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Article
Publication date: 28 July 2020

Mohammad Hoseini Moghadam, Abtin Heidarzadeh, Hassan Bashiri, Hossein Khoshrang and Ideh Dadgaran

The purpose of this paper is to answer the question of how scientific excellency can be achieved. The origin of scientific excellency in Iran, national and international…

Abstract

Purpose

The purpose of this paper is to answer the question of how scientific excellency can be achieved. The origin of scientific excellency in Iran, national and international experiences concerning the subject has been investigated to review the literature. The authors also designed a process and then a model to test the course. Guilan University of Medical Sciences was selected as a case study for the research.

Design/methodology/approach

The approach used in this paper is from Future Studies, with emphasis on the “Participatory Learning and Action” method. It means that different stakeholders, including the strategic council members, managers, faculty members, students, alumni and non-academic staff, have been involved in different parts of the process.

Findings

After semantic analysis of scientific excellency in the theoretical field; the examination of national and international experiences in universities; the analysis of higher-level documents of the Ministry of Health and Medical Education as well as strategic documents of the university; the determination of the strengths and weaknesses of the Guilan University of Medical Sciences in online survey; the completion of the scientific excellency canvas in the expert panel and finally obtaining other stakeholders, a conceptual model was designed for achieving scientific excellency.

Practical implications

The study of the actions, policies and trends of pioneering universities indicates that it is important to consider issues such as the internationalization of education and research and the modification of university structures. To achieve a superior national and international status, the university must specifically enhance a range of different aspects, from intangible aspects, such as motivation of employees to tangible aspects, such as human resources, structure and facilities.

Originality/value

Scientific excellency is going to be one of main streams between universities to attract top students and researchers from all over the world. There has been little academic attempt on scientific excellency. In this research, first the authors examined the concept of scientific excellency, criteria and measurement in higher education, then based on that case study and participatory action learning method, a conceptual framework to achieve scientific excellency in Iran’s higher education system was proposed.

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Article
Publication date: 20 September 2019

Enayatollah Homaie Rad, Leyla Amirbeik, Mohammad Hajizadeh, Shahrokh Yousefzadeh-Chabok, Zahra Mohtasham-Amiri, Satar Rezaei and Anita Reihanian

Mental health is an inevitable and vital dimension when it comes to providing a global definition for the appropriate health status. This highlights the importance of

Abstract

Purpose

Mental health is an inevitable and vital dimension when it comes to providing a global definition for the appropriate health status. This highlights the importance of investigating factors influencing utilization and out-of-pocket payments (OOP) for mental health services. Thus, the purpose of this paper is to assess the determinants of the utilization and OOP for psychiatric healthcare in Iran.

Design/methodology/approach

A total of 39,864 households were included in this cross-sectional study. Data on the utilization and OOP for psychiatric healthcare as well as all their determinants (e.g. wealth index of households, geographical area, household size, etc.) were extracted from the Household Income and Expenditure Survey (HIES). The HIES was conducted by the Statistical Center of Iran in 2016. A zero-inflated Tobit model was used to identify the main factors affecting utilization and OOP for psychiatric healthcare utilization.

Findings

The average of utilization and OOP for psychiatric services was found to be 14.67 times per 1,000 households and $7.783 per month for service users, respectively. There were significant positive relationships between income and utilization (p=0.0002) and OOP (p<0.0001) for psychiatric services. Significant negative associations were found between the number of illiterate people in the household and OOP (coefficient=−1.56) and utilization (coefficient=−0.2002) for psychiatric services. Utilization and OOP for psychiatric services were statistically significantly higher among households with higher wealth status.

Originality/value

Despite the higher rate of mental disorders, the utilization of psychiatric services in Iran is very low. Due to financial barriers and insufficient insurance coverage, high socioeconomic status (SES) households utilize more psychiatric services than low-SES households. Thus, the integration of mental health services in public health programs is required to improve the utilization of psychiatric services in Iran.

Details

Journal of Public Mental Health, vol. 19 no. 2
Type: Research Article
ISSN: 1746-5729

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Article
Publication date: 12 March 2018

Naema Khodadadi-Hassankiadeh, Leila Kouchakinezhad-Eramsadati, Maryam Tavakkoli, Shahrokh Yousefzadeh-Chabok, Ali Davoudi Kiakalayeh and Enayatollah Homaie Rad

Studying the relationship between crime and traffic accidents in different geographical regions is very critical since varying relationships have been reported to exist in…

Abstract

Purpose

Studying the relationship between crime and traffic accidents in different geographical regions is very critical since varying relationships have been reported to exist in diverse areas. The purpose of this paper is to determine the relationship between crime with injuries and deaths due to road traffic accidents in Iran.

Design/methodology/approach

In this study, macro-level panel data between 2007 and 2013 were used. The number of folders due to crimes in each province was used as explanatory variables to show the amount of crime in each province. The number of fatal and injury death was used as outcome variables. The models were estimated using fixed effect panel regression estimator.

Findings

The results of this study showed that the number of records in courts (Cr) had a significant positive relationship with fatal accidents (coefficient=0.006). In the injury accidents model, Cr coefficient was 0.008 and significant. In addition, GINI had positive relationship with fatal accidents (coefficient: 1.396), while it had no significant relationship with injury accidents.

Originality/value

A positive association was found between crime and mortalities and morbidities due to traffic accidents. Traffic accidents and crimes are derived from a similar nature. So traffic accidents could be categorized as crime and it is important to increase more prohibitions to decrease traffic accidents. Prevention programs should focus on population groups with high social distinction and criminals, especially traffic offenses.

Details

International Journal of Human Rights in Healthcare, vol. 11 no. 1
Type: Research Article
ISSN: 2056-4902

Keywords

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Article
Publication date: 27 October 2021

Marjan Mahdavi-Roshan, Arsalan Salari, Eshagh Mohammadyari, Tofigh Yaghubi Kalurazi, Aydin Pourkazemi, Azin Vakilpour, Morteza Rahbar Taramsari and Zeinab Ghorbani

It is argued that COVID-19 patients show various neuropsychiatric symptoms, including fatigue, depression and anxiety. On the other hand, epidemiological and experimental…

Abstract

Purpose

It is argued that COVID-19 patients show various neuropsychiatric symptoms, including fatigue, depression and anxiety. On the other hand, epidemiological and experimental evidence indicated that green tea could potentially have antiviral effects and ameliorate psychiatric disorders. However, there is a lack of clinical evidence. The purpose of this study was to investigate whether drinking green tea can clinically improve psychiatric complications of COVID-19 infection.

Design/methodology/approach

This study included 40 patients with laboratory confirmed mild-to-moderate COVID-19 disorder in the current randomized open-label controlled trial. Patients were instructed to include three cups/day of green tea (intervention) or black tea (control) to their usual diet for four weeks immediately after diagnosis of the disease. At the study baseline and after the intervention, the enrolled patients’ fatigue, depression and anxiety were assessed by the Chalder Fatigue Scale, Beck Depression Inventory-Fast Screen and State-Trait Anxiety Inventory questionnaires.

Findings

A total of 19 COVID-19 cases in the intervention group (mean age = 52 years) and 14 cases (mean age = 50 years) in the control group completed the study. Analysis of covariance adjusted for baseline levels, and confounders revealed that those who consumed three cups/day of green tea compared to the patients who received black tea experienced significantly lower fatigue, depression and state and trait anxiety levels (adjusted means for fatigue = 12.3 vs 16.2 (P = 0.03), depression = 0.53 vs 1.8 (P = 0.01), 37.4 vs 45.5 (P < 0.01) and 37.9 vs 45.2 (P < 0.01)).

Research limitations/implications

The open-label design may bias the evaluation of the self-reported status of fatigue, depression or anxiety as the main outcomes assessed. Moreover, as this study did not include patients with severe COVID-19, this might affect the generalizability of the present results. Thus, the recommendation of daily drinking green tea may be limited to the subjects diagnosed with mild-to-moderate type of infection or those with long-term neuropsychiatric complications owing to COVID-19. Besides, considering the ethical issues, this study could not exclude the drug therapy’s confounding effects; thereby, this point should be considered when interpreting the current results. Besides, it is worth noting that Guilan province in the north of Iran is recognized as a tea (and particularly green tea) producing region; thereby, it is an available and relatively inexpensive product. Considering this issue, the recommendation to consume this medicinal plant in adjunct to the routine treatment approach among patients with mild-to-moderate COVID-19 based on its beneficial effects may be widely accepted.

Practical implications

Green tea consumption could be considered an option to combat COVID-19 associated psychological complications, including fatigue, depression and anxiety among patients suffering from mild-to-moderate type of this viral infection.

Originality/value

To the best of the authors’ knowledge, in this study, for the first time, the effects of green tea compared to black tea on COVID-19 associated fatigue, depression and anxiety status within an open-label controlled trial have been investigated.

Details

Nutrition & Food Science , vol. ahead-of-print no. ahead-of-print
Type: Research Article
ISSN: 0034-6659

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Article
Publication date: 24 August 2021

Mohaddese Omidi, Behzad Zohrevandi and Enayatollah Homaie Rad

As a human right, people need to arrive early at the hospitals when they are injured in traffic accidents. Both the mean and equality of the time of arriving at the…

Abstract

Purpose

As a human right, people need to arrive early at the hospitals when they are injured in traffic accidents. Both the mean and equality of the time of arriving at the hospital are important. This study aimed to investigate inequality in arrival time of emergent traffic accident patients to the hospital in 2018–2019 in a city in the North of Iran.

Design/methodology/approach

The authors extracted the data from the Guilan province trauma system databank in Poursina Hospital in Rasht in 2018 and 2019. The Gini coefficient was used to calculate inequality, and a regression model was estimated for determining the reason for inequality in time to receive hospital services.

Findings

The study showed that patients’ arrival time from the time of the accident to the time of arrival to the hospital was 64.48 ± 47.63 min (minimum of 9 min and maximum 462 min). Gini coefficient was 0.31 (p <0.001), which does not show high inequality. Regression results showed that the transfer time of patients by car was 40 min longer (p-value <0.001) than ambulances (p = 0.036). In children, the transfer time was 42 min less (p = 0.003). Other variables did not explain the inequality (p > 0.05).

Originality/value

According to the time of arrival of patients and Gini index, in Rasht, inequality in providing services is not in a bad condition. This indicates that the emergency department does not systematically transport people to the hospital late.

Details

International Journal of Human Rights in Healthcare, vol. ahead-of-print no. ahead-of-print
Type: Research Article
ISSN: 2056-4902

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Article
Publication date: 18 July 2019

Rasoul Tabari-Khomeiran, Elham Ehsani-Chimeh, Ali Davoudi Kiakalayeh, Enayatollah Homaie Rad and Sajad Delavari

Equal distribution of health human resources is a major issue to achieve human rights in healthcare. Rural family physicians (RFPs) as a part of health human resources…

Abstract

Purpose

Equal distribution of health human resources is a major issue to achieve human rights in healthcare. Rural family physicians (RFPs) as a part of health human resources play an important role in delivering health services, so the purpose of this paper is to calculate amount of inequity in distribution of RFPs in Iran.

Design/methodology/approach

In this study, the authors tried to find inequity in the distribution of RFPs in the provinces of Iran. For this purpose, inequity indices containing concentration curves and indices were calculated by ranking health-adjusted life expectancy (HALE). Furthermore, a regression model was estimated to find the pattern and influencing factors of inequity in the distribution of RFPs.

Findings

The number of male RFPs was significantly higher in Sistan va Baloochestan, and in the same line, the number of female RFPs was higher in Zanjan province. Concentration index of total RFPs was 0.0568 (not significant) (males= 0.041, females= 0.0718). The results of regression model showed that HALE and per capita GDP did not have any significant relationship with RFPs distribution (HALE p=0.753, GDP p=0.792).

Originality/value

The RFP plan was successful in enhancing equal access to physician and health care services relatively. However, gender imbalance in distribution of RFPs was high especially in less-developed regions.

Details

International Journal of Human Rights in Healthcare, vol. 12 no. 4
Type: Research Article
ISSN: 2056-4902

Keywords

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Article
Publication date: 28 February 2019

Rasoul Tabari-Khomeiran, Sajad Delavari, Satar Rezaei, Enayatollah Homaie Rad and Mostafa Shahmoradi

In May 2014, a new reform in the health sector of Iran was implemented called “health evolution plan.” In the first phase of this reform, the government reduced out-of

Abstract

Purpose

In May 2014, a new reform in the health sector of Iran was implemented called “health evolution plan.” In the first phase of this reform, the government reduced out-of-pocket payments for service delivery by paying subsidies to the services and after that a revision was done to the medical services values book to improve equity and increase motivation of health professions. One of the affected services in this reform was coronary artery bypass surgery. The purpose of this paper is to show the effects of HEP on costs of coronary artery bypass surgery.

Design/methodology/approach

A before-after study was done for this purpose and 167 patients’ total costs and out-of-pocket payments were calculated for the years 2013 (before) and 2014 (after) the reform in three private hospitals of Rasht city, Iran. Econometrics models were estimated after adjustment of confounding variables.

Findings

The results of this study showed that surgery costs increased significantly from $1,643.3 to 2,119.5. Nursing and other costs increased significantly from $290.3 to 414.2 and anesthetize costs increased from $619.2 to 947.01. The results of regression model showed that total costs increased $3,008.6 after adjustment of confounders (p-value=0.037). However, no significant changes were found for out-of-pocket payments and out-of-pocket percentage.

Originality/value

The study findings revealed that HTP was not successful enough in financial protection in the private sector.

Details

International Journal of Human Rights in Healthcare, vol. 12 no. 3
Type: Research Article
ISSN: 2056-4902

Keywords

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Article
Publication date: 18 September 2020

Kourosh Delpasand, Saeid Nazari Tavakkoli, Mehrzad Kiani, Mahmoud Abbasi and Leila Afshar

Based on the developmental process of pharmacy in medical relationships, it is essential to pay attention to ethical issues in this field and develop a good…

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Abstract

Purpose

Based on the developmental process of pharmacy in medical relationships, it is essential to pay attention to ethical issues in this field and develop a good pharmacist–patient relationship. The present study aimed to mention the frequency of ethical challenges of pharmacy in Iran as a fundamental step towards designing a practical ethical guideline for professionals.

Design/methodology/approach

In this observational study, data were collected using a two-part questionnaire with 64 items developed after examining relevant texts and conducting unstructured interviews with pharmacy specialists. The first part determined the frequency of ethical challenges that the pharmacist confronts, using 43 short scenarios, whereas the second part comprised 21 questions with short answers. For validation, the questionnaire was sent to 20 medical ethics specialists who were familiar with issues in pharmacy ethics.

Findings

Data were collected from 48 members of the Iranian Association of Pharmacists (Working Group of Hospital Pharmacists). and the frequency of ethical challenges was determined. The most frequent issues were patient's request for over-the-counter drugs, asking about their lab results, asking drug for another person and returning the drug.

Research limitations/implications

One of the limitation of our study is its population, there were hospital pharmacist, other pharmacist such as community pharmacist may face different challenges.

Practical implications

The finding of this study could lead the policymakers to develop ethical guidelines for pharmacy practices.

Social implications

The pharmacist–patient relationship is one of the important aspects of health system, and therefore regulating this relationship based on the professional ethics guidelines could have a positive impact on therapeutic relationships.

Originality/value

Results showed that designing codes of ethics and practical guidelines based on the frequency of the noted challenges enhances the quality of treatment, improves the pharmacist–patient relationship, increases the level of cooperation and decreases patient complaints.

Details

International Journal of Human Rights in Healthcare, vol. 13 no. 4
Type: Research Article
ISSN: 2056-4902

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Article
Publication date: 26 September 2018

Aboozar Ramezani, Seyed Javad Ghazimirsaeed, Fereydoon Azadeh, Mohammad Esmaeilpour Bandboni and Mohammad Hossein YektaKooshali

The purpose of this paper is to assess the quality of Iranian university libraries.

Abstract

Purpose

The purpose of this paper is to assess the quality of Iranian university libraries.

Design/methodology/approach

This first systematic review and meta-analysis were based on the PRISMA guidelines by searching in national and international databases from 2003 to January 2017 with standard Persian and English keywords. Data searching, extracting and quality appraising were completed by two researchers, independently. Any unexpected documents were assessed by a third expert researcher. Data were extracted in accordance with the “Strength of the Reporting of Observational Studies in Epidemiology” checklist after the final selection of appraised documents. Random effects size based on Cochrane test and I2 were used for combining the obtained results from different studies together by considering the heterogeneity of studies.

Findings

Based on the meta-analysis conducted in 25 (6.42 percent) included studies, the total sample size was estimated. According to three dimensions of LibQUAL, findings of current information control, affect of service and the library as a place were estimated as 5.37 [CI95%: 5.02, 5.73], 6.91 [CI95%: 5.56, 6.26], and 5.46 percent [CI95%: 5.2, 5.73], respectively. Also, mean of service adequacy and superiority gap are equal to 0.07 [CI95%: −0.22, 0.36] and −2.06 [CI95%: −2.89, −1.23], respectively. There was a significant correlation between three dimensions of service quality and service superiority gap of LibQUAL and geographical regions of Iran (p<0.01). Also, a significant correlation was found between the gaps of services and three aspects of LibQUAL model and published years through a meta-regression test (p<0.01).

Practical implications

The results obtained from the present study showed that users are relatively satisfied with the quality of services provided by Iranian university libraries. An improvement in the quality of library services can promote the scientific level of universities.

Originality/value

The results of the present systematic review and meta-analysis study demonstrate a vital connection between primary research studies and decision-making for policymakers in Iranian university libraries to increase quality services.

Details

Performance Measurement and Metrics, vol. 19 no. 3
Type: Research Article
ISSN: 1467-8047

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Article
Publication date: 20 April 2020

Marjan Mahdavi-Roshan, Mina Movahedian, Hamed Kord Varkaneh, Arsalan Salari, Melahat Sedanur Macit and Arezoo Rezazadeh

Recent studies have shown that hyperuricemia is a predictor of non-communicable disease and an increment of mortality rate. Also, elevated serum uric acid may be…

Abstract

Purpose

Recent studies have shown that hyperuricemia is a predictor of non-communicable disease and an increment of mortality rate. Also, elevated serum uric acid may be associated with obesity in the adult population. This study aims to evaluate the association between serum uric acid levels with metabolic parameters and risk of obesity in the Iranian population.

Design/methodology/approach

The cross-sectional study was done on 550 participants, who were referred to a hospital for elective angiography in Rasht, Iran; anthropometric indices (waist circumference (WC) and body mass index (BMI)) and hematological factors were measured using the standard approaches. Based to the angiography results, the severity of atherosclerosis was defined.

Findings

The mean (SD) concentration of serum uric acid for all participants was 5.15 (1.37) mg/dl. Individuals who were at the highest tertile had higher mean (SD) of weight (p = 0.004), creatinine and blood urea nitrogen (p < 0.001) lower fasting blood sugar (FBS) (p = 0.000) and HbA1c (p = 0.016), and they were mostly men compared with those in the lowest tertile. After adjusting for confounders, FBS (ß = –0.145, p = 0.001) and HbA1c (%) (ß = –0.130, p = 0.019) had inverse and weight (ß = 0.156, p = 0.001) had direct association with serum uric acid. After adjustment for additionally potential confounders subjects in the highest tertile of serum uric acid had 92 per cent higher chance of obesity compared with subjects in the lowest tertile (OR 1.92; 95 per cent CI 1.13, 3.23).

Originality/value

The present study has concluded that increase serum uric acid related to high risk of obesity and low mean of FBS and HbA1c.

Details

Nutrition & Food Science , vol. 50 no. 6
Type: Research Article
ISSN: 0034-6659

Keywords

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