ABSTRACT
Introduction: reciving and using health care services is called utilization and access to services refers to the opportunity and the ability to use them. The purpose of this study was to investigate the pattern of utilization and access to health care disparities and factors affecting them
Methods: in this cross-sectional study, Quota sampling method was used. To evaluate the health care services used by families and their relationship with Predisposing variables, Chi-square test and Pearson cross-tabulations were used using Excel and Stata
Results: according to the findings important variables such as Household economic status, insurance, head of household education; ages over 65 and less than 12 years had key roles in the use of services. Concentration indices for out-patient and in-patient services were -0.38 and -0.435, respectively
Conclusion: there are some predisposing variable leading to inequality in use of health services which could be reduced the improvement of socio-economic variables
ABSTRACT
Each organization urgently needs a system evaluation for perception of desirability of the activities especially in complex and dynamic environments. In the other hand, Absence of an evaluation and controlling system in an organization is equal to lack of having communication with internal and external organizational environment which its outcome is organizational death. This is a descriptive study in the obstetric and genecology wards. Library studies, questionnaire, field studies and expert opinions used for data gathering. Indicators' tree was designed by using analytical hierarchy process. The Delphi technique used for nominating the reliability of research. Several stages in process of designing a hierarchy are necessary which composed; determining performance indicators, regimentation of indicators and designing the tree, weighting and determining inconsistency rate. Performance evaluations of all wards in hospitals should been done by a systematic model in specific period of time. To identify this aim the specific performance indicators were necessary. Analytical hierarchy process could be an appropriate model for hospital wards performance in the evaluation
ABSTRACT
The implementation of Rural Insurance and Family Physician Programs with the intention of reforming and improving the delivery of health care services nationwide started in 2005. However, the functionality of these programs has not been investigated yet. This study was done to determine the effect of Family Physician Program on mother and child health indices for rural population auspices of Mashhad University of Medical Sciences and Health Care Services [MUMS]. The mean values of eight health indices of mothers and children living in 19 rural districts [Khorasan Razavi Province] of MUMS four years before and three years after the implementation of Family Physician Program [2001-2004 and 2005-2007, respectively] were compared using Analysis of Variance. The data were gathered by the employees of rural health houses [Behvarzes]. As the program was being implemented in all rural areas simultaneously, there was no possibility to form any control group. Therefore, the mean values of indices for the experimental group before and after the program were compared. Although the results did not show any significant difference between the mean values of indices before and after the implementation of the program, the trend of indices for the seven years of the study [2001-2007] confirmed the positive impact of the program. The overall improvement observed in mother and child indices after the implementation of Family Physician program can be viewed as the promising future outlook of the program to bring about further health improvements for the rural population
ABSTRACT
Introduction: Menopause is a natural period of life that means permanent cessation of menstruation and end of reproductive period, which occurs at age of 45-52 years
Objective: The aim of the study was to determine the effect of training or knowledge and attitude of female health workers working in east of Gilan province regarding menopause and its related problems
Materials and Methods: 386 female health workers responded to questions on knowledge and attitude about menopause and its related problems
Results: Findings showed that before training, 29.5% of health workers had good knowledge, 26.2% had average knowledge and 44.3% had weak knowledge and after education the results of good average and week knowledge changed to 85.2%, 13.2% and 1.6% respectively. Also their attitude to word menopause before training the levels of attitude was 31.6% positive, 63%neutral and 5.4% negative, and after training 94.7% had positive, 2.6% neutral and 0%had negative attitude
Conclusion: The results showed training promoted level of awareness and attitude about menopause and its related problems. There was a significant difference [p<0.000] between awareness and attitude of health workers and variables such as age, work experience, marital status, educational level and sources of information before and after training. Therefore training and education is the best way of promoting the level of knowledge, changing attitude and enabling them