Evidence Based Health Policy, Management and Economics最新文献

{"title":"Patient-Centered Care: Current Practice and Recommendations for Nigeria","authors":"G. Akpegah, Isaac Brown Ado, Joseph Akem Agbama, Emmanuel Aniekan Essien","doi":"10.18502/jebhpme.v7i3.14280","DOIUrl":"https://doi.org/10.18502/jebhpme.v7i3.14280","url":null,"abstract":"The Article Abstract is not available.","PeriodicalId":198049,"journal":{"name":"Evidence Based Health Policy, Management and Economics","volume":"60 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138598386","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 Relationship between Symptoms of COVID-19 Patients, Their Demographic Characteristics, Underlying Condition, and Comorbidities: A Case Study in Iran","authors":"Tahereh Shafaghat, Mohammad Zarezadeh, Mohammad Kazem Rahimi","doi":"10.18502/jebhpme.v7i3.14284","DOIUrl":"https://doi.org/10.18502/jebhpme.v7i3.14284","url":null,"abstract":"Background: Since the emergence of COVID-19 disease and its spread, many people have been globally infected. Also, evidence has shown that some specific conditions and underlying diseases result in more severe symptoms in the patients. Therefore, this study aimed to investigate the relationship between demographic characteristics and underlying conditions with symptoms in patients with COVID-19 in one of Iran's major hospitals. \u0000Methods: The present cross-sectional and descriptive-analytical study was conducted from February 20th, 2020 to August 20th, 2021. The sampling method was census. The data were collected from the statistics department, medical records, HIS, and they were analysed via SPSS software version 25 using descriptive statistics and statistical tests such as Spearman, Mann-Whitney, and Chi-square. \u0000Results: Among the 7,236 patients with a definite diagnosis of COVID-19, most (53.2%) of the subjects were men and the total death rate was 8%. There was a positive correlation (p-value=0.000) between age and length of stay. About 69% of the patients had symptoms related to the disease in their CT scan and 39.5% had an oxygen level of less than 93%, which roughly 2.6% of them were intubated. There was a significant relationship between patients' age, sex, and length of stay with their discharge status, first symptoms of disease, and patient’s underlying conditions. Also, there was a significant difference in patients' discharge status based on having some early symptoms, gastrointestinal symptoms, and underlying conditions. \u0000Conclusion: The findings of this study emphasize the importance of early detection and management strategies, especially for individuals with specific risk factors. These insights are crucial in guiding healthcare practices and policies to effectively combat the ongoing pandemic. Also, the study outcomes provide valuable insights for healthcare professionals and policymakers, aiding in the development of targeted interventions and patient-centered care protocols.","PeriodicalId":198049,"journal":{"name":"Evidence Based Health Policy, Management and Economics","volume":"79 12","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138597971","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 Supportive Role of Companion Midwife on Maternal and Newborn Outcomes in Primiparous Women: A Retrospective Cost Analysis in Yazd","authors":"Mohammad Zarezadeh, Fatemeh Zareian, Mehdi Raadabadi, Seyed Masood Mousavi, Moslem Taheri Soodejani, Maryam Dafei","doi":"10.18502/jebhpme.v7i3.14285","DOIUrl":"https://doi.org/10.18502/jebhpme.v7i3.14285","url":null,"abstract":"Background: The World Health Organization recommends that women be continuously supported by a favorite companion during labor. Currently, there is no strong evidence on specific support measures by midwifery in relation to improving the delivery process. \u0000Methods: The present retrospective cost analysis study was conducted during 2021-2022. The reports of 243 deliveries were checked in the patients’ files in selected hospitals of Yazd city. Data analysis was done using SPSS26. \u0000Results: According to the study objectives, the desired delivery outcomes included type of delivery, postpartum complications, postpartum bleeding, and length of the active phase of labor, resuscitation of the newborn, hospitalization of the newborn, and Apgar score of the newborn in the first and fifth minutes. There was a statistically significant difference in delivery, postpartum complications, length of the active phase of labor and hospitalization of the newborn in the neonatal unit, resuscitation of the newborn, and the amount of nutrition of the exposed group compared to the non-exposed group. Among the desired performance indicators, patient length of stay and total cost per person between the exposure and non-exposure groups, the mean score of the cost per person had a statistically significant difference between the two groups (P<0.001). \u0000Conclusion: Generally, the presence of a companion midwife next to the mother in the delivery room improves some of the outcomes of the mother and the baby. It is recommended to carry out studies in this field along with checking mothers' satisfaction with companion midwives.","PeriodicalId":198049,"journal":{"name":"Evidence Based Health Policy, Management and Economics","volume":"15 12","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138601130","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":"Exploring HIV Testing Models for Differentiated Service Delivery in Southern Africa: A Systematic Review","authors":"H. Mugauri, Mujinga Karakadzai, O. Mugurungi, Joconiah Chirenda, K. Takarinda, Mufuta Tshimanga","doi":"10.18502/jebhpme.v7i3.14287","DOIUrl":"https://doi.org/10.18502/jebhpme.v7i3.14287","url":null,"abstract":"Background: Targeting HIV testing services, as the World Health Organization (WHO) recommended in 2015, fast-tracks the identification of individuals with HIV and addresses the persisting HIV testing gap which might delay epidemic control. Following this recommendation, different models of targeted testing have been implemented, exposing varied interpretations by different countries. This study identifies, aggregates, and synthesizes targeted HIV testing models to develop a concise targeted testing package which can increase the identification of people with HIV. \u0000Methods: A systematic literature search in PubMed, Scopus and Web of Science databases identified cross-sectional studies of people (18 years and above) from Southern Africa published between 2016 and 2021. Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines were applied, and the quality of studies was evaluated using the Joanna Brigs Institute tool (JBI). Data were extracted using a guided matrix to identify the target population, testing models, description, and positivity ratio. Conclusions and methodological suggestions were narratively synthesized. \u0000Results: The authors identified 574 studies; 42 full-text articles were screened which yielded 29 studies of moderate quality (71%) meeting the eligibility criteria. Of these, 25 studies (86.2%) were quantitative. From the included studies, similar models were synthesized, and 12 targeted testing models emerged. Prioritized models were Index testing, described in 3 (10.3%) of the studies, scoring the highest positivity ratio of >30%. Six studies (20.7%) described male-targeted models with yields influenced by age, economic status, and educational level, with a positivity ratio of 10% among first-time testers. In contrast, four (13.8%) described Key and Vulnerable Populations (KVP) focused models (positivity ratio of 37.5%) and recency-informed targeted testing (13.1% positivity ratio). \u0000Conclusion: This review provides a critical overview and insights into the targeted testing models implemented in Southern Africa. Synthesizing comparable models can meet the various needs of unique populations comprehensively and increase positivity ratio. The recommended models can improve the efficiency of programs in targeting HIV testing services.","PeriodicalId":198049,"journal":{"name":"Evidence Based Health Policy, Management and Economics","volume":"83 5","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138600329","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":"Risk Factors Affecting the Death of Hospitalized Patients with COVID-19 in the South of Iran","authors":"Ehsan Goroei Sardu, Fatemeh Rezabeigi Davarani, Bahareh Kermani, R. Faryabi, Shiva Kargar, Shamim Tashakori, S. Daneshi","doi":"10.18502/jebhpme.v7i3.14282","DOIUrl":"https://doi.org/10.18502/jebhpme.v7i3.14282","url":null,"abstract":"Background: Identifying effective factors in death caused by the infection of COVID-19 is one of the most worrisome issues in the globe. This study aims to investigate the frequency of risk factors leading to death in patients with COVID-19. \u0000Methods: This was a retrospective descriptive study done on 150 confirmed cases of  COVID-19 in Imam Khomeini Hospital in Jiroft in 2019. Patients were included in the study by census method. The required information was extracted and recorded in the researcher's checklist; which included demographic and social characteristics of patients (age, gender, smoking, and opium consumption), underlying disease,test results (leukopenia, leukocytosis, neutropenia, decrease in albumin, increase in creatinine, ALT, AST, LDH and CRP), and the RT-PCR test.,. The researchers analyzed data using independent sample t-test, and chi-square by SPSS-V22. \u0000 Results: The mean age of the patients was 72.19 ± 15.97. Most of those who died with COVID-19 were men. There was a statistically significant relationship between the use of drugs and the death of patients with COVID-19(P-value<0.05). The average body mass index (BMI) of the confirmed patients was 31.14 ± 7.08 kg/m2 in the overweight group (P-value<0.001). Moreover, there was a significant relationship between the risk factors CRP, ALB, AST, ALT, Cr, lym, Neut, WBC and inevitable death in patients with COVID-19(P-Value<0.001). Regarding underlying diseases, diabetes, lung, and kidney diseases have been observed in most terminal patients (P-value<0.001). \u0000Conclusion: Old age, male gender, high BMI, blood pressure, increased factors of CRP, AST, ALT, Cr, lym, Neut, WBC, and decreased ALB are among the risk factors leading to death in COVID-19 patients. \u0000 ","PeriodicalId":198049,"journal":{"name":"Evidence Based Health Policy, Management and Economics","volume":"122 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138599432","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":"Challenge of Managing Hospitals during the COVID-19 Pandemic: A Qualita-tive Study","authors":"Marziyeh Najafi, Mohammad Arab, B. Pouragha, Morteza Nazari, Roya Rajaee, Masoumeh Vaziri-Seta, Mohsen Seyed Mahmoudi","doi":"10.18502/jebhpme.v7i3.14286","DOIUrl":"https://doi.org/10.18502/jebhpme.v7i3.14286","url":null,"abstract":"Background: The COVID-19 pandemic has posed many challenges on the health system and hospitals to provide services. This study investigated the difference between factors affecting hospital management which considered in preparing a disaster management plan for hospital in the face of a pandemic based on the experiences of hospital managers. \u0000Methods: This qualitative research was conducted on selected hospitals affiliated in Alborz University of Medical Sciences in 2021. Data were gathered with purposive sampling and semi-structured interviews with 16 hospital managers. MAXQDA 10 and framework analysis were used to analyze the data. \u0000Results: The results were categorized in four categories: 1) Mitigation including staffing, bed capacity, enough space for quarantines, protective equipment, diagnosis and treatment equipment, funding, medicines, patient follow-up, management and leadership; 2) Preparedness such as crisis committee, preparedness and response plan, measures, action plan; 3) Response including motivating health workers, cooperation and coordination; 4) Recovery and lessons learned including providing facilities, expediting patient processes, control, economic conditions, and planning better, passive defense, regular crisis committee meetings, human resources, documentation and use of information systems in planning. \u0000Conclusion: In addition to providing the necessary infrastructure, it is important to plan for fair distribution of resources and effective supply chain management. A mechanism should also be developed at the national level to anticipate future health crises and to prevent and control diseases in the most effective way. \u0000 ","PeriodicalId":198049,"journal":{"name":"Evidence Based Health Policy, Management and Economics","volume":"114 27","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138599413","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":"Assessing the Hospitals’ Preparedness Against COVID-19: A Hybrid Multi-Criteria Decision-Making Approach","authors":"S. M. Hosseini Sarkhosh, M. Zahedi","doi":"10.18502/jebhpme.v7i2.13140","DOIUrl":"https://doi.org/10.18502/jebhpme.v7i2.13140","url":null,"abstract":"Background: COVID-19 pandemic, the different mutations of the virus, and the emergence of different variants requires that hospitals upgrade their levels of preparedness in managing the crisis. This study aims to provide a method for assessing the level of hospitals’ preparedness in dealing with such situations. \u0000Methods: In the initial stage, effective criteria for assessing hospital preparedness were identified through literature review. Following that, the Delphi method was used to obtain the perspectives of 40 experts from the healthcare system in order to validate the criteria. Then, the SWARA (Stepwise Weight Assessment Ratio Analysis) technique was applied to determine the weights of the criteria. Through MABAC (Multi-Attributive Border Approximation Area Comparison) technique, the preparedness of 10 selected hospitals in Tehran was assessed. Finally, using sensitivity analysis, the robustness and reliability of the proposed method were examined. \u0000Results: Results indicated that personnel, their education and work experience, medical equipment, and the emergency networks were critical factors in determining the level of hospital preparedness against COVID-19. Out of the 10 selected hospitals, the Imam Khomeini Hospital was found to have the highest level of preparedness. \u0000Conclusion: This is the first study which recommends a simple and effective tool for assessing the level of preparedness through the hybrid MCDM (Multi-Criteria Decision Making) approach. This tool facilitates the proper allocation of budgets and other resources in strengthening the preparedness of hospitals in handling the situation","PeriodicalId":198049,"journal":{"name":"Evidence Based Health Policy, Management and Economics","volume":"65 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-07-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"117342517","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":"Investigating the Challenges of Medical tourism Development in Affiliated Centers of Iran University of Medical Sciences (IUMS)","authors":"Fatemeh Najafipour Moghadam, N. Tavakoli, H. Farzaneh","doi":"10.18502/jebhpme.v7i2.13142","DOIUrl":"https://doi.org/10.18502/jebhpme.v7i2.13142","url":null,"abstract":"Background: This study was conducted with the aim of investigating the challenges of health tourism development in affiliated centers of Iran University of Medical Sciences (IUMS). \u0000Methods: This was a qualitative, descriptive, and applied study. The statistical population included all the stakeholders of health tourism at IUMS. The information was obtained through purposeful sampling until data saturation was reached. 20 experts in health tourism at the IUMS were interviewed. Experts confirmed the validity of form and content and coding was done (1),  and the final result was presented. \u0000Results: 4 general categories were identified as the challenges of health tourism development in IUMS. They included political, social and economic conditions (communication at the global level and economic development), structural and internal organizational conditions (bureaucratic and administrative, supervisory and communication processes), participation (bureaucratic processes, effective communication between government departments and drafting of strategies and operational plans), and promotion (developing a strategic and coherent plan in the development of marketing and services at the global level and advertising). \u0000Conclusion: While identifying the driving factors and obstacles, It is necessary to develop medical tourism, pay attention to the political, social and economic, structural and intra-organizational conditions, attract participation and improve the existing situation and design services, which are among the challenges of medical tourism development at the Iran University of Medical Sciences.","PeriodicalId":198049,"journal":{"name":"Evidence Based Health Policy, Management and Economics","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-07-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116616114","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":"Do Celebrities Want to be Treated Differently in Health System? Using Fame In A Controversial Way","authors":"Vahid Yazdi-Feyzabadi, Fatemeh Shaygani, Sajad Delavari","doi":"10.18502/jebhpme.v7i2.13137","DOIUrl":"https://doi.org/10.18502/jebhpme.v7i2.13137","url":null,"abstract":"\u0000 \u0000 \u0000 \u0000 \u0000 \u0000 \u0000 \u0000 \u0000 \u0000 \u0000The Article Abstract is not available. \u0000 \u0000 \u0000 \u0000 \u0000 \u0000 \u0000 \u0000 \u0000 \u0000 \u0000","PeriodicalId":198049,"journal":{"name":"Evidence Based Health Policy, Management and Economics","volume":"20 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-07-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127951230","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":"Management of Medication Error Reporting in HIV/AIDS Patients","authors":"Narges Keshtkar, Iravan Masoudi Asl, S. Hessam, S. Mahfoozpour","doi":"10.18502/jebhpme.v7i2.13138","DOIUrl":"https://doi.org/10.18502/jebhpme.v7i2.13138","url":null,"abstract":"Background: One of the most frequent medical mistakes that lower patient safety and mortality is medication errors in HIV/AIDS patients. A structured reporting system is necessary for the efficient avoidance of these kinds of mistakes. In order to discover parameters influencing the management of medication mistake reporting in HIV-infected patients, the current research was carried out. \u0000Methods: The current research is an example of an applied study that was carried out between 2010 and 2019 utilizing a hybrid (quantitative-qualitative) methodology. First, the primary factors impacting the management of medication mistake reporting in HIV positive patients were collected from a study of the research literature and 35 interviews with experts in the area of treating HIV patients, and a research questionnaire was created utilizing them. Using the Lawshe approach, the questionnaire was sent to and collected from 31 experts in order to assess its content validity. SPSS23 was then used to determine the questionnaire's reliability, which resulted in a Cronbach's alpha value of 0.920. 400 workers who treated HIV/AIDS patients provided information for the data collection. Exploratory factor analysis was used to analyze the data, together with SPSS23 and Lisrel software. \u0000Results: Four factors were found to be important in managing medication mistake reporting in HIV patients, including organizational factors (18 variables), person factors (9 variables), educational factors (10 variables), and communication factors (6 variables). The management of medication mistake reporting in HIV patients was impacted most and least by personal and educational variables, with factor loadings of 0.784 and 0.754, respectively. \u0000Conclusion: It is preferable to concentrate on individual variables (employee-related hurdles, fear of the repercussions of reporting, and others' reactions) rather than addressing all four aspects at once in order to manage medication mistake reporting in HIV positive patients (managers, colleagues, patients).  Managers, policymakers, specialists from behavioral disease counseling centers, and attending physicians should pay greater attention to both the individual (application and development of the integrated HIV management system).","PeriodicalId":198049,"journal":{"name":"Evidence Based Health Policy, Management and Economics","volume":"47 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-07-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127058717","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}