Journal of Education and Health Promotion

Economic evaluation of medical versus surgical strategies for first trimester therapeutic abortion: A systematic review

. Saeed Husseini Barghazan; . Mohamad Hadian; . Aziz Rezapour; . Setare Nassiri

Volume 12, Issue 5 , June 2022, , Pages 1-10

Abstract

Pregnancy termination and abortion‑related complications are well‑established problems amongwomen at reproductive age and resulted in significant morbidity and mortality. Accordingly, ... Read More Pregnancy termination and abortion‑related complications are well‑established problems amongwomen at reproductive age and resulted in significant morbidity and mortality. Accordingly, asystematic study was performed to investigate the economic evaluation studies results on costsand benefits of medical and surgical abortion methods. PubMed, Web of Science, Scopus, Embase,Cochrane library, ProQuest, and ScienceDirect databases as well as Google scholar were searchedthrough June 2021. Original full‑text English language studies that performed an economic evaluationanalysis comparing medical and surgical methods of pregnancy termination were included in thisreview. A critical quality assessment was conducted utilizing the Consolidated Health EconomicEvaluation Standards checklist. The latest web‑based tool adjusted the estimates of costs expressedin one specific currency and price year into a specific target currency (the year 2020 $US). Overall,538 records were retrieved, and 20 studies were deemed eligible for qualitative synthesis. Amongthe reviewed studies, three studies investigated cost‑minimization analysis, three studies investigatedcost‑utility analysis, and 14 studies investigated cost‑effectiveness analysis. The directly comparisonof medical with surgical abortion was most frequently studied. Medical abortion saved US$ 6 to US$2373 per patient’s costs. Medical abortion was cost‑effective and cost‑saving option in compare tothe surgical abortion across all perspectives (the incremental cost effectiveness ratio ranged fromUS$ 419 to US$ 4,044). Quality scores of included studies ranged from 54% to 100%, and 70% ofstudies received a score of above 85% and had “excellent” quality. According to the results, based onvarious economic and clinical effectiveness decision‑making criteria used in different studies of healtheconomic evaluation, the majority of research provided evidence on the advantage of pharmaceuticalmethods compared to surgical methods, as well as the advantages of using combinations therapycompared to single therapeutic interventions.

Economic evaluation of E‑health interventions compared with alternative treatments in older persons’ care: A systematic review

. Aziz Rezapour; . Seyede Sedighe Hosseinijebeli; . Saeed Bagheri Faradonbeh

Volume 11, Issue 4 , May 2021, , Pages 1-6

Abstract

Population aging has increased the need for long‑term care of older persons who suffer frommulti‑morbidity and chronic conditions. Today, the majority of older people are living ... Read More

Barriers in the performance‑based payment in Iran health system: Challenges and solutions

. Marziye Hadian; . Aziz Rezapour; . Elaheh Mazaheri; . Ali Sarabi Asiabar

Volume 11, Issue 3 , March 2021, , Pages 1-6

Abstract

BACKGROUND: One of the main goals of hospital management is to attract, maintain, and increasethe number of qualified and efficient human resources, and one of the key and most important ... Read More

Evidence‑based medicine among health‑care workers in hospitals in Iran: A nationwide survey

. Ahmad Moosavi; . Alireza Sadeghpour; . Saber Azami‑Aghdash; . Naser Derakhshani; . Mohammad Mohseni; . Dariush Jafarzadeh; . Aziz Rezapour

Volume 10, Issue 12 , December 2020, , Pages 1-8

Abstract

BACKGROUND: Evidence‑based medicine (EBM) plays an important and dominant role inpromoting effective decision‑making in the health system. This study was aimed to evaluate theEBM ... Read More

Cost analysis based on performance indicators during Healthcare Reform Plan in selected educational hospitals

. Pouran Raeissi; . Farbod Ebadi Fard Azar; . Aziz Rezapour; . Mohammad Afrouzi; . Saeed Sheikh Gholami; . Noureddin Niknam

Volume 9, Issue 10 , October 2019, , Pages 1-10

Abstract

INTRODUCTION: Hospitals are the main axis of health‑care reforms or national health plans;therefore, accurate recognition of hospital costs based on operational indexes to these plans ... Read More

Identification of the most appropriate variables for measuring the efficiency of Iranian public hospitals: Using Delphi technique

. Aziz Rezapour; . Zeynab Foroughi; . Niusha Shahidi Sadeghi; . Mehran Faraji; . Alireza Mazdaki; . Ali Sarabi Asiabar; . Noureddin Niknam; . Keivan Rahmani; . Saeed Mohammad-Pour

Volume 9, Issue 7 , July 2019, , Pages 1-7

Abstract

CONTEXT: Selecting variables is a fundamental step in evaluating comparative efficiency becausethe results of measuring efficiency depend on the used variables.AIMS: The aim of this ... Read More

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Author = . Aziz Rezapour

Economic evaluation of medical versus surgical strategies for first trimester therapeutic abortion: A systematic review

Abstract

Economic evaluation of E‑health interventions compared with alternative treatments in older persons’ care: A systematic review

Abstract

Barriers in the performance‑based payment in Iran health system: Challenges and solutions

Abstract

Evidence‑based medicine among health‑care workers in hospitals in Iran: A nationwide survey

Abstract

Cost analysis based on performance indicators during Healthcare Reform Plan in selected educational hospitals

Abstract

Identification of the most appropriate variables for measuring the efficiency of Iranian public hospitals: Using Delphi technique

Abstract