Background:Responsiveness assessment of health system with the quality information is the key in effective evidence-based management of the health system.Objectives:This qualitative study defines the necessary components required for the health system responsiveness assessment information system (HS-RAIS).Materials and Methods:This study was conducted based on mixed-methods approach and by using Delphi technique (29 participants in first round and 25 participants in second round) and semi-structured interviews in Iran 2013. The participant selection strikes a balance between being able to provide valid data, and increasing representative’s leverage. The final framework for HS-RAIS was extracted from in-depth interviews with ten key informants.Results:We followed these recommendations and developed a framework in 10 components including: minimum datasets, data sources, data gathering, data analysis, feedback and dissemination, legislative needs, objectives of health system responsiveness assessment, repetition period, executive committee and stewardship.Conclusions:This framework provides useful information for decision-making at all levels about assessment of health system.
Introduction The implementation of a dashboard enables managers to make informed and evidence-based decisions through data visualization and graphical presentation of information. This study aimed to design and implement a COVID-19 management dashboard in a third-level hospital in Mashhad, Iran. Materials and Methods This descriptive developmental applied study was conducted in the second half of 2020 in three stages, using user-centered design methodology in four phases: (1) specification of the application context, (2) specification of requirements, (3) creation of design solutions, and (4) evaluation of designs. Data collection in each phase was performed through holding group discussions with the main users, nominal group techniques, interviews, and questioners. The dashboard prototype for the data display was designed using the Power BI Desktop software. Subsequently, users' comments were obtained using the focus group method and included in the dashboard. Results In total, 25 indicators related to input, process, and output areas were identified based on the findings of the first stage. Moreover, eight items were introduced by participants as dashboard requirements. The dashboard was developed based on users' feedback and suggestions, such as the use of colors, reception of periodic and specific reports based on key performance indicators, and rearrangement of the components visible on the page. The result of the user satisfaction survey indicated their satisfaction with the developed dashboard. Conclusion The selection of proper criteria for the implementation of an effective dashboard is critical for the health care organization since they are designed with a high-tech and content-based environment. The dashboard in the present study was a successful combination of clinical and managerial indicators. Future studies should focus on the design and development of dashboards, as well as benchmarking by using data from several hospitals.
Responsiveness introduced by WHO as a key indicator to assess the performance of health systems and measures by common set of domains that are categorized in to two main categories “Respect for persons” and “client orientation”. This study measured importance of client orientation domains in high and low income districts of Mashhad. In this cross-sectional and explanatory study, Sample of 923 households were selected randomly from two high and low income districts of Mashhad. World Health Organization (WHO) questionnaire was used for data collection. Standard frequency analyses and Ordinal logistic regression (OLR) was employed for data analysis. In general, respondents selected quality of basic amenities as the most important domain and access to social support networks was identified as the least important domain. Households in high income area scored higher domains of prompt attentions and choice Compared to low income. There was a significant relationship between variables of ages, having member that need to care and self-assessed health with the ranking of client orientation domains.Study of households’ view on ranking of non-clinical aspects of quality of care, especially when faced with limited resources, can help to conduct efforts towards subjects that are more important, and lead to improve the health system performance and productivity.
Aim:In late 2019, the world was encountered with Covid 19 pandemic. Since maintaining the quality of care is one of the priorities of the healthcare system, the aim of this study was to investigate the status of public care provided to patients before and after allocating the wards to Covid 19 patients. Methods:This cross-sectional descriptive study was performed in the emergency room and infectious and non-infectious wards of Imam Reza Hospital. The research tool was a checklist that was compiled based on national accreditation measures. Its validity was confirmed quantitatively by ten experts. The data related to the evaluations were collected two months before and two months after allocating these wards to Covid 19 patients, entered into spss21 software, and analyzed by chi-square test.Results: In general, the quality score of public care in the emergency and non-infectious wards was significantly lower than before. In the emergency department, the installation of etiquette and in the noninfectious ward, compliance with the standard related to the pressure ulcer prevention and physical restraint had a significant reduction compared to prior the Coronavirus pandemic. The standards related to patient delivery and transformation in infectious and non-infectious wards has decreased compared to before the pandemic. For other standards, there was no significant difference between before and after Coronavirus pandemic. Conclusion:It is recommended to identify the factors affecting the reduction of compliance with healthcare standards in the wards allocated to Coronavirus and to consider appropriate solutions in the pandemic crisis.
Background The number of deaths among people with coronavirus disease 2019 (COVID-19) does not show the true impact of the disease on communities. Therefore, this study aimed to calculate years of life lost (YLL) due to premature death in patients with COVID-19. Methods We performed a descriptive cross-sectional study based on data from one of the largest provinces of Iran, in the period 13 February 2020 to 17 May 2021. We used WHO proposed guidelines for the calculation of the burden of diseases to calculate the YLL among patients with COVID-19, taking into consideration gender in different age groups. Results Findings showed that 13 628 deaths were due to COVID-19 with associated 249 309 YLL. The study reported higher mortality among men (1222 cases) in the age group over 85 years than in women (840) of the same age group. The minimum number of YLL for men was 1749 in the 5–9 years age group and that for women was 1551 years in the 14–10 years age group. Conclusion The high number of deaths due to COVID-19 has led to high YLL due to premature death. The provision of adequate health care and appropriate policies will bring about a decrease in YLL due to COVID-19.
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