Journal of Health Policy and Sustainable Health
Volume:1 Issue: 1, Winter 2014

Patient satisfaction is one of the basic points in quality important systems and accreditation. This study was carried out on 1582 inpatients during years 2009 until 2012 in a subspecialty hospital with proportional stratified random sampling method. The overall inpatient satisfaction was 75%, 95%CI (73%, 78%). Result of this study shown that IPS was higher but not significant in winter rather summer season (winter p=77%, summer p=73.8%, P value 0.145). During the study percent of inpatient satisfaction increase 26% and average of this increment was 6.5% per year. Our study showed that accreditation can improve inpatient satisfaction.

Safe drinking water supply plays an important role in war zones, that is, emergency situations of military forces. Achieving this goal, choosing correct water resources (quantity), planning conservation and distribution systems along with disinfection as a minimum process for water treating (quality) are the essentials for the effective prevention of water-related contagious diseases and the elimination of potential pathogens in water. During most wars, safe water supply for military forces has been one of the worries of commanders, because lack of water or its contamination may cause interruption or failure. We performed this study through tracing the oral history narrated by 46 people who were the health personnel of Iran-Iraq war 1980-1988in west war zones. Documentation resources, health files and contents, dissertations and written reports were used to gather required information. Drinking water during war operations in west war regions was safely supplied using these ways: 1000-18000 liter road tanks that moved along soldiers’ tracks usually were nightly filled up across safe regions like Mehran and Gilan-e-Gharb – compared to operation regions- and then chlorinated and disinfected by health technicians. As operation continued, big road tanks came from back lines and distributed water among smaller road tanks going to the front lines. There were bottles accompanying 10 to 15 chlorine tablets for each soldier whereby they could supply water out of springs and rivers along the route. Necessary educations were provided for the soldiers on chlorine tablets. In the last years of the war packed water was made up in addition to mineral water especially during chemical attacks. Because of Iraq chemical attacks and contamination of rivers, in some operations like Moslem-binaqeel (Apr 1982 in soomar district), 20 liter cruets were used in early stages of operation; The Cruets were put in back pack and were loaded by soldier. In the last stages, when operation progressed, small water road tanks 500 to 1200 liters) were used which had been filled, chlorinated and disinfected in Islamabad-e-Gharb prior to the war operation. Due to rough terrains of the Earth, impassable roads and in some cases loss of any path roads in the west, especially mountainous regions, water supply was brought via particular methods that most of them were innovative and peerless. Altogether, water supplies to soldiers during operations in the west war zones were almost decent, whether quantitatively or qualitatively.

Electrocoagulation (EC) is a high performance process for water and wastewater treatment. Recently, the process was proposed as an interest technology with various advantages. In this study, chromium removal and sludge production by the bipolar electrocoagulation was investigated and the process optimized by response surface methodology (RSM). Different operating parameters, such as current density, running time, pH and initial chromium concentration during the process were examined. According to results of model, R2 for chromium removal and sludge production were obtained 0.9374 and 0.889, respectively. In the optimum condition, current density, running time, pH and initial concentration were 0.27 A, 70 min, pH 4.62 and 156 mg/l, respectively. The results of this study showed that RSM is one of the suitable technique to optimize the best operating conditions to maximize the chromium removal. Chromium removal efficiency and sludge production in optimum condition were 73.13 and 174.02ml/l, respectively.

The disposal of hospital waste should be processed by means of reliable and standard techniques; otherwise, it can lead to serious environmental and human health damages. Several approaches have been used for waste management; whilst, waste minimization (WM) is the best approach that focuses on the reduction and prevention of waste. This study investigated the WM approach through a number of selected hospitals in Isfahan. Data was collected through a questionnaire, designed based on WHO recommendations regarding WM in hospitals. Ninety people from 7 (4 university affiliated and 3 private) hospitals participated in this study; which were selected by stratified sampling. Data analysis was done by T test and ANOVA using SPSS software. There was no significant difference between university and private hospitals in WM performance (p=0/2). Comparing university and private hospitals performance in WM domains revealed a significant difference in two domains of WM performance, Waste segregation, good management and control practices (p= 0.001, p= 0.03). The private hospitals should be more concerned about waste segregation; accordingly, setting rules and increasing supervision for the application of guidelines are necessary. Management and control practices should be also reinforced through training programs.

The World Health Organization (WHO) standards reorienting of hospitals towards health promotion. Teatime of this research was determining of the effective factors for health promotion in Isfahan’s hospitals. This descriptive - analytical study was carried out on private hospitals of Esfahan. Data collection was done by using of SPSS software (Ver18) and Exploratory Factor Analysis procedure. Overall In exploratory analysis identified 16 factor in 4 dimension (patient, staff, organization and community health promotion). Hospitals must design a specific system for improving and evaluating health promotion in order to encourage policymakers and health service administrators to invest resources

The care model of pre-hospital emergency services is one of the most important factors of reducing mortalities and Morbidities in emergency events. The aim of this study was to determine the care model factors of pre-hospital emergency services in Iran. This is a descriptive cross-sectional study that was done in the first half of 2010 using a group decision-making technique. Required data were collected via questionnaires filled by 30 Iranian experts in pre-hospital emergency, who were selected by convenient sampling. Influential (influenced, affected or effective) factors were determined using SPSS 17.0 software (One-Sample T-Test) and then prioritized by MATLAB and Visio software. According to Franco-German and Anglo-American models along with the most appropriate hospital in terms of incident type and duration, the classification of emergency medical services (Basic Life Support [BLS], Intermediate Life Support [ILS] and Advanced Life Support [ALS])and medical direction were counted as care model factors. In addition, the classification of emergency medical services and the most appropriate hospital based on incident type and duration were determined as the most affecting and affected care model factors, respectively, with the coordinates (1.21 and 1.21) and (1.0 and -1.01) on the pre-hospital emergency care model factors graph. Care model as one of the factors of pre-hospital emergency services in Iran is very important and should be considered as a subsystem that interacts with other subsystems. The classification of emergency medical services (BLS, ILS and ALS), based on Anglo-American and Franco-German models, medical direction, as well as the most appropriate hospital based on incident type are essential for making fundamental reforms in providing emergency medical services in Iran.