مجله تصویر سلامت
سال یازدهم شماره 2 (تابستان 1399)

The COVID-19 pandemic, also known as the coronavirus pandemic, as an emerging disease brought about one of the most critical situations for the health care system. One of the most critical conditions placed facing the health care services’ system. The difficulty of managing this crisis, particularly with the special conditions of Iran, the unknown nature of the disease and the lack of sufficient experience, provided the arena for creativity and various innovations. These valuable experiences, if managed and turned into explicit knowledge, will provide valuable reserves for the Iranian and the world and health care system and neglect of explicit knowledge, it will lead to the loss of this enormous capital.

Limitless use of natural resources and increased environmental pollution by various industries will lead to rapid environmental destruction. The steel industry interacts with the environment in all its activities, so green economy and sustainable development is an inevitable necessity in this industry. This study aimed to identify and prioritize sustainable development and green economy strategies in Khuzestan Steel Company.

In this study participants are experts familiar with sustainable development and green economy strategies in Khuzestan Steel Company who were selected through purposive sampling in order to identify the strengths, weaknesses, opportunities, threats (SWOT), and developing strategies.The External and Internal Factor Evaluation Matrix as well as the SWOT matrix were formed then strategies were ranked using TOPSIS (Technique for Order of Preference by Similarity to Ideal Solution) technique.

6 opportunities and 5 threats were identified as external factors and 8 strengths and 6 weaknesses were identified as internal factors and 21 strategies were developed. Among the external factors "Develop and equip the company with new technologies" with the final score of 0.498 and among the internal factors "Waste management and pollution control" with the final score of 0.31 got the highest score.

According to the results, the sum of the final scores of External and Internal Factors Evaluation Matrixes are 2.72 and 2.57 respectively, this shows that company performance is appropriate. ST1 strategy with closeness coefficient 0/7 was also ranked first.

Diabetes is a major health problem worldwide, with a high prevalence, especially in developing countries. Diabetic patients face several challenges and one of the most important issues in the care of these patients is their quality of life. The aim of this study was to assess the quality of life of diabetic patients in rural health centers in the Northwest of Tabriz city.

In this cross-sectional study, 200 diabetic patients in rural health care centers in the Northwest of Tabriz were selected through convenience sampling. The short form health survey questionnaire (SF36) was used to measure The Quality of life. The Data were analyzed by descriptive and analytic statistics (T test, correlation coefficient, and Kruskal -Wallis Non parametric test).

Total mean score of quality of life was 54.42 (±11.23) and located in acceptable range. The highest score 77.51 (±23.61) was related to Bodily Pain Scale and the lowest 32.78 (±18.39) was role limitations due to emotional problems. The results showed that independent variables such as age, age of disease onset, marital status, educational level, type of treatment and family size had a significant relationship (P˂0.05) with the quality of life.

Changes in quality of life dimensions are affected by individual, cultural, social and economic factors, and measurement of QoL in chronic diseases can provide useful information for the planning and care of these patients.

Identifying the knowledge structure and mapping the roadmap in different areas of human knowledge can demonstrate the direction of researchers' progress for future studies. This research tries to reveal the intellectual structure of knowledge in health information management and technology, using network analysis, and science visualization tools.

This is an applied research which had done by co-word analysis. The population of this study consists of 35914 records indexed in Web of Science (WoS) in the period 2007-2016. For careful examination, the mentioned interval is divided into two five-year periods (2007–2011 and 2012–2016). All retrieved records in this study were incorporated into the study and no sampling was used.

The results indicated that in the first five-year period the co-words "E-Health and Telemedicine", and in the second five-year period the co-words "Computers and Medical Records" had the most occurrence. The results of hierarchical clustering led to the formation of eight thematic clusters in the first period and five thematic clusters in the second period. The themes of these clusters are: text mining, personal health, health information, medical information, quality of life, medical imaging, public health, medical education, health care, feature selection, medical information provision, and simulation.

Topics such as simulation, medical imaging, and medical information provision have received less attention from the authors. These results indicate that the research fronts have tended to focus on educational and public health issues.

Patient safety is one of the key elements of health care organization in improving the quality of care. Involving patients in improving patient safety is the recent World Health Organization’ approach. Patient participation can reduce medical errors and increase patient safety. There is not any valid and reliable Persian questionnaire to assess patient participation in safe car. Therefore, the purpose of this study was to assess the validity and reliability of the Persian version of the questionnaire: "Patient Willingness to Ask Safety Questions Survey (PWASQS)".

In this study, 30 patients participated. The PWASQS’ questionnaire consisted of nine dimensions and 41 questions that were scored on a five-point Likert scale. The questionnaire questions indicated the patients' willingness to ask any questions related to their safety from the physicians and the nurses. Content Validity Ratio (CVR) and Content Validity Index (CVI) were used to evaluate the content validity and its internal reliability was determined using Cronbach's alpha coefficient.

In the present study, the total CVR of the questionnaire was 0.89, which varied from 0.79 to 0.95 for different dimensions, and the CVI was 0.94 for different dimensions ranged from 0.89 to 1. Cronbach's alpha coefficient of the whole questionnaire was 0.7 9which for each of the dimensions ranged from 0.7 to 0.96, indicating appropriate reliability of the questions.

The results of this study showed that the translated version of the PWASQS questionnaire has a relatively acceptable reliability and validity can be used to measure patients' willingness to improve patient safety.

Evaluation and monitoring of implementation for control and prevention of The Hypertension and Diabetes Screening National Program are important. This study was conducted to identify the challenges of health workers performance evaluation in The Hypertension and Diabetes Screening National Program and provide corrective strategies via exploring the viewpoint of the people involved in this program.

The study was a conventional qualitative content analysis as part of a larger multi-method study. It was conducted in Ahar Healthcare Network in Iran, in year 2017. The sampling was done using purposive model with maximum variation, and the data were collected through three focused group discussions.

Twenty-seven healrh workers, observer coaches and senior staff who were involved in the blood pressure Program were selected for the study. Four main categories including contextually, structural, process problems, and results of performance evaluation were identified from the concepts derived from viewpoints of the participants.

Regardless of the success in preventing and controlling diabetes, Iran's primary health care system faces challenges in reducing and controlling hypertension and diabetes due to the lack of a national plan with comprehensive guidelines. The major problem address the the process of staff performance assessing. Findings of this study will help managers to address the performance evaluation system.

Cost management is one of the most important goals of organizations toward achieving high-quality services in a competitive environment and customer satisfaction, But this goal makes big challenges for the managers of organizations. The aim of the study was to identify an appropriate approach for cost management in hospitals.

This study was a qualitative research based on the phenomenological method. The sampling was done by a purposeful manner. The cooperation between authorities and experts was conducted to manage the cost and finance of the Tohid hospital in Bushehr province. The data collection tool was a deep interview with open questions, and the data analysis was made based on the Allan & Jason method. Validation and truth-worthiness were performed by the method of credibility, transformability, reliability and confirmability.

The costs management of the hospital was appeared in 30 sub-themes and 7 themes. The themes included: identification of cost centers - setting cost managements internal rules and regulations - monitoring and control - establishing a costing system - formation of task force operational planning.

Cost management in hospitals is formed by identifying costly cells, starting with implementation of cultivation programs in consumption and saving and reporting procedures and providing control and monitoring programs on the top management of the hospital's top management.

Hospital deductions are one of the main concerns of hospital managers in cost management and also one of the most controversial issues between insurance companies and hospitals. The objective of the present study was to analyze the major causes of hospital inpatient medical records deductions.

This study was a mixed-method research that was done in four-step in 2017. In the first step, systematic review of the main causes of deductions in hospital inpatient medical records was done. In the second and three steps, a questionnaire was designed from the results of the first step to interview the experts in this field. In the final step, after summarizing the results of the three steps, the final causes of hospital inpatient medical records deductions were determined using Delphi technique.

Additional requests for encoding in surgical procedures by surgeons and anesthesiologists, sending documents with the signature of the surgeon assistant without his presence in operation, lack of interaction with insurance and its follow-up and a tendency to reform of deductions, employing people with the unrelated specialties in the relevant unit, lack of continuing and comprehensive training for staff, additional request at drugs and supplies fees, incomplete documentation, lack of documentation for full-time physicians and differences in the implementation of guidelines by the insurers were the most important causes of inpatient medical records deductions

Given that human error is one of the main reasons for inpatient medical records deductions, justifying physicians and training staff for completing medical records on the principles of proper documentation and quality of data recording and ensuring uniformity of policies and enforcement of insurance guidelines seem essential.

The correct determination of the authorship in a scholarly work is one of the major dimensions of intellectual property and plays a very important role in the assessment of the scientific outputs of countries, organizations and individuals. Therefore, the main objective of this study was identifying effective factors in determining authorship from the viewpoints of the researchers of Tabriz University of Medical Sciences.

The present study was carried out using qualitative research method and semi-structured interviews. The study population consisted of faculty members, editors-in-chief, editors of journals, reviewers of manuscripts and dissertations, researchers, and graduated students of Tabriz University of Medical Sciences. The sampling was done by purposive sampling method. The interview was conducted with 27 eligible participants. The guidebook for interviewing was based on the Delvine-Gray study. The MAXQDA v10 software was used to analyze the findings.

Findings of this study showed that the majority of the participants believed that, in addition to mentioning the names of those who have acquired to be an author, other factors (according to the rules and conventions governing the community), including the relationships between individuals, officials and personalities of individuals, facilitating the publication of a paper, monetary issues and hypothetical contracts between individuals, make the name of others included in the article.

The results of this study raise concerns that long-term relationships and interests between individuals may violate the principle of quality and scientific values of researchers and scientific works.