Decrease in rural area's population and increase in the urbanity rate in recent years is a result of poverty and the absence of proper access to resources of welfare and livelihood services. Optimum usages of environmental, economical and production potentials of rural areas for improving income and welfare can be efficient in reaching the goal of reducing the rural immigration. Rural tourism is a part of tourism market and is a source of employment and income. Also it can be presented as a significant tool for the socio-economical development of rural areas. To recognize the guidelines in this study for tourism development in Kore Shahbazi and Tassouj as target tourism villages in Kohgiloye and BouyrAhmad province of Iran, the internal factors assessment (Strengths & weaknesses) and external factors (opportunities & threats) and SWOT matrix were used. In this study, bioenvironmental; tourism; economical; socio-cultural; and legal-political factors were used in performed analyzing. According to this consideration, six tourism development strategies were determined for each village. Protection of village recreational attractions(ST strategy), developing infrastructure for tourism and introducing village recreational attractions to attract tourist (WO strategy) nature, historic and religious tourism planning (SO strategy) and planning for attraction-based tourism (WT strategy) were determined as tourism development strategies in target villages. Also, developing flora, bio-environmental management of natural resources, infrastructure development, increase in employment capacity, immigration control and native cooperation development in planning were determined as rural development strategies which play an important role in implementation of the tourism development strategy in the area.
Aim: To investigate the intention to leave the profession and its related factors among nurses in Kermanshah, western Iran.Design: Cross-sectional study.Methods: A total of 377 nurses were enrolled in a stratified random sampling method.Data were collected by the Anticipated Turnover Scale and a sociodemographic information form. and analysed by descriptive and inferential statistics (logistic regression analysis). Results:The results showed that 49.6% (n = 187) of nurses tended to leave the profession and the mean score of intention to leave was 36.6 ± 0.5 of 60. There were no statistically significant differences between nurses who intended to leave and those who did not in terms of age, marital status, gender, type of employment, type of shift and work experience. But a statistically significant association was found between workplace (p = 0.041, adjusted OR = 2.07
BACKGROUND: Primary healthcare (PHC) plays an important role in achieving universal health coverage (UHC). The SERVQUAL instrument is the tool for evaluating the quality of services in the health sector. The main purpose of this study is to evaluate the quality of services provided in PHC in Iran using the SERVQUAL instrument.MATERIALS AND METHOD: We searched eight databases from January 2000 to September 2021. We analyzed the mean of various SERVQUAL instrument items using the DerSimonian-Laird approach via a random model with 95% confidence interval. Also, we used I2 to evaluate the heterogeneity of the studies.RESULTS: Finally, 17 studies were chosen for analysis in the present study. There were 8,767 study participants, out of which 8,237 were female and 530 were male. The mean dimensions of perception were as follows: Tangibles = 3.71, reliability = 4, responsiveness = 3.79, assurance = 3.83, and empathy = 3.86. For the expectation, the mean dimension were: Tangibles = 4.46, reliability = 4.46, responsiveness = 4.36, assurance = 4.36, and empathy = 4.36 respectively. The total gap quality between perception and expectation was -0.53.CONCLUSION: All dimensions of quality based on SERVQUAL were negative, and the quality of service in PHC is not satisfactory. Therefore, policymakers must adopt serious and effective programs to improve services in this area. We also recommend that quality management of services in PHC in Iran should move toward comprehensive optimization in all areas, and quality in this area should be a priority.
Medical tourism facilitator firms are the firms which act as intermediaries between suppliers of medical tourism and the patients. In order to have efficient and sufficient outcome, these firms need a well-organized infrastructure. In this research, we investigated the infrastructure management indicators of medical tourism facilitator firms in Iran. Methods: This research was conducted by using a two-step quantitative method: the Delphi technique and distribution of a structured questionnaire. Statistical population for the first data collection step consisted of the experts in medical tourism and e-business. The second statistical population was medical tourism facilitator firms. The data were analysed using the structural equation modelling (SEM). Results: The infrastructure management for a Medical tourism facilitator firm included the following five factors: activity configuration, network partner, capabilities, internal (mission, strategy and structure) and external (government, competitors and technology) factors. Activity configurations of a firm, included Collaboration platforms, Virtual communities and Valuechain integrators as main activities of an Medical tourism facilitator firm firm. By examining the network partner factor, it became prominent that insurance companies must be considered more although they face limitations due to sanctions. Capability include facilities in medical and tourism segment, access to database of hospitals and physicians. Considering the internal factors mission, structures and strategy of the firm in the context of planning, their target segment, the firm's human resources and IT structure of the firm should be developed. The government affects Medical tourism facilitator firm firms by making rules and regulations in the context of visa issuance, having relationship with medical tourism target countries, investing and supporting medical tourism system. The internal and external competitors should be monitored wisely for activities, partners, services, prices and the type of provided services. Technology is towards e-health and health applications and platform to provide required data and information for patients of MTF firms as well. Conclusion: To manage infrastructure of an MTF firm, it is necessary to consider activity configuration, network partner, capabilities, internal and external factors comprehensively, as mentioned in this paper. Designing a platform between facilitators and partners as well as facilitators and patients is recommended.
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