Background: Disasters are increasing all over the world. Iran, is one of the high-risk countries in this regard; so it is unavoidable to prepare hospitals as vital centers when disasters happen. This study aimed to evaluation the hospital preparedness based on previous studies in Iran. Methods: A systematic review and meta-analysis by browsing through all articles published since 2006 to 2017, in English and Persian both languages were designed. Databases that we searched to, include Google Scholar, PubMed, Web of Science, Scopus, Medlib, Cochrane Library, Science Direct, Internationally and SID, Irandoc and Magiran, domestically. Two expert researchers investigated separately. Researchers used random and fixed effect models in the meta-analysis. Moreover, random and fixed effects model and meta-regression tests were applied by using STATA ver. 11. The P<0.05 was considered statistically significant. Results: Twenty-five studies with a sample size of 181 hospitals were introduced to the process of metaanalysis. Iranian hospital preparedness is 53%, totally, that is moderate. Preparedness in different categories is as follows: emergency services 62%, communication 57%, security 54%, education 57%, logistic 65%, human resources 52%, Management and command 64%, reception 43%, transfer and evacuation 44%, traffic 47%, non-structural safety 57%, and structural safety 49%. Conclusion: Hospital preparedness is moderate in Iran. Optimal management of existing resources and the use of Update technologies in the field of hospital services be directed towards improving the preparedness of hospitals for disasters.
Background With the unprecedented expansion of COVID-19 in the world since December 2019, Iran’s health system, like other countries, faced various challenges in managing the disease, which led to numerous experiences and lessons learned. This study was conducted to identify these challenges regarding unique political, economic, and cultural issues, which could help other countries with similar situations. Methods The present study was performed using a qualitative multi-method approach with a content analysis method. The data were collected through in-depth and semi-structured interviews and focused group discussions with 60 key persons who were selected purposefully, including policymakers, health care workers, and affected people by the disease, and the review of all available national reports between February 21, 2020, and March 22, 2021. The data collection and analysis were done simultaneously. Results Identified critical challenges for the management of COVID-19 in the health system were limited evidence and scientific controversies, poor social prevention and social inequalities, burnout and sustained workload among healthcare workers, improper management of resources and equipment, the lack of a guideline for contact tracing, and patient flow management, and mental health problems in the community. Conclusions According to our results, measures should be taken to conduct a continuous comprehensive risk assessment and develop a national response plan with an emphasis on precise contact tracing, active screening, patient flow, paying attention to the psychological and social dimensions of the disease, and also transparency of social inequalities in the face of risk factors of the COVID-19. Also, the social protection programs should become a vital tool for policymakers and supporting the vulnerable groups using the capacity of the community and international cooperation to develop a vaccine, which is difficult to procure due to the sanctions.
Background: Iran as a developing country is located in the most accident-and disaster-prone geographical areas, and considered among the 10 most disaster-stricken countries in the world. Therefore, healthcare system should be able to deliver a coordinated response in disasters and effectively propose and execute plans to reduce the adverse effects and response time, and also increase preparadness before disasters. Establishing early warning systems before incidents and disasters in hospitals can properly organize the resources and equipment in order to deliver better and more effective services to more people in need.
BackgroundJob stress can lead to several complications including physical, psychological, and behavioral consequences. Emergency medical services (EMS) drivers are more likely to be exposed to stress than other occupations due to the nature of their job. High-risk driving and stress-related psychological responses can have irretrievable consequences. Therefore, increasing the amount of attention to traffic psychology and periodic psychobiological risk assessment for this group are essential. Hence, this paper tries to present how to develop a validated battery for assessing psychobiological risk assessment (PBRA) based on bio-centric health management (BHM).Participants and procedureThe study will be conducted in two methodological and modeling phases: In the methodological phase, the psychometric proper-ties of the Health Cube Battery (HCB) will be analyzed, and in the second phase, researchers will model BHM in Iran using a structural equation model (SEM).ResultsThe study population consists of EMS drivers. The tool that will be developed in this study is an HCB, which consists of dif-ferent dimensions of BHM.ConclusionsAt the end of the study, a standard HCB will be developed and validated. Also, the BHM model will be mapped based on psy-chobiological risk assessment for EMS drivers. Other researchers can also cross-culturally adapt and use the battery, and the model could be adopted for other contexts and cultures.
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