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Article ; Online: Tele-mental health support community during the COVID-19 pandemic in Iran

Mehrdad Amir-Behghadami / Ali Janati

Informatics in Medicine Unlocked, Vol 24, Iss , Pp 100615- (2021)

Action of State Welfare Organization

2021

Abstract: The rapid outbreak of Coronavirus disease 2019 (COVID-19) has forced most countries to take severe public health measures, including the closure of most mental health outpatient services and some inpatient units. This has led to a major transformation in ...

Abstract	The rapid outbreak of Coronavirus disease 2019 (COVID-19) has forced most countries to take severe public health measures, including the closure of most mental health outpatient services and some inpatient units. This has led to a major transformation in the way mental health interventions are provided and has suddenly created the need to adapt and expand Tele-Mental Health (TMH) care around the world. Iranian health officials have chosen various strategies to manage COVID-19, and the State Welfare Organization (SWO) has turned to TMH services. Shortly after the outbreak of the pandemic, the SWO set up an intelligent electronic system for psychological self-assessment of people in the community. Therefore, the purposes of the present study are to introduce the action of SWO regarding TMH, and also to highlight the benefits and challenges of its implementation. There is ample evidence that the most effective measure is the rapid implementation of TMH, which can be considered by health policymakers because its use can help reduce patient and clinician infection risk, decrease mortality, and alleviate the burden on health care providers and the health system during the COVID-19 pandemic.
Keywords	COVID-19 ; Coronavirus ; Tele-mental health ; Outbreak ; Iran ; Computer applications to medicine. Medical informatics ; R858-859.7
Language	English
Publishing date	2021-01-01T00:00:00Z
Publisher	Elsevier
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: Non-hospital healthcare center’s preparedness assessment toolbar for providing basic emergency care

Homayoun Sadeghi-Bazargani / Mehrdad Amir-Behghadami / Ali Janati / Farzad Rahmani

BMC Health Services Research, Vol 23, Iss 1, Pp 1-

a sequential exploratory mixed-method study

2023 Volume 19

Abstract: Abstract Background Basic emergency management in urban and rural areas is a critical challenge, which can affect the pre-hospital mortality rate. Therefore, Non-hospital Healthcare Center (NHHC) must be prepared to manage such emergency cases that may ... ...

Abstract	Abstract Background Basic emergency management in urban and rural areas is a critical challenge, which can affect the pre-hospital mortality rate. Therefore, Non-hospital Healthcare Center (NHHC) must be prepared to manage such emergency cases that may occur in the geographic area where these centers act. The main aim of the study was to develop and validate an toolbar for NHHCs’ preparedness to provide initial emergency care. Methods This study was designed based on a sequential exploratory mixed- method in two phases, in each of which there are three steps. In the phase I, the literature systematic review and qualitative methods (Focus Group Discussions (FGDs) and Semi-Structured Interviews (SSIs)) were applied to identify the domains and items. In the phase II, content validity, feasibility, and reliability of the toolbar were performed. Content validity was assessed using a modified Kappa coefficient based on clarity and relevance criteria. Feasibility of the toolbar was randomly assessed through its implementation in 10 centers in Tabriz. Reliability was randomly assessed in a pilot on 30 centers. Reliability was assessed by measuring internal consistency, test-retest reliability, and inter-rater agreement. The main statistical methods for assessing reliability include Cronbach’s alpha, Intra-class Correlation Coefficient, and Kendal’s Tau-b. All the statistical analyses were performed using Stata 14. Results In the phase I, primary version of the toolbar containing 134 items related to assessing the preparedness of NHHCs was generated. In the phase II, item reduction was applied and the final version of the toolbar was developed containing 126 items, respectively. These items were classified in 9 domains which include: “Environmental Infrastructures of Centers”, “Protocols, Guidelines and Policies”, “Medical Supplies and Equipment”, “Emergency Medicines”, “Human Resources”, “Clinical Interventions”, “Maintenance of equipment”, “Medicine Storage Capability”, and “Management Process”. The toolbar had ...
Keywords	Non-hospital healthcare centers ; Primary healthcare center ; Outpatient clinic ; Preparedness ; Assessment ; Instrument ; Public aspects of medicine ; RA1-1270
Subject code	710
Language	English
Publishing date	2023-01-01T00:00:00Z
Publisher	BMC
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: Gastrointestinal cancer prevention policies

Neda Kabiri / Rahim Khodayari-zarnaq / Manouchehr Khoshbaten / Ali Janati

International Journal of Preventive Medicine, Vol 13, Iss 1, Pp 8-

A qualitative systematic review and meta-synthesis

2022 Volume 8

Abstract: This qualitative systematic review was conducted to summarize the policies for prevention of common gastrointestinal cancers worldwide. This study was conducted using PubMed, Web of Science, SCOPUS, and ProQuest databases. Two independent reviewers ... ...

Abstract	This qualitative systematic review was conducted to summarize the policies for prevention of common gastrointestinal cancers worldwide. This study was conducted using PubMed, Web of Science, SCOPUS, and ProQuest databases. Two independent reviewers assessed included studies for methodological quality and extracted data by using standardized tools from Joanna Briggs Institute (JBI). Primary study findings were read and reread to identify the strategies or policies used in the studies for prevention of gastrointestinal cancers. The extracted findings were categorized on the basis of their similarity in meaning. These categories were then subjected to a meta-synthesis. The final synthesized findings were graded according to the ConQual approach for establishing confidence in the output of qualitative research synthesis. From the nine included studies in this review, 39 findings were extracted and based on their relevance in meaning were aggregated into 12 categories. Four synthesized findings were developed from these categories. We used World Health Organization report on 2000 for synthesizing the findings. The four synthesized findings were “service provision”, “resource generation”, “financing”, and “stewardship”. In order to reach a comprehensive evidence informed policy package for the prevention of gastrointestinal cancers, there should be a great communication among the interventions conducted directly on patients, health system infrastructures, and resources.
Keywords	gastrointestinal cancer ; policy ; primary prevention ; secondary prevention ; strategy ; Medicine ; R
Subject code	360
Language	English
Publishing date	2022-01-01T00:00:00Z
Publisher	Wolters Kluwer Medknow Publications
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: Factors Affecting on Organization Performance Assessment

Ali Janati / Masoumeh Gholizadeh / Alireza Hajizadeh / Rona Bahreini

Health Technology Assessment in Action, Vol 4, Iss

A Comprehensive Review

2021 Volume 2

Abstract: Abstract Introduction: Regular performance assessment is the basis of effective managerial decision making which is crucial for increasing the productivity of an organization. A distinct characteristic of an effective performance assessment is the ... ...

Abstract	Abstract Introduction: Regular performance assessment is the basis of effective managerial decision making which is crucial for increasing the productivity of an organization. A distinct characteristic of an effective performance assessment is the implementation of various methods which are aimed at assessing the conformity with multiple indicators and criteria. The aim of the present comprehensive review was to extract the factors affecting the performance assessment of organization. Methods: We conducted a comprehensive search in databases including PubMed, Embase, SID and Magiran in January 2020. Inclusion criteria were articles with the English language and full text available that were about influential factors. Two independent reviewers checked the research process, screening of articles. Results: Factors influencing an effective and efficient organizational performance assessment categorized in three themes and 22 sub-themes emerged. The themes included: “performance assessment indicators”, “performance assessment criteria” and “background factors in performance assessment”. Conclusion: Indicators, criteria, and background factors provide a framework for assessing the organization's overall performance. An organization can manage its human resources effectively and efficiently by considering all the effective factors. Identification and classification of influential factors can be of help for managers and decision-makers in creating performance assessment system.
Keywords	Work Performance ; Assessment ; Measurement ; Organizations ; Occupational Groups ; Economic biology ; QH705-705.5
Subject code	650
Language	English
Publishing date	2021-03-01T00:00:00Z
Publisher	Tehran University of Medical Sciences
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: Comment on “Validity and Reliability of the Iranian Version of the Short Form Social Well Being Scale in a General Urban Population”

Mehrdad AMIR-BEHGHADAM / Masoumeh GHOLIZADEH / Ali JANATI

Iranian Journal of Public Health, Vol 49, Iss

2020 Volume 4

Abstract: ... No ... ...

Abstract	No Abstract
Keywords	Public aspects of medicine ; RA1-1270
Language	English
Publishing date	2020-04-01T00:00:00Z
Publisher	Tehran University of Medical Sciences
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: Methodological issues on “challenges and opportunities towards the road of universal health coverage (UHC) in Nepal

Mehrdad Amir-Behghadami / Ali Janati / Masoumeh Gholizadeh

Archives of Public Health, Vol 78, Iss 1, Pp 1-

a systematic review”

2020 Volume 2

Abstract: Abstract Systematic reviews adhere to the principle that science is cumulative and attempt to identify all empirical evidence in accordance with pre-determined eligibility criteria to answer a specific research question. Therefore, in order to achieve ... ...

Abstract	Abstract Systematic reviews adhere to the principle that science is cumulative and attempt to identify all empirical evidence in accordance with pre-determined eligibility criteria to answer a specific research question. Therefore, in order to achieve reliable findings, these studies must use an explicit method, as they are increasingly used to guide political decision and the direction of future research. We would like to thank the authors Chhabi Lal Ranabhat et al., for the article “Challenges and opportunities towards the road of universal health coverage (UHC) in Nepal: a systematic review”. Although the authors have stated that they reported th according to the Preferred Reporting Items for Systematic Review and Meta-Analysis (PRISMA) guidelines, some items have not been well reported. We critically appraised it using the PRISMA guidelines. Results of the study were significantly valuable, but some important points that hamper the utility of the study need to be considered by the audors. The purpose of this letter is to improve the quality of study and present methodological issues about the search strategy, quality assessment of included studies, and data analysis and synthesis.
Keywords	Systematic review ; Methodology ; Critical appraisal ; Methodological issues ; Quality assessment ; Data synthesis ; Public aspects of medicine ; RA1-1270
Language	English
Publishing date	2020-04-01T00:00:00Z
Publisher	BMC
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: Identifying indicators and evaluation steps with suggestions for improving trauma care in Iran

Yalda Mousazadeh / Ali Janati / Mahboub Pouraghaei / Homayoun Sadeghi Bazargani

Journal of Injury and Violence Research, Vol 13, Iss 2, Pp 99-

experts’ perspective

2021 Volume 110

Abstract: Background: Trauma is one of the major causes of mortality across the world. Trauma patients have critical status and need timely, adequate, and organized care. The different consequences of trauma care among service centers around the world and even ... ...

Abstract	Background: Trauma is one of the major causes of mortality across the world. Trauma patients have critical status and need timely, adequate, and organized care. The different consequences of trauma care among service centers around the world and even within a country revealed the need for careful evaluation. This study was designed and executed to collect experts’ opinions on the evaluation steps, related indicators, and improvement strategies in trauma care. Methods: This qualitative study was based on a conventional content analysis approach. 2 focus group discussions (FGD) with 6 participants per FGD and 16 face-to-face in-depth interviews were conducted to collect the required information (from September 2018 to early 2019). Participants were selected through the purposive sampling method. The experts’ viewpoints were classified by the main and sub themes. Results: Four basic themes extracted from the interviews and focus group discussions including, trauma care importance (sub-themes: the involved individuals’ being young and productive and the effectiveness of trauma care); trauma care indicators (sub-themes: pre-hospital indicators, in-hospital indicators, and post-hospital indicators); stages of trauma care evaluation (sub-themes: evaluation prerequisites, finalization of indicators before the evaluation, determining evaluation time scope, determining evaluation dimensions, external and internal evaluation and use of evaluation results); trauma care improvement (sub-themes: balancing workload in trauma centers, enhancement of information system, considering extra-organizational dimensions in trauma care and empowerment of trauma care providers). Conclusions: According to experts’ viewpoints, trauma is a very important issue, because it involves young people. They believed that having indicators covering all aspects of care assist health managers and policymakers to understand under-standard performance. These indicators should be used in the form of a specific evaluation program and related to Iran ...
Keywords	indicator ; evaluation ; trauma center ; trauma care ; iran ; Medicine ; R
Subject code	360
Language	English
Publishing date	2021-07-01T00:00:00Z
Publisher	Kermanshah University of Medical Sciences
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: Investigating of Safety Standards and Performance of Emergency Power Diesel Generators in Hospitals of Tabriz, Iran

Javad Ghoddoosi-Nejad / Amin Daemi / Ali Janati / Rouhollah Yaghoubi

Health Technology Assessment in Action, Vol 4, Iss

2021 Volume 4

Abstract: Introduction: The risk of power outages is a serious risk that in needed situations the emergency power supply system employs in a hospital, such as diesel generators and UPSs can be used. The purpose of this study is to investigate the safety and ... ...

Abstract	Introduction: The risk of power outages is a serious risk that in needed situations the emergency power supply system employs in a hospital, such as diesel generators and UPSs can be used. The purpose of this study is to investigate the safety and maintenance standards of emergency power generators of diesel generators in Tabriz hospitals. This is a descriptive analytic cross-sectional study which was done in 2015 in 18 hospitals of Tabriz. Data collected with a checklist which was created based on national standards. This checklist included 87 items which were categorized in 15 groups. Data were analyzed using SPSS v.19. Results: Average compliance with the safety and maintenance standards of the diesel generator in the standards of 111 questions and the standards of 87 questions were 61.4% and 52.8% respectively. In terms of compliance with the 19 standards, the "ventilation" standards and the "daily visit" standards were the lowest and highest in hospitals, respectively, with 28.94 and 96.24, respectively. There was a significant direct relation between compliance with the standards for diesel generator with hospital bed (P value = 0.01) and total power generation capacity by generators (P value = 0.05) Conclusion: The results of this study indicate a low level of safety and maintenance for emergency systems in hospitals. These scores are not suitable for a system called "Emergency", and if there are no interventions in this area; hospitals will face many problems in the event of natural disasters and human error.
Keywords	Safety and Maintenance ; Diesel Generator ; Emergency Power ; Crisis ; Hospital ; Economic biology ; QH705-705.5
Subject code	380
Language	English
Publishing date	2021-07-01T00:00:00Z
Publisher	Tehran University of Medical Sciences
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: What should be measured? Nursing education institutions performance

Ali Janati / Vahid Zamanzadeh / Leila Valizadeh / Fariba Taleghani / Marjan Ghofrani / Akram Ghahramanian

BMJ Open, Vol 12, Iss

a qualitative study

2022 Volume 12

Abstract: Objectives In this qualitative study, we specify important domains of a nursing education institution that need to be measured to represent its performance via students’ perspectives, one of the most important stakeholders in higher education.Setting ... ...

Abstract	Objectives In this qualitative study, we specify important domains of a nursing education institution that need to be measured to represent its performance via students’ perspectives, one of the most important stakeholders in higher education.Setting This study was conducted in a nursing and midwifery faculty.Participants Participants were bachelor’s, master’s and Ph.D. students in nursing. Convenience sampling was used. The aim and methods of the study were explained to the students, and they were invited to participate in the focus groups. Four focus groups (n=27) were held.Results Thirteen categories emerged that were assigned to three components of the Donabedian model. The structure component contained three categories: learning fields, equipment and facilities and human resources standards. The process component contained five categories: workshops for students and staff, student familiarity with the institution’s rules and plans, teaching, students evaluation and evaluation of teaching staff by students and peers. And outcome components contained five categories: results of self-evaluation by students, graduates’ outcomes, students’ outcomes, students surveys results and related medical centres performance.Conclusion(s) Based on the needs and ideas of this important group of stakeholders, we can proceed further. Once we specify what is important to be measured, then it is appropriate to develop or choose suitable and measurable performance indicators for each of the recognised categories.
Keywords	Medicine ; R
Subject code	370
Language	English
Publishing date	2022-12-01T00:00:00Z
Publisher	BMJ Publishing Group
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: Incremental Healthcare Resource Utilization and Expenditures Associated with Cardiovascular Diseases in Patients with Diabetes

Reza Ebrahimoghli / Ali Janati / Homayoun Sadeghi-Bazargani / Hadi Hamishehkar / Atefeh Khalili-Azimi

Iranian Journal of Medical Sciences, Vol 47, Iss 1, Pp 53-

A Cross-Sectional Study

2022 Volume 62

Abstract: Background: Cardiovascular disease (CVD) is the most prevalent comorbid condition among patients with diabetes. The objective of this study is to determine the incremental healthcare resource utilization and expenditures (HRUE) associated with CVD ... ...

Abstract	Background: Cardiovascular disease (CVD) is the most prevalent comorbid condition among patients with diabetes. The objective of this study is to determine the incremental healthcare resource utilization and expenditures (HRUE) associated with CVD comorbidity in diabetic patients. Methods: In a cross-sectional study, patients receiving antidiabetic drugs were identified using the 2014 database of the Iran Health Insurance Organization of East Azerbaijan province (Iran). The frequency of HRUE was the main outcome. Outcome measures were compared between diabetic patients with and without CVD comorbidity during 2014-2016. The generalized regression model was used to adjust for cofounders because of a highly skewed distribution of data. Negative binomial regression and gamma distribution model were applied for the count and expenditure data, respectively. Results: A total of 34,716 diabetic patients were identified, of which 21,659 (63%) had CVD comorbidity. The incremental healthcare resource utilization associated with CVD compared to non-CVD diabetic patients for physician services, prescription drugs, laboratory tests, and medical imaging was 5.9±0.34 (28% increase), 46±1.9 (46%), 12.9±0.66 (27%), and 0.16±0.40 (7%), respectively (all P<0.001). Similarly, extra health care costs associated with CVD comorbidity for physician services, prescription drugs, laboratory tests, and medical imaging were 10.6±0.67 million IRR (294.4±18.6 USD) (50% increase), 1.44±0.06 million IRR (40±1.6 USD) (32%), 8.36±0.57 million IRR (232.2±15.8 USD) (58%), 0.51±0.02 million IRR (14.1±0.5 USD) (24%), and 0.29±0.02 million IRR (8±0.5 USD) (22%), respectively (all P<0.001).Conclusion: CVD comorbidity substantially increases HRUE in patients with diabetes. Our findings draw the attention of healthcare decision-makers to proactively prevent CVD comorbidity in diabetic patients.
Keywords	diabetes mellitus ; cardiovascular diseases ; comorbidity ; healthcare resources ; Medicine (General) ; R5-920
Subject code	616
Language	English
Publishing date	2022-01-01T00:00:00Z
Publisher	Shiraz University of Medical Sciences
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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