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Context: Good governance has been discussed as a new concept for poverty alleviation and economic development by global organizations, but this concept has been neglected in the health system. Therefore, this study was conducted with the goal of analyzing good governance in the health system. Evidence Acquisition: This was a descriptive study with systematic review method conducted at the medical bases of Medline,

Results of this study showed that the performance of Al- Zahra Hospital is better than Taleghani Hospital. These two hospitals are similar in different aspects except Al-Zahra is under a board of trustees and Taleghani is not. We should also consider that Al-Zahra Hospital has more facilities than Taleghani.

Background and Objectives: In spite of the aging of the Iranian population, the real needs of the elderly as a vulnerable group have not been given much attention, so they need serious consideration of the authorities for their comprehensive exposure. Therefore, in this study we tried to identify the priorities of active aging policy making for planning so that it can meet all their needs. So, factors affecting large-scale managerial policies could be a good aging predictive factor in the coming years. Material and Methods: The method of this project is a qualitative content analysis study. The statistical population of this study consisted of 287 elderly managers in organizations related to the provision of active aging services. The research tool was a questionnaire which was developed by the researcher. Quantitative assessment was done using content validity ratio (CVR) and content validity index (CVI). Data were analyzed using descriptive statistics, one sample t-test and SPSS software. Results: According to the findings of this study, nutrition, housing, leisure planning, income security, urban planning and spaces, mental health, community attitudes and health literacy, lifelong learning and employment are effective in prioritizing active aging policy and nutrition with 0.512 factor loading has the most important factor and "lifelong training" with 0.820 factor loading is the least in defining the factors of active aging in prioritizing. Conclusion: If government and related organizations make policy-making based on priorities, and need-based policy-making becomes coherent and integrated, significant results are expected to improve the condition of the elderly.

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Background: Public participation strengthens the public presence in healthcare. Objectives: This study aimed to determine the dimensions of attracting public participation in the Iranian health system. Methods: A mixed-method research was conducted from May 2019 to July 2020. A comparative study (using the documents of five countries that were selected purposefully), tool design and validation (through holding two expert panels with the participation of 26 people who were selected based on the inclusion criteria), and finalization of the participation framework (field test with the participation of 283 recruited people based on the inclusion criteria) were performed. Exploratory and confirmatory factor analyses (CFA) were applied using SPSS-v26 and AMOS-v26. Results: Forty-eight components on five factors, including citizenship rights and customer orientation, socioeconomic factors, communication with people and non-governmental organizations, research and technology, and managerial and organizational factors with impact factors of 0.967, 0.951, 0.957, 0.944, and 0.955 were loaded, respectively. The CFA denoted the approval of the framework with the five mentioned factors. Conclusions: In this study, a framework was developed and approved during different stages. Using this framework, healthcare policymakers can adopt the best strategies for engaging public participation and improving the effectiveness of decisions through evidence-informed policymaking.

Objective: Medical equipment plays an effective and vital role in the diagnosis and treatment of diseases. Each society dedicates a plethora of health resources to these facilities. Since prioritizing and resource allocation are crucial in low-income countries with limited health resources, understanding and improving the purchase management of medical equipment in hospitals is a primary key for preparing high-quality health services. The aim of this study was to design a model for medical equipment purchase management at hospitals affiliated with the Tehran University of Medical Sciences. Methods: The statistical population for the present applied study, consisted of 623 people and the research sample was comprised of 420 people, which was selected using the stratified random sampling method. Data was collected using a researcher-made questionnaire whose variables were extracted from comparative studies and whose validity was measured by the relative content validity coefficient, content validity index and Cronbach's alpha coefficient. The SPSS 18 and AMOS were employed for analyses. Results: The most and the least effective aspects of medical equipment purchase management in the studied hospitals were found to be decision-making (path coefficient of 1.244) and organization respectively (path coefficient of 0. 845). Conclusion: It is crucial to take factors into consideration when using the facilities and capacities available in health and treatment centres. The proposed model can best guide buyer institutions to move towards efficient purchase mentioned in upstream policy documents.

Chronic diseases are common health problems around the world. Although health behavior habits are affected by the incidence and severity of them. Phenyl ketone urea disease is an autosomal recessive disorder with enzymatic deficiency that causes these patients to be at risk by developing mental disorders. This study attempts to investigate the effect of self-care education on the quality of life of phenyl ketone urea in Tehran Children Medical Center in order to improve the quality of life in the country. This study is cross-sectional and interventional, in which patients between 7 to 35 years old were 99. Data collection tool was a standard questionnaire of quality of life with 36 questions including 9 quality of life components. For data analysis, T-Test and linear regression were used. In the control group, the mean change in quality of life and the study group were 37.99 ± 13.21 and 55.64 ± 5.57 respectively (p <0.001), and the results showed a significant correlation between self-care education and quality of life. According to the heritability of the Phenyl Ketone Urea disease as well as lack of control of physical and mental health disorders that cause illness, continuing education programs could lead to a dramatic reduction in behavioral disorders. Self-care education can be designed to comply with the patient which plays an important role in improving the quality of life and level of public health of society.