Introduction: Unequal distribution of resources has always been a concern for health systems in addressing access issues in relation to health services.It might have a devastating effect on health outcomes and in a way incur the direct and indirect costs. The purpose of this study thus is to investigate the trend of pharmacists’ distribution in Iran.Methods: In this retrospective longitudinal study, data were collected for a four-time period; 2007, 2012, 2016 and 2019,from the Statistical Center of Iran and Islamic Republic of Iran Medical Council. The sought indicator was the number of pharmacists per 10,000 population. Gini coefficient and Lorenz curve were used to measure and analyze the inequality using STATA software and ArcGIS software was used to map the pharmacists’ distribution.Results: The results showed that the number of pharmacists in 2007 was 12986 and increased by 69% (21919) in 2019, however the inequality in the distribution of pharmacists has not yet disappeared. Gini coefficient values for 2007, 2012, 2016 and 2019 were 0.26, 0.23, 0.21 and 0.19, respectively. The Gini coefficient decreased by 27% during the study period and from 2007 to 2019, pharmacy per capita increased in all provinces of Iran.Conclusion: The trend of pharmacist distribution in Iran indicates an overall decrease in the inequality level. However, the inter-provincial distribution of pharmacists is significantly unequal, demanding full attention of national and provincial authorities. The results might also inject plenty of insights into the evidence-based policy making at the ministerial level.
Despite the international recognition of the fact that patient can help improve her or his safety, there is little evidence that shows how patient want to take the active role. The aim of this study was to investigate Patients’ Attitudes Toward Receiving Information and Blood Transfusion Safety. This study is performed by systematic reviewing of articles, magazines, foreign books and world health organization reports related to blood transfusion and its auditing. data banks were reviewed electronically. Electronic searches include: Magiran, SID, Embase, MIDLINE. Keywords used in searching includes: patient’s involvement, transfusion safety, blood transfusion and their Persian equivalences. Research evidence showed that little studies about patients' willingness to accept findings of these innovative plans or factors influencing their participation level have been performed. Role of patient participation as main base of clinical dominance can improve hospital and health center safety level in clinical processes. Patients can participate in pre-, during and post-stages of safety control of blood transfusion. Lack of adequate information and contrasts and confliction of staff with patients causes delay in this process.
Background Managerial stability is believed to play a crucial role in the success of health care organisations and health managers. High managerial turnover seems to be a common phenomenon of the Iranian health system. This study thus aimed to investigate the reasons for managerial turnover in Iranian hospitals. Methods Following a qualitative approach, 53 semi‐structured interviews were conducted with different managerial levels in the hospitals, the high officials of medical universities, and health policymakers. Interviewees were selected using the purposive sampling techniques. Interviews were continued up to the data saturation. Data analysis was conducted thematically using MAXQDA 10. Results Four groups of reasons were identified leading into the managerial turnover in hospitals, ranging from the micro to macro level factors, that is, those related to the managers, hospitals, medical universities, and the country. Insufficient support from the officials, managerial poor performance, conflict with other managers and colleagues, changes of senior managers, and presidential and parliamentary elections representing the key reasons underlying the turnover of hospital managers in Iran. Conclusion Given the variety of reasons emerged behind the managerial turnover, the efforts to improve the awareness and engage the all actors ranging from health policymakers to organisational decision‐makers could be a valuable step to regulate and optimise the managerial turnover and stability in health care organisations in order to enhance the productivity and accountability in healthcare industry, particularly in the hospitals.
Background: Surgery wards account for a significant portion of hospital costs, followed by patient costs. Improving surgery wards' performance plays a major role in enhancing the accountability and efficiency of the hospital. This study aimed to evaluate the performance of inpatient surgical wards at the hospitals affiliated with Tehran University of Medical Sciences(TUMS). Methods: A descriptive, cross-sectional, retrospective study was performed at all hospitals affiliated with TUMS in 2018. To measure the efficiency of these wards, three indicators have been considered; bed occupancy rate, the average length of stay, and bed turnover. Data have been analyzed using Excel software based on the Pabon Lasso model . Results: Among the 15 active surgical departments, 5 (33.31 %) were categorized in quadrant three, including ophthalmology, obstetrics and gynecology, vascular and trauma surgery, plastic surgery, and infertility department. The oral and maxillofacial surgery and general surgery departments were the poorest in their performance and located in quadrant one. Ten surgical wards out of 38 (26.33 %) have reported a satisfactory performance. Conclusion: Understanding and comparing the performance of clinical departments is also useful in making decisions for standardizing the patterns of health services delivery, evidence-based management in health care centers, and enhancing accountability in the health system. It is suggested that managers revise the departments in the inefficient area to reduce the number of inefficient departments or attract more patients by marketing, diversifying services, and increasing the quality of services.
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