مجله مدیریت بهداشت و درمان
سال چهاردهم شماره 1 (پیاپی 47، بهار 1402)

Cost-effectiveness evaluation of therapeutic interventions is important for optimal allocation of resources in the health sector, especially in developing countries. This research is a narrative review aiming at comparison of treatment methods in children with cancer.

The present study was conducted by searching four databases, SID, Scopus, Pubmed and Google Scholar using keywords (cost-effectiveness, economic evaluation, cost-benefit, cost, cancer, and children) to find related articles published between 2000 and 2020. The obtained articles were included in the study after complying with the inclusion criteria.

After checking the inclusion criteria, 8 studies were included in the present review. In most studies, surgical procedures or newer drugs (such as laparoscopy or recombinant drugs) were more cost-effective. Most of the studies had examined the economic value of treatment methods in the form of cost-benefit analysis.

Primary studies of cost-benefit analysis in the field of health interventions are increasing. Because such analyzes can play an important role in optimizing the use of resources and facilities and improving health status of communities. Review studies can help health managers and policymakers by summarizing the results of primary studies for proper financial planning.

The alienation has a great negative effect on the decline of performance of people. Therefore, the current research was conducted with the aim of identifying the dimensions and components of alienation in the Isfahan University of Medical Sciences.

This study in terms of purpose was applied and in terms of implementation method qualitative. The research community was the experts of Isfahan University of Medical Sciences in 2021 year, which according to the theoretical saturation principle 20 people of them were selected as a sample by purposeful and snowball sampling methods. The research tools were included a demographic information form and a semi-structured interview, which the validity of the interviews was confirmed by the triangulation method and the reliability of the extracted codes was obtained by the two-week retest method 0.86. Data were analyzed with open, axial and selective coding methods in MAXQDA software.

Data analysis showed that alienation had 205 indicators, 29 components and 7 dimensions. The dimensions were included extra-organizational alienation (with 5 components of dehumanization at work, cultural and social anomie, impacts and values of industrial society, social alienation and cultural beliefs), organizational alienation (with 13 components of weakness in talent management, weakness of organizational socialization, unprofessional and weak managers, organizational alienation, weakness interpersonal communication in the organization, tension and conflict of organization, weakness rules and regulations, inefficient monitoring and control system, organizational disorganization, organizational culture based on construction, corruption and bribery-seeking, authoritarian management style and powerlessness at work), occupational alienation ( with 4 components of sense of meaninglessness at work, lack of job motivation, ambiguity in roles and duties and job and organizational frustration), individual alienation (with 4 components of inability at work, low self-esteem, psychological disorders and lack of employees ethical orientation), unfavorable behavioral and organizational attitudes (with 1 component), job fatigue (with 1 component) and dislike and hatred of work (with 1 component).

The identified dimensions and components for alienation can have many practical implications for organizational specialists and planners, and they based on the identified dimensions and components can design and implement programs to reduce employees' alienation.

In today's modern world, the biggest change in the beauty industry since a decade ago has been the widespread penetration of social media into people's lives. One of the main reasons that a business succeeds in the field of selling cosmetics and hygiene products is that it produces correct and attractive content; therefore, the aim of the current research was to develop a content marketing model for online stores of cosmetics and health products based on a mixed approach.

First, based on data base theory and based on interviews with 21 experts, open, central and selective production codes were presented, and then the content marketing model of online stores of cosmetics and health products was presented. In the qualitative phase of the research, which is based on the foundation's data approach, in-depth and semi-structured interviews were used. The sampling method in database theory is purposeful and theoretical sampling. In the interviews, the selected people were selected using a targeted method and snowball technique with maximum diversity. The interviewees included managers, experts, experts and professionals in the field of content management who had university education and were familiar with management sciences and were among the best in Mazandaran, Tehran and Gilan provinces. For the quantitative validation of the model and checking the relationships of the components, the approach of structural equation modeling by partial least squares method using SMART-PLS3 software has been used.

The results of the quantitative stage showed that the relationships in the model with appropriate effect coefficients were confirmed. The output of the model shows that the significance coefficient between the research hypotheses is out of the range of ±1.96 and this means that all research variables are confirmed at the 95% confidence level in the statistical sample.

Proper planning and management by the business owners of the online stores of cosmetics and health products, as well as analyzing the behavior of the audience and optimizing and updating the websites and continuously monitoring the SEO statistics of the websites and online stores and being interactive with the audience are the main pillars of providing quality services.

Hospitals use natural resources; All of which have a negative impact on the environment. But they spread the concept of green hospital in the world by intelligent and sustainable use of natural resources. The purpose of this research is to investigate the factors affecting the implementation of the green hospital standards in the hospitals of the Social Security Organization in 1401 in GGHH model.

research was applied, quantitative and descriptive with targeted sampling (manager, quality improvement, environmental/professional health) in social security hospitals (sample: 210). The questionnaire was researcher made and the statistical method is Shapiro-Wilks, Wilcoxon and Friedman test in SPSS (0.001: p-values).

Components with more than average (CI: 95%) are of sufficient importance. The effectiveness of components in the energy sector has the highest rating (20.27) related to the use of energy efficient devices and the lowest rating (7.09) related to the minimum use of artificial heating. The effectiveness of the components in the food sector is the highest rating (10.83) related to the use of reusable food containers and the lowest rating (4.79) related to the supply of food inside the hospital. The effectiveness of the components in the water sector has the highest rank (8.35) related to the use of wastewater recycling and the lowest rank (3.42) related to the use of "water curtain".

According to the findings of the current research, with optimal planning and provision of resources to the standards of the Green Hospital, the GGHH model was implemented in hospitals.

The spread of Covid-19 disease in the country and the increase in the number of patients led to an increase in the workload of staff, apathy, fatigue, and leaving the medical staff, which eventually led to a shortage of medical staff and challenges in manpower in hospitals. Therefore, by using the experiences of managers in identifying challenges related to human resources and solving the problems can be appropriate in order to modify the challenge related to human resources in hospitals for providing medical services to patients with Covid-19.

The present applied study was a qualitative study conducted among 31 international, national, and domestic managers who had specialized in hospital management. Data were collected using semi-structured interviews and analysed by thematic analysis, using MAXQDA.

Based on the analysis of qualitative interviews, the most important challenges related to human resources were: “stress and staff fears of contracting the virus in hospitals”, “existence of resistance in personnel against unexpected changes”, “increase staff workload”, “lack of specialized manpower”, “reluctance of some forces to be present at work in the early days of the disease”, “psychological issues in the treatment team.

Given the challenges, the existence of well-planned and pre-determined planning, as well as the importance of manpower in planning for crisis management during epidemics plays an important role.

The aim was to identify the priorities, co-authorship, thematic distribution of medical sciences, and determine the contribution of countries in the publication of Scientometrics articles, in order to cluster and illustrate the topics of the medical field according to the frequency of occurrence of words in the titles of the articles.

Content analysis as a conducting qualitative research (based on scientometric indicators, quantitative approach of descriptive statistics, using scientometric software and techniques, has dealt with the systematic review of Iran's medical field in the WOS database, American Scientometrics magazine. The research community has been 1441 articles in 60 published issues (2015-2020). By searching for all types of indexed English documents in the advanced search section, 421 articles were retrieved, then using subject groups, articles related to separate medical fields (382) was examined.

In identifying priorities and thematic distribution of articles, 5 thematic areas of citation, bibliometrics, collaboration network and lexical network, author and science have been the most frequent. The analysis of the share of countries also showed that China, America and Spain respectively had the highest amount of scientific production in Scientometrics.

The thematic policy of the field of Scientometrics within the country in medicine is somewhat consistent with the thematic policy of this field at the international level. Therefore, it is necessary to investigate and monitor the subject categories that have been less worked to push domestic research in that direction and strengthen the categories that have been worked on as well.