Background:Patient participation means involvement of the patient in decision making or expressing opinions about different treatment methods, which includes sharing information, feelings and signs and accepting health team instructions.Objectives:Given the importance of patient participation in healthcare decision making which empowers patients and improves services and health outcomes, this study was performed to review previous studies on patient participation in healthcare decision making.Materials and Methods:To prepare this narrative review article, researchers used general and specific search engines, as well as textbooks addressing this subject for an in-depth study of patient involvement in healthcare decision-making. As a result, 35 (out of 100 relevant) articles and also two books were selected for writing this review article.Results:Based on the review of articles and books, topics were divided into six general categories: definition of participation, importance of patient participation, factors influencing participation of patients in healthcare decisions, method of patient participation, tools for evaluating participation, and benefits and consequences of patient participation in health care decision-making.Conclusions:In most studies, factors influencing patient participation consisted of: factors associated with health care professionals such as doctor-patient relationship, recognition of patient’s knowledge, allocation of sufficient time for participation, and also factors related to patients such as having knowledge, physical and cognitive ability, and emotional connections, beliefs, values and their experiences in relation to health services.
Background: Accreditation is the most powerful evaluation tool to validate a health care organization’s attainment of standards set by an external peer review team. Objectives: This study was done to identify and develop a comprehensive framework of standards affecting the performance of limited surgery centers. Methods: This mixed-method study was conducted in 2019. Twenty experts were selected by the snowball sampling method. Initially, the basic concepts of criteria were designed according to the result of expert interviews. Then, 20 experts were asked to rate the importance of each criterion qualitatively based on a 5-point Likert scale from highly important to unimportant. Experts’ opinions were inquired in three stages, followed by rating and determining the content impact of the extracted standards using the DEMATEL method. Results: The conceptual model and then the initial model were designed. The basic conceptual model was identified in three main domains of patient safety, clinical care, and management and leadership. The highest weight was related to “safe discharge and follow-up of the patient”, which gained the first priority. “Prevention and management of common surgical complications”, “infection prevention”, “continuing post-surgical care, “imidate and emergency care”, and “surgical and anesthesia care” had the second to sixth priority among the ten subfactors, respectively. Conclusions: According to our findings, the formulation of the standards of the limited surgical centers should be more focused on the safety and management of surgical complications.
Introduction: Designing and constructing hospitals using green approach, renewable resources reduce energy consumption and carbon emissions, and improve environmental air quality. The purpose of the present study was to determine Green hospital's criteria in Fars province, Southwest of Iran, 2019. Methods: In the Qualitative study, first, the criteria were identified systematically. Then, the criteria for establishing a green hospital were determined by content analysis and software methods. Then, for localization, using the Delphi method, the effective criteria for establishing a green hospital in Fars province were selected. Thirty experts in the field were selected using purposive sampling. Excel 2016 software was used for analysis. This study was a mixed-method study that was conducted from 2018 to the first half of the year 2019. At first, the criteria were identified by the systematic review method, and then the data extraction was analyzed using the content method. Finally, the criteria identified by the questionnaire were provided to 30 health experts. Experts were selected by purposeful sampling. In the present study, Excel 2016 software was used for analysis. Results: Green Hospital's criteria were 72 criteria out of 21 common angles in the systematic review stage. In Fars province, 34 criteria in 13 dimensions of site stability, construction stage (architecture), environmental quality, management, resources, bio purchase, Experts selected energy efficiency, water, wastewater, waste and waste recycling, transportation, healthcare, and innovation. The most important aspects for Fars province are the management costs. Conclusion: The approved criteria for Fars province, as well as other valid models in the field of the green hospital, management, water efficiency, and energy, were approved. In general, the reasons for choosing approved dimensions can be due to the various models emphasizing these dimensions and the relevance of dimensions to hospitals' challenges.
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