مجله تحقیقات نظام سلامت حکیم
سال بیستم شماره 2 (پیاپی 77، تابستان 1396)

Health impact Assessment (HIA) helps decision makers to predict the Health Impact of proposed projects, programs, and policies. The Fifth Development Plan of Islamic Republic of Iran obligated implementing HIA of Developmental Plans’ as ‘Health Annex’. The questions asked are, what is the Iranian approach to HIA and what are challenges facing it?
To carry out this study, we used the data emerged from a qualitative study performed through semistructured interviews with key informants. The data from the interviews were analyzed manually using the thematic content analysis method.
Codes extracted from data analysis were placed respectively under 2 principle themes of ‘approach to HIA’ and ‘Challenges of this approach’. There were some notable subthemes such as assignation of developing the ‘National Standards of Health Annex’to Environment and Occupational Health Center, emphasis on environmental factors, opposition to direct community participation, and opposition to integration with Environmental Impact Assessment.
The current approach of health authorities of the HIA system to HIA is an environmental healthapproach. Considering its challenges and other countries’ experiences, this approach could be a barrier in progressing HIA for programs and policies and could limit the role of this tool to achieve healthy public policy and to control the social determinants of health.

Safety is a complex issue that is directly related to health, while the children’s curiosity and exploratory behavior are risky and due to damage or even death. The safety approach affects the behavior of the family in improving home safety, especially for under five children who need more attention. This study produced a home safety assessment tool for children to help families in this way.
This is a cross sectional study that produced a home safety assessment tool after reviewing the literature as well as using expert’s opinions such as Delphi and pilot study for under five children The Tool evaluated the safety of family homes in the Eyvanak area of Tehran. Then, the record of innovation feedback to the families and volunteers for community-based interface of the residents was done.
This study led to the preparation checklist with 5 domains and 84 questions to assess home safety for children under 5. After evaluating the cross-sectional in Tehran, the results for the records of safety for each of the children has been set.
The necessity to improve home safety for under 5 children and the need to have a tool to assess the safety of the community needs assessment. This safety checklist tried to have the integrity and indigenous as much as possible and can help health policy makers in educating the families to promote safety and reduce children damage by this objective and clear aspects of safety concept.

The growth of health care costs due to the lack of financial resources justifies the need to evaluate the performance of various units via efficiency approaches. The aim of the present study was to determine the efficacy of the emergency unit of Tehran University of Medical Sciences’s hospitals by using an additive super efficient method and then compare it with the usual method of data envelopment analysis.
This was an analytical-descriptive study, which examined the performance of 16 hospital emergency departments of Tehran University of Medical Sciences. We calculated super efficiency and slacks of inputs and outputs for each hospital by assuming constant returns to scale and input-oriented model by using data for the year 2014-2015 via the DEA-Solver software.
The results of Malmquist model showed that 8 departments had an efficiency of about 50%, although, with the high power of super efficiency approach, only 5 departments have efficiency. In other words about 33% of the departments have perfect performance. According to the calculated slacks, none of the departments had excess inputs, however, Razi and Rozbeh emergency departments had lack of outputs for inpatient admission.
Identifying the amount of slack in different units will help managers and policymakers to decide on the optimal allocation of resources by using a superior efficient method to avoid waste of resources. Since the managers and policy makers need to assess the exact performance of hospitals in terms of strengths and weaknesses for inputs and outputs, using the super efficiency model, relative to Malmquist, will get more exact results for decision making.

The nephrology professionals who need quick access to information on dialysis are satisfied using dialysis information systems. The Dialysis Information System (DIS) is a Dialysis data management system that has been designed to improve the performance of the dialysis wards.
In this research ,data collection was done using a checklist and questionnaire .Then ,the data was obtained from the survey on the status of dialysis patients ’information system ,analyzed using descriptive statistics ,and presented in the form of research findings.
The research findings indicate that currently there is no computerized information system on integrated dialysis patients in our country and the existing information systems are often semi-mechanized.
According to the necessity ,importance ,and the application of information related to dialysis patients ,in order to avoid errors ,decision making on a better treatment plan ,and the performance that leads to better outcomes for patients ,implementing a comprehensive and integrated information system for dialysis can be an effective step towards organizing information on dialysis patients ,improving the quality of medical services provided to them ,and providing necessary preventive measures .Therefore ,it will ultimately lead to improved public health.

General practitioners (GPs), as a main provider of primary health care, play a pivotal role in resource flows and responsiveness of healthcare systems. In this regard, a main issue in health policy making is how much money is considered desired by GPs (target income). Therefore, the current study was performed to analyze the GPs’ target income in Iran.
This is a cross sectional and descriptive study. The questionnaire was designed based on the literature review and expert opinion. The data were gathered by a survey on 666 GPs using convenience sampling in 2015. Descriptive statistics, t-test, as well as ANOVA were used for statistical analysis. The analysis was performed using STATA 12.
The mean of monthly target income and actual income of studied GPs were 14613138 (SD= 10323692) and 6555573 (SD = 5299751) TOMAN, respectively. In average, the GPs reached to approximately 50% of their financial expectations. The GPs’ target income was almost 10 times Iran’s income per capita. There was a significant difference (P While the average of GPs’ financial expectations with regard to the Iran economic capacity is high, there are large inequalities in financial expectations between GPs, so that the large percent of the GPs have low and reasonable financial expectations.