Background and aimDAMA is a result of patient dissatisfaction, which increases the rate of readmission, mortality, and complications. In this study, the causes and predictors of DAMA in Shahid Labbafinejad Hospital of Tehran were determined.MethodsThe descriptive and analytical study was conducted in 2016 from the information of 1,168 hospitalized patients in the period of 2015 and the first half of 2016. Patients’ information was collected using checklists and through clinical records, nursing unit reports, and telephone calls. The collected data were analyzed using SPSS-v18 software and by employing chi-square test and logistic regression modeling.ResultsThe DAMA rate was estimated at 3.27%. Among the causes of DAMA, the high rates were related to personal problems (39.04%) and going to other centers (34.93%), and the lowest level was related to dissatisfaction with the physician (3.08%). Age groups (19–37, OR=2.17), (38–56 years, OR=1.70), and (57–75, OR=1.62), gender (male, OR=1.47), locations (Tehran city, OR=0.61) and (Tehran Province, OR=0.63) were predictors of DAMA (p<0.05).ConclusionsThe importance of DAMA requires practical measures such as creating a suitable environment for patients, providing consulting services for youth, improving staff relations, providing assistance for patients in need, and removing accommodation problems of patients and their companions to reduce the DAMA.

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Patient engagement (PE) is a well-known strategy introduced and implemented by pharmaceutical and medical device companies for patient compliance and adherence to treatment protocols during clinical trials and care processes. This can affect a wider range of outcomes such as the quality of treatment decisions and quality of care outcomes. Few studies have paid attention to it. The involvement of patient is one of the crucial stakeholders of health care in their treatment that makes controversial opinions about the potential outcomes of their engagement in various aspects of healthcare. This scoping review was conducted in 2022 to collect the results of PE. The search was performed in the MEDLINE and Web of Sciences databases. The selected documents were categorized and reported by the direct content analysis method. Out of 3974 published documents, 17 articles were selected. Findings are categorized into 4 groups: (1) Health outcome, (2) patient compliance, (3) self-efficiency, and (4) return on investment. PE can improve both treatment outcomes and consequently patient satisfaction and health, as well as the productivity of the service provider. However, increasing self-care and patient adherence are among the positive effects of this engagement on the patient, and return on investment is still a challenge for PE.

Today, various methods are used in order to assess the health care system which is one of the Governance Leadership Direction (GLD) standards of the Joint Commission International (JCI) of America. This study aimed to evaluate the performance of managers of Tehran University of Medical Sciences' Obstetrics and Gynecology Hospitals from the viewpoint of personnel, based on the JCI Accreditation Model. This study is a descriptive-analytical research and a cross-sectional study in 2014 which has been conducted among the 311 personnel of two hospitals of obstetrics and gynecology of Tehran University of Medical Sciences. Tools for data collection included two questionnaires. The first questionnaire had 27 questions to evaluate the ability to implement the Governance, Leadership, and Direction (GLD) aspects of JCI standards. The second questionnaire was designed to evaluate the performance of managers. The data were analyzed using the SPSS Software version 18 and Mann-Whitney and Kruskal-Wallis statistical tests. The results show that in the studied hospitals, the functional performance standards of GLD have a relatively high level (average = 0.50 ± 2.30 from 3) and among its dimensions, the highest score related to monitoring (average of 0.57 ± 2.23) and the least related to leadership (average of 0.530 ± 2.26). There was a * Corresponding author. M. Bakhateiyari et al. 210 significant relationship among age, education and employment type of personnel and GLD standards and aspects. Given the relatively good rating of various aspects of management performance in the studied hospitals, it can be upgraded and get closer to the JCI international standards. Meanwhile, emphasizing on leadership seems more urgent.

Background: This study has been examined in order to examine the studies conducted on disease management in the field of coronavirus caused disease in the type of COVID-19 in the form of area review regarding the development of coronavirus caused disease as a significant challenge in the 21st century and the importance of managing and controlling this disease. Methods: This study was conducted in the form of a field review to identify non-clinical and non-laboratory aspects of coronavirus in both Persian and English and the keywords such as "corona", "coronavirus", COVID-19 " were searched in the databases from "Scopus", "Web of Science", "PubMed", "SID" as well as "Google Scholar" search engines since the beginning of 2020. Results: The contents were searched in the adopted databases, and a total of 1257 studies were discovered, and eventually, 18 main papers were extracted and applied after applying the inclusion and exclusion criteria. As the results obtained by the studies explain, a high percentage of the papers focused on stress management, crisis control, and management, focusing on employees and providing the solutions to decrease stress, including exercise, establishing beneficial relationships with relaxation, and so on. Conclusion: It is better governments provide remote health care services for patients to diagnose and treat this disease due to the speedy spread of coronavirus, lack of definitive treatment, and absence of sufficient quarantine infrastructure for developed patients. Crisis conditions cause all populations engaged in society to share a common purpose and utilize common values in a cooperative movement and progress.