[ survey of unmet health needs and the related barriers to access them]

Introduction: Unmet needs are defined as the difference between services judged necessary to deal appropriately with health problems and services actually received. Unmet needs are considered as simple tools in monitoring the accessibility and the extent of inequity in access and use of health care

Methods: This is a cross-section health survey. The sample consists of 792 households living in Tehran. Data were collected by the WHO [households] questionnaire in 2012, and were analyzed using Logistic Model and STATA12 software

Results: The outcomes show that economical problems, lack of time, self-treatment, long distance to reach health facilities, deprivation of insurance coverage, and lack of adequate information about the locations of health care centres are all factors affecting patients' willingness to refer to these centres. The socio-economic factors which can enhance the probability of fulfilment of health care needs were found to be settlement ownership and poverty reduction

Conclusion: Unmet needs can cause detrimental effects, such as worsening health situation and quality of life, increasing the risk of mortality and causing mental and psychosomatic disorders; therefore, policy makers should give high priority to eliminating socio-economic barriers, as lack of insurance coverage, as well as reducing the costs and economic inequalities, and payment systems reform

comparative study on the job description of medical record professional in selected countries and submit a model

Organization, given that is a dynamic, flexible social phenomenon, which constantly changes. Therefore, categorizing plan of jobs would not be a stable phenomenon. Therefore, because the content of job alters with technical advances, it had better to examine specially at the time of an annual assessment, the job description. In addition, the chief of medical records unit should, as possible as, predicate future changes. The present paper is a practical descriptive-analogical research, so that the researcher comprised available job descriptions structures of [Health Information Management Associations] by checklist fully. Then, the draft was designed based on that analogy, put on the table to be criticized by medical records experts, finally, the last proposal designee would be offered. Job descriptions written by American Health Information Management enjoy the structure consists of job title, direct supervisor, main goal, responsibilities and competency. While Australian Health Information Association presents job descriptions comprising job code and class, unit name and supervisors as well as competency, and necessity conditions, and even times of work and rest. This association maintains to record performance indexes at the form of job description. Job description form, in Canadian Health Information Management Association is presented as assessment form of staffs, stating responsibility schedules and separated from job specification form. During double-stage screening of final draft, the researcher came to result that the job description form must include five dimensions as job title, its goal, its responsibilities, performance indexes, and job specification. The authorities believe that these features has the importance of 88%, 82%, 88%, 87%, 91%, respectively

Assessing the cost-effectiveness of contraceptive methods in Shiraz, Islamic Republic of Iran

To determine the cost-effectiveness of seven contraceptive methods from the providers' perspective, the cost per adjusted couple-years of protection [ACYP] was calculated for each method based on region-specific conversion factors. More than 74,800 ACYPs were provided during March 1999 to February 2000. Intrauterine devices and implants offered the highest and lowest ACYP respectively. Condom was the single most expensive contraceptive method. Vasectomy was the most cost-effective method and implant provided the highest cost per ACYP