per
Iran University of Medical Sciences
Journal of Health Administration
2008-1200
2008-1219
2000-01
2
5
1
33
article
Analysis and evaluation of performance of healthcare systems in terms of their efficiency during two national development plans in Islamic Republic of Iran
SJ Tabibi
1
Ahead of 21th century, developing and development is presented as the most significant, comprehensive and challenging matter internationally. So, in order to achieve these developments, we have to execute purposeful and comprehensive programs and it is the analyses of these programs that will determine the originality, comprehensiveness and fulfillment of supreme development purposes. From an idealized view, the present study aims to not only determine a way that will show particularly the exclusive and excellent position of health in the framework of development, but this way to be counted practically as an effort in prompt fulfillment of social justice. On the other hand, this study generally aims to evaluate the efficiency of performance of healthcare systems during first and second development plans and to assess the amount of compatibility of the performance with the development objectives and indices. Therefore, in a descriptive-analytical study, we retrospectively and historically investigate all topics on the development in general and in healthcare area in particular and then compare them with the purposes and performances of healthcare systems presented in the framework of first and second plans. The results show that a large amount of purposes are not fulfilled in first plan in the field of health indices. About the treatment indices, the cases related to the construction of hospital installations, are completely compatible with plan purposes or have surpassed them and the indices related to the efficacy of sectors and human resources, did not achieve the purposes however, "reduction in average number of days hospitalized" and "the ratio of dentists to 100000 populations" indices did. So, it seems that some indices are fulfilled but not the others. Health indices are promoted in second plan so that most of these indices are surpassed their purposes till the end of 1997 and were fully efficient. It can be observed in treatment indices that all indices but "coefficient of occupied beds" have surpassed their purposes and were fully efficient. Some other results of this study were: the incomplete implementation of the strategy of health priority to treatment, incomplete fulfillment of quality objectives in first and second plans, and incomplete compatibility of actions implemented with principles and concepts of development. Hence, in the time of preparation of the third national development plan, the results of this research can present a comprehensive view and a clear direction to the authorities involved.
http://jha.iums.ac.ir/article-1-225-en.pdf
healthcare systems
national development plans
Islamic Republic of Iran
per
Iran University of Medical Sciences
Journal of Health Administration
2008-1200
2008-1219
2000-01
2
5
32
46
article
Dissociation in information society: obstacles preventing world achievement of information highways in developing countries
Sung-Gwang PARK
1
Author believes that technological equipments can be very beneficial, provided that the social, political, and ethical issues that usually prevent accessing information in developing countries freely and multi-dimensionally be seriously considered. The author has listed the obstacles i.e., dissociation in the society and emphasized their influence in developing countries and investigated various linking structures of the society and their effects. Author concludes that free flow of information is not sufficient in solitude for progress and development of information society, but the activation, mediation and networking the needs and beliefs in different stages of society must be considered explicitly.
http://jha.iums.ac.ir/article-1-226-en.pdf
information society
information highways
developing countries
per
Iran University of Medical Sciences
Journal of Health Administration
2008-1200
2008-1219
2000-01
2
5
47
65
article
Survey to determine therate of Coding accuracy in the training hospitals of Shiraz University of Medical sciences and Health . Treatment services in 1995
M Fesharaki
1
F Hoseini
2
Z Mahmoudzadeh sagheb
3
A Hajavi
4
The research was intended to determine the rate of coding accuracy in the training hospitals of Shiraz University of Medical Sciences and Health Treatment Services in 1995 (1374), and it was performed through a descriptive-analytic method. In the research, 400 medical records were selected based on stratified sampling method from among records of the patients having been discharged from hospitalization wards in 1995 and were coded in a blind method by the researcher. Using a questionnaire and two checklists, designed by the researcher, data collection was performed through interviews with 1995 coding officials, as well as review of sample records and indexes of disease and procedure adopted. Results of the research indicate that the coding rate is 01 for primary diagnosis and 96'/, for principal diagnosis. The rate of coding accuracy of the principal diagnosis is 81.251, and 92.951 for other diagnoses, 95.22/ for principal procedure, and 93.55/ for other procedures. from total coded cases, 88.46/ have been coded correctly, 8.20/ incorrectly, and 3.34/ incompletely and 52.751 of the errors pertain to the main figures of the codes. Also, the research results indicate, that there is a meaningful , connection between the age of coding staff and coding accuracy. Examination of the rate of the registration and correctness of characteristics in the indexes of disease and procedure indicate that these rates for some characteristics are less than one hundred percent and that the lowest registration rate in the index of disease pertaines to the age characteristic (73.47/,) and in the index of procedure petaines to the duration of hospitalization characteristic (99.06/). The lowest rate of correctness in both disease and procedure The research was intended to determine the rate of coding accuracy in the training hospitals of Shiraz University of Medical Sciences and Health Treatment Services in 1995 (1374), and it was performed through a descriptive-analytic method. In the research, 400 medical records were selected based on stratified sampling method from among records of the patients having been discharged from hospitalization wards in 1995 and were coded in a blind method by the researcher. Using a questionnaire and two checklists, designed by the researcher, data collection was performed through interviews with 1995 coding officials, as well as review of sample records and indexes of disease and procedure adopted. Results of the research indicate that the coding rate is 01. for primary diagnosis and 961. for principal diagnosis. The rate of coding accuracy of the principal diagnosis is 81.251., and 92.951. for other diagnoses, 95.221. for principal procedure, and 93.551. for other procedures. from total coded cases, 88.461. have been coded correctly, 8.201. incorrectly, and 3.341. incompletely and 52.751. of the errors pertain to the main figures of the codes. Also, the research results indicate, that there is a meaningful . connection between the age of coding staff and coding accuracy. Examination of the rate of the registration and correctness of characteristics in the indexes of disease and procedure indicate that these rates for some characteristics are less than one hundred percent and that the lowest registration rate in the index of disease pertaines to the age characteristic (73.47/.) and in the index of procedure petaines to the duration of hospitalization characteristic (99.06/.). The lowest rate of correctness in both disease and procedure indexes pertains to the lenght of hospitalization characteristics (94.9 and 91.47 respectively), and correctness of other characteristics in the disease index is over 95%The results indicate ineflicienciey such as failure to code factors effective. on health status and non-surgical procedures, failure to comply with regulation of the coding books, failure to refer to the classification numerical lists for coding all diagnosis and procedures, coding without removal of inperfections from records, failure to examine registration and correctness of necessary codes, as well as, registration and accuracy of characteristics in the indexes of disease, and procedure in number of coding unit, lack of written policy, failure to note "Primary diagnosis" in the forms of "Admission and discharge summary" and "discharge summary" and not benefiting all medical record sheets for coding. The researcher believes, the foregoing factors could be considered among those which have left negative effect on the rate of coding and its accuracy as well as on the rate of registration and accuracy of characteristics of the disease and procedure indexes.
http://jha.iums.ac.ir/article-1-227-en.pdf
per
Iran University of Medical Sciences
Journal of Health Administration
2008-1200
2008-1219
2000-01
2
5
67
74
article
An investigation of filing, retrieval and delivering radiography documents to the applicants in hospitals of Tehran University of Medical Sciences in 1997
A Kabirzadeh
1
M Nemati
2
M Langarizadeh
3
Social changes have cajoled the need to the updated information. These information majorly obtained from medical records of patients, are characteristically very important. Radiographies as part of medical records of patients, are considered as medical documents due to their worth and efficiency. In the present analytical-descriptive study, conducted in training-treatment centers of Tehran in 1997 through completed questionnaires, the filing, retrieval and delivering of radiography documents to the applicants is evaluated. Post comparison with standards of American college of radiology indicated that these documents are not filed in proper conditions and the same rules are not followed in delivering them.
http://jha.iums.ac.ir/article-1-228-en.pdf
filing
retrieval
delivering
radiography documents
American college of radiology