نشریه مرور سیستماتیک در علوم پزشکی
سال سوم شماره 1 (پیاپی 6، بهار 1402)

Disasters are increasing all over the world and have affected people's lives. In many of these situations, gender inequalities limit the influence and control of women and girls in the decisions governing their lives. The purpose of this study is to investigate and analyze the opportunities and challenges related to the resilience of marginalized women against different types of disasters.
In this review, in order to find related sources and studies, relevant articles, guidelines, manuals were extracted from January 2006 to March 2021. Searching in reliable scientific databases such as PubMed, Sid, Google Scholar, Scopus, science direct, Medline, Ovid, Web of knowledge with a combination of keywords women, resilience, social factors, marginalization, disasters and Latin terms, women, Resilience, Social Factors, Marginalization, Disasters, a targeted search was conducted in Persian and English languages.
From the total of 76 collected studies, based on the inclusion and exclusion criteria, 23 articles that were related to the purpose of the study were examined. The results of the reviewed studies showed that a degree of social vulnerability during disasters is presented as a "double vulnerability" for women. Studies have shown that efforts to overcome the consequences of hazards through the mobilization and integration of social networks are necessary to address gender differences due to disasters. The GHROW method or Global Risk Resilience Box through Opportunity for Women is designed to empower marginalized women to act and improve outcomes for themselves, their families, and their communities.
Empowering women to promote disaster risk reduction and disaster resilience is very important for all societies, especially for marginalized societies. The participation of communities solves this problem and is a collective effect, and it is necessary to create resilience against disasters.

One of the main components of community-based care services, which can help to involve families in patient care and self-care, is home care services. This study was conducted with the aim of reviewing the literature related to the barriers to home care in Iran.
In this systematic review, all articles related to the study objectives, published until March 2021, were examined. An extensive search using the keywords "home care", "Iran's health system" and their combination with the keywords "barriers", "implementation", "nursing" and "Iran", "Home care", "Palliative care", "Nursing home" "care", "Iranian health system" and combining with the keywords "barrier", "Iran", "practice", "nursing" in valid databases as SID, Iran Medex, Iran Doc,Magiran, Science Direct, Medline/PubMed, Web of Science, Scopus, ProQuest, Google Scholar, and Cochrane library was done. Inclusion criteria were articles in English or Farsi, quasi-experimental,questionnaire, qualitative and was relevant to the objectives of the study. Exclusion criteria were review articles, posters, speeches and letters to the editor.
Infrastructural problems such as non-availability of social platform, uncertainty of service coverage by universal insurance, non-availability of virtual communication platforms, educationalsystem problems, inter-professional and inter-departmental cooperation problems, accreditation,management factors and related to specialists and the lack of guidelines, lack of competence of some nurses in providing home care services, lack of information about the context and family culture of patients, lack of job security, unsafe home environment for nurses, unsuitable environment for performing some nursing services and Medicine was the main barriers of nursing care at home in Iran.
Nursing care plan at home is possible through policy making, reforms and providing infrastructure, defining it in Iran's health system, reassuring the people, benefiting from the capacity of mass media and medical staff, and introducing it on official websites.

Financing, creating resources, delivering services, and stewardship are the four main tasks of the health system, and achieving these goals is the main indicator of an efficient and fair health system. The present study was conducted to investigate the model of the management of the financing chain of the health system with the approach of system dynamics.

In this integrated review, all articles related to the study objectives, published until May 2022, were reviewed. Search in SID database, Iran Medex, Iran Doc, Magiran, Science Direct, Medline / PubMed, Web of Science, Scopus, ProQuest, Google Scholar, and Cochrane Library. It was done with the keywords "financing ", "health system", "supply chain management" and "system dynamic". The inclusion criteria were articles in English or Persian, quasi-experimental, descriptive,qualitative, and related to the study objectives. Exclusion criteria were review articles, posters,speeches, and letters to the editor.

Dimensions and components affecting health financing include: health-oriented services,the amount of knowledge sharing and documentation, budgeting system, the effect of the number of customers and demand, the extent of met demand, tax-oriented system, social hospital, financial participation, disease fund, competitive advantage, service quality, bureaucracies, financing plans, and legislation, effective use of information, financial and risk structure, improvement of human resources performance, effective advertising and population trends.

The management of the financial supply chain in the health system has many complexities and depends on economic factors, legislation, and the quality of service delivery. A scientific model based on its dynamic situation has not been investigated and formulated so far.