Journal of Education and Health Promotion

Prioritizing the health education needs based on community participation: AHP method

. Masoumeh Hashemian; . Fatemeh Ghardashi; . A.R Izadi; . Roya Akbarzadeh

Volume 9, Issue 6 , June 2019, Pages 1-7

Abstract

INTRODUCTION: The identification of health education needs through the community resultsin targeted services and health promotion. Prioritizing these needs, in addition to identifying ... Read More

Hospitals’ efficiency in Iran: A systematic review and meta‑analysis

. Somayeh Mahdiyan; . Ali Dehghani; . Arefe Dehghani Tafti; . Mohsen Pakdaman; . Roohollah Askari

Volume 9, Issue 6 , June 2019, Pages 1-8

Abstract

BACKGROUND: Given that the need to pay attention to measuring efficiency is considered asone of the main pillars of improving the level of efficiency in hospitals, so this study was ... Read More BACKGROUND: Given that the need to pay attention to measuring efficiency is considered asone of the main pillars of improving the level of efficiency in hospitals, so this study was carriedout aimed to determine the mean technical efficiency (The technical efficiency is bound by zeroand one and a score of less than one means that the theatre is inefficient as it could) score interms of type and activity of the hospital, input‑oriented and output‑oriented attitude, returns toscale (In economics, returns to scale and economies of scale are related but different conceptsthat describe what happens as the scale of production increases in the long run, when all inputlevels including physical capital usage are variable (chosen by the firm). The concept of returnsto scale arises in the context of a firm’s production function. It explains the behavior of the rateof increase) in hospitals of Iran using data envelopment analysis (DEA) (DEA is a nonparametricmethod in operations’ research and economics for the estimation of production frontiers. It isused to empirically measure productive efficiency of decision‑making units) and stochastic frontieranalysis (SFA) (SFA is a method of economic modeling. It has its starting point in the stochasticproduction frontier models simultaneously introduced by Aigner, Lovell and Schmidt[1977] andMeeusen and Van den Broeck[1977]MATERIALS AND METHODS: The present study was carried out with a systematic reviewof all studies conducted on measuring efficiency of hospitals in Iran from March 21, 2001 toDecember 21, 2017 using DEA and SFA. Eleven databases were searched using appropriatekeywords and 470 articles were found and evaluated using a checklist, and finally, 24 articleswere entered into the meta‑analysis process. Meta‑analysis was performed using random effectmodel and fixed‑effect model, and study heterogeneity was investigated using Q‑Cochrantest and I2 index. Furthermore, the main reasons of study heterogeneity were identified dueto meta‑regression.RESULTS: The average technical efficiency score of hospitals using DEA and SFA methodwas obtained equal to 0.885 and 0.809, respectively. Furthermore, with regard to the DEAmethod, 0.885, 0.891.0.952 and 0.913 was obtained for input‑oriented and output‑oriented,general and specialized care hospitals and constant returns respectively. With regard to SFAmethod, 0.733, 0.664, 0.641, 0.802, was obtained, and the inputs and outputs affect measuringthe efficiency.DISCUSSION: In contrast, the DEA method can investigate several input and output simultaneouslyand is used as an effective and flexible tool in order to measure the efficiency of the hospital. DEAcan be easily used for calculating efficiency scores based on the proper selection of input andoutput indicators. The data envelopment analysis method and different input and output variableshave been used in most studies conducted in Iran, and Stochastic Frontier Analysis has been lessconsidered. In the present study, the DEA method in governmental educational hospitals showed ahigher efficiency than SFA method in the hospitals under study. But in general, due to lack of optimalefficiency level in the hospital, it is suggested that policymakers determine the hospital efficiencyindices in order to evaluate their efficiency from different dimensions. CONCLUSION: The average technical efficiency score of hospitals using DEA and SFA method was obtained equal to 0.885and 0.809, respectively. Also, the mean technical efficiency score in terms of input-oriented and output-oriented, general andspecialized care hospitals and constant returns to scale using the DEA method was obtained equal to 0.885, 0.891.0.952 and0.913 and using the SFA method, respectively, it was equal to 0.733, 0.664, 0.641, 0.802, and the inputs and outputs affectingmeasuring the efficiency. There is no significant difference between the mean efficiency score between the two methods, butthe data envelopment analysis method is used more. It is suggested that the hospitals efficiency indicators to be determined inorder to more accurately evaluate the hospitals efficiency.

Value of serum glucose‑6‑phosphate isomerase in patients with rheumatoid arthritis and correlation with disease activity: A case–control study

. Neda Soleimani; . Masoud Hosseinzadeh; . Zahra Habibagahi

Volume 9, Issue 6 , June 2019, Pages 1-5

Abstract

BACKGROUND: Rheumatoid arthritis (RA) is a common multisystemic autoimmune disease withperipheral joint involvement. Many autoantibodies have been introduced in the course of RA; some ... Read More

The Balint group and its application in medical education: A systematic review

. Mohammadreza Yazdankhahfard; . Fariba Haghani; . Athar Omid

Volume 9, Issue 6 , June 2019, Pages 1-7

Abstract

INTRODUCTION: The Balint group’s seminars were developed by Michael and Enid Balint for thepurpose of a better understanding of doctor–patient relationships. This study ... Read More

The effect of macroeconomic indicators on health‑care expenditure in Iran

. Mohsen Pakdaman; . Sara Geravandi; . Roohollah Askari; . Mohsen Askarishahi; . Hasan Reza Afzali

Volume 9, Issue 6 , June 2019, Pages 1-6

Abstract

INTRODUCTION: A sharp increase in expenditure is one of the challenges of the health systemin Iran. Every macroeconomic variable affects health, and if it is disregarded, it will lead ... Read More

Exploring knowledge, attitude, and practices in relation to epilepsy among undergraduates for effective health promotion: Initial evaluation

. Meena Kolar Sridara Murthy; . Lakshmana Govindappa; . P. Marimuthu; . Madhuporna Dasgupta

Volume 9, Issue 6 , June 2019, Pages 1-6

Abstract

BACKGROUND: The condition of epilepsy has a considerable effect on a person’s social andpersonal life. Currently, a knowledge gap exists regarding the knowledge, attitude, and ... Read More

Effect of workshop training along with simulation and support of labor practitioners on their attitude and performance in conducting routine episiotomy

. Mitra Eftekhari Yazdi; . Mostafa Rad; . Marzie Torkmannejad Sabzevari

Volume 9, Issue 6 , June 2019, Pages 1-6

Abstract

INTRODUCTION: Routine episiotomy is a common procedure to shorten the second stage of labor.The attitude of individuals is an important factor in episiotomy, which is often carried ... Read More

Comparative study of nursing curriculum in nursing faculties of Canada, Turkey, and Iran according to SPICES model

. Parvaneh Asgari; . Elham Navab; . Fatemeh Bahramnezhad

Volume 9, Issue 6 , June 2019, Pages 1-8

Abstract

BACKGROUND: Innovation in the development and review of curriculums is one of the requirementsof medical education in the present era. SPICES model has been taken into consideration ... Read More

The economic consequences of practice style variation in providing medical interventions: A systematic review of the literature

. Mojtaba Nouhi; . Mohamad Hadian; . Reza Jahangiri; . Mostafa Hakimzadeh; . Serajaddin Gray; . Alireza Olyaeemanesh

Volume 9, Issue 6 , June 2019, Pages 1-7

Abstract

The practice style variation (PSV) incurs undesirable clinical and economic consequences for patientsand the healthcare system. This review aims to analyze the economic consequences ... Read More

Identification of the requirements for designing medical tourism information system of Iran

. Majid Naghipour; . Mostafa Langarizadeh; . Mohammadreza Razzazi

Volume 9, Issue 6 , June 2019, Pages 1-7

Abstract

BACKGROUND: Given the substantial role of information systems in planning and simplifying thedecision‑making process for the government, organizations, health centers, and facilitators, ... Read More

Using discrete choice model to elicit preference for health‑care priority setting

. Yaser Jouyani; . Mohammad Hadiyan; . Masoud Salehi; . Ali Souri

Volume 9, Issue 6 , June 2019, Pages 1-8

Abstract

BACKGROUND: Regarding lack of resources in the health‑care sector, prioritization of theseresources is inevitable. The objective of the current study was to elicit public preference ... Read More

Relooking the curriculum and assessment in undergraduate pathology

. Yookarin Khonglah; . Vandana Raphael; . Jaya Mishra; . Evarisalin Marbaniang; . Zachariah Chowdhury; . Biswajit Dey

Volume 9, Issue 6 , June 2019, Pages 1-5

Abstract

INTRODUCTION: Pathology is basic science, and steps are being taken to integrate the clinicalsciences in undergraduate pathology curriculum. The present study was undertaken with the ... Read More

Obesity and iron‑deficiency anemia in women of reproductive age in northern Iran

. Hajar Adib Rad; . Sayed Ali Asghar Sefidgar; . Ahmad Tamadoni; . Sadegh Sedaghat; . Fatemeh Bakouei; . Ali Bijani; . Shabnam Omidvar

Volume 9, Issue 6 , June 2019, Pages 1-5

Abstract

BACKGROUND: Obesity and iron deficiency (ID) are two forms of the most usual nutritional disordersworldwide. Some studies have discovered a correlation between ID and obesity although ... Read More

Preparedness challenges of the Iranian health system for dust and sand storms: A qualitative study

. Kiyoumars Allahbakhshi; . Zohreh Ghomian; . Reza Khani Jazani; . Davoud Khorasani‑Zavareh

Volume 9, Issue 6 , June 2019, Pages 1-9

Abstract

BACKGROUND: The dust and sand storms (DSS) in Iran increased in recent years, which havecaused adverse health effects. Regarding the effects of DSS on the health indicators, the healthsystem ... Read More

Effect of focused birth preparedness and complication readiness counseling on pregnancy outcome among females attending tertiary care hospital in Barabanki district, Uttar Pradesh, India

. Mukesh Shukla; . Nahid Zia Khan; . Anjana Agarwal; . Akhilesh Dutta Dwivedi; . Jai Vir Singh; . Shahnoor Alam

Volume 9, Issue 6 , June 2019, Pages 1-7

Abstract

CONTEXT: Measures related to birth preparedness and complication readiness (BPCR) duringpregnancy play an important role in producing better pregnancy outcome. If the pregnant females ... Read More CONTEXT: Measures related to birth preparedness and complication readiness (BPCR) duringpregnancy play an important role in producing better pregnancy outcome. If the pregnant females areproperly counseled during antenatal visits, it could help in bringing out desirable behavior changes.AIMS: This study aims to study BPCR‑related awareness and practices among the pregnant femalesand the effect of focused and structured birth preparedness counseling on complication readinessamong pregnant females.SUBJECT AND METHODS: A facility‑based follow‑up study was conducted from July to December2016, and a total of 130 pregnant females were enrolled. All study participants were initially assessedfor various domains of BPCR index consisting of seven key indicators. The index reassessmentwas done again, after 1 month, during follow‑up visit. Information regarding any pregnancy‑relatedcomplication in due course and behavior was also recorded during successive follow‑up.STATISTICAL ANALYSIS USED: The difference in pre‑ and postcounseling mean BPCR index wasassessed using paired t‑test, and McNemar’s test was used for paired categorical data analysis.P < 0.05 was considered to be statistically significant.RESULTS: The postcounseling BPCR index (70.65 ± 19.18) was found to be significantly muchhigher as compared to pre‑counseling baseline BPCR index (41.12 ± 11.34). Knowledge aboutdanger signs of pregnancy, transportation services provided by government, financial assistanceprovided in Government schemes, identification of skilled birth attendant, mode of transportation,and arrangement of emergency blood donor was found to increase significantly after counseling.Abortion was found to occur significantly higher (about thrice) among those who had postcounselingBPCR index below average, i.e., <50% (P < 0.05).CONCLUSIONS: The results of the present study revealed that focused birth preparednesscounseling on complication readiness could play an important role in increasing the baselineknowledge of pregnant females regarding pregnancy‑related complications and bring out desirableideal health‑seeking behavior changes during pregnancy.

Assessment of risk factors for developmental delays among children in a rural community of North India: A cross‑sectional study

. Neha Sharma; . Jamal Masood; . S. N. Singh; . Naim Ahmad; . Prabhaker Mishra; . Shikhar Singh; . Sudip Bhattacharya

Volume 9, Issue 6 , June 2019, Pages 1-12

Abstract

BACKGROUND: Initial formative years in every children’s life are critical for their optimal development,as these frame the foundation of future well‑being. With a varied prevalence ... Read More BACKGROUND: Initial formative years in every children’s life are critical for their optimal development,as these frame the foundation of future well‑being. With a varied prevalence of developmentaldelays (DDs) in the world and most of the studies representing the hospital‑based data. The presentstudy was aimed to find the prevalence and risk factors for DDs (domain wise) in children aged2 months to 6 years in the rural area of North India.METHODS: This was a cross‑sectional study in which a multistage random sampling technique wasused. From 30 Anganwadi centers, 450 children aged 2 months–6 years were taken in the study.Rashtriya Bal Swasthya Karyakram screening tool developed by the Ministry of Health and FamilyWelfare, India, was used for developmental screening. Binary logistic regression analysis was doneto identify the predictors for DDs (domain wise).RESULTS: Seventy‑three (16.2%) children were found to have DDs and 60 (13.3%) children hadthe global DDs. About 84/421 (20.0%) children had cognitive delay, followed by 43/450 (9.6%)children who had delay in speech and language area. About 17/190 (8.9%) children had socialdelay while 26/407 (6.4%) children had hearing and vision impairment. Gross motor delay wasseen in 24/450 (5.3%) children and 16/300 (5.3%) children had fine motor delay. Gestationalage (adjusted odds ratio [AOR] – 13.30), complications during delivery (AOR – 25.79), meconiumaspiration (AOR – 12.81), and child never breastfed (AOR – 8.34) were strong predictors for thedelay in different domains of developmental milestones.CONCLUSION: Socio-economic, ante-natal, natal and post-natal factors should be considered forprompt identification and initiation of intervention for DDs.RECOMMENDATION: There is a need for increasing awareness and knowledge of parents regardingthe achievement of developmental milestones according to the age. A multipronged approach to theholistic treatment of developmentally delayed children for early intervention is required.

Impact of group assertiveness‑based sexual training on the quality of marital relationships among female university students

. Neda Dastyar; . Mansour Shakiba; . Ali Navidian

Volume 9, Issue 6 , June 2019, Pages 1-6

Abstract

BACKGROUND: Sexual assertiveness plays a crucial role in the quality of sex, as well as ininvestigating and treating sexual problems. The purpose of this study was to determine the ... Read More

What structural factors influencing emergency and disaster medical response teams? A comparative review study

. Yousof Akbari Shahrestanaki; . Hamidreza Khankeh; . Gholamreza Masoumi; . Mohammadali Hosseini

Volume 9, Issue 6 , June 2019, Pages 1-9

Abstract

INTRODUCTION: An important indicator increasing the survival chances of patients and injuredpeople immediately after emergency and disaster is the rapid access to medical services. ... Read More

Postgraduate Research Mentorship Program: An approach to improve the quality of postgraduate research supervision and mentorship in Iranian students

. Azadeh Kordestani Moghaddam; . Ahmad Esmaillzadeh; . Leila Azadbakht

Volume 9, Issue 6 , June 2019, Pages 1-6

Abstract

BACKGROUND: One of the important challenges at the Universities of Medical Sciences is thementorship of postgraduate students’ academic theses. Since 2015, the Research MentorshipProgram ... Read More

Application of data mining techniques for predicting residents’ performance on pre‑board examinations: A case study

. Leila Amirhajlou; . Zohre Sohrabi; . Mahmoud Reza Alebouyeh; . Nader Tavakoli; . Roghye Zare Haghighi; . Akram Hashemi; . Amir Asoodeh

Volume 9, Issue 6 , June 2019, Pages 1-7

Abstract

CONTEXT: Predicting residents’ academic performance is critical for medical educational institutionsto plan strategies for improving their achievement.AIMS: This study aimed to ... Read More CONTEXT: Predicting residents’ academic performance is critical for medical educational institutionsto plan strategies for improving their achievement.AIMS: This study aimed to predict the performance of residents on preboard examinations basedon the results of in‑training examinations (ITE) using various educational data mining (DM)techniques.SETTINGS AND DESIGN: This research was a descriptive cross‑sectional pilot study conducted atIran University of Medical Sciences, Iran.PARTICIPANTS AND METHODS: A sample of 841 residents in six specialties participating in theITEs between 2004 and 2014 was selected through convenience sampling. Data were collectedfrom the residency training database using a researcher‑made checklist.STATISTICAL ANALYSIS: The analysis of variance was performed to compare mean scoresbetween specialties, and multiple‑regression was conducted to examine the relationship betweenthe independent variables (ITEs scores in postgraduate 1st year [PGY1] to PG 3rd year [PGY3],sex, and type of specialty training) and the dependent variable (scores of postgraduate 4th yearcalled preboard). Next, three DM algorithms, including multi‑layer perceptron artificial neuralnetwork (MLP‑ANN), support vector machine, and linear regression were utilized to build theprediction models of preboard examination scores. The performance of models was analyzedbased on the root mean square error (RMSE) and mean absolute error (MAE). In the final step,the MLP‑ANN was employed to find the association rules. Data analysis was performed in SPSS22 and RapidMiner 7.1.001.RESULTS: The ITE scores on the PGY‑2 and PGY‑3 and the type of specialty training were thepredictors of scores on the preboard examination (R2 = 0.129, P < 0.01). The algorithm with theoverall best results in terms of measuring error values was MLP‑ANN with the condition of ten‑foldcross‑validation (RMSE = 0.325, MAE = 0.212). Finally, MLP‑ANN was utilized to find the efficientrules.CONCLUSIONS: According to the results of the study, MLP‑ANN was recognized to be useful in theevaluation of student performance on the ITEs. It is suggested that medical, educational databasesbe enhanced to benefit from the potential of DM approach in the identification of residents at risk,allowing instructors to offer constructive advice in a timely manner.

Developing a community‑based breast cancer risk prediction tool for resource‑poor settings

. Divya Pillai; . Shaikh Shah Hossain; . Vijay Kumar Chattu

Volume 9, Issue 6 , June 2019, Pages 1-5

Abstract

BACKGROUND: With an estimation of every two women newly diagnosed with breast cancer,one dies. It is accounted that 1 in 28 women is likely to develop breast cancer during her lifetime.Developing ... Read More

Global health diplomacy, health and human security: The ascendancy of enlightened self-interest

. Vijay Kumar Chattu; . Andy W Knight; . Sebastian Kevany; . Annamarie Bindenagel Sehovic

Volume 9, Issue 6 , June 2019, Pages 1-1

Abstract

The political, social, economic, and security implications of health‑related issues such as emerginginfectious diseases or the epidemic of Non Communicable Diseases offer a rare opportunity ... Read More

Volume 13 (2023)

Volume 12 (2022)

Volume 11 (2021)

Volume 10 (2020)

Volume 9 (2019)

Volume 8 (2018)

Volume 7 (2017)

Volume 6 (2016)

Volume 5 (2015)

Volume 4 (2014)

Volume 3 (2013)

Volume 2 (2012)

Volume 1 (1900)

Volume & Issue: Volume 9, Issue 6, June 2019

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