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Background & aim: Unwanted pregnancy increases maternal and child mortality and increases health centers workload. The purpose of this study was to estimate the additional workload caused by unwanted pregnancies in the province's health system of Kohgilouyeh & Boyerahmad province, Iran. Methods: The present cross-sectional study was conducted in the second half of 2009 on the prenatal care for pregnant women referred to city health centers. Frequency of maternal and child care were assessed according to the latest Ministry of Health guidelines. Average time required to provide each patient was calculated based on the role results, then added workload was assessed. Data were analyzed using SPSS software. Results: An overall 350 unwanted pregnancy cases were identified. Assuming the same unwanted pregnancies in the first half and the second year of 2009 total of 21,140 times the equivalent of 3696 hours of extra work visit were added to the labor working primary health care centers in the city. Conclusion: Unwanted pregnancies resulting in increased staff workload of health centers, and if not provided with sufficient manpower, it may lead to the reduction of maternal and child health care qualities of these centers.

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Background and Aim: Health system development plan has eight steps in the government response to vulnerable demands in the health sector in the community. The quality of services is an important factor for the growth, success and survival of the organization. Therefore, the purpose of this study was to review the health care quality after apply health system in yasuj city hospitals.
 
Methods: The population of this descriptive study were 380, 150, and 300 patients in Shahid Beheshti, Shahid rajaee  and imam sajjad hospital respectuively. according to Morgan table  181 patients in Shahid Beheshti hospital, 108 patients shahid rajaee hospital and 169 patients in imam sajjad hospital were selected as samples.
All subjects filled out health system design and quality of treatment services questionnaires. For statistical analysis of data used Pearson correlation coefficient and regression tests (p≤0.05).
 
Results: There was a significant relationship between the health system and the quality of health care services (p=0.001). Also quality of health care has significant relationship with reducing the amount paid of patients (p=0.001), supporting the survival of physicians in deprived areas (p=0.001), the presence of specialist physicians residing in public hospitals (p=0.001), improving hoteling quality in hospitals (p=0.001) and improving the quality of the services of visiting hospitals (p=0.001) in the hospitals of Yasuj.
 
Conclusion: It appears that health care quality after apply health system improved in yasuj city hospitals.
 
 

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Background & aim: People, during recent decades, has been faced with atmospheric phenomena and environmental changes on the one hand, and with the emergence of new diseases on the other hand. The management of emerging diseases requires considering the ethical approach to control and care for these diseases. Ethical dilemmas resulting from new diagnostic and therapeutic advances in medical science have folded the necessity of dealing with medical ethics. One of the emerging diseases in the present century that practically the world has faced is the COVID-19 disease. Therefore, the purpose of the present study was to determine and identify the indicators related to the management of respiratory epidemics using Delphi phase D method and interpretive structural modeling.

Methods: The present case study and semi-structured interview was conducted on 12 experts and professors in 2021 and led to the formulation of research model criteria. In order to achieve this goal, the influencing factors and effective indicators on the model of managed care for emerging respiratory infectious diseases were identified based on the content analysis technique. At that point, these factors and indicators were categorized. The collected data were analyzed by thematic analysis with the help of MAXQDA. Twelve people among the effective people in the management of this disease were analyzed in the collected data using statistical tests of generalized linear models, Hetling's t-test and Bon Feroni's post-test.

Results: The results of the present research identified five main categories which were: financial provision, provision of resources, servicing and equipping, information and research and government agents. According to the output of ISM calculations, the variable of information and research (C4) and government factors (C5) were the first level. To determine the elements of the second level, the variables of the first level were removed and once again the set of inputs and outputs were calculated without considering the variables of the first level. Based on the common set of identification and variables whose commonality was equal to the set of inputs, they were selected as second level variables. According to the output of ISM calculations, the variables of financial provision (C1) and resource provision (C2) were the second level.

Conclusion: Medical centers can be highly prepared to deal with the crisis by adding capacities and standards. Due to the fact that these emerging respiratory infectious diseases have become a threat to the entire population of the world, it requires timely, appropriate and cost-effective policies and measures to control and reduce its deadly consequences. Corona virus crisis management planning requires strategy, policy and correct action.

 

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Background & aim: The health system reform plan is a plan to improve health care systems in Iran, which started working in the hospitals of the Ministry of Health on May 15, 2014. This project was implemented with the approach of creating transformation in the health system and with the three goals of financial protection of the people, creating justice in access to health services and improving the quality of services. Since the health sector is often affected by the factors and components that are related to the functioning of all sectors of the country's development; therefore, the purpose of the present study was to determine and examine the state of the health system plan from the perspective of the patients of hospitals in Yasuj, Iran.

Methods: The statistical population of the present descriptive study was 458 patients at Shahid Rajaei Hospital, 300 patients at Imam Sajjad Hospital, and 380 patients at Shahid Beheshti Hospital, all located in Yasuj, Iran. All the participants completed the questionnaire on the state of the health system plan from the patients' point of view. The collected data were analyzed using t-test and descriptive statistical tests, including frequency and average, by means of SPSS 18 software.

Results: The results of the research showed that the health system implementation status of Shahid Beheshti Hospital (p=0.001 and t=57.19), Imam Sajjad Hospital (p=0.001 and t=50.17) and Shahid Rajaei Hospital (p=0.001 and t=50.001) p=0 and t=40.06) Yasuj city is somewhat favorable. These findings indicate that the plan of the health system in Yasuj city has been properly and correctly implemented.

Conclusion: Considering that the examined indicators were well implemented in most of the hospitals, it gives the impression that the continuation, evaluation and continuous improvement of this plan can lead to the improvement of the performance indicators of the hospitals. Therefore, the programs of hospitals in Yasuj should be developed in such a way that the amount of expense of patients be reduced, more support be given to physicians in deprived areas, the quality of hoteling in hospitals be improved. Moreover, more use should be made of the presence of resident specialist doctors in government hospitals.