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Article
Publication date: 29 August 2019

Inequity in the distribution of rural family physicians in Iran: a cross sectional study

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…

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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
DOI: https://doi.org/10.1108/IJHRH-12-2018-0077
ISSN: 2056-4902

Keywords

  • Iran
  • Health care disparities
  • Family physician
  • Supply and distribution

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Article
Publication date: 19 July 2019

The effect of Iranian health system reform plan on payments and costs of coronary artery bypass surgery in private hospitals of Iran

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…

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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
DOI: https://doi.org/10.1108/IJHRH-07-2018-0047
ISSN: 2056-4902

Keywords

  • Health system
  • Payments
  • Coronary artery bypass surgery
  • Private hospitals
  • Iran

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Article
Publication date: 13 November 2017

Mental health, family orientation, and individualism: a systematic review and meta-analysis in Iranian students

Hakimeh Mostafavi, Mohammad Hossein Ziloochi, Sajad Delavari, Satar Rezaei and Enayatollah Homaie Rad

Mental health is one of the most important factors for evaluating the health of different age groups in the community. The most common forms of mental health disorders are…

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Abstract

Purpose

Mental health is one of the most important factors for evaluating the health of different age groups in the community. The most common forms of mental health disorders are depression and anxiety. Health status of students as an important age group has positive consequences in the community. To provide special recommendations for preventing mental disorders, the purpose of this paper is to determine the correlations among the individualism and family orientation and mental health.

Design/methodology/approach

A meta-analysis was conducted to find scores of mental health. International databases of Scopus and PubMed as well as Iranian databases of IranMedex and SID were systematically searched in September 2014 for studies conducted on Iranian students. Of 379 reviewed studies, 58 were selected for meta-analysis. A meta-regression model was estimated to show the effects of individualism and family orientation on mental health.

Findings

Eight studies were conducted in Tehran. Eight studies were published in English. In nine studies, school students, and in one study both school and university students were surveyed. General Health Questionnaire-28 score varied from 13.77 in Arak to 47.78 in Tehran. The results of this study showed that the pooled mental health score for Iranian students was 23.725, indicating that Iranian students had poor mental health. In meta-regression, the coefficient of family orientation was −0.2893 and it was significant. Other variables did not have any significant relationship with mental health scores.

Originality/value

Improvement of living conditions and enabling the youth to positively communicate with different social groups are recommended.

Details

Mental Health and Social Inclusion, vol. 21 no. 5
Type: Research Article
DOI: https://doi.org/10.1108/MHSI-07-2017-0030
ISSN: 2042-8308

Keywords

  • Iran
  • Mental health
  • Students
  • Meta-analysis
  • Individualism
  • Family cohesion

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