, Fatemeh Bastami","doi":"10.15171/ijhr.2016.07","DOIUrl":"https://doi.org/10.15171/ijhr.2016.07","url":null,"abstract":"","PeriodicalId":178002,"journal":{"name":"international journal of hospital research","volume":"136 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2016-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133752512","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}

{"title":"High Ergonomic Risk of Computer Work Postures Among Iranian Hospital Staff: Evidence From a Cross-Sectional Study","authors":"M. Khandan, Z. Arab, A. Koohpaei","doi":"10.15171/IJHR.2016.06","DOIUrl":"https://doi.org/10.15171/IJHR.2016.06","url":null,"abstract":"Background and objectives: Non-ergonomic computer work has emerged as a significant cause of musculoskeletal disorders among employees of health care organizations.  Given the negative impact of such disorders on quality of work life, safety, and performance of hospital staff, there is a need to evaluate the exposure of this staff to the ergonomic risks associated with the computer-based jobs. \u0000  \u0000Methods: A sample of 150 computer user employees from two hospitals in Qom (Central Iran) was surveyed. Musculoskeletal disorder data was collected by standardized Nordic Musculoskeletal Questionnaire (NMQ). The postural states of the participants were assessed using Novel Ergonomic Postural Assessment Method (NERPA) and Rapid Office Strain Assessment (ROSA). Data were summarized by descriptive statistical methods. The correlation between categorical variables was examined by Chi-square test. \u0000  \u0000Findings: Among the total sample, 76.7% had administrative tasks, 20% were nurse and the rest were secretary of wards. Almost all participants (94%) reported work-related pain at least in one of their body limbs in the past year. Pain in neck was the most frequent (70%) musculoskeletal symptom, followed by pain in lower (62%) and upper back (55.3%), respectively. While most postures as assessed by NERPA were at medium level of ergonomic risk (left-hand, 74.7% and right hand, 69.3%), significant fraction of postures were highly risky (left-hand, 24% and right hand, 29.3%). Also ROSA recorded undesirable ergonomic score for 87.3% of the participants. Postures related to seat showed the higher frequency of undesirable scores (86.7%), followed postures associated with the use of peripherals (44%) and mouse/keyboard (26.7%), respectively. The highest frequency of inappropriate ergonomic postures as identified by both methods was observed among administrative staff. Statistical test found significant correlation between risky ergonomic postures and musculoskeletal problems (P < 0.05). \u0000  \u0000Conclusions: Our study revealed the significant ergonomic risk associated with postural states of hospital employees working in computer workstations. Our results highlight the need for further large-scale studies to identify the extent of this occupational hazard throughout the country. Given the negative impact of musculoskeletal disorders on performance of hospital personnel and thereby patient safety, possible confirmation of widespread computer-related non-ergonomic postures will require urgent intervention.","PeriodicalId":178002,"journal":{"name":"international journal of hospital research","volume":"70 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2016-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116833844","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}

{"title":"The Efficacy of Therapeutic Angiogenesis Using basic Fibroblast Growth Factor in Patients with Coronary Artery Disease: A Double-Blind, Placebo-Controlled Study","authors":"H. Ahmadi, A. Mahdavi, M. Daliri, M. Imani, A. Karimi, A. Omran, M. Najafi, M. Ahmadi, F. Fathi, Pegah Bikdeli, P. Mohammadinejad","doi":"10.15171/IJHR.2016.05","DOIUrl":"https://doi.org/10.15171/IJHR.2016.05","url":null,"abstract":"Background and Objectives: Endometrial hyperplasia (EH) is an abnormal overgrowth of endometrium that may lead to endometrial cancer, especially when accompanied by atypia. The treatment of EH is challenging, and previous studies report conflicting results. Metformin (dimethyl biguanide) is an anti-diabetic and insulin sensitizer agent, which is supposed to have antiproliferative and anticancer effects and the potential to decrease cell growth in endometrium. While some studies have evaluated the anticancer effect of metformin, studies on its potential effect on endometrial hyperplasia are rare. To address this gap, in this comparative trial study, we evaluate the effect of additive metformin to progesterone in patients with EH. Methods: In this clinical trial, 64 women with EH were randomized in two groups. The progesterone-alone group received progesterone 20 mg daily (14 days/month, from the 14th menstrual day) based on the type of hyperplasia, and the progesterone-metformin group received metformin 1000 mg/day for 3 months in addition to progesterone. Duration of bleeding, hyperplasia, body mass index (BMI), and blood sugar (BS) of the patients were then compared between the two groups. Findings: NA mean age of 44.5 years, mean BMI of 29 kg/m2 and mean duration of bleeding of 8 days were calculated for the study sample. There was no significant difference in age, BMI, gravidity, bleeding duration, and duration of disease at baseline between the two groups. While all patients in the progesterone-metformin group showed bleeding and hyperplasia improvement, only 69% of the progesterone-alone patients showed such an improvement, with the difference between the two groups being significant (P = 0.001). Although the difference between two groups in the post treatment endometrial thickness was not significant (P = 0.55), post treatment BMI in the progesterone-metformin group was significantly lower than in the progesterone-alone group (P = 0.01). In addition, the BS reduction in the progesterone-metformin group was significantly larger than that in the progesterone-alone group (P = 0.001). Conclusions: Our results indicated that administration of progesterone 20 mg/day plus metformin 1000 mg/day can significantly decrease bleeding duration, hyperplasia, BMI and BS in women with EH.","PeriodicalId":178002,"journal":{"name":"international journal of hospital research","volume":"17 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2016-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123413328","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}

{"title":"Designing a Public-Private Partnership Model for Public Hospitals in Iran","authors":"M. Barzegar, S. Tabibi, M. Maleki, A. Nasiripour","doi":"10.15171/IJHR.2016.08","DOIUrl":"https://doi.org/10.15171/IJHR.2016.08","url":null,"abstract":"Background and Objectives: Public-Private Partnership (PPP) is a well-established model to alleviate the risk of investment in health domain. While the model is widely applied in the developed countries, the adoption of the model in many developing countries is hampered partly by the lack of knowledge on dimensions and requirements of its local implementation. The present study, thus, aimed to identify the key aspects of PPP for hospital building in an Iranian context. Methods: A comparative study of PPP implementation in seven pioneer countries revealed 53 elements potentially influencing development of PPP. Using rigorous expert opinion seeking, these elements were refined and adapted with respect to the Iranian context. Based on this information a 38-item questionnaire was designed. The questionnaire was distributed among 220 experts from different health domains, including clinicians of public and private hospitals and policy makers, executives, and authorized advisors from MOHME and various medical universities. The collected data were analyzed using exploratory factors analysis in order to identify factors influencing PPP development. The robustness of the identified factors was further explored by confirmatory factor analysis. Findings: Legislation, policy making, finance, capacity building, and social orientation were identified as the five key dimensions of hospital-building PPP implementation in the Iranian context. Conclusions: Identification of the major dimensions of hospital PPP implementation may help policy-makers to develop effective strategies for promotion of PPP in the Iranian health system.","PeriodicalId":178002,"journal":{"name":"international journal of hospital research","volume":"3 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2016-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126662795","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}